NJ Cops | Page 84

Orthotics can help your feet…and more The advantages of prescription foot orthoses are many. First of all, they are custom made for each foot of each patient, so each foot orthosis will only fit one foot correctly. In addition, since they fit exactly to the person's foot they can be made with relatively rigid, durable materials with a minimal chance of discomfort or irritation to the patient's foot. Prescription foot orthoses also have a much greater potential to effecDR. THOMAS GRAZIANO tively and permanently treat painful conditions, all the way from the toes to the lower back, since they are designed specifically for an individual's biomechanical nature. Biomechanics is a specialized branch of science that uses the mechanical principles of physics to study the motions and forces on the human body. As those charged with the treatment of the lower extremity, we receive specialized, in-depth training during our four years of medical training about how the movements and forces in the lower extremity affect the movements and forces in the foot. No other medical specialty has in-depth training, which is necessary to understand lower extremity pathology as it relates to the biomechanics of foot function. Therefore the podiatrist is the most qualified medical specialist to diagnose and treat foot pathology. So how do prescription foot orthoses benefit our patients? In the 84 NEW JERSEY COPS ■ JUNE 2015 normal gait cycle, the foot should pronate or “flatten out” slightly to accept the uneven terrain of the ground. It should then supinate or become more rigid to push off during gait. When a foot pronates or supinates for too long, a period during the gait cycle, compensation must take place and this degree of compensation can cause symptomology in the lower extremity from the lower back to the foot. Custom orthotics control the degree of supination and pronation, thereby limiting the amount of compensation. In this way, they relieve a patient's pain and discomfort. Back problems and other common forms of chronic pain can often be traced to foot imbalance. Orthotics re-position the foot to