None of these studies in the BJSM publication evaluated those patients who improved with custom foot orthotic therapy as a subgroup and compared them to the group who did not improve. These are valid questions to ask when looking at the data from the Pfeffer, Landorf and Wrobel studies, all of which showed no superiority of custom foot orthoses. What was unique about those patients in comparison to the other patients who did not improve? We see this same trend in clinical practice when some patients respond to certain therapies for plantar heel pain while others do not.
Is this because there are unique characteristics or foot types that respond differently, or is it because there are various pathologies that cause plantar heel pain?
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We should never abandon the power of foot orthotic therapy if it provides cost-effective, reliable positive outcomes that we witness firsthand on a regular basis. Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis.
Br J Sports Med. Lange R, Tracey E. Orthotics and heel pain; bacteria and cancer. Med Page Today. Published March 24, Richie D. Orthoses for plantar fasciitis: what the evidence reveals. Podiatry Today. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. A randomized controlled trial of custom foot orthoses for the treatment of plantar heel pain.
This is about running and not pressure relief with an accomadative insert. Also by citing a study that shows a reduction in pain by wearing orthotics without direct cause and effect relationship is not credible and analogous to anecdotal observations. The findings question the therapeutic role of standard running shoes in Achilles tendinopathy. Med Sci Sports Exerc.
Orthotics can easily be directly compared to a cast. Orthotics for flat-feet literally do the work of the arch, muscle, connective tissue, and bone. Allowing all of it to atrophy.
New Study Discredits Custom Foot Orthotics | Podiatry Today
When you put your foot in the shoe with the orthotic and lace-up. Your foot is in fact immobilized, tied down to the orthotic. A fake test that does not match the condition of usage. Instead of using crash-test dummies and actually testing the belts in a high-speed settings. Here is some questions for you: 1. Why do people make this stuff up for? Have you even read the scientific evidence on foot orthotics and muscle strength?
Why are you posting comments about the topic when yo clearly have not read that evidence? How do you explain that every scientific study on foot orthotics says the opposite of what you said? Why are you obsessed with barefoot runners? I race,train,coach and have never even seen a barefoot runner! What do we remember Bill Rodgers for?
For destroying the rest of the Boston Marathon field four times. What do we remember Michael Jordan for? For destroying his competition for a total of 6 NBA Championships. I think you putting yourself in the same company as those mentioned is an act of egotism beyond the pale. Enjoy patting yourself on the back. It was a comment meant to be funny, not serious. I just was responding with as ludicrous of a comment to Mark as I thought his comment to me and Craig was.
In all honesty, what I did and maybe Craig agrees with me here on what he did also , during the barefoot running fad that is now swirling rapidly down the toilet of infamy, was nothing more than educate the public to an alternative view in the hopes that our input would prevent more people from getting injured in the sport they loved to do by running barefoot. However, as a health professional that specializes in treating runners, and having been a distance runner myself for over 40 years, and having taught running biomechanics both nationally and internationally for 30 years, I am concerned when people start making statements that are not based on fact but rather on misrepresentations of available scientific research regarding running training methods, running shoe recommendations and running biomechanics research.
What have you done, Dingle, to try and protect the public from misinformation from the likes of companies like Vibram that is now facing a 3. After a reply like that, I will no longer waste my valuable time reading or replying to your comments. In regards to cherry picking, which the barefoot and minimalist shoe zealots often do in their blogs to support their myopic view of reality, this has nothing to do with using, or not using, peer-reviewed research.
- Raising Awareness Of The Challenges With Foot Orthosis Research | Podiatry Today.
- Casting Technique and Foot Orthotics.
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This is, rather, about them only sorting through the available research and not discussing the research papers that are contrary to their opinions, but only discussing research that supports their pet views. I have to say, Dr.
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Nick, that you are also quite an accomplished cherry-picker when I read the articles on your many blogs. With that in mind, Dr. Nick, I have seen many of your blog comments. However, have you ever published any peer-reviewed research papers? If you want to become more well-respected by your podiatric peers, you need to start getting some peer-reviewed papers published, not just write blogs and e-books about how great barefoot running and running in Vibram FiveFingers shoes is for everyone.
This is something to seriously think about since, so far, your name is now only known in the podiatry community as the Consultant for the Medical Advisory Board for Vibram FiveFingers…probably not the best company to be associated with these days. Are you still on their Medical Advisory Board, or have you decided to ditch them once they got into legal trouble falsely advertising about the health benefits of their shoes? I was a member of their medical advisory board which simply meant I helped provide education to their company in regards to lower extremity. You continue to use the word consultant as I assume you think I was paid or had financial interest.
I was never paid by Vibram USA to sell or recommend their shoes or to make false claims regarding their shoes. I have no problem with that. If less health care professionals use them then this means less revenue from your orthotics laboratory. Any educated health care professional can review the literature and understand that there is no clear evidence to support either side.
Prefab-custom orthoses debate mellows with age
I make my claims and you make yours. Yours are based on no further scientific data then are my claims. When I provide my scientific data you interpret it otherwise. But, there are two sides to this discussion and to say that my side has no scientific data demonstrates your unwillingness to debate this from a professional standpoint. Even The Huffington Post and many other media outlets have come to the realization that the shoe industry alone has not fixed running injuries. Our feet were meant to work without shoes that the last 40 years have come to produce. There is no reason to look for scientific data to prove traditional running shoes do not work as they were intended as it is pretty black and white.
Saying that Simons article is only about walking is a tropical comment from an abstract scientific one sided mind. But then hey, you could sell another pair only made for walking which only increases your bottom line! So, Nick, you are claiming that you allowed Vibram FiveFingers to use your photo and your name and your professional degree on their website proclaiming you as a member of the Medical Advisory Board for no financial compensation whatever to you or your practice?
No free pairs of Vibram FiveFinger shoes? No paid trips from Vibram to lecture at seminars? I find it hard to believe any physician would allow a multi-million dollar corporation to use them this way, using their name, photo and medical degree all for the purpose of selling more of their product without the physician getting some financial compensation from that company.
Dan Lieberman got lots of money for his lab and his Harvard website. I am currently working on and have submitted for publication. As far as blogging, it is analogous to your newsletters that you have combined and printed and sold. I just choose to not sell mine. I make no money from my blog and the ads serve only to cover hosting fees which they do not cover in total. You do not mention the studies that I do in regards to the matter so by your definition, you are cherry picking as well.
I just want to throw in my two cents as a 30 year old guy with regards to Orthotics and barefoot running. Here is my experience. I weighed in that timeframe. I went to college, stopped running, gained weight until I hit I worked in retail until I was about 28 and switched to a desk job.
Do Foot Orthotics Really Work?
After college, when I started my retail career, I was cognizant of how bad my feet hurt. In October of , I started exercising again. I had occasionally run in the prior years but always found my feet hurt to much to sustain a running program. After 2 months of using an elliptical in October-December, I finally made an appointment for metatarsal pain with a DPM. At the time, my right foot hurt the most.
Within a couple weeks, my right foot stopped hurting. My left foot has not, but in regards to orthotics — I am satisfied. I can run again … on my right foot. Pain I have delt with for half a decade gone.
Now, after about 2 weeks of not wearing my orthotics, my right foot is still fine.
Related research papers+custom foot orthoses
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