Hi Lisa, I read in one of your articles and watched a Q&A video that both mentioned the soft Formthotics as a choice for orthotic inserts. I'm wondering whether you still prefer these rather than the traditional custom made orthotics. Can you share with us the difference between the two types of orthotics and would the preference be more just for dancers or for everyone in general?
Thank you! May
Thanks for your question! I do like using the Formthotics for some dancers, however there is still definitely a need for custom moulded orthotics in some situations.
For those that have not seen the original video – here it is …
As I explain in the video, I am not against the use of custom made orthotics. Especially ones created out of firm density foam, as opposed to the cast, rigid orthotics. Hard custom made orthotics may be required to correcting moderate to severe pronation of the foot or other altered foot biomechanics (such as in Cerebal Palsy). Custom made inserts can also be helpful if there is a need to offload any areas – ie sessamoiditis – where we may need to cut a hole to offload the area.
The hard cast orthotics may become an issue if they are too rigid and block the natural mobility in the mid foot – altering the shock absorption capacity, and potentially leading to other injuries such as stress fractures in the tibia.
I believe that Orthotic devices of this type should be treated as “trainer wheels” to be used until the foot has developed enough strength to control itself. In this regards, everyone wearing orthotics should have a strengthening exercise program as well, including many of the exercises in the Advanced Foot Control For Dancers program.
Formthotics on the other hand have a different function. They are not designed to correct the alignment of the foot, but are good for dancers/students with high mobile arches to give proprioceptive feedback and gentle support of the arch.
When we are jumping and dancing all the time in flat ballet slippers, these inserts can give the small muscles of the foot and the plantar fascia a rest when you get back into your school shoes or runners after dancing. This can help take the load off the plantar fascia, reducing the occurrence of pain in this area.
An alternative solution is to use Dynamic Tape to help facilitate the muscles inside the foot to work correctly to support the foot. This taping technique can be also used inside your ballet shoes and can really help strengthen the feet while in class.