Selection of insoles for winter shoes. Therapeutic orthopedic insoles. Which insoles to choose

Strong legs, flexible spine allow a person to make numerous natural movements. Walking requires the work of 200 muscles, mainly in the lower extremities and back. In order for the work to be coordinated, not to cause overloads, an even setting of the feet of both legs is required. This is not always possible due to uncomfortable shoes, anatomical abnormalities, acquired pathologies, and ordinary fatigue. Orthopedic shoe insoles are capable of neutralizing the influence of adverse factors, correcting imperfections, and preventing their appearance. A person who is familiar with their features and purpose will be able to do for himself right choice products.

Who needs orthopedic insoles and why?

Initially, orthopedic insoles were intended only for treatment serious defects legs and were made according to individual casts. Severe foot pathologies still require a professional, personal approach and correction with the help of custom-made products.

Modern orthopedic insoles have become a commodity of mass demand, they are sold in specialized salons, shoe stores. Their effect has a pronounced health-improving, preventive character, they absorb loads, support the arches of the feet, and prevent deformities. Medicine has proven the benefits of insoles with an anatomical profile for people of any age and occupation.

Prophylactic orthopedic insoles help:

• correct positioning of the feet
• harmonious work of muscles when walking,
• removal of excessive load from the legs and spine,
• optimization of movements in the joints.

Wearing special insoles is shown to representatives of many consumer groups:

• children from an early age
• overweight people,
• pregnant women,
• patients with diabetes, arthritis, osteochondrosis,
• having circulatory disorders, flat feet, foot deformities,
• athletes, lovers of active movement,
• victims of injuries and fractures of the bones of the back and legs,
• dentists, hairdressers - those whose work is associated with a load on the legs.

The list includes healthy and sick people different ages. Orthopedic insoles are useful and necessary for everyone. The production of corrective inserts in shoes is increasing, buyers are increasingly choosing finished products on their own, based on general recommendations doctor.

What you need to know about the design of orthopedic insoles.

Paired removable inserts in shoes have a special relief that allows you to evenly distribute the impact step load. This is the main healing factor, which can be supplemented by massage, warming, moisture-absorbing, antibacterial action.

The classic design of an orthopedic insole includes:

• upper layer in contact with the sole,
• arch support or pellot under the arch of the foot,
• heel groove,
• metatarsal roller for the transverse arch,
• thickening or wedges in different areas.

These elements are combined into a rigid frame that securely supports the foot, or are present as separate fragments of a softer, frameless design. The nose part of the insole is called a strap and does not play a significant role. Models without straps are produced - half insoles with all necessary qualities orthopedic product.

In the manufacture of insoles, different materials are used:

• genuine leather, cork,
• high-tech gel, silicone, latex,
• foamed substances with memory effect,
• hygienic plastic,
• metal.

Most often, the orthopedic insole is combined - with a leather top, a synthetic base, plastic frames, metal inserts. One-piece molded products are given anatomical outlines at the stage of casting or stamping.

Choice of orthopedic insoles.

The price of the product is an important quality when buying. For high-quality therapeutic and prophylactic inserts in shoes, you will have to pay from 500 to 1500 rubles. Some manufacturers produce "budget" products at a price of 150-200 rubles, from economical molded plastic. These insoles can be used to relieve tired feet and improve walking comfort. For achievement serious effect a more complex design and perfect material will be required.

A dubious way to save money is to purchase on the market. Goods of unknown origin can cause significant harm to health. A solid specialized salon will provide a decent assortment of orthopedic products, recommendations from a doctor or sales assistant. Mandatory certification of goods and a guarantee from the manufacturer will be additional evidence of the quality of the product.

1. The ideal option is individual insoles made according to the measurements or cast of the foot. This method is used in prosthetic workshops at clinics and hospitals and requires the participation of a qualified specialist.
2. Modern technology allows you to adjust the molded thermoplastic insert to the contours of the foot. This method is especially good for children whose legs grow quickly.
3. Manufacturers produce orthopedic insoles with removable and replaceable elements, which make it possible to individualize the finished product.
4. A good replacement for rigid frames are:
   • gel or silicone with increased cushioning capacity, suitable for diabetics and obese people,
   • Shape memory material that conforms to the shape of the foot in response to body weight and heat.
5. Ready-made insoles can be selected according to the foot, taking into account the existing problems. This route remains the most accessible and popular among buyers.

