Off-the-shelf orthotics (often called “arch supports” or “prefabricated orthotics”) are non-custom devices designed to provide gentle support to the arch of the foot and help spread weight more evenly along the bottom of the foot. They are not as supportive as well-made custom orthotics, but they can work well for a lot of people at less cost than custom.
The various designs of OTC arch support cater to almost all
shoe types, including women’s dress flats and heels. One can
easily add OTC arch supports to non-supportive shoes to help
limit mild pronation, reduce plantar arch fatigue, and cushion
bony prominences related to plantar fat pad atrophy that occurs
in patients with arthritis. For this purpose, one can easily modify
orthoses with other pads to offload pressure-sensitive areas.
Research using in-shoe pressure measuring systems has proven
that OTS insoles effectively reduce local peak pressures and the
pressure time interval, and increase the surface contact area
during gait.2 Many studies have examined the effectiveness of
insoles for the treatment of plantar fasciitis or heel pain in random patient samples and found that insoles were just as beneficial as prescription orthotics.
Custom Orthotics (Training available)
Orthotic Foam Box
Foam impression kits are a quick and easy method of ordering shoe inserts for patients with moderate foot discomfort. Tricare covers 2 pairs per year for Active Duty patients only. The patient can select one pair of boots and one for casual or athletic shoes.
The process for casting is easy and should be followed as
Sit in a chair and place the open foam impression kit on the floor in front of you.
Place each foot gently on the surface and in the middle of each foam block in the box. Remain seated during the entire process.
Gently press your foot into the foam, applying approximately equal pressure with your heel and the ball of your foot. Press one foot at a time into the foam. Keep your lower leg straight up and down. Press your foot about two inches into the foam, trying not to touch the bottom of the foam box with your foot. Do not grasp the foam with your toes.
Remove your feet from the foam box and examine the contours of your foot. The impressions of your foot should be precisely captured in the foam.
Once this process is complete, Military Medical Supplies will provide shipping labels, and the patient usually receives their custom orthotic in 2-3 weeks.
Orthotic Plaster Casting
The plaster cast method is the medium by which foot structure and position are captured. A cast is a physical model that accurately captures the anatomy and contours of the plantar aspect of the foot while it is in a non-weight bearing position.
Military Medical Supplies, along with our partners at Biomechanical Labs, provides training to the Physical Therapy Department Clinicians and/or Doctors to assure an exact fit for your patients.
We supply all materials needed and shipping to and from our lab directly to your patient, usually within 2-3 weeks.
Our tailored form identifies areas of concern and allows the
craftsman, the options to customize the orthotic to suit your patient’s needs.
Each Active Duty member is allowed 2 pairs per year authorized by Tricare. In addition to one pair of boots, the member can select the other for a casual or athletic shoe.
Please contact your local MMS rep or call our office at
800-270-6990 to schedule an in-service and training at your facility. Save time and money by not outsourcing.