What are potential contraindications for using an orthotic?

The presence of severe skin infections or uncontrolled diabetes with active ulcerations is a critical contraindication for using an orthotic. In such cases, the application of an orthotic can exacerbate the condition by applying pressure to infected areas, potentially worsening the infection. Moreover, individuals with uncontrolled diabetes are at a higher risk for complications such as neuropathy and dermopathy; using orthotics on feet with active ulcerations can lead to further tissue damage or promote the development of new lesions.

In contrast, conditions like flat feet or low arches, while they may necessitate the use of supportive devices for comfort or correction, are not contraindications. Also, high arches or having healthy skin generally suggests a capability for orthotic use, as neither of these conditions inherently poses a risk for skin breakdown or systemic complications. Pain in the foot, while concerning, does not automatically disqualify the use of orthotics, as the reason for the pain needs to be evaluated further. The key is that any existing infections or active ulcerations require careful consideration to avoid worsening the patient's condition.