Ample opportunities for choosing orthopedic inserts in shoes do not relieve the buyer of responsibility for their health. When buying, you should be guided by the recommendations of a doctor, conscientious sellers, reputable manufacturers, well-known brands of products and complete comfort of the foot during fitting.

Proper selection of orthopedic insoles is key to achieving positive result from wearing them. It must be borne in mind that these are products for therapeutic or prophylactic purposes. Accordingly, it must be chosen certain disease, or in accordance with the lifestyle or condition of the person. There are also features on how to choose orthopedic insoles for people of different ages - for an adult and a child.

When choosing orthopedic insoles for shoes, two main factors must be taken into account: size and purpose of the product.

An error in choosing a size can lead not only to a decrease useful effect or his total absence, but also to harm the health of the foot. The insole should fit snugly into the shoe to prevent shifting or wrinkling while walking. In this case, the shape of the surface on which the arch of the foot rests must comply with the doctor's recommendation. Not everyone knows how to choose the size of orthopedic insoles to meet these requirements. A common mistake is to match the insole to a particular shoe. In fact, you need to choose it according to the size of the foot, and after that, choose the right shoes for it.

By appointment, orthopedic insoles are divided into two categories - preventive and therapeutic.

Prophylactic products

They recommend in cases where a person does not have any pathology of the foot, but due to various reasons affect heavy loads on the feet, which can lead to the development of diseases. Among other things, they are recommended for athletes, women during pregnancy, people who work "on their feet", with regular wearing of high-heeled shoes, etc. Prophylactic insoles are usually made from natural leather or eco-friendly foam. Due to their shape and properties, they support the human foot in an optimal position. This reduces the load on the legs and musculoskeletal system in general, discomfort is eliminated, the development of diseases is prevented.

Therapeutic orthopedic insoles

These insoles have special form, which allows you to minimize the symptoms of the disease, prevents it further development and also contributes successful treatment. They are prescribed to the patient by a doctor in the presence of any of the following diseases:

• flat feet;
• hallux valgus;
• heel spur.

To answer the question of how to choose the right orthopedic insoles, you need to know exactly the type of disease and the condition of a particular patient. Therefore, when choosing this product, you should consult a doctor. Consider the main types of insoles for various diseases.

Insoles for flat feet

Depending on the type of disease, insoles from flat feet are divided into three types. Including distinguish flat feet of the following types:

• longitudinal;
• transverse;
• mixed or combined.

Orthopedic insoles, which are prescribed to patients with flat feet of the longitudinal type, must have an arch support. This element evenly distributes the loads acting on the foot with a flattened longitudinal arch. This improves the biomechanics of work. lower limb reduces discomfort and pain. The use of special orthopedic products prevents the development of pathology and the formation of such complications as a heel spur. The best material for making insoles longitudinal flatfoot is a high temperature plastic that holds the heel well and supports the arch.

People with transverse flat feet experience pain and a feeling of fatigue in the foot area, they are worried about cramps in calf muscles especially at the end of the day. With the progression of the disease, pain occurs in the hip joints, in the knees, and also in the back. The main loads and deformations fall on the forefoot. The thumb is also gradually retracted to the side, which contributes to the formation of a “bone” in the joint area. To eliminate these effects, the insole must be provided with a pad, or metatarsal pad. This cushion supports the transverse arch, thereby reducing the load, reducing pain in the forefoot. With regular use, the kinetics of the feet are corrected, pain in the joints and the back is relieved.

For mixed flat feet, flattening of both arches is characteristic. For treatment, it is necessary to ensure the normal distribution of loads acting over the entire surface of the foot, the correction of its kinetics. Therapy also aims to reduce pain. For this purpose, apply special insoles which have a rigid structure. The supinator supports the longitudinal arch. Pelot, in turn, reduces the load on the transverse arch. Shock load on the back of the foot is compensated by the heel shock absorber. As a result, the insole has three reference points, due to which the biomechanics of the foot, the kinetics of the leg as a whole and the spine are corrected.

Insoles for hallux valgus

Valgus deformity, or "bunion", is one of the most common foot pathologies in humans. To correct this pathology, orthopedic insoles made of leather, velor, cork, sheep wool are most often used.

