Orthotics are special insoles that aid and correct foot function. orthotics are especially useful to treat leg length discrepancy and any associated biomechanical problems.

We can help you by providing the correct prescription of orthotics modified and adapted to your individual requirements.

We provide different types of orthotics such as:

• Digitally cast orthoses for a bespoke perfect fit
• Bio Insoles which are semi-bespoke and heat-moldable
• Slimflex orthotics that offer versatility and adaptability

Modifications are then made to suit your individual lower limb mechanics. For example, we may add a  heel lift to the orthotic of the shorter limb,  this provides stabilisation and reduces the difference in leg length. The foot of the longer limb usually excessively pronates (rolls in) so we can correct this by adding a wedge to the rear of the orthotic to stabilise and straighten it. These modifications will help correct body alignment and posture and therefore reduce stresses on the feet, knees, hips and spine.

Help with larger differences in leg length discrepancy. In some cases, a leg length discrepancy may be too large and orthotics alone will not suffice. Injuries due to road traffic accidents, surgery,  disease and some congenital conditions can lead to large differences in leg length. In these cases, we can offer special shoe modifications which incorporate an internal or external heel raise. An example of this is a split-sole shoe modification. This is where the sole is split away from the shoe and a heel or full foot raise is inserted to give sufficient height and correct the leg length difference discreetly and aesthetically.

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Having one leg shorter than the other you may be surprised to read, is quite a common feature in many of us!  However, it often goes completely unnoticed and doesn’t cause a problem unless the difference is quite significant usually more than 1 cm.

Differences in length can be structural in origin, for example, your long leg bones may naturally be shorter on one leg or shortened as a consequence of surgery, illness or injury.  Leg length can also be affected by functional or environmental issues. For instance, if you are used to camber running more on one side than the other or if you are used to carrying a heavy load but favour one side of your body more.

Signs and symptoms you may notice if you have a leg length discrepancy include Low back pain – usually more on one side. You may also have pain or discomfort in your hips, knees and feet this is because the body naturally wants to correct itself and so compensates for the difference!

You may notice that your shoes are wearing more on one side of the sole than the other….and it’s not been long since you’ve bought them! Or you may be building callus or a corn keeps forming on one foot but not the other. These are common presentations we see in the clinic from people affected by a difference in leg length.

The foot on the shorter leg is often seen to ‘roll outwards’  causing excessive loading on the outer margins of the foot leading to heavy callus formation and soft tissue strain. The foot on the longer leg is often seen to ‘roll inwards’ in an attempt to shorten causing excessive loads to the inner part of the foot. The result? aches, pains and tiredness that can limit the activities you love to do.

It’s natural that you’ll want to get back to doing the things you love so this is where we can help you.  As Podiatrists, we can assess and treat leg length difference and its associated problems. We can provide general foot care to keep you comfortable and reduce any hard skin, corns or nail problems, offer long term management solutions with Orthotics and/ or stretches or a referral to Physiotherapy if we feel you would benefit from further evaluation or a full exercise program. Orthotics can provide long term solutions for structural and functional causes of leg length discrepancy.

References used: Joseph D’amico, DPMPodiatry today 22/4/14 Vol 27 issue 5

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We will be offering FREE foot pressure checks for all customers who would like an assessment.

Just call in any time after the 20th April…. or call to check there’s no waiting time on 01403 276272

Available 20th April 2011

The post New iStep Wave pressure assesment system arriving soon appeared first on Bartholomew Way Clinic.