Insole Insight
Are Arch Supports the
Answer for Aching Feet?
David Hesse, DPM, FACFAS
Podiatric Medicine
Hesse Foot & Ankle Clinic
Eau Claire
Over 80% of the US population will require a visit to a foot doctor at some point in their lifetime. Many things contribute to this impressive statistic: An increased focus on physical activities for a healthier lifestyle, an increase in the number of hours we spend on our feet at work per week, and a dramatic rise in number of Americans with obesity. With a varying array of problems comes a varying array of treatment options. The question becomes, for your specific foot problem, what will be the best option. A pill? A shot?
A surgery? Often times, the answer is ‘none of the above.’
One of the most frequently recommended treatment options for a multitude of foot and ankle problems is the simple arch support. In many cases the insoles that come in a new pair of shoes are ineffective at relieving foot pain and can easily be replaced. There are basically two choices for replacement: Over-the-Counter
(OTC) Insoles or Prescription Orthotics.
OTC Insoles
A soft to semi-rigid insole that provides some arch support and cushioning can be found in almost any shoe store, pharmacy, and even grocery store. In some cases they will provide just enough support and pressure relief to alleviate some foot pain and/or fatigue. They are designed so that one style may fit a range of shoe sizes and will often need to be replaced every 4–6 months.
In any case, one should not expect to spend more than $40–$60 on these devices.
Prescription Orthotics
In cases where there is a true biomechanical problem that has been diagnosed, an individual may need a device prescribed and fit by a physician. Based on a biomechanical physical exam, gait analysis and weight bearing x-rays, a foot specialist can determine the architectural cause of your foot pain and design an orthotic to help control your specific problem. The most common problems requiring prescription orthotics include heel pain, arch pain, pain in the ball of the foot, and ankle tendonitis. Depending on the activity level of the patient, most prescription orthotics will have a life expectancy of 3–5 years or longer per pair. In some cases, annual updates in your prescription may be necessary. Prescription orthotics are the only arch support option that can be covered by insurance.
It is important to note that other treatment options used simultaneously with orthotic therapy are often recommended. These include use of anti-inflammatory medications, home stretching exercises, and professional physical therapy. There is often a break-in period of 3–6 weeks to become accustomed to the orthotics. When symptoms resolve, it is recommended that orthotic usage become a long term commitment.
Whether you have pain standing at work, have an inability to exercise the way you desire, or simply have difficulty getting through your normal day without foot fatigue, arch support of some kind is probably indicated. A quick and painless visit to a podiatrist will help determine what is best for you!
Dr. Hesse – Hesse Foot & Ankle Clinic
For information or to schedule an appointment:
715.514.4706 | www.hessefootandankle.com
Dr. Hesse sees patients in Eau Claire and Menomonie.
