Orthotic Insoles

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bad pain with orthotics - how much should I put up with?!

Postby Jaws » Mon Apr 16, 2007 11:03 pm

Hi Folks

I'm after a bit of advice. Sorry to bore you with all the details, but can anyone relate to this? I am thinking of Hannah mainly, as from what I have read, we seem to be going through similar problems foot-wise.

I got my hard, custom made orthotics about 3.5 weeks ago. I have tried to break them in gradually, but the left foot that was already suffering (swollen ankle, extreme tenderness in the underneath arch etc.) is not coping well with the new devices.

The right foot (that is badly flat and pronating/hypermobile etc) seems to be coping pretty well, and the pain level is what I would expect really.

At worst, I have to take the orthotics out, as it is too painful to walk (mainly the part where I bend the foot, and as I say, the lumpy painful tissue under the arch). By evening I always have a swollen ankle, but there is obviously a problem there anyway - I keep tearing tissues I think.

The pain extends up to the knee, with little spasms and jabs, and I wake up in the night with bad calf cramps. My achilles is also very painful, especially when walking downstairs. I think the whole of the back of my lower left leg feels 'pulled' and very tight. There are lumps in the arch which I believe may be scar tissue, and it is excruciating (but helpful?!) when my boyfriend massages my foot and finds the spot! At the weekend, I had to take Nurofen, as I was away from home and walking/on my feet more than normal.

How can you tell whether the pain is from the orthotic device, or because of hypermobility/other foot problems? I did suffer these symptoms before getting the orthotics, but was hoping the gadgets would address and minimise these symptoms rather than exacerbating them! I seem to be worse!

On the positive side, some off the shelf orthotics (well, arch supports really) from Scholl for about £36 seem much more helpful (they are not hard, but nice and supportive under the arches) and bearable. I wear these instead of the orthotics if I can't face them!

I realise that I have such exreme problems (according to the podiatrist, I am 'unique'!) that I have to have corrective devices rather than just arch supports from Scholl. Not only have I inherited hypermobility, but I also have my father's excessive pronation and flat footedness. This has resulted in ankles, toes etc that are far too flexible, and feet that badly roll inwards, impacting on the knees, hips and back.

Has anyone any advice about how much pain to put up with? I have rung the podiatrist and am going to pop in at the end of the week. She thinks the orthotics may not be right, and might need adjusting, but a part of me thinks that because they are comfortable for a certain amount of time, that it is just the state of my foot that needs addressing (and if so, who is going to help me with that? If the orthotics don't help those symptoms then what will? An operation?)

Any ideas gratefully received! Along with thoughts on what to wear in the garden in Summer, as I am getting fed up with trainers, boots and heavy shoes! I have always worn flip flops (hence problems have come to light), sandals and things that give my feet an airing!


:lol:
If all else fails, head for the Galaxy Bar!!!
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Postby nellie » Wed Apr 18, 2007 6:45 pm

Hi ted,

just wanted to reply to your query about girly shoes for your daughter, my son usually wears RICOSTA shoes , they are quite expensive but they have inersloes that can be removed so the orthotic inserts drop in. our local specialist childrens shoe shop are great and do everything to help my son feel like all the other kids in the play ground whilst helping him , they are GREAT.

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orthotic Insoles

Postby TED » Sat Apr 21, 2007 2:30 pm

Hi jaws,

I have found that my daughters insoles do help a little. Especially when we can find the right shoes. But her insoles are not hard they are soft and flexible and move with her feet. I do find at the beginning when she gets new insoles that there is a settling in period where she experiences extra pain. But overall they help a little not completely though.

Hope this helps.

Take Care & God Bless

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Re: orthotic Insoles

Postby Jaws » Wed Apr 25, 2007 11:01 pm

TED wrote:Hi jaws,

I have found that my daughters insoles do help a little. Especially when we can find the right shoes. But her insoles are not hard they are soft and flexible and move with her feet. I do find at the beginning when she gets new insoles that there is a settling in period where she experiences extra pain. But overall they help a little not completely though.

Hope this helps.

