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Are your deformities due to age?
People assume that deformities of the foot are purely due to aging and cannot be avoided. Even doctors believe the same. If this is true, have you wondered why do young people also suffer from foot problems? Also, have you ever noticed that some people have deformities in one foot and sometimes two different deformities in their feet? Have their feet aged differently? That is not possible. Therefore age cannot be the reason. Then what could be the reason?

Barefoot Walking is the healthiest way of walking
Foreign studies reveal that people who walk barefoot are less prone to foot deformities. This is the reason that people in rural areas who walk barefoot don't manifest any foot deformities and even ankle, knee, hip and back deformities as well. Why is this true? When people walk barefoot their foot is its natural alignment which is parallel to the ground. When the foot is placed in the natural position the rest of the body is biomechanically aligned and in its centre of gravity.

Necessity Has Lead To The Invention Of Footwear
Our research reveals that if the foot is placed in a wrong position other than the biomechanically aligned position it leads to foot, ankle, knee, hip and back deformities. Also people who use shoes, sandals and slippers eventually get these deformities. When people wear footwear the aim of the footwear is to create another protective layer below the foot. But the footwear also has to place the foot parallel to the ground to retain its natural position. This does not happen.

In shoes- the shoes whether sports shoes or formal shoes have a slight heel in them which first distorts the foot. Second with prolonged use of the shoes or uneven grounds the shoe outsole wears from different areas.

In sandal- Ladies wear sandals with heel which changes the complete alignment of the foot. Also the wear of these heels causes more distortion.

In slippers- these slippers are generally flip flops or flats. They tend to make the arches of the foot flat from the bottom and uneven wear of the bottom affects the alignment of the foot.

How can the shoe affect your foot and body so much?

Ever noticed the wear on your shoes, sandals or slippers as shown in the figure.

This wear is a signal to change your shoes but it also gives a very big signal of the foot deformity you might be having and ignoring.

For better understanding scientific studies we have presented the following chart.

From the chart it is easy to identify the foot deformities that you may acquire in the future based on your outsole wear pattern. This has been known to be accurate in 90% of the cases. You can examine your own feet and your family members who have suffered from foot pain and you will find that this is absolutely true.

Biomechanical Misalignment of foot
It is known that if you place any body part in a wrong position for a long time it will adapt to this new position and gradually lead to a permanent deformity. Let us assume that your right shoe outsole has completely worn out and on prolonged use of this shoe it could lead to bending for the knee. The reason for this deformity is that while walking due to the worn out outsole the foot also is placed in a wrong position and we continue to walk in the same position. After prolonged use of the same footwear the foot keeps falling in new position and this lead to permanent deformity which is very painful. The reason is evident that it is because of wrong foot placement.

Biomechanics of the body states that the entire body mass and bones are balanced on the feet thereby determining the natural aligned position of the body. By distorting the position of one or both feet of the body the overall alignment of the skeleton is changed leading to development of stresses in the muscles. This results in the development of deformities. Therefore we can conclude that if we maintain the foot in the natural alignment, which is parallel to the ground, of the body then any such foot, ankle, knee, hip or back deformities can be avoided.

Is it possible to retain the natural alignment?
Yes it is read more… to find out.

The natural alignment of the foot is parallel to the ground. Modern technology has helped develop Customized Foot-Match Insoles that are made by 3D scanning the patients deformed foot and carrying out modifications to make the foot parallel to the ground. These insoles fit in the foot like lock and key therefore help maintain this natural position. These insoles when worn in customized shoes or sandals will not only prevent the deformities from occurring but also start correcting existing deformities. This will further help align the ankle, knee, hip and back preventing any deformities from occurring thereby avoiding surgeries and heavy medical bills. These insoles cannot be compared with the standard insoles available in the market as they are custom made for a patient. Eminent Doctors around the city have also accepted this modality. This modality is being used all over the world and has been made available in India and in your city since two years.

What Are Customized "Foot-Match" Insoles?
A custom orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. They look like normal insoles, but are biomechanical medical appliances that are custom made to correct your specific foot imbalance. Custom orthotics work on your feet much like glasses work on your eyes - they reduce stress and strain on your body by bringing your feet back into proper alignment. The body of the custom orthotic helps to re-align the foot by redirecting and reducing certain motion that takes place during the gait cycle. Custom orthotics fit into your shoes as comfortably as an insole - and they have the advantage of having been made from precise imprints of your feet.

Difference between Customised Foot-Match Insoles and Standard Insoles Available in the market
Standard insoles available in the market are made to standard shoe sizes (such as 5,6,7 etc). These correspond to the standard foot sizes therefore their arch height, length and width is of standard size. Very few people fit into the standard sizes. We choose the best fit shoe and therefore the best fit insoles. But customised foot-match insoles are made by 3D scanning the patient's foot and will have the ach height, length and width of the patient's foot. These cannot be worn by anyone else. Therefore they will align the patient's foot to their natural alignment.

