Chondromalacia
Custom Orthotics
Sunday, September 6th, 2009What Are Custom Orthotics?
Orthotics is actually the medical field relating to the design, development, manufacturer or fitting of devices designed to provide additional support or correct imbalances in the muscles or bones of the body. But, the term “orthotics” is also used to refer to the devices created by those professionals.
Custom orthotics are devices that are sized to fit a specific person. When it comes to the feet and lower body, appliances that fall under the heading of custom orthotics include shoes, braces and insoles of various types.
What Are Custom Orthotics Used For?
Insoles may be used to:
- Provide additional support to the arches of the feet
- Act as shock absorbers during sports or other activities
- Reduce friction and improve the comfort of hiking boots
- Provide additional warmth in cold weather
- Help prevent or control pronation
- Provide additional support for the heels
- Correct leg-length discrepancies
- Relieve pain in specific areas of the foot
Braces may be used to provide additional support for the knee or ankle. In some cases, the braces are therapeutic; used to provide compression or cold therapy. Special braces for the toes are used to separate and straighten.
Therapeutic or orthopedic shoes may be used as an alternative to insoles. They can provide many of the same benefits.
Who Could Benefit from Custom Orthotics?
Many people can and do benefit from custom orthotics. Practically anyone could benefit from an insole, but there are specific conditions that can be relieved with an orthotic device.
- Flat feet or fallen arches—use insoles with additional arch support or an arch brace. Pro Arch orthotics, for example, are shoe inserts made from polypropylene, which flexes and springs with every step.
- Knock kneed, bow-legged, pronation, suppination—in these conditions the heels angle inward or outward, causing pain in the feet, knees and hips. Foot Smart Corrective Heel Cups provide relief by correcting the misalignment. Anti-pronation insoles are another option.
- Hammertoes, overlapping, crooked or misshapen toes—toe trainers, straighteners or separators can be used to correct the problem and relieve the pain.
- Diabetics and others with sensitive feet—Arch Crafters custom-fit insoles relieve pain in the heels, knees and back by eliminating pressure points on the bottom of the feet. A foam box is used to create a cast of your feet at home, so there is no need to see a podiatrist.
- Runner’s knee—knee braces can be used to provide added support during sports and other activities, in order to prevent and relieve knee pain.
Custom orthotics may also be beneficial for arch, ball of foot, heel, ankle, knee, hip or back pain. Healthy pain-free feet provide the right foundation for a healthy pain-free lower body.
Chondromalacia or Runner’s Knee
Friday, September 4th, 2009What is Chondromalacia?
Chondromalacia translated literally means soft cartilage. The term “chondromalacia- patellae” (CMP) means soft cartilage under the knee cap.
Although some doctors still use the term to refer to runner’s knee, it is gradually being replaced by the term “Patello-femoral pain syndrome”, because it more accurately describes the affected area. The patella-femoral region encompasses the bones, joints, tendons, ligaments and muscles of the knee.
What are the Symptoms of Chondromalacia?
The primary symptom is non-specific pain in the front, behind or around your knee. It may cause limping and the pain may extend into the muscles of the upper leg.
Usually the pain occurs during any activity. Although we may think of it as “runner’s” knee, just walking around can be painful. In most cases, the severity of the pain increases when walking up or down stairs.
You may have problems bending your knee. The area may feel warm to the touch. There may even be pain when you are at rest. Swelling sometimes occurs, but not always.
What Causes Chondromalacia?
Injury or overuse is the most common cause. But, there are many other conditions that can cause pain in the knee area, include tight hamstrings, quads and/or calf muscles.
Misalignment of the knee cap, bowed legs, knocked knees or flat feet could be the underlying cause. Irritation or inflammation of the joints or soft tissues underneath the knee cap may have occurred due to overuse, being overweight or due to arthritis.
In some cases, the pain does not originate in the area, but is caused by hip or back problems. Any problem that affects the feet can cause knee pain. Wearing the wrong shoes for sports or other activities can cause knee pain, too.
How to Treat & Prevent Chondromalacia
If the pain is due to overuse, the RICE method of treatment is most commonly recommended. RICE is an acronym for rest, ice, compression and elevation. Most people understand rest, ice or cold compresses and elevation. But, compression may be a new term for many.
When it comes to acute (due to injury or a single incident of overuse) or chronic (pain occurs frequently over time due to frequent overuse or another cause) knee pain, the idea of compression is to provide additional support to the knee joint. ACE bandages are sometimes recommended for acute pain, but they are uncomfortable and limit mobility.
Knee Braces and Supports
A knee wrap, strap or brace provides support and compression, without limiting mobility. They can be worn during sports or other physical activities. Magnets and gels are sometimes included to provide additional therapeutic benefits.
Cho-pat, Royce, KneedIT and Wellgate are some of the brands available. KneedIT braces provide support under the knee cap. The Cho-pat Dual Action Knee Strap provides support underneath, above and behind.
Royce and Wellgate brands provide all around support, as well. The braces cover a larger portion of the knee area.
Wellgate is designed for women and includes a gel support that contributes to normal knee movement. The Royce Wraparound Hinged Knee-brace provides maximum support for the outer knee area with aluminum inserts.
Use the Right Shoes
In addition to wearing a brace to relive the pain of chondromalacia, be sure that your shoes are properly designed for your activities. Replace them when they start to wear down and be sure that they fit well, too.