New Post...it's about time!

Sorry for the long delay since posting. I've been thinking a lot, and really busy, but it's time to share my new thoughts on how to get better and better with orthotics and gait/posture training.

Keep checking for new posts and an update to our website www.footform.com

Medical Deductible for Shoe Insert Orthotics, Year-End Insurance

Shoe insert orthotics are part of a healthy life-style choice that will keep you on your feet for years to come.

Every autumn my orthotics clinic becomes very busy because many clients come in to take advantage of their annual medical policy and update their shoe insert orthotics. Check out your insurance funds and if you have funds available, remember to purchase your othotics or duplicates before the end of the year.

It's very important to have duplicate orthotics because you are more likely to use your othotics when it's easiest. Having orthotics in more than one pair of shoes makes it easier to use them and allows each pair to thoroughly dry out before wearing them again.

Medical expense plans or "cafeteria plans" are a pool of funds that certain insurance companies (usually through a business medical insurance plan) offer to employees and members. This type of fund is a don't-use-it-you-lose-it policy, so be sure to use your available funds before Jan. 1st.

Other insurance companies have a yearly deductible, that if a recipient may have fulfilled over the year, enables them to have more of their out-of-pocket medical expenses paid. Some insurance companies allow one pair of foot orthotics per year, or a certain amount of money to be put towards the purchase of a shoe insert or foot orthotic.

www.Footform.com

Orthotics and Renewable Resources

I've been dedicated to making safe custom foot orthotics or shoe inserts for decades. In the 1990's, I was motivated to make custom orthotics that last a long time. Most off-the-shelf shoe inserts or orthotics only last a few months before the orthotics materials compress out of shape and lose their shock absorption and supportive qualities.

My artisan made custom orthodics have a lifespan of five to ten years if the clients foot hasn't drastically changed. I succeeded with my goal of producing very long lasting custom orthotic arch supports that absorb shock while supporting the foot and increasing foot comfort. Footform shoe inserts are ideal for treating the flat foot, plantar fasciitis and other foot problems. Inserted into a well designed shoe such as a good athletic shoe that is right for my client, a custom orthotic and athletic shoe combination may be as good as or better than available orthopedic shoes.

We sell our brand of visco-elastic polymer mixed with cork, VISCORK™. I developed these arch support orthotics materials that I package and sell through my business, Footform Labs. Visco based materials have tested superior to all other orthotic materials yet they are rare because the first-generation fabrication methods were difficult and unconventional.

There is only one known competitor to our material, which is PQ™. I developed a visco fabrication method with Footform® Mold Shells that is an extremely simple system to make custom shoe inserts. Also, it is the only known method to thermo-form Poron®. Our VISCORK™ material has many advantages: easy grinding, low odor, no hazard rating, lightweight, simple 50-50-100 mix ratio, and less expensive. Our VISCORK is a perfect modern replacement of old-fashioned rigid orthotics technology. And, cork is a renewable resource. It's a win-win for our Footform clients, us and our planet!

Orthotics Manufacturers, Podiatrists, Chiropractors, Physical Therapists and other medical professionals can order our low hazard and safe foot orthotic supplies at 541-389-4547. We formulate, mix, assemble and ship all of our custom orthotics materials from Bend, Oregon. Made in the U.S.A.

www.Footform.com

photo: Cristina Acosta

Save Money on Your Athletic Shoes

The old maxim, "It fits like an old shoe," doesn't mean "it's" good for you. Old athletic shoes, even if the uppers look good, wear down where the foot has stressed them. The insole packs down and is no longer functional. This is especially true of athletic shoes. 

The proper athletic shoe for your foot along with a  good orthotic may reduce repetitive strain injuries, the bane of any athlete or casual exerciser who works out regularly.

Athletic shoes are no longer as functional and supportive after roughly 500 miles. Active people walk about 5 miles per day. If you're wearing your sports shoes as your everyday shoes, be sure to add this mileage to your training mileage. As a general rule, a pair of well used athletic shoes has about 100 days of use. After that, the shoes have compressed cushioning (especially in the midsole) and have developed wear patterns that can accentuate poor gait and stance habits.

Here are a few tips to extend the life of your athletic shoes and save money:

• Footform orthotics extend the life of your shoes by spreading out pressures more evenly throughout the shoe. 
• Date your shoe when you start to use it (with a permanent marker) and half-way through the shoe's life add a new pair to your closet and alternate use between the 2 pairs. Continue to stagger the use of your shoes, throwing out the old pair.

At Footform Performance Center in Bend, Oregon, you can set a half-hour appointment for gait analysis and shoe consulting. Call my office 541-389-4547.

Note: Some specialty athletic shoe stores will recycle old athletic shoes. 

www.Footform.com

Sports Pedorthist - Supporting the Athlete and Active Person

A lot of people don't know what a Certified Pedorthist is or does. Pedorthics is a specialty in foot orthotics and shoes. It's often confused with Podiatrist. The difference is that Podiatrists are doctors treating a variety of foot related ailments, including doing minor surgeries and prescribing drugs. Podiatrists also prescribe and provide orthotics. 

The big difference between getting orthotics from a Pedorthist (me), rather than a Podiatrist is that the Pedorthist is a specialist who usually fabricates the orthotic and fits it into shoes. Podiatrists usually send out their orthotics for fabrication. Because of cost and insurance issues, many Podiatrists and Pedorthists are turning to the less effective pre-fabricated, off - the - shelf orthotics.

The majority of Pedorthists across the U.S. focus on the diabetic foot problem. But, there is a small niche in pedorthics called Sports Pedorthists.  Regionally (the Pacific Northwest), I am a widely known Sports Pedorthist, and operate my Footform Performance Orthotics Center in Bend, Oregon. Though I do make orthotics for clients with diabetes and other maladies, my specialty is custom orthotics for the active person with repetitive strain injuries and issues.

Sports Pedorthists have the skills to fit orthotics into specialty athletic shoes, such as ski boot orthotics, skating orthotics, cycling orthotics, running orthotics and golf orthotics. Maybe you're thinking that, "Hey, anybody can put an orthotic in a shoe." Here's the answer. A Sports Pedorthist spends a lot of time analyzing the athletes biomechanics, their sport and their footwear. Fitting the orthotics into the specialty shoe correctly makes a huge positive difference to the athlete's performance and relief of strain.

At Footform Performance Orthotics center, in Bend, Oregon, our foot orthotics price includes 2 one-hour appointments to ensure the best result. 

Bend, Oregon is a vacation area and many of my clients visit Bend for a vacation or to participate in one of the many races and sports events in Bend. They'll get their orthotics while they are here. I have many clients from around the country that will get their foot molds on file with me, then have me mail them duplicate orthotics over the years. 

Call my Footform Sports Orthotics clinic in Bend, Oregon for an appointment, 541-389-4547.

Email: Randall@Footform.com

website: www.Footform.com

Our Orthotics Materials are Enviro-Safe

All of our Footform foot orthotics are artisan made in our labs. That means that not only are the technicians making the foot insoles exposed to the orthotics materials, but that any pollutants present are released into the local area.

In the old days orthotics were made out of a rigid plastic known as rohadur. Rohadur was banned due to it's harmful environmental impact. The substance also lacked shock absorbing properties. Rohadur was old and bad technology.

My Footform orthotics are made from non-toxic polyurethanes and cork (a renewable resource).

Many years ago, before it was cool (in the early 1990's) I developed my current enviro-safe orthotics materials and fabrication process. Here's why: I personally make orthotics and work with the materials, as well as supply colleagues with the visco elastic polymer orthotics supplies so that they can fabricate orthotics. It's important to me that the technicians have a safe working environment. Also, during those years, my wife and baby were in the office during much of the day, and I wanted to ensure their health.  An added plus is that my Footform orthotics last for many years (5 to 10 years) and I am confident that my clients are using a safe product.  

If you're looking for a safe and effective orthotics material, contact me and I will talk with you about my orthotics materials and supplies. I named the product Viscork (TM), and it is packaged for distribution.  

