Current Pedorthics | January-February 2016 | Vol.48, Issue 1 | Page 48

THE PERFECT BALANCE — BODY & SOLE Elderly people are often affected by psychosocial and economic difficulties, which will prevent them from obtaining the appropriate footwear. They tend to keep to themselves more when they fall ill, causing them to become lonely. That loneliness can cause them to feel a lack of purpose, and that in turn starts to affect their quality of life. This causes emotional distress and some may start to lose interest in dressing and bathing properly, and they become less selfsufficient. When visual and/or hearing difficulties cause a patient to misunderstand instructions on how they should use, place, or clean the orthotic, incorrect placement or even placement on the wrong feet may result. Diabetes, poor circulation or vascular insufficiency can often cause the patient to have such decreased skin sensation that they feel almost nothing on their feet, especially the bottom of their feet. This can allow the tiniest foreign body or area in the shoe to rub incorrectly on the foot. This could possibly lead to an open sore and more than likely an infection. Because of this, custom shoes and especially orthotics play a very important role for patients in this situation. Each patient presents with his or her own foot issues that range from comorbidities, to overall fitness status, to environment, and many other circumstances. Foot specialists recommend many different forms of treatment depending on the patient's specific health needs. Besides the correct shoes and foot orthotics, they may also recommend other types of treatment, or possibly even several different forms of therapy. It is important to remember that the type of footwear and foot orthotics that may help one patient or one condition, such as a balance problem, might "It is important to remember that the type of footwear and foot orthotics that may help one pa