Which clinical evaluation is typically performed to determine the need for orthotics?

The determination of the need for orthotics is most thoroughly addressed through a physical examination and potentially a gait analysis. This comprehensive clinical evaluation not only assesses the structural integrity and alignment of the feet and lower limbs but also evaluates how the patient moves. Gait analysis provides valuable insights into the dynamics of walking, highlighting biomechanical issues such as pronation or supination that may necessitate orthotic intervention.

Visual assessments can offer initial insights into foot shape, but they may overlook underlying functional issues that a physical examination would reveal. Relying solely on patient self-reports of pain does not provide the comprehensive data needed for a proper orthotic prescription, as subjective reports can vary widely among individuals. Additionally, while a history of previous injuries can be informative, it does not encompass the full spectrum of factors influencing the requirement for orthotics. Therefore, the most effective way to evaluate the need for orthotics combines physical examination and gait analysis, providing a complete picture of the patient’s condition.