Randall Barna 541-389-4547

www.Footform.com

Keep Your Balance on Your Feet and In Your Life

Having good balance keeps you from falling down. And I'm not only talking about tripping and falling. Balance goes beyond your feet and relates to your life. A commitment to balance in all things helps with your life. Balance is all about movement, continually finding that sweet-spot between two extremes.

Here's an example: Imagine a teeter-totter or see-saw, the children's toy in many playgrounds. If one side is over-loaded the teeter-totter gets stuck on one side and movement stops. The eventual outcome of less movement for the human body is a sedentary life that can result in a wheelchair. 

Physical skills for balance: (Here are the 2 main skills most of us have.)

• Feel for the ground: Sensing your foot you are aware of where the pressures of your weight is on your foot. The more foot you have on the ground, the more stable you are in most cases. Experiment with movement heel-to-toe and inner-to-outer side of your foot, especially when walking.
• Vision: Most people rely on their vision for balance. When vision tilts the body corrects. Try closing your eyes and walking around (in a safe place) to see how much you rely on your vision.
• Inner Ear: Not under our control.

Our goal is to use both visual skills and your feel for the ground. Here are some tips to improve your balance:

• Walk backwards: Your feel for the ground is enhanced because you can't see where you're going.
  
• Orthotics: The point of a foot orthotic is to increase your feel for the ground (not just cushion your foot). The exact 3-D matching contour between orthotic and foot helps you sense any movements and to make adjustments so that you keep your balance.
  

www.Footform.com

Why are Custom Orthotics Better for You than Off the Shelf Footbeds

Clients will sometimes ask me what the difference is between prefabricated foot orthotics and custom foot orthotics, even sometimes claiming that both orthotics feel the same. Though there is that rare person that has the exact foot match to a generic orthotic contour, usually a person is responding to the cushion of the foot orthotic, a trait that doesn't have a lot to do with performance of the footbed.

Just to look a prefab foot orthotic is impressive. Mass production techniques often result in a snazzy looking foot orthotic  (also called a insole or footbed). Despite the appearance and marketing, a pre-made foot orthotic is generic. The cushiony feel of most pre-fab insoles helps to cover up the lack of a perfect fit.

What really counts when you buy a foot orthotic is the arch contour and how the orthotic fits into the shoe. A foot orthotic you put in your shoe is there to optimally guide your foot so that you can make changes and adjustments in your foot position.

A pre-fab orthotic or insole is low-performance (despite the appearance) because since the contours of the orthotic are generic, you won't notice that your foot is out of position until the movement is obvious. 

A custom made foot orthotic is high-performance because of the exact fit with the contours of your foot. Every move your feet make, you can feel. This is important, because when your foot is moving well, fatigue, over-use and injuries are reduced.

The next step to a successful application of an orthotic is to fit it into a shoe. This requires cutting and grinding skills that fit the foot orthotic into the existing contours of your shoe. It also requires that you are wearing the best shoes for you feet. My next post will be about foot types and shoes.

When you buy a custom foot orthotic you should buy them from a trained technician who can tell you about the optimal use of your foot. They'll educate you about the types of shoes you should wear for your foot type and also fit the orthotic into the shoe. They will give you stance and gait training so that you can get the best out of your foot orthotic.

At Footform Performance Center  we give you that kind of orthotic, shoe and gait training service. Your foot orthotics will both be effective and last for years (rather than most pre-made foot orthotics that compress out of shape within months then live forever in the landfill).

Call or contact Footform Performance in Bend, Oregon for an appointment. 541-389-4547

Personalizing Your Footwear with Custom Orthotics

If you want luxury for your feet replace a removable shoe insert with Footform Orthotics. Most mid to high-end sport specific footwear have removable inserts. Taking that shoe insert out and replacing it with a Footform orthotic gives you a custom fit that makes your footwear the foundation of a positive experience. Whether that's in the field, on a golf green, ski slope, bike, bowling alley lane or on the dance floor. During the second half of your appointments at the Footform Performance office in Bend, Oregon, we fit the orthotics to the shoes that you either wear most often, or the shoe in which you specifically intend to use the orthotic. One of our satisfied customers, Terry Scoville, of Womens Hunting Journal, shared her experience of a hunting boot she customized with a Footform orthotic.

