Orthotic instructions for use

Please read the whole leaflet carefully as it contains important information about the safe use of orthotics. Keep this leaflet safe, you may wish to read it again. If you have any questions after reading the leaflet, please contact KCHFT podiatry or your prescribing clinician.

You have been prescribed orthotics as part of your treatment. Although the orthotics may feel uncomfortable until you get used to them, they should not cause any pain. If they do, stop wearing them, make another appointment and bring the orthotics to that appointment.

Why have I been prescribed an orthotic?

Insoles may be prescribed for the following reasons:

• To correct the alignment of your feet and legs, when the orthotic is in use.
• To redistribute abnormal pressures, relieving painful areas.

Your podiatrist may suggest insoles for a number of conditions. Generally, there are 2 main types of insoles:

• Functional devices
• Accommodative devices

The podiatrist will decide which the most appropriate device is for you.

Functional devices

Functional devices are used when support is needed to reduce strain on an injury for it to heal, or to ease pain.

Accommodative devices

Accommodative devices are usually cushioned and designed to ease pressure on a particular area. Sometimes this may be due to a deformity (for example due to arthritis), an area of high pressure (such as corns or callus), or because sensation is reduced (for example, due to diabetic neuropathy).

Wearing Guidelines

Important: Unless instructed otherwise by the prescribing clinician, be sure to follow these instructions.

During the first weeks of use you may experience mild discomfort as your muscles adapt to the devices due to the realignment of the foot and redistribution of pressure, for this reason we advise you follow a gentle wearing in period as follows.

To start with, only wear the orthotics for 1–2 hours. After doing this for a minimum of 2 days gradually increase the time worn by 1 hour each day. Continue to build up the time until you feel you are comfortable wearing the orthotics all day. It is important to wear in the insoles gradually, even if they feel OK. This is particularly important if you have back problems, as if you wear them too much you may have some pain the next day.

It is normal to expect a little aching at first as the muscles in your legs and feet get used to the devices. If the insoles cause severe pain or aching, stop wearing them and let your podiatrist know at your next appointment.

Warning: Do not wear them immediately for intense exercise, start by walking and then gradually move on to running and other strenuous exercise.

Caution: Seek advice from your prescribing clinician if the orthotics need to be worn for any activity that involves jumping. There is a risk the device could slip forward in the shoe and potentially hurt your heel on landing. If you feel the orthotics are slipping in your shoe, you can apply sticky back Velcro to the bottom of the heel of the orthotic and the inside heel of the shoe.

Once accustomed to the device you should use them as much as possible, as you get the most benefit when you wear them consistently.

Orthotics may feel uncomfortable while you get used to them, but they should not cause any pain, redness or rubbing. If they do, stop wearing them and make another appointment with your prescribing clinician and bring the orthotics to that appointment for review.

Shoe types

Orthotics should fit into trainers, casual shoes, and work/school shoes.

The most appropriate shoes to wear orthotics inside are supportive, have a removable insole, and securely fastened with laces, supportive buckle or strap.

Cleaning

• Wipe clean with a damp cloth and allow to air dry.
• Do not use chemicals or detergents to clean.
• If the orthotics become excessively wet, please pat dry and then air dry.
• Avoid contact with direct heat or chemicals as this may cause the orthotic to lose its shape.

Care Instructions

• Orthotics are not replaced after a set amount of time but will need to be reviewed if pain or discomfort returns or if they wear out.
• In this case a new appointment with a clinician will be required.
• With proper care, some orthotics can be expected to last several years. Like any footwear, the lifespan of the orthotic depends on how often they are worn, the intensity of the activity used for, and how they are cared for.