Lower extremity

How to use orthotics in sandals?

It's a seasonal subject I find myself discussing a lot, as our most dedicated orthotics users are finding it cumbersome to keep their toes covered in sweltering conditions this year.

Orthotics can definitely be worn in sandals as long as you find the right sandal: it needs to have a deep enough removable footbed, and in most instances for patients with pronation, and adequate support along the medial ankle.

I keep a running list of the most common brands and models, which I'll happily email to patient's who requested. Since women's fashion is subject to an notoriously high turnaround, I do not post on the website for fear I would forget to update it periodically.

In the meantime, you can see in the video how easily and orthotic can be fitted in a good sandal.

https://www.youtube.com/watch?v=IjK0GV62QHM&t=5s

Wearing sandals that fit heel lifts and orthotics

This blog entry may seem a little untimely since this cool morning hints of fall, which will eventually retire our sandals. However this is also the time of the year when high-quality sandals come on sale, and a good opportunity to stock up for the winter vacation and the following summer. By now most of my patients seem to understand that they can continue wearing their orthotics in the summer by fitting them in orthotic compatible sandals. I keep a document with a list of some common brands and model that fit the bill, (although in the fashion world I'm constantly reminded that I have to update it). What has not always been made clear is that you can actually wear an orthotic combined with a heel lift or medial pronation wedge in a sandal as well, if you know what shoe to look for. That particular sandal will need to have a heel cup instead of an open back with a simple strap. There are several models on the market, they are often found under the definition of a Roman sandal or fishermen sandal (although the example listed below is actually not tagged as such on the website). Our orthotic compatible sandal document has a subset of models with heel cups. The shoe industry has really stepped up to the plate in the last few years by offering routinely models that are orthotic compatibles, broadening the choices to remain well supported with your custom appliances year-round.

Squatting exercises for knee problems

I frequently run into patients who tell me they have had to give up squatting exercises because of aggravated knee pain. This is extremely unfortunate since squatting is 1 of the best exercises to functionally engage the core, upper gluteal areas, lower back, and squats mimics the type of strength and stability posture we need for real-life activities.

It's all the more unfortunate since there is a pretty easy alternative to do a squat without causing me pain. Notice that you can use a ball of any size including something pretty small or even a foam roller, unlike the large ball that I use for the demonstration video.

https://www.youtube.com/watch?v=1zpZeza8lKU