___________________________________________________________________

Review from Woman's Hunting Journal: LaCrosse AlpahaBurley Sport Insulated by Terry Scoville

I recently spoke with a representative at LaCrosse Footwear, to find out what they'll be offering women hunters this Fall. I was surprised to learn that they are discontinuing a few styles. The good news is that the model I have they are going to continue providing. Specifically the AlphaBurley Sport Insulated 18" Realtree Hardwood HD 800 Gr. boot, style #200037 (soon to be style # 200044) as of July 2008. I bought mine last Fall and used them alot throughout the waterfowl season. Firstly, they are offered in whole sizes only, so go up to the next whole size if you wear a half size. With that said, mine are awesome and show no signs of abuse after their first season afield. I replaced the factory foot bed with my own custom orthotics http://www.footform.com/ and the fit is wonderful. I found the Alpha Burley boots to be nimble, lightweight and not cumbersome. The sole has sufficient traction and support, so as not to be flimsy in any way what so ever. The fleece lining has held up to my abuse and shows no sign of wear. There is an adjustable gusset at top back with a cam buckle if you want them snugged up, for real nasty mud. They weigh in at 5.5 lbs. per pair. I used mine for late season goose hunting and my feet were toasty warm. Even late season goose hunting in my layout blind, & on snow for 4-5 hours at a time. My backside got a bit frosty, but not my feet. In conclusion for women hunters, I highly recommend the AlphaBurley boots. Especially if you're wanting something other than hip waders or your leather field boots for hunting. http://www.lacrossefootwear.com/

Knee Pain Isn't Inevitable

Knee pain isn't inevitable as you age. Barring injury, how you use your knee with each step determines how wear and tear of use affects your body. The knee is a hinge joint designed to bend in a straight line. Knee strains and pains occur when the arc of the bend becomes twisted. The beginning of a twist starts with the foot pronating (or rolling inwards on the big toe side). Twisting the foot results in twisting the ankle which carries the stress to the knee. The knee will rotate inward. Repeating this movement throughout the 10,000 steps you take in a day can result in a repetitive strain injury.

If you're sedentary you take less than 10,000 steps per day. If you have a job that requires walking like a nurse or postal worker you'll be taking even more steps.
So what can you do to protect your knee as you walk?

• Bend your knees slightly (keep a soft knee) with every step and while you stand.
• When you're walking, concentrate on keeping your heel on the ground as long as possible (this discourages toe walking).
• When you walk, concentrate on keeping your foot pointing straight ahead with every step and keeping the direction of your knee bend straight over the foot.
• Keep your hips loose and rotating with each step.
  
• Look for shoes that are stable such as an athletic shoe or walking shoe that bend easily in the forefoot.
• Foot Orthotics help to guide your foot so that it doesn't pronate.
  

All of this may sound a bit complicated. At my clinic I coach clients to walk and stand so that they protect their knee joints. If you are unable to find a gait training specialist in your area, I suggest you find a friend to video you walking straight towards the camera and from the side. When you watch yourself on the video check the alignment of your leg bend and foot position.
www.Footform.com

Ask Randall: Generic Insoles

April 16, 2008 11:45 AM

Hi Randall, I was wondering if you can tell what elements are needed for a generic insole that would bring comfort to a shoe wearer. What material would you use? By the way your blog is amazingly full of facts and I am enjoying reading each post. SA

Dear SA,

In the shoe industry, the term generic insoles refers to what's also called a sock liner, contoured insole, or generic orthotic.

• Sock liners are generally a flat cushion layer, sometimes removable, but usually glued into the shoe.
• Contoured insoles are formed from molded foam to fit the shoes interior and cup the the mid-foot and heel around the edges. Generally this insole has little to no anatomy.
• Generic orthotics are formed from molded foam or/and other materials. It is like a contoured insole, but has actual arch contour and more anatomy.
  

