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7. | Jan 12, 2014
Hi Monica,Thanks for the question. I'm wrnitig from a plane, so please pardon any major spelling or grammatical mistakes.My view on orthotics is that they are a band aid or a crutch and generally not a permanent solution to postural pain and dysfunction. There are people who need orthotics due to significant structural abnormalities, but they make up a very small percentage of the population. For the vast majority, orthotics are over-prescribed, just as most pharmaceutical medications, and over time create greater problems than they solve.In general, the use of a crutch gets you to the next crutch. At first we use cushioned arch supported shoes as a crutch. As the muscles that make up the arch of the foot weaken and atrophy, the arch itself collapses. So you are upgraded to a reinforced arch support system with orthotics. This causes greater weakening, atrophy, and collapse, and you are then given a cane, crutches, or a walker. Eventually, you are in a wheel chair. All of this takes place over years and decades. The solution to this problem is not in the next best band aid, but to train the body to support itself at each and every step (pun intended). Maintaining strength and stability of the arch provides the foundation for the entire postural system. Now transitioning into a barefoot/minimalist lifestyle from orthotics can be a bit tricky. Especially without the support of a coach or therapist. Depending on how long you have been wearing orthotics, your feet will be significantly weakened. Transitioning too quickly raises your risk of injury. I don't recommend going completely barefoot/minimalist overnight. I would start with corrective exercises focused on strengthening your feet, hips, shoulders, and core; spending as much time barefoot during the day; and listening to your body for signs of pain and stress. I hope this helps. Let me know if you have any further questions.Jesse James Retherford