
How to Break in Orthotics

Custom foot orthotics are designed to meet unique structural and biomechanical needs, but they often require a break-in period. This means getting used to them gradually. The adjustment period varies for each person as your body has adapted to moving a certain way over the years. When you first wear them, custom orthotics might feel unusual, like standing on a hard ball with pressure on your arches. Some may feel great right away, like walking on clouds. However, it is crucial to break them in properly. Some tips to get used to orthotics include starting off slowly and wearing them for a few hours at first and then increasing wear time by one or two hours daily over a week. Other tips include reducing wear time if you experience discomfort, wearing them in shoes with the appropriate width and depth, and waiting until they are entirely broken in before engaging in physical activity. Adjustments can possibly be made if discomfort persists. If you are interested in learning more about whether you are a good candidate for orthotics and how to adjust to them, it is suggested that you make an appointment with a podiatrist to discuss this option.
If you are having discomfort in your feet and would like to try orthotics, contact Cory Brown, DPM from Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ankle Foot Orthotics for Athletes
Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.
Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.
The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.
Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.
Podiatry as a Career Choice

Podiatry, a medical field focusing on foot and lower leg conditions, is an option that appeals to those interested in patient care without a traditional medical school. To determine if podiatry suits you, it is important to understand its benefits and the skills needed. Podiatrists diagnose, treat, and perform procedures, such as setting broken bones and prescribing medications. They have distinct educational paths and professional organizations, offering flexible work arrangements in private practices or hospitals. Reasons to consider podiatry include work-life balance, impact on patients' lives, and diverse specializations, such as sports medicine or surgery. In addition, this profession offers varied patient populations, high demand, innovation, good pay, job stability, independence, and favorable work environments. Skills like interpersonal communication, critical thinking, dexterity, and research are vital for effective podiatry practice. If you are considering pursuing podiatry as a career choice, it is suggested that you make an appointment with a practicing podiatrist to see what it is really like to perform this role.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Cory Brown, DPM from Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is a Podiatrist?
A podiatrist is a Doctor of Podiatric Medicine who treats the foot, ankle, and related structures of the leg. If you are having any pain, injuries, or abnormalities in these areas, it is best that you seek help from a podiatrist.
Podiatrists complete four years of training in a podiatric medical school. Their training is like that of other physicians, and they may go on to complete a fellowship training after a residency training. Some podiatrists are board certified meaning they have advanced training, clinical experience, and have taken an exam to prove their skills. Certifying boards for podiatry are the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Podiatrists may work in private practices, hospitals, clinics, or they may even become professors at colleges of podiatric medicine.
While in college, those who want to be podiatrists often take biology, chemistry, and physics classes in preparation for podiatry school. In podiatry school, students study how the bