Custom orthopedic insoles manufacturing

These are the first insoles in Russia that are indicated for pain in the knee joints.

They reduce the progress of arthrosis of the inner part of the knee joints. The special 4-layer frame has an outer side increased by 3-5 mm (under the 3, 4, 5 metatarsophalangeal joints). It transfers the load to the less affected (outer) parts of the knees and relieves the inner part of the foot when walking. Insoles change the position of the foot and improve gait mechanics, which reduces the load on the knee joints.

The main purpose of these insoles is to relieve aching pain and slow down the process of joint destruction. You can use them in complex therapy of arthrosis, as well as as prevention.

What shoes to wear?

Properly selected, comfortable shoes for arthrosis of the foot, hip joint and gonarthrosis are the key to healthy walking. Orthopedic insoles and arch supports support the foot and improve shock absorption. Inconvenient and unsuitable shoes worsen the condition and create a number of problems: calluses, dislocations, additional stress. If a woman wants to wear high shoes, then these should definitely not be stilettos. The heels chosen are wide, with uniform proportions, stable and no more than 3-4 cm. The necessary conditions when choosing shoes are the following parameters:

• Moderately hard flexible and elastic sole.
• The size is one to one and the correct fullness.
• Soft top and interior trim.
• The minimum distance from the thumb to the end of the shoe is 1 cm.
• Preferably boots and boots with elastic inserts.
• Light weight.
• Presence of arch supports.
• In sneakers, the sole should be 2-3 cm.

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If you trample your shoes on the outside of the heel, this indicates the presence of an O-shaped curvature of the legs.

How does this curvature affect the knees? The gap between the joints becomes asymmetrical - it narrows inside and widens outside. As a result, the internal meniscus is compressed, and the ligaments are stretched along the outer surface of the joint. These insoles gradually correct these deformities and prevent serious problems in this area.

O-shaped curvature of the legs.

Indications for wearing insoles for arthrosis

Such devices will be useful for arthrosis of the ankle joint.

• Gonarthrosis.
• Coxarthrosis.
• Ankle arthrosis.
• Arthritis.
• Dysplasia.
• Deformation of small joints of the foot.
• Shortening of the lower limb.
• Flat feet.
• Phlebeurysm.
• Valgus deviations.
• Heel spur.
• The period after injury.
• Diabetic foot.
• Gout.
• Pregnancy.

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Why are they needed?

For arthrosis, shoes are selected individually. Thanks to their anatomical shape, the insoles can relieve tension in the leg muscles and reduce compression during movements. Thus, injuries (dislocation, twisting, displacement) of the foot are eliminated and its correction is performed in the following directions:

If you regularly wear such products, you can avoid dislocation of the joint due to improper load on the foot.

• change in the support angle of the lower limb;
• unloading of the ligamentous-muscular system;
• fixing the legs in the correct position;
• load distribution;
• blocking further deformation by decompensating recoil when walking (especially important for coxarthrosis).

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No. 8. What is better to do when you have joint pain – swimming, cycling or yoga?

Physical activity for joint pain has one goal - to strengthen the muscles around the joints and spine. A strong muscle corset will create reliable fixation and improve the position of the ligamentous apparatus, that is, it will stop the destruction of cartilage. You need to move towards this goal slowly and carefully, avoiding intense physical activity and strength exercises. At the first stage, swimming and yoga are ideal for this. Such training acts on the body as gently as possible, while actively training the muscles. The optimal duration of training for arthrosis is 1-2 hours per week.

Types and how to choose

Orthopedic insoles are a medical product used to restore the correct anatomical curves of the foot, to ensure the correct position of the lower limb. The structure must include:

• Seitz roller;
• arch support

The area around the heel should be deepened, the roll of the foot should be on the instep. For arthrosis, individual production is mandatory. The selection must be supervised by a doctor. Good medicinal shoe mats should be made of soft, breathable leather. A warranty from the seller for the service life is desirable, since the insoles are used for a long time.

Some insoles are able to adapt to the structure of the foot during wear.

Insoles can be made for children's feet.
Orthopedic insoles are available for adults and children. By frequency of use - one-time and permanent. They must be designed for all seasons of the year. Products are offered with thermofoil and fur for the winter, as well as breathable ones for the summer. From the inside, the space can be filled with gel or silicone, not only for comfort, but also for better shock absorption. Insoles with silver impregnation, antibacterial coating, moisture-repellent properties and holes for air regulation help prevent fungal and bacterial skin diseases, which so often occurs when wearing bad shoes. Deodorizing agents may be used during production. The ability to wash safely and easily and the lack of shrinkage when drying will be a good advantage.

• Insoles for arthrosis

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Manufacturing methods

Orthopedic insoles can be manufactured using 3 methods that determine the characteristics of the products:

• Casting (products of serial production).
• Manufacturing by mechanical vacuum formation or press according to the provided impression of the patient’s foot or on molding pads.
• Based on a mathematical model obtained using 3D computer modeling using a scanner (CAD/CAM technology).

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How do our clinic make custom orthopedic insoles?

The procedure for manufacturing custom insoles using Extempo technology begins with obtaining an absolutely accurate imprint of the patient's foot on a special vacuum membrane for both legs.

The formation of a foot print is carried out taking into account all the individual anatomical features of the patient’s foot and the main purpose of using the insole.

The imprint is adjusted so that the insole relieves the necessary areas of the foot. A print is made similarly for the second foot.

A preheated insole blank is placed in the formed imprint and pressed with the patient’s foot for 20-30 seconds.

After 5-6 minutes the insole can already be installed in the shoes.