Here's what I think are the best choices in each category:

• Sock Liners: Multi-density foam layers. One layer that forms to the foot layered over one resilient layer that springs back to the original shape.
• Contoured Insoles: The same as a multi-density sock liner, but with the upper layer being a molded foam shape.
• Generic orthotics: Typically an after-market product, sometimes they are actually built into a shoe such as a Birkenstock. The most important thing is that the contour doesn't offend the user's foot contour.
  

The object to orthotic contours is to guide the foot to it's optimal use. The closer the contours are to the foots natural contours, the higher the performance of the orthotic. Peoples feet are different, therefore a mass market product will only address one type of foot over another.

The optimal high performance is a custom orthotic. Because this option isn't available to everyone, the next best thing is to try on a multitude of generic orthotics to seek a good match.

Note: I offer consulting to manufacturers and designers seeking information about foot contours, orthotic shapes and materials. In the past I've patented two systems relating to this research.

Foot Arches - Two Per Foot

The arch is one of the founding principles of architecture. It is also one of the strongest shapes as an arch spreads the load it's supporting to the 2 foundations on either side. The arch of your foot uses those same principles of architecture. The two foundations of the arch of your foot are the heel and the metatarsal joints (the part of your foot where the toes attach to the foot).

A big surprise to most people is that each foot has two arches! The arch on the medial side (the inside, big toe side) of your foot is the arch you commonly think of, but there is also an arch on the lateral (the outside, little toe side) of your foot. The lateral arch is much lower and is structurally simpler and more aligned with the leg bones.

The big error a person makes is thinking that they have to support their medial arch by putting something under it that contacts it so that they can lean onto the arch. An orthotic that only contacts the medial arch but doesn't address the presence of the lateral arch will hurt like crazy.

A proper foot orthotic offers full contact with the medial arch but does not "support" it with that contact. The architecture of the foot moves during the gait cycle. When you're standing still, you don't have that movement, so it's impossible to guage if the orthotic will work rather than just "feel good". The correctly made foot orthotic guides the force upon the foot into the orthotics valley on the lateral side. The valley is the contour the foot sits in with every step. Walk in sand and you'll notice that the foot slices into the sand on the lateral (little toe) side leaving the deepest impression.

With proactive efforts from the wearer to step correctly (knees softly bent, feet straight, hip rotation), the foot orthotic will guide the foot. An orthotic alone will not usually alleviate arch pain. The combination of the custom orthotic, gait training and proper fitting of the orthotic into a appropriate shoe for the person's foot are necessary for the best result.

Plantar Fasciitis Heel Pain

The most common repetitive strain injury I see in my clinic is Plantar Fasciitis. The symptom that indicates a possible diagnosis of Plantar Fasciitis is pain in the heel on the bottom of the foot especially when taking the few first steps in the morning or after resting. Micro tears and resultant inflammation in the tissue at the connection point between the plantar fascia and heel bone are responsible for the pain. Resting at night, the plantar fascia repairs a little bit, then tears again in the morning with those first steps.

Most of us take 10,000 steps per day. Those steps constantly irritate the plantar fascia. The plantar fascia is part tendon and part soft tissue, the only structure like this in the body.

Though the pain of Plantar Fasciitis is felt in the heel, putting weight on the heel (or a strong heel strike) is not the cause of Plantar Fasciitis. Mistakenly, most people treat the problem with heel cushions. Though a person may feel relief with heel cushions, the true problem won't be addressed. The usual gait compensation is to walk on the toes. This causes a shortening of the calf muscles and more toe walking, creating a vicious cycle, resulting in chronic cases of plantar fasciitis. I've seen people in my clinic that have had chronic plantar fasciitis for years.

The true problem is a strain on the entire plantar fascia along the bottom of the foot. To reduce the strain, it's important to keep the heel down during the stride and to let the entire foot linger on the ground with every step, rather than walking primarily on the forefoot and toes.

Full foot orthotics and proper shoes along with gait and stance training will alleviate the strains that caused the Plantar Fasciitis. With the proper care and attention to gait, most cases improve dramatically in 6 weeks.