Take Care & God Bless

TED


Thanks Ted! My podiatrist was very unhappy about the swelling in my ankle, the pain and the limp due to achilles/calf tightness, so has sent my orthotics back to be modified. I feel so much better without them! Fingers crossed they will come back being more useful.....

God bless to you too - I am so glad that the soft insoles help your daughter - I am finding that the ones I bought in the Scholl shop are brilliant (better than my custom made ones in their current form!)
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Postby sarahh » Thu Apr 26, 2007 6:50 pm

Hi Jaws I had to go back to my podiatrist to have my orthotics altered as they had made the arches too high and I have to go back for a fitting on tues to see if they are better as they kept tearing my arches ending up in tendonitis of the arch. I am the same I feel so much better without mine and was also told that if this time they didn't help then it would be best if I did without them which I probably will now. I hope yours comeback good and are ok.

Take Care

Sarah x
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Postby ombili » Fri Apr 27, 2007 6:12 pm

Good luck with the fitting and everything. I have heard that orthotics take a while to get used to but when I first got my prescription ones I was immediately thrilled with them, so if you're not liking them I say go without.

I tried the spenco non-prescription orthotics I asked you all about a while back and hated, hated, hated them. Just FYI.

I want to go back and get new prescription orthotics, but even though my insurance doesn't cover them, the podiatrist won't make me new ones unless I get a new perscription first, and I don't like my GP that much so I haven't been to see her about getting a new scrip. Regardless, I won't get new ones until after I've gotten my molds out of storage in August.
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Postby sarahh » Sat Apr 28, 2007 1:22 am

Hi Msmay did you not get to keep your moulds? My podiatrist said that I had to keep them myself. They have been sitting at the top of the wardrobe thank goodness no accidents with them falling down lol could just imagine having to expain myself to A&E if that happened. The podiatrist has my moulds and orthotics till tues when I pick them up. Will let you know what happens. The insurance company doesn't cover for a new perscription I think they should as orthotics are hard to get right and they should understand that.
Hms December 99, Dormant Lupus Sept 07, Back Pain, Raynauds, RLS, Fibromyalgia June 08, EDs Aug 08, Marfanoid features Aug 08, Dyspraxia age 5
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Postby paw » Sat Apr 28, 2007 2:32 am

Msmay, I used to work for a foot doctor/surgeon who made custom orthotics for his patients. He would do a plaster casting and send those off to have molds made. He did the thermo-plastic hard ones and often covered them with a soft insole for comfort. The hard plastic would never wear out though.

You might consider trying some insoles on top of your old oththotics and see if that helps them last till you can get new ones made. My doctor said it was all about the right fit, and if you happen to fit the ones sold off the shelf or they can be modified to fit you, then they are just fine.

We never got the moulds back from the company that made the othotics. I think they kept them in storage there for a time in case there was a problem with the orthotics and they had to be redone. That rarely happened though at our office. (Due to the hard material)

I hope you all can find something that works for you.
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Postby ombili » Sat Apr 28, 2007 2:58 am

Thanks - yes, I do still have the moulds; that's why I have to wait until I get them out of storage in August. In the meantime the old ones are better than nothing. But even with the moulds they said they'd need a new prescription. Go figure. And as for insurance, they never covered any of it, because I'm not diabetic.

They're not hard orthotics, so they wear out more quickly, but the podiatrist I saw didn't feel that hard orthotics would be right for me.
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orthotics

Postby Jaws » Sat Apr 28, 2007 11:05 pm

sarahh wrote:Hi Jaws I had to go back to my podiatrist to have my orthotics altered as they had made the arches too high and I have to go back for a fitting on tues to see if they are better as they kept tearing my arches ending up in tendonitis of the arch. I am the same I feel so much better without mine and was also told that if this time they didn't help then it would be best if I did without them which I probably will now. I hope yours comeback good and are ok.

Take Care

Sarah x



Hi Sarah!

Thanks for the kind reply, and I hope you have better luck this time - let me know, I will be very interested, as your symptoms sound very similar to mine. It is all so frustrating isn't it? These hard, custom made orthotics have to be just right I think - this could be a long process!
The right foot was okay, but it seems that the foot which has the very weak ankle (my left) is not being corrected enough, so it is rolling in badly (that's the podiatrist's theory, and I would agree).