When producing insoles using the Extempo method, it is possible to optimally select both the thickness of the insole itself and the height of its longitudinal arch. Lack or excess of insole arch height can negatively affect its healing properties).

Brief conclusion

The choice of insoles must be taken seriously. A large number of online stores offer a wide range of products. But it is better to purchase insoles in a specialized store or orthopedic center. You should listen to the recommendations of your doctor and choose a product in accordance with the parameters specified by a specialist.

Insoles for arthrosis of the knee joint will help relieve pain and discomfort during movement. This orthopedic accessory helps alleviate the suffering of patients whose cartilaginous layer of the lower extremities and spine is worn out due to pathological changes in the arch of the foot. In addition, to prevent arthrosis, you should wear only comfortable, high-quality shoes.

How safe are flat-soled shoes for everyday walking?

We are talking about sneakers and other sports shoes with relatively thin soles that provide little cushioning. In this case, the load on the knee joint is significantly lower than in the previous one. These boots and shoes are ideal for arthrosis, but there are some nuances. Models with flexible soles are considered safer: the load on the joint is almost minimal.

Look for shoes with flat, flexible soles

Shoe Features

To successfully combat the disease, you should take your choice of shoes seriously. Basic Rules:

• Heels should not be higher than 3-5 cm, so that while walking the shoes do not cause dislocations and slipping of the foot.
• It is forbidden to wear tight shoes or boots. But don't choose shoes that are too wide. Products must be exactly the right size.
• It is better to give preference to shoes with elastic and soft soles. This will help relieve the joints as much as possible.

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The benefits of insoles for arthrosis

In addition to wearing comfortable shoes, if you have arthrosis of the foot, your doctor may prescribe the use of special orthopedic accessories. They help establish the leg in an anatomically correct position. The effectiveness of using insoles or arch supports is as follows:

• relieve stress on the arch of the foot;
• relieve pain;
• contribute to the formation of correct leg position;
• correct different leg lengths;
• cushion the gait.

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• Orthopedic shoes for arthrosis

No. 9. Is it possible to quickly reduce morning joint stiffness?

Morning stiffness in the joints is one of the main symptoms of gonarthrosis or coxarthrosis. The joints remain motionless for a long time, so they react this way to the slightest load. Inside, there is a deficiency of synovial fluid, which covers the cartilaginous surfaces unevenly. In areas where it is lacking, you feel stiffness.

To reduce discomfort, do not rush to “jump up.” While lying in bed, gently stretch your joints, bend your knees and straighten them several times, do the same with your elbows. The synovial fluid will be evenly distributed over the cartilaginous surfaces. This way you will protect damaged joints from injury from everyday normal stress.

When are they needed?

They help make the disease invisible.
Incorrect gait, increased load on the lower extremities and a violation of the arch of the foot lead to the abrasion of cartilage tissue. For prevention purposes, orthopedic insoles or arch supports are used by women who prefer high-heeled shoes. Some types of products can be worn even in summer; they are not visible in sandals. The use of orthopedic devices for medicinal purposes is relevant in such cases of foot misalignment:

• longitudinal or transverse flatfoot;
• clubfoot;
• different leg lengths;
• valgus.

Only an orthopedic doctor can prescribe the use of orthopedic insoles, as well as select them.

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How to choose?

To choose the right orthopedic accessory, it is recommended to contact an orthopedic doctor directly or a specialized salon. Only a specialist will help you choose a product by size, in accordance with the existing pathologies. Wearing it incorrectly on your own can harm the entire body, as gait disturbance increases the load on the spine. Specialized institutions offer the manufacture of custom-made insoles according to the size and specific problems of the client.

For dress shoes and wide boots, the insoles will be different. To secure it, it is recommended to remove the standard insole. You can't leave the usual one. The foot will feel uncomfortable and calluses or corns will appear. Once your orthotics are positioned correctly, you should walk around the room to look for any problems or discomfort. The selection should be continued until the patient becomes comfortable.

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Wearing rules

The rules are simple and accessible to everyone.
It is important to know that for a successful outcome of treatment for coxarthrosis of the hip joint and other types of arthrosis, it is important not only to choose the right insole, but also to use it correctly. At first, the patient may experience some discomfort associated with a change in the position of the arch of the foot and relief of pressure on the joints. For complete treatment of arthrosis of the lower extremities and at home, orthopedic products should be used. To extend the service life of products, you must follow generally accepted rules:

• It is best to remove the insoles from your shoes every day to inspect them for damage or wear.
• Washing or cleaning should only be done by hand.
• Use soap solution for washing, not powder.
• Leave to dry on a flat horizontal surface.

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No. 4. Is it necessary to wear a knee brace?

If this is necessary, your doctor will tell you about it. Before choosing an orthosis, consult a specialist. If an orthopedic device is indicated for you, it will prevent instability of the damaged joint and stop its further destruction. The main thing is to choose the right orthosis: too small will disrupt blood circulation in the knee, too large and will not stabilize the joint enough.

What mistakes are most often made in treating joints? Doctor Evdokimenko answers:

Brief conclusion

Correctly selected shoes for arthrosis of the lower extremities in combination with orthopedic insoles alleviate the symptoms of the disease. Cushioning of movement relieves stress from the spine, improving the patient’s overall well-being. To prevent cartilage deformation, it is important to be strict when choosing sports and dress shoes. The priority should be high quality materials and ease of use. Calluses and corns should not appear during wear.

Bibliography:

• Orthopedic insoles and shoe inserts ORTMANN (Germany), OPTIO (Lithuania)

• https://osteokeen.ru/ar/vrachevanie/stelki-pri-artroze.html
• https://etosustav.ru/ar/izlechenie/stelki-pri-artroze.html