Types of Customized "Foot-Match" Orthotics

  • 1
  • Functional insoles Used to treat bio-mechanical pathologies of the foot that may be structural or functional in nature. Aligns the foot in natural position.
  • 2
  • Accommodative insoles Supports the foot but does not attempt to align the joints of the foot during stance or gait. For severe foot deformities or birth deformities.
  • 3
  • Pain reliever insoles Multi layer cushioning, useful to reduce impact on painful joints, spurs ulcers, callus, bunions, hammer toe, plantar fasciitis, metatarsalgia, Achilles tendonitis, and diabetic patients also.

Benefits of Customized "Foot-Match" Insoles

  • If Used In Early Ages Say 25 – 35 Years, We Can Prevent Onset Of Deformities.
  • For people already having foot deformities, this will help prevent further damage
  • Need No Medication.
  • Improves Mobility.
  • Improves walking pattern
  • Pain relief [soreness of the foot & legs100%]
  • Mechanical realigning
  • Shock absorption
  • correction of biomechanical faults
  • As it improves alignment it also improves balance of the body
  • Avoids stress fractures
  • In Case Of Diabetic Patients, Improves Circulation And Sensation In Foot.
  • Increased Feel Of Comfort.
  • Decreases The Rate Of Deformity.
  • Prevents Heel, Knee, Hip & Back Ailments, If Treated Initially.
  • Enhances The Sense Of Well Being.
  • More importantly, foot-match insoles provide uniform load distribution on foot unlike today total body load is on heel center, 1st and 5th metatarsal points.

Manufacture Process of Customized Foot-Match Insoles

  • 1
  • Biomechanical Foot Assessment Thorough assessment of their feet were done using a series of steps and methods such as foot impression, limb length, tibial rotation, foot valgus, anterior calcaneal line measurement and posterior calcaneal line measurement.
  • 2
  • Scanning of Deformed foot using 3D scanner We use most modern 3D foot scanner which is a white light scanning instrument. This instrument works on the principle of Coherence Scanning Interferometry that performs surface height measurement of an object. This scanner helps scan the exact shape of the foot giving a 3D image of the foot.

The patient's foot is scanned on no load condition as this will help give the natural arch of the patient. This arch is the actual neutral condition of the foot that will help maintain body balance. On load condition the arch collapses to some extend and causes the deformities thereby a scan taken at this stage will provide the image of the deformed foot of the patient.

The scanning procedure involves the patient to lie on a bed with his feet placed in the foot fixture. The image of the patient’s foot is then captured.
  • 3
  • CAD Software Modifications of deformed foot scans The 3D image is then modified using CAD software to make the scanned foot parallel to the ground. This will allow correction of the patient's foot deformity and aligning the foot parallel to the ground.

    This aligned image is then transferred to CAM software to make a milling program specific for this scan.
  • 4
  • CAM Software Modification The aligned image is then programmed into specific program using CAM software and given into the Milling machine for milling procedure.
  • 5
  • 3D CNC Milling of Insoles The milling program is fed into the DSP hand controller and the program is started.
    The machine then mills the corrected foot profile on an EVA sheet.
    The milled insoles are then cut and ground to make it exactly the shape of the patient's foot.
    This insole is then trimmed to fit within the shoe of the patient. This could either be the patient's own footwear or custom made footwear.
  • 6
  • Custom-Made Footwear As we read before the most common way of distorting the natural alignment is by overuse of worn out footwear. To avoid that the solution is to use good quality footwear that is custom made to the exact size of the foot. The shoes should be regularly checked for the outer sole wear and replaced if needed. This will help you prevent the onset of deformities.

    No two feet are the same. Based on this fact, our study revealed that most people wear the best fit shoes which are either small or big for their foot but not exact fit for their foot. The standard footwear that is in the market is based on standard foot sizes of 5, 6, 7, 8, etc. These sizes are based on standard foot sizes and come with slight adjustment flexibility.

    Our study revealed that wearing tight footwear and very loose footwear can lead to various foot deformities. This further affects the entire body. To solve this problem we provide patients custom made footwear made to their exact foot measurement. We take thorough measurement of the patient’s foot and this is used to make shoes or sandals as per the design choice of the patient.

    These custom made shoes being exact to the patient foot will allow proper weight distribution and provide stability to the patient. Also patients with specific foot deformities such as bunions, limb length discrepancies, etc can be given relief within the custom footwear.
  • 7
  • Custom-made footwear for Deformed Feet We provide custom-made support footwear for pateints suffering from various foot deformities such as rocker bottom foot, polio, equinovarus foot, club foot, etc. Each Footwear is specifically designed for each patient and special insole is fitted within. The shoe design ensures proper support, weight distribution and pressure distribution.

    We have made one such footwear for a patient suffering from cerebral palsy (rocker bottom foot). His foot condition was as below and he was provided with footwear and insoles as shown below. He showed marked improvement in body balance, mobility speed, and distance of ambulation.