I thought I was better off without the wretched things, but have been in a lot of pain (mainly left foot) the last few days - very swollen ankle, calf pain, achilles pain, arch lumps/pain etc. I also keep waking in the early hours of the morning with very sudden and almighty calf cramp. I have to try to deal with it quickly (straightening the leg out and pulling my toes towards me) and make every attempt not to suddenly scream in pain and wake my partner up! Do you get that too?

When you first got yours, how long did you put them in for each day, and by how much did you increase the length of time you used them?

We will have to compare notes on how we get on! Mine aren't going to be ready for another 2 or 3 weeks I would imagine - they've gone off to the manufacturer to be altered. Meanwhile I am using either nothing (eek, not good) or Scholl's soft ones (better than nothing).

Update me on how you are Sarah - I will be thinking of you! Good luck.

Jaws x
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Postby sarahh » Sun Apr 29, 2007 12:39 am

Hi Jaws

Thanks I will definatly let you know how I get on. I have been so much better without mine. Where tore the muscles in my arches they made my arches really sore and ended up tearing them some more. When I first got mine I wore them for 10 mins then 20 and increased everyday by 10 or 20 mins until i was wearing them all day. Definatly will compare notes on our orthotics. I really wish you could choose the colour of orthotics I would love to have mine like a see through pink with glitter in them as I really love pink.

I will be thinking of you aswell.

Take Care hun

Sarah x
Hms December 99, Dormant Lupus Sept 07, Back Pain, Raynauds, RLS, Fibromyalgia June 08, EDs Aug 08, Marfanoid features Aug 08, Dyspraxia age 5
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orthotic insoles

Postby Jaws » Sun Apr 29, 2007 10:59 am

[quote="sarahh"]Hi Jaws

Thanks I will definatly let you know how I get on. I have been so much better without mine. Where tore the muscles in my arches they made my arches really sore and ended up tearing them some more. When I first got mine I wore them for 10 mins then 20 and increased everyday by 10 or 20 mins until i was wearing them all day. Definatly will compare notes on our orthotics. I really wish you could choose the colour of orthotics I would love to have mine like a see through pink with glitter in them as I really love pink.

I will be thinking of you aswell.

Take Care hun




Hi Sarah

Ha ha! Yes, that would be cool. My podiatrist laughed when mine originally rrived, as the heels they had put on were all glittery, and slightly see through as you desbribe (they are mainly black/dark grey apart from that). She said they must have got my order wrong and thought I was a child! (I didn't like to tell her that glittery was fine by me - I love them!)

Jaws x
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Postby sarahh » Sun Apr 29, 2007 7:00 pm

Hi Jaws

Wow you are so lucky I wish they had done mine like that. I am so jealous lol. Mine are red and with this funny material that looks like someone has blobbed spots of paint all over the surface. I think even adults should be allowed to choose how we would like them to look.


Sarah x
Hms December 99, Dormant Lupus Sept 07, Back Pain, Raynauds, RLS, Fibromyalgia June 08, EDs Aug 08, Marfanoid features Aug 08, Dyspraxia age 5
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Postby sarahh » Tue May 01, 2007 12:55 pm

Hi Jaws I picked up my orthotics this morning, the have lowered the arch they told to me to wear then in gradually again which at some point I will. I find it hard in the summer as I want to wear backless sandals. I phoned me physio aswell to let her know that I have them back. Hope your ok.

Sarah x
Hms December 99, Dormant Lupus Sept 07, Back Pain, Raynauds, RLS, Fibromyalgia June 08, EDs Aug 08, Marfanoid features Aug 08, Dyspraxia age 5
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Postby lucienh » Fri May 04, 2007 1:29 pm

Here's something I've been struggling with for years --
So.... once we get the orthotics, and they fit, how do we find shoes that fit both the orthotics and the feet? And, especially sandals. Summer is coming, and I'm tired of my running shoes.
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