Orthopedic insoles for hallux valgus usually have a cast inner frame with springy properties, which provides shock absorption and keeps the foot in the optimal position, and also prevents the development of flat feet. The heel of the insole should have increased rigidity, which allows you to securely fix the foot in the shoe. Due to the variable stiffness of the material along the edges, the appearance of corns and calluses is prevented. At thumb there must be a special roller that eliminates increased loads and pressure on metatarsal bones. The front part should have a small thickness so as not to create discomfort for the foot in tight-fitting shoes.

Special orthopedic insoles intended for the treatment of heel spurs must meet the following requirements:

• construction with a rigid frame and arch support supports the longitudinal arch and evenly distributes the load;
• heel shock absorber provides compensation for dynamic loads acting on the heel;
• the pelota supports the transverse arch (used in the presence of mixed flat feet);
• When pronation or supination of the foot, the doctor may recommend an insole with special wedges under the heel.

The insole must be sufficiently rigid. In size, it should protrude 1 cm beyond the phalanges of the fingers. The toes should move freely in the shoe.

Individual orthopedic insoles

The foot is an organ that has a very complex structure unique to each person. Pathologies are also unique. Therefore, the best option, especially in cases of advanced and severe pathology, are individual insoles. They are best suited to the treatment of a particular person. Therefore, many people are interested in how to choose individual orthopedic insoles.

Products of this type are made on the basis of an orthopedic prescription based on a cast or footprint. Computer modeling is also used today, which allows for maximum accuracy. The material can be used wool, fleece, genuine leather. Optimum effect can only be guaranteed if the manufacturing and use are carried out with high precision. quality material. That's why great importance has the choice of the manufacturer of insoles.

Features of the selection of orthopedic insoles for a child

During the formation of the musculoskeletal system in children, the development of various pathologies if the shoes are incorrectly selected or there is genetic predisposition. The most common disease is flat feet. Scoliosis and clubfoot are also common. Therefore, many parents are interested in how to choose orthopedic insoles for a child, which are prescribed for correction and provision proper development musculoskeletal system.

Given that children have not yet developed a transverse arch, orthopedic insoles for them should have a thickened arch support. It is important that they strictly correspond to the size of the foot and are made from natural hypoallergenic materials. The design of orthopedic insoles for a child is selected based on the existing pathology, therefore, when choosing them, it is necessary to strictly follow the recommendations of a pediatric orthopedist.

If the eyes are the mirror of the soul, then our feet can definitely be considered a mirror of the health of the body. The greatest loads are experienced by the shins and feet, which means that it is here that various problems. For prevention and treatment various diseases feet using orthopedic insoles. But how to choose them correctly, because manufacturers offer a huge number of models? How often can I use this orthopedic accessory? And what do buyers say about specific products who have evaluated their quality?

What are orthopedic insoles for?

Healthy foot formation largely determines the functioning of the entire musculoskeletal system. A person takes an average of 3 to 7 thousand steps per day, while the feet must not only evenly distribute the load, but also ensure stability. AT childhood the most common diseases are flat feet and hallux valgus, in adults - osteoarthritis, arthritis, heel spurs.

Foot deformity not only causes discomfort or pain in the legs, but also negatively affects the condition of the knees and hip joints, contributing to the development in them chronic diseases. The spine also becomes more vulnerable, so its curvature often occurs, which leads to a malfunction in the work of all internal organs.

Helps to prevent the development of diseases in adults and children correct footwear, the parameters of which can be adjusted using orthopedic insoles. Their anatomically correct form repeats the shape of the foot, provides support to the most vulnerable areas, evenly distributes the load.

The insoles are excellent shock absorbers that reduce static and dynamic loads, improve blood flow, relieve the appearance of corns and calluses.

Types of orthopedic insoles

According to their design, orthopedic insoles can be longitudinal, transverse and combined. They are used to treat various types flat feet. In addition, accessories can prevent or fight other diseases, so there are preventive and therapeutic models.

Orthopedic insoles with therapeutic effect

With the development of various diseases, the following types of medical insoles are used:

• for heel spurs - are fixed under the heel and resemble a horseshoe in shape, lift the heel to the correct anatomical position and reduce tension in the plantar fascia;
• for rheumatoid arthritis and developing in the process of the disease flat feet;
• with osteoarthritis - insoles evenly distribute the load and restore the shock-absorbing functions of the arch; ready to also correct differences in leg length;
• during pregnancy - improve blood circulation and reduce the risk of swelling and varicose veins reduce stress on the feet.

Marking of orthopedic insoles

We list the main markings that can be found on products, and point out their features.

