There has been a growing interest in arch supports lately, and with so much information circulating, it’s understandable that people have questions. Many wonder if arch supports are the same as foot orthotics, but there’s a significant difference between the two. As a chiropractor, I’m here to answer some of the most common questions about these options and guide you toward choosing the best solution for your needs.
What Are Arch Supports?
Arch supports are designed solely to provide support to the arch of your foot. They don’t correct or align the foot structure beyond this, and they lack the ability to address complex foot issues or biomechanics. This makes them a basic solution for those seeking temporary or mild arch support but not for people who need more comprehensive foot alignment or correction.
What Are Foot Orthotics?
Foot orthotics go beyond arch support. Orthotics are categorized into two main types:
- Generic or Over-the-Counter Orthotics – These orthotics are pre-made and can be bought without customization. While they often include arch support, they don’t address specific structural issues that might require correction.
- Custom-Made Orthotics – Custom orthotics are tailored specifically to an individual’s foot structure, taking into account unique angles and biomechanics. A custom-made orthotic will often include arch support and additional corrections based on the precise needs of your foot.
Both generic and custom orthotics typically include arch support, but their ability to provide long-term relief and correct underlying issues varies. Custom-made orthotics are crafted to accommodate the individual’s foot structure and to address complex issues like the forefoot varus angle deformity, a condition that generic options often overlook.
Understanding Forefoot Varus Angle Deformity
One of the most overlooked conditions that orthotics can address is the forefoot varus angle deformity. This occurs when the front of the foot angles inward (inverted) relative to the heel. This seemingly minor misalignment is actually one of the most damaging conditions, leading to a host of complications:
- Dropping of the Foot Arch – The deformity causes the arch to fall, leading to conditions like flat feet or overpronation.
- Shin Splints – Forefoot varus angle deformity is a primary cause of shin splints, especially in athletes.
- Knee Pain – As the leg internally rotates, it places more stress on the knees.
- IT Band, Hip, and Low Back Pain – The misalignment can travel up the kinetic chain, leading to pain in the IT band, hips, and lower back.
Our bodies can only tolerate a minimal forefoot varus angle (0-4 degrees) before problems arise. Angles above 5 degrees can lead to substantial breakdown over time, and angles as high as 20-30 degrees are not uncommon. For individuals with forefoot angles exceeding 10 degrees, a custom orthotic is essential for correction and proper alignment.
The Importance of Proper Foot and Ankle Adjustments
One of the most overlooked steps before fitting or recommending arch supports or orthotics is foot and ankle adjustment. If the bones in your foot are misaligned, it’s crucial to address this before fitting an orthotic. Adjusting the foot and ankle can improve the arch structure, leading to a more accurate and effective orthotic.
Without this adjustment, any orthotic made will reflect the dysfunction, leading to suboptimal results. Proper adjustments help to restore the natural function of the foot, allowing for a better fit and ultimately more effective support from the orthotic.
Q&A: Common Questions about Arch Supports and Foot Orthotics
Q: Are arch supports enough for foot problems like flat feet or heel pain?
A: Arch supports may offer temporary relief for minor discomfort but are not designed to correct structural foot issues. Conditions like flat feet, heel pain, or more complex alignment problems often require a custom orthotic that provides comprehensive support and correction.
Q: Can generic orthotics help with forefoot varus angle deformity?
A: Generally, no. Generic orthotics are not equipped to address forefoot varus angle deformity. Custom-made orthotics are designed to accommodate specific biomechanical needs, including forefoot varus, which helps reduce strain on the knees, hips, and back.
Q: Why is it important to adjust the foot before fitting an orthotic?
A: Adjusting the foot before fitting an orthotic helps restore natural alignment, allowing the orthotic to function as intended. Without adjustment, an orthotic made to fit a dysfunctional foot will reinforce that dysfunction rather than correct it.
Q: How do I know if I need a custom orthotic?
A: If you experience persistent foot pain, shin splints, knee pain, hip pain, or lower back pain, it may be due to an underlying issue like forefoot varus angle deformity. A simple assessment can determine if a custom orthotic is right for you.
Q: Will an orthotic fit change if my foot is adjusted first?
A: Yes. An adjustment can alter the arch and angle of the foot, which may change the size or shape needed for an effective orthotic. This is why I recommend adjustment before orthotic fitting for the most accurate result.
If you’re dealing with discomfort in your feet, legs, or lower back, your feet might be contributing to the problem. A thorough foot assessment, including forefoot varus angle evaluation, could reveal issues that arch supports alone won’t address. Contact us today for an assessment, and let’s get you on the path to better foot health.
Yours in Health,
Dr. Wayne Johnson, D.C., C.C.E.P.
Contact Information:
Johnson Chiropractic
471 Heritage Park Blvd, Ste 3
Layton, UT 84041
Phone: (801) 444-1002