If you keep doing the same thing over and over, ten-thousand steps a day you will get the same result. Step by step, changing the habits you've developed in your stride, along with an excellent foot orthotic will promote healing of the plantar fascia.

What is Your Orthotic Made Of? Viscork is our Choice

When I first began researching custom orthotic materials, I was looking for flexibility, durability and shock absorption. Though I was doing this research in the early 1990's (and the environment was not as trendy then), I felt that my materials should also be as environmentally safe as possible and result in a custom orthotic that would last a long time (rather than being "disposable").

I realized that foam and hard plastic or other reinforced rigid materials don't have the range of properties clients need in a custom orthotic. Those materials lose their shapes soon or sacrifice one quality for all others. Over-the-counter orthotics made of foam rarely outlast the life of a shoe. The foam compresses and looses it shape and shock absorption. Clinicians may try to remedy the faults of various orthotics materials by gluing a variety of products together, hoping for the best. It is an ineffective compromise at best.

Through years of research, trial and error I developed a material I sell called Viscork. Viscork orthotic material is a visco elastic polymer. Viscork is a unique combination of visco elastic polymer with cork granules. Cork is a renewable resource. Properties of Viscork replicate as closely as possible the natural protective tissues of the foot. Viscork absorbs shock and permanently maintains it's shape, therefore ensuring support for years. Clients often use their Viscork orthotics upwards of 5 to 7 years, longer than most people own their cars!

All of the orthotics we make at Footform Performance Labs are made using Viscork orthotics materials. If you represent a orthotics lab, contact us to buy Viscork for your custom orthotics production.
www.Footform.com

Can Orthotics Banish Back Pain?

Remember the children's song, Dem Bones, about the ankle bone connecting to the shin bone, the shin bone connecting to the knee bone, etc.? Whether the anatomy lesson in the song is accurate or not, it's an important reminder that everything in your body is connected to everything else. Every part of your body in some way affects the rest of your body.

So, can orthotics/insoles eliminate back pain? Maybe. This probably isn't the answer you're looking for, but it's the honest answer. Back pain can be caused by a myriad of things, so it would be highly unusual for one thing to cure it. Orthotics are not a cure-all. Orthotics are a tool. As much as they give you comfort and support, orthotics serve as a reminder to walk and stand properly.

Do you remember my best tips for orthotics success? Feet straight, bend your knees! So how does this help your back? Keeping your knee soft (slightly bent) during your entire stride enables your hips to rotate more easily. A flexible pelvis/hip region eases the lower back muscular tension that causes so many problems for people. Bending your knees and standing with your feet straight encourages your hips to move forwards (like a dog tucking it's tail) and puts the stress of standing mostly on the large muscles of your hips and thighs rather than the smaller muscles in your lower back that exhaust easily.

www.footform.com

What is an Orthotic?

Chances are you've heard of the word orthotic. If you're wondering exactly what a orthotic is, the dictionary isn't much help. Though an orthotic can be a brace or artificial limb, the word usually refers to an insert or insole a person wears in their shoe for extra support for their feet.

The orthotic is most often made of foam rubber, cork, plastic, leather or wool, even metal or some combination of these items. Orthotics/insoles cost as little as $30.00 to has high as $800.00. You can purchase a pair over the counter, at a shoe or athletic store, mail-order, or from a medical professional such as a physical therapist, chiropractor, podiatrist or pedorthist.

The over the counter pre-made types are self-explanatory. Custom orthotics are a different story and it is confusing to sort through the variety. There are several types of custom orthotics: pre-made then custom fitted, pre-made "blanks" that are heated and molded around the bottom of your foot, glued together components, or custom molded/custom made orthotics.

My specialty is the custom molded/custom made orthotic. There are four important parts to orthotics success.

• The molding method of the orthotic (how the orthotic shape is determined).

• The materials the orthotic is made of and the properties of those materials: shock absorption, flexibility, durability, etc.
  

• Shoe fit and compatibility of the orthotic in the shoe.

• The client's efforts to change gait and stance habits for the better.

http://footform.com/how.htm