Orthotics vs. Orthopedics: What’s the Difference?

When it comes to addressing foot pain and taking care of your overall musculoskeletal health, two terms often arise in discussions: orthotics and orthopedics (orthopedic shoes). But what's the difference between them?

This question often confuses patients seeking relief from various foot ailments. Both fields aim to improve foot function and alleviate discomfort, but they approach these goals through different means. Knowing the distinction between orthotics and orthopedics is crucial for anyone looking to address foot issues or enhance their overall foot health.

At PrimeCare, we're dedicated to helping our patients in New Mexico navigate these options with confidence. As a leading provider of custom orthotics, we bring years of expertise in orthotic solutions to guide you toward the best choice for your individual needs. Let's explore orthotics and orthopedics, their unique characteristics, and benefits for healthy feet.

Orthotics: Tailored Support for Your Body

Orthotics are devices designed to provide support, align the body, and correct deformities of movable parts. In the context of foot care, orthotics usually refer to inserts or orthotic insoles that fit inside regular shoes.

• When to use orthotics: Orthotic devices are ideal for alleviating pain and providing support in mild to moderate foot conditions. They're commonly used for plantar fasciitis, flat feet, Charcot foot, high arches, and general foot fatigue. Orthotics can reduce discomfort in the heel, arch, and ball of the foot by redistributing pressure.
• Customized solutions tailored to individual needs: Custom-made orthotics are designed specifically to address individual foot conditions and provide targeted support. Unlike over-the-counter insoles, custom orthotics are crafted based on a detailed assessment of your foot structure, gait, and specific health needs.
• Compatibility with regular footwear: Orthotics are usually designed to fit into regular shoes as they offer additional support without the need for specialized footwear. This versatility allows users to maintain their style preferences while addressing their foot health needs.
• Types of orthotics: There are several types of orthotics available to suit different needs and body parts. Ankle Foot Orthoses (AFO) and Knee Ankle Foot Orthoses (KAFO) provide support for the lower limbs. Hip orthotics and knee orthotics offer targeted support for these joints, and there are even specialized pediatric orthotics for the specific needs of children. Sports orthotics are tailored to meet the demands of specific athletic activities, helping to prevent injuries and enhance performance.
• Cost-effective long-term solution: While the initial cost of custom orthotics may be higher than over-the-counter options, they're often a more cost-effective long-term solution compared to purchasing multiple pairs of orthopedic shoes or repeatedly buying generic insoles.
• Durability and longevity: Quality custom orthotics are designed to be durable and can last several years with proper care. This longevity contributes to their cost-effectiveness and consistent support over time.

Orthopedic Shoes: Foot Care Solution for Severe Conditions

Orthopedics itself is a branch of medicine focused on the correction of deformities of bones or muscles. In foot care, this often translates to specialized orthopedic footwear and treatments designed to address various foot conditions and provide therapeutic benefits.

Orthopedic shoes are specifically designed footwear that offers enhanced support, stability, and cushioning for individuals with foot issues or those recovering from foot-related injuries or sports injuries. Unlike regular shoes, each orthopedic shoe is crafted with features that cater to specific foot problems.

Orthotics vs. Orthopedic Shoes Comparison

When Are Orthopedic Shoes Recommended?

Orthopedic shoes may be prescribed or recommended for various foot conditions and situations such as:

• Chronic foot pain and deformities: When pain continues despite using regular footwear or orthotics, or for conditions like bunions and severe pronation or supination. The extra width, depth, and specialized features of orthopedic shoes provide extra support and comfortably accommodate foot deformities.
• Medical conditions affecting the feet: For conditions such as diabetes, arthritis, or neurological disorders (e.g., neuropathy, multiple sclerosis). These shoes offer enhanced protection, cushioning, and support to manage complications and improve mobility.
• Post-surgical recovery and injury management: After foot or ankle surgery, or during recovery from severe sports injuries. Orthopedic shoes provide necessary protection and support and often feature adjustable closures to accommodate swelling.
• Significant gait issues and leg length discrepancies: When orthotics alone can't address severe gait problems or leg length differences. Custom-made orthopedic shoes can provide more comprehensive correction and support.
• Severe swelling and circulatory issues: For conditions like severe edema or lymphedema. The adjustable features and extra depth of orthopedic shoes can better accommodate significant swelling compared to regular footwear.

Key Features of Orthopedic Shoes

1. Enhanced support: Orthopedic shoes provide additional support to various parts of the foot, including the arch and ankle.
2. Shock absorption: These shoes often feature advanced materials that absorb shock, reducing stress on the feet, ankles, knees, and hips.
3. Pressure distribution: They're designed to evenly distribute body weight across the foot, minimizing pressure points and discomfort.
4. Customizable fit: Many orthopedic shoes offer adjustable features to accommodate different foot shapes and conditions.
5. Durable construction: Built to last, these shoes often use high-quality materials for longevity and durability.

Types of Orthopedic Footwear

There are several categories of orthopedic shoes, each designed to address specific needs:

• Extra depth shoes

These shoes provide additional volume to accommodate custom orthotics or swollen feet. They're particularly beneficial for individuals with diabetes or severe edema.

• Rocker bottom shoes

Designed with a curved sole, these shoes reduce pressure on the ball of the foot and aid in the walking motion. They're often recommended for conditions like arthritis or plantar fasciitis.

• Post-operative shoes

Used after foot surgery, these shoes protect the foot during the healing process. They often feature an open toe design and adjustable closures.

• Motion control shoes

These shoes are designed to limit excessive foot motion, particularly overpronation. They benefit individuals with flat feet or those prone to ankle injuries.

• Diabetic shoes

Specially crafted to reduce the risk of foot injuries in individuals with diabetes, these shoes often feature seamless interiors and extra depth to accommodate orthotic inserts.

Cost and Availability of Orthopedic Shoes

While orthopedic shoes are generally more expensive than regular footwear, they represent an investment in foot health and overall well-being. The cost can vary depending on the specific type of shoe and any custom features.

Many insurance plans may cover part or all of the cost of orthopedic shoes, especially when prescribed by a healthcare professional. It's always worth checking with your insurance provider to understand your coverage for orthopedic devices.

Which Should I Choose: Orthotics or Orthopedic Shoes?

When deciding between orthotics and orthopedic shoes, consider the severity of your foot condition and your specific needs:

• For mild to moderate foot issues, orthotics are often the first choice. They provide targeted support while allowing you to wear your regular shoes.
• In more severe cases, orthopedic shoes may be the better option. They offer comprehensive support and protection for the entire foot.
• For some individuals, a combination of orthopedic shoes with custom orthotics provides the best solution.

However, the choice between orthotics and orthopedic shoes isn't always straightforward. Every foot (and individual) is unique, and what works for one person may not be ideal for another. For this reason, it's advised to consult with a foot care professional or podiatrist, especially if you're dealing with severe or chronic foot problems. They can provide a thorough assessment of your foot health, consider your lifestyle needs, and recommend the most appropriate solution for your specific situation.

Tailoring Your Foot Health Approach

Understanding the difference between orthotics and orthopedic footwear can help you make an informed decision about your foot health. While orthotics offer targeted support for many conditions, more complex issues may require the comprehensive care that orthopedic shoes provide.

At PrimeCare, we're committed to helping you weigh these options and choose the best solution for your individual needs. We’ve helped over 30,000 patients and have been serving the community for over a decade. Whether you're dealing with chronic foot pain, recovering from sports injuries, or simply looking to improve your foot function, we're here to provide professional advice and support.

Remember, healthy feet are the foundation of an active, comfortable life. Don't let foot issues hold you back. Contact us today for a consultation with our foot health experts!