Category Archives: Mobile Medical Service

How To Properly Wear Orthotics In Shoes

How To Properly Wear Orthotics In Shoes:

  1. Always take out (cut out) the arches which come already in shoes. Wear orthotics only in a flat shoe.
  2. Dr. Scholl’s FLAT cushions (no arches) may be worn UNDERNEATH your orthotics to give you a cushiony bounce on each step.  This should be very comfortable.  Stack two or three to add more bounce;  however the more cushions you add,  the less balance/alignment may be the effect. Watch your feet closely;  take out the cushions if your ankles start to turn inward or outward too much.
  3. If your ankles are still turning inward/outward (and/or you also want to use cushions under your orthotics),  then purchase a pair of new shoes with a high ankle support (work boots with laces,  hiking boots or high ankled tennis shoes will do the job).
  4. It is IMPORTANT to always pay attention to how tight your shoes are while wearing orthotics. It is best to stretch-out your old shoes with newspaper at night if it feels too tight to use orthotics. If shoes are too tight,  you can actually create more problems than solve!  Always wear shoes which are loose enough for your toes to be able to move around in the shoe comfortably,  not crammed.
  5. If you have worn-out the soles on your shoes before you purchased orthotics,  then BUY NEW SHOES! DO NOT WEAR SHOES ALREADY WORN-OUT ON ONE SIDE OR THE OTHER.
  6. You can wear your orthotics for ANY activity and in ALL types of shoes,  as long as your feet AND your orthotics are fitting COMFORTABLY!  If you experience any discomfort,  do NOT wear the same shoe with the same discomfort for a long period of time or you will regret it!
  7. If you want to use sandals,  place Velcro underneath to keep them in place (Velcro is available at fabric stores).  For women,  you can also wear your orthotics inside your stockings.

At Brenet Medical we are proud to offer our clients and patience only be best of care. At home or in office service, early AM to late PM. All services are provided by licensed specialists who’s only goal is to help you feel better!

Call us today for a free consultation –1.800.398.0780 or email health@brenetmedical.com

how to properly wear custom orthotics & custom foot orthotics

Are Orthotic devices right for you?

I had a patient come into our clinic last week who was experiencing plantar fasciitis. Along with that, she has a long history of knee and hip pain. She has had the diagnosis of some mild osteoarthritis affecting the medial knee.

We did discuss the use of custom orthotic devices to treat her problem, but I am always concerned on whether orthoses will be tolerated by those patients with a history of knee, hip, and back pain. Certainly, in many situations, orthotic devices can help these symptoms but they also can make those symptoms worse.

DR. Jim Gilmore, Podiatrist

At Brenet Medical we are proud to offer our clients and patience only be best of care. At home or in office service, early AM to late PM. All services are provided by licensed specialists who’s only goal is to help you feel better!

Call us today for a free consultation – 1.800.398.0780 or email health@brenetmedical.com

orthotic devices Toronto, custom orthotics Toronto, custom made orthotics, sport orthotics Toronto, diabetic orthotics Toronto, mobile orthotics

Why Wear Compression Stockings?

Today’s compression stockings are made to look great and they can be worn by anyone, at any age and for a variety of reasons.

Compression stockings are useful if:

  • You have ever suffered from tired, achy and/or swollen legs;
  • You suffer from varicose veins or spider veins.
  • You plan on traveling
  • You are pregnant

TRAVELING

Prolonged sitting in a cramped position and high altitudes can both lead to the development of blood clots in the leg. This is commonly referred to as Economy Class Syndrome, or Deep Vein Thrombosis (DVP). DVP can become dangerous if the clots travel to the heart or brain (leading to heart attack or stroke respectively). Compression stockings help to prevent the blood from pooling in your lower legs, decreasing the risk of clotting.

THE WORKPLACE

Are your legs tired, achy and/or swollen at the end of the day? Prolonged standing or sitting allows blood to stagnate in your lower leg, causing soreness and possibly leading to edema (fluid build up). This is referred to as Occupational Edema. Using a compression as low as 8 – 15 mmHg can dramatically help reduce soreness and swelling in the lower leg.

PREGNANCY

It has been estimated that up to 40% of all pregnant women will develop varicose veins during their pregnancy. While pregnant, the body releases hormone to relax the walls of your veins. This is supposed to increase blood flow to the uterus, but as a side effect it can also lead to the development of Varicose Veins. Wearing compression stockings has been shown to help.

VARICOSE VEINS

Varicose veins are gnarled and enlarged veins that are commonly found in the lower leg. In most people they are simply a visual annoyance, but in some they cause aching pain and discomfort and can even lead to serious health complications (such as ulcerations and blood clotting). Varicose veins may affect up to 60% of North Americans. Your risk of developing varicose veins increases with age, obesity, pregnancy and menopause.

