title: [Foot specific orthotic devices].
abstract: For each foot pathology, whatever its nature and aetiology, there is an orthesis, the best mechanical treatment. For toe pathologies due to or worsened by the footwear, we must recommend wearing other shoes and sometimes an orthoplasty which is not covered by health insurance. Sole orthesis are quite effective for most pathologies causing pain when walking, and involving the foot sole or starting in the foot. Realised by an approved splint technician, they are covered by health insurance for a lump sum, but patients are telling us their cost is becoming more and more difficult to bear Mass-produced shoes, therapeutic or not, deserve a special place in the therapeutic arsenal of podiatry. Temporary used shoes improve post-operation situation and some specifically located discharges. More and more shoes are available for longer use, most of them not approved but better looking, and at least as effective as and not costlier than the few models covered by health insurance.They can provide footwear that are not standard and can't be helped by bespoke shoes reserved for precise medical indications.
authors.affiliation: alain.goldcher@laposte.net
authors.forename: Alain
authors.initials: A
authors.lastname: Goldcher
mesh_terms: D005530:Foot Deformities / Q000628:therapy*; D005534:Foot Diseases / Q000628:therapy*; D006801:Humans; D009989:Orthotic Devices