• VP1 - insert with recesses for the heel and the longitudinal arch of the foot. It is recommended to use during pregnancy and at the first signs of flat feet.. Prevention is necessary for everyone whose professional activity associated with large physical activity and weight lifting.
• VP2 - has an instep insert and a lining for the longitudinal arch of the foot and its correction.
• VP3 - under the front section of the foot there is a pronator, along the longitudinal foot there is a lay-out, on the heel there is an inlay. Recommended for the prevention of torn foot syndrome.
• VP6 - inlays and lay-outs under both arches of the foot and under the heel are combined with elements to prevent calluses. Used to flatten the longitudinal arch and anatomically correct thumb abduction.
• VP7 with a pronator along the edge of the foot and a heel pad is prescribed for women who like to wear high-heeled shoes, as well as for patients to prevent clubfoot and shortened feet.
• VP9 is used for significant foot deformities. The design provides for a heel socket, lining along the longitudinal arch and a shock absorber under the heel.
• VP10 with recesses for the heel and longitudinal arch, their design prevents complications from corns and calluses in the form of scars.

Preventive gel, silicone and frame insoles

Prophylactic insoles perform similar functions, but differ in material.

Silicone insoles are effective in preventing flat feet, as well as arthritis, salt deposits, swelling, varicose veins and heel spur. They relax the muscles of the legs well, so the feeling of fatigue occurs less often. Perfectly absorb moisture, so they are suitable for those who walk a lot in sports shoes.

It is important to change silicone insoles every 3 months.

Gel is an alternative to silicone. Gel inserts on the arch support absorb shock loads, provide the best cushioning in the toe and heel. Such liners are often made transparent, so they are convenient to wear with summer shoes (gel insoles cannot be used in winter).

The average lifespan of gel insoles is 6 months.

Finally, the frame insoles are rigidly designed to provide the best possible support for the foot. They are made of genuine leather, latex foam or other resilient material and have additional layers for better moisture absorption and hygiene.

Individual insoles to order

Some podiatrists are convinced that mass-produced insoles should only be used by retirees and people with disabilities. diabetes. In all other cases, liners should be made to order.

Individual insoles are made of genuine leather with perforation. They have antibacterial backings with activated carbon. The design provides support for the transverse and longitudinal arch of the foot, a rigid arch support and a heel shock absorber.

Orthopedic insoles to order:

• support the foot in the correct anatomical position;
• improve blood supply to the legs;
• relieve the load from the spine and joints due to depreciation;
• correct postural disorders;
• get rid of discomfort and discomfort;
• have a beneficial effect on the functioning of the entire musculoskeletal system.

Modern technologies for manufacturing insoles to order allow you to take into account all anatomical features specific person, plots most pressure, the bend of the foot. When developing a model, orthopedists even take into account the patient's lifestyle and the type of shoes that he prefers.

How much do orthopedic insoles cost

It is not difficult to buy orthopedic insoles inexpensively if desired, because the cost of even custom-made liners is quite affordable.

So, the average prices for orthopedic insoles:

• individual insoles made in an orthopedic salon: for children and teenagers - 2000 rubles, for adults - 2500-3000 rubles;
• preventive mass production: for children - 600-800 rubles. (with reinforced arch support - up to 1200 rubles), adults - up to 1500 rubles.

If you need to make adjustments to base model during an individual order, the cost can increase up to 6000 rubles.

What orthopedic insoles to choose

Do you want to know how to choose the right orthopedic insoles? Here are some general recommendations.

• If you have a heel spur, then heel pads will do.. Using the accessory will prevent chafing of soft tissues.
• Prophylactic insoles made of genuine leather, elastic foam or cork will relieve all lovers high heels from the discomfort and pain that occurs in the evening.
• Soft insoles made of a material with a porous structure will help to escape from calluses.
• With instability of the ankle or a tucking foot, it is worth buying semi-rigid insoles, which are made of flexible plastic.
• For people weighing more than 100 kg who have foot deformity, the doctor will most likely recommend hard insoles made of metal, plastic or graphite.
• Liners are used for longitudinal flat feet or heel spurs under certain areas of the foot.
• For kids ideal option prevention will be thermoplastic insoles, which, under the influence of pressure and temperature, takes the form of a foot.

Prophylactic insoles can be purchased independently. How to choose orthopedic insoles with a therapeutic effect should be prompted by a doctor.

How to wear orthopedic insoles

For winter and summer shoes, their own models are produced. Winter orthopedic insoles are usually thicker and may have fur.. For summer shoes, on the contrary, light materials are used that make the insoles barely visible in open sandals or sandals. Many insoles that can be found on the market are fixed with an adhesive layer.

The first 3-5 days you may experience discomfort. It takes time to get used to orthopedic insoles, especially if they have healing effect. The first weeks you should not wear insoles all the time: it is better to start with 10-15 minutes, gradually increasing the time for the foot to adapt.

The mode of wearing medical insoles is determined by the doctor, but for the prevention of the product can be used for almost the entire day or at times of maximum exertion.

Before putting orthopedic insoles into shoes, do not forget to remove the factory insoles.

The most complex natural mechanism - the human foot - consists of 26 bones and 33 joints, connected by 107 ligaments and 31 tendons. This is a full-fledged foundation of the entire human musculoskeletal system in the literal and figurative sense of the word. Many criteria of our general well-being. The result of the "heroic" overcoming of shoe inconveniences can be not only diseases of the joints, nerve endings, spine, but also constant headaches, as well as decreased mental activity.

Doctors advise you to ask yourself how to choose and, without waiting for unpleasant diagnoses. And if a record of flat feet or hallux valgus appears in the medical card, the presence of such devices in your wardrobe becomes vital.

How to choose the right orthopedic insoles for flat feet?

• women who cannot imagine their lives without high heels;
• men who expose their muscles and ligaments to dangerous power loads;
• children whose parents did not cease to be touched in time at the sight of the amusing clubfoot of their child.

Depending on the specific causes, flat feet have a longitudinal, transverse or combined character. It is important that for each type of disease, the patient and the treating doctor choose the right orthopedic insoles. This can only be done in a pharmacy or a specialized medical salon. When switching from winter shoes for spring and summer replacement of orthopedic insoles is considered mandatory.

If a flat foot already formed, it is necessary to select medical (corrective) insoles. The best solution, how to choose the right orthopedic insoles, here will be the manufacture of goods to order at a special orthotic enterprise. During the production process of the model, a number of nuances will be of particular importance to you.

• Material. Choose orthopedic insoles only from leather, cork or special polymers.
• Structural features. Any insole for foot correction should have a recess under the heel, an instep support, an elevated rollover zone, special hard inserts (wedges) under the heel zone.
• Perfect fit for the foot.

How to choose orthopedic insoles for hallux valgus?

1. . Valgus curvature of the feet in babies requires wearing shoes with a high back and orthopedic insoles. The supple young bones, clamped with the help of shoes and insoles in the correct position, straighten out over time. The rescue package also includes therapeutic gymnastics, massage, swimming.
2. Women's orthopedic insoles. The product is made to measure, shown to constant wear after surgical intervention. It has a high arch support, supports the heel of the foot in the correct position and distributes the pressure of the entire surface of the foot to the ground.

How to choose a supinator?

• soft, easily squeezed by a finger, drawers have a preventive effect, and hard ones have a corrective effect;

• shoes with arch supports should fit exactly (this is especially true for children) in order to useful action the details fell exactly on the address part of the foot without displacement.

Any orthopedic surgeon will select the right insoles for orthopedic purposes, based on your specific circumstances and physical characteristics. Feel free to contact doctors.

If your legs do not bother your head and back yet, and we are talking about the prevention of their health, then a successful purchase is destined to be made by someone who listens to the advice of a sales assistant in a pharmacy or a specialty store. Properly selected orthopedic insoles will give tangible effect already in the first days of operation. Most likely, it will be an invaluable feeling of light (or even flying) gait in routine marches on foot.

There is a valgus deformity of the feet in children. It looks like a slightly turned out heel. The disease, as a rule, is accompanied by flat feet, has completely different causes than in women, and is successfully treated in the early stages.

Orthopedic insoles are a common attribute of the treatment and rehabilitation process after medical procedures for all owners of this diagnosis, and only a doctor knows how to choose a useful device for shoes.

"Home" recipe, how to determine the height of the arch support and choose yourself best option, does not exist - this is determined exclusively in the doctor's office during a special diagnosis.

The benefits of something as small as shoe insoles can be priceless. Perhaps we do not even realize that the fresh and life-affirming appearance of our acquaintances, who now and then surprise with their performance, is a pleasant consequence of the fact that a person at one time correctly chose orthopedic insoles.