Insoles

Abstract

Orthotic measures – insoles and special shoes – are essential adjuncts to all other methods of treatment of foot disorders. In order for the measures to be effective, certain requisites must be observed:

• 1. The diagnosis of the condition to be treated must be established and understood.

• 2. The insole should be prepared under the supervision of the orthopaedist.

• 3. The insole should be constructed according to a prescription which describes the various features required for the foot concerned. This includes details of any shoe adaptations necessary after preparation of the insole itself. Parts of the shoe (e.g. the heel cup) against which the corrected or stimulated foot may bear require appropriate reinforcement.

• 4. The condition of the insole must be checked by the orthotist regularly every 4–6 months and new prescriptions prepared by the orthopaedist as frequently as necessary. The need for a change of insole depends upon the condition for which it is prescribed.