Compression stockings can help reduce existing varicose and spider veins and prevent the development of new ones. To find out which compression stockings are right for you call us today at 1.855.377.8307.
At Brenet Medical we are proud to offer our clients and patience only be best of care. At home or in office service, early AM to late PM. All services are provided by licensed specialists who’s only goal is to help you feel better!

Call us today for a free consultation – 1.800.398.0780 or email health@brenetmedical.com

compression socks Toronto, compression socks Canada, compression therapy, mobile compression therapy clinic, medical devices Toronto, custom medical devices Toronto

How To Clean Your Orthotics & Long Term Advice

How To Clean Your Orthotics

  1. Wash in warm water with dish soap or detergent,  rinse and dry with a towel.  You may also soak them in bleach to restore their whiteness.  Do NOT place them in a washing machine or dryer!

 

Answering the following questions can help determine if you need orthotics?

  • Do you have foot problems like bunions, corns, flat feet, hammer toes, painful feet, achilles tendonitis, shin splints, knee pain, hip pain,or back pain?
  • Have you had any prior injuries (sprains, fractures) or surgeries to your feet?
  • Do you stand or walk on a hard surface more than 4-6 hours per day?
  • Do your shoes wear unevenly?
  • Do you walk in a “toe-out” manner?
  • Do you have bowed legs or knock knees?
  • Do you have one leg shorter than the other?
  • Do you run and/or play sports regularly?

Wear Patterns

  • Take a look at the heels of a pair of shoes. Is the wear pattern even? Is one heel more worn than the other?
  • Take a look at the forefoot portion of the sole of the shoe. Is the wear pattern even? Is the upper portion of the forefoot worn more on either the big toe side or the little toe side?
  • Is the toe box excessively worn out or worn unevenly?
  • Is the heel area excessively worn out or worn unevenly?

Observe your shoes for uneven wear patterns, which may indicate improper gait or other biomechanical problems. Is the wear pattern even between shoes? Major causes of asymmetrical wear are limb-length discrepancies and excessive pronation. The wrong shoe type can cause abnormal wear patterns. Look at different types of shoes you wear. If the abnormal wear pattern is consistent, then it is usually a biomechanical flaw. If only one style of shoes has abnormal wear, then look at the shoe with the abnormal wear for differences from all the other shoes. For running shoes, does the wear match the mileage? If the mileage appears to be low and the wear great, look for problems in the shoe.

If the upper looks like it is hanging over the outside of the shoe, it may indicate that the last (shape) of the shoe is too curved for the shape of the foot. If the upper looks like it is hanging over the inside of the shoe, it may be that the foot pronates too much or the foot may be too curved for the shoe. Abnormal wear through at the toe box means the shoe is sized too small. If the heel counter is tipped to the inside it usually means pronation. If there is excessive wear on the inside of the heel counter, it is frequently due to excessive heel motion within the counter indicating that the counter is too big for the heel.

See Footwear: Shoe wear patterns offer clues to injury and prevention.

Custom Fitted Orthotics v. Shoe Inserts
The term “orthotic” can refer to almost any device which is worn inside a shoe. Shoe Inserts can be inserted into a patient’s shoe easily and can provide support to the foot. These range from rubber or silicone heel cups to full-length shock absorbing inserts. Some have good arch support, while others are completely flat. Some even contain magnets or fluid-filled sacs. These inserts are usually inexpensive, but but do not last longer than 1 year. The can be difficult to fit the non-standard size or asymmetrical foot and do not do a very good job of correcting specific problems.

Custom orthotics are casted for each foot. A wide range of materials are available and can be chosen based on need. Specific corrections can be made for the individual’s problem. These orthotics can last several years.

Evaluating Your Present Orthotics
If you currently wear orthotics, be sure that your devices fit the criteria below:

  • Your orthotics should be comfortable and add little extra weight to your shoes.
  • Your orthotics should relieve the symptoms which they were meant to relieve.
  • You should want to wear your orthotics (Orthotics tend not to work very well when sitting in your gym bag).
  • Your orthotics should fit easily into your shoes. This assumes that you are wearing the proper shoes for your feet.

If your orthotics do not fit the above criteria, follow-up with the practitioner who made them or consult a practitioner who has expertise in biomechanics and orthotics.

Common errors

  • First, you must wear a good shoe with orthotics! As I have told many patients, you cannot put a Porsche engine in a Hyundai and expect it to run like a Porsche!
  • Pull out the insert that comes with the shoe and then put in the orthotic.
  • You must wear the orthotic in all your shoes.

 

At Brenet Medical we are proud to offer our clients and patience only be best of care. At home or in office service, early AM to late PM. All services are provided by licensed specialists who’s only goal is to help you feel better!

Call us today for a free consultation – 1.800.398.0780 or email health@brenetmedical.com