The primary purpose of orthotic therapy in most Clear Nails Plus Review pathologies is to reduce abnormal force on the body structure that is being injured. In the case of plantar fasciitis/heel spur syndrome, the primary problem is excessive tension on the plantar fascia. Thus, in this situation, the primary function of custom orthotics should be to decrease tension on the plantar fascia. In other pathologies, the primary function of the orthoses will be different as will the orthotic prescription. Even within the single pathology of plantar fasciitis there are many different biomechanical causes and many different optimum prescriptions.

Before prescribing orthoses for plantar fasciitis your practitioner must first determine why, in your case, there is excessive tension on the plantar fascia. Sometimes it is because the heel everts and jams the medial (inside) foot into the ground. This pushes up on the bottom of the first metatarsal and causes the foot to lengthen. This stretches the plantar fascia. In this case the orthotic must stop the heel from everting (heel rolls in). In this situation we prescribe an orthotic that cups deep around the heel and has a built-in wedge that prevents the heel from rolling in.

In other patients suffering from plantar fasciitis and/or heel spurs, the heel stays straight, but the arch collapses - again this lengthens the foot and stretches the fascia. In this case the orthotic will be prescribed to focus on arch support - a very different function than stopping the heel from turning in. In this case the podiatrist should focus on prescribing an orthotic that conforms very tight to the arch of the foot in order to prevent arch collapse.