Plantar Fascitiis and Prefabricated Orthotics - Do they help?

Plantar fasciitis is a common and often painful condition affecting millions of people worldwide. It occurs when the plantar fascia—a thick band of tissue running across the bottom of the foot—becomes inflamed. This can lead to stabbing pain, particularly in the heel, making it difficult to walk or stand for extended periods.

 

Understanding Plantar Fasciitis

The primary symptom of plantar fasciitis is heel pain, especially upon waking or after long periods of inactivity. This pain results from inflammation due to overstretching or overuse of the plantar fascia. Risk factors include high-impact activities, poor footwear, obesity, and prolonged standing. While various treatments are available, one of the most effective solutions involves using orthotics to support the foot and alleviate stress on the plantar fascia.

 

Does the evidence support this?

Based on the article by Covey and Mulder, prefabricated orthotics are indeed recommended as part of the initial conservative treatment for plantar fasciitis (PF). The American College of Foot and Ankle Surgeons also supports the use of these orthotics, along with other non-invasive treatments like NSAIDs and stretching, as effective first-line options. The article highlights that conservative therapies successfully manage 85% to 90% of PF cases, though it may take 6 to 12 months for symptoms to fully resolve.

 

Based on the study by Walther et al., prefabricated orthotics can indeed aid in the treatment of plantar fasciitis, though their effectiveness varies depending on the type of orthotic used. The study compared three different types of prefabricated orthotics—thin non-supportive (NO), soft supportive foam (FO), and foam-covered rigid self-supporting plastic orthotic (PO)—in a prospective, randomized trial.

 

The results indicated that both the soft supportive foam orthotic (FO) and the foam-covered rigid orthotic (PO) significantly reduced pain levels in patients with plantar fasciitis, with the PO orthotic being particularly effective. The PO orthotic was superior in reducing both maximum and average pain, as well as in shortening the time until pain relief was achieved. In contrast, the thin non-supportive orthotic (NO) did not show a significant effect on pain reduction.

 

This study supports the use of prefabricated orthotics as a conservative treatment for plantar fasciitis, especially those designed with a more rigid, supportive structure.

 

The systematic review by Torad et al. provides strong evidence supporting the use of orthotics as a non-invasive treatment for plantar fasciitis (PF). The review, which analyzed 10 randomized controlled trials, found that various orthotic interventions significantly improved pain and disability in patients with PF. The meta-analysis showed a statistically significant effect, indicating that orthotics can be effective in managing the condition.

 

However, the review also noted significant heterogeneity among the studies, suggesting that the effectiveness of orthotics may vary depending on the type of orthotic and the specific characteristics of the patient. While the overall findings are promising, the authors recommend further high-quality research to confirm the best practices for using orthotics in treating plantar fasciitis.

 

Tempo Prefabricated Orthotics, with their modified root shell and 4-degree inverted design, stand out as a strong first-line option for treating plantar fasciitis, supported by evidence from multiple studies. The study by Covey and Mulder emphasizes the role of prefabricated orthotics as an effective initial treatment for plantar fasciitis, with conservative approaches managing up to 90% of cases. Walther et al.'s research further validates the effectiveness of supportive orthotics, showing that rigid orthotic designs significantly reduce pain and improve comfort, making them superior in managing plantar fasciitis symptoms. Lastly, the systematic review by Torad et al. confirms that orthotics are a promising non-invasive treatment, significantly alleviating pain and disability.

 

Collectively, these studies suggest that the well-designed support provided by Tempo Orthotics offers a reliable and effective solution for those seeking relief from plantar fasciitis, particularly as part of a comprehensive conservative treatment plan.

 

Tempo Foot Orthotics: A Unique Approach

Tempo Orthotics offers a unique solution to plantar fasciitis with its premium prefabricated foot orthotics. What sets Tempo apart is the innovative design, particularly the calcaneal inclination angle, which distinguishes it from other prefabricated orthotics on the market. The calcaneal inclination angle refers to the angle at which the heel bone (calcaneus) is positioned.

 

Tempo Orthotics has meticulously designed this angle to provide optimal support and alignment. Here’s how this unique feature benefits those suffering from plantar fasciitis:

• Enhanced Support: The tailored inclination angle helps maintain the foot's natural alignment, reducing stress on the plantar fascia. This not only alleviates pain but also prevents further strain and injury.
• Improved Stability: By supporting the heel in its optimal position, Tempo orthotics enhance overall stability, making it easier to walk and stand without discomfort.
• Pressure Redistribution: The design ensures even distribution of pressure across the foot, minimizing stress on the heel and arch areas, which are most affected by plantar fasciitis.
• Increased Comfort: The orthotics are crafted to fit comfortably in most types of sneakers, providing relief without compromising on style or convenience.

 

In conclusion, prefabricated orthotics can indeed play a pivotal role in managing plantar fasciitis. As highlighted by multiple studies, including those by Covey and Mulder, Walther et al., and Torad et al., prefabricated orthotics provide significant pain relief and improved function for individuals suffering from this condition. Tempo Prefabricated Orthotics, with their specialized design features such as the modified root shell and 4-degree inverted angle, offer targeted support that aligns with the best practices identified in these studies.

 

While orthotics alone may not be a cure-all, they are a viable and effective first-line treatment that can help reduce pain, improve mobility, and support long-term recovery when combined with other conservative therapies.  If unsure it is always recommended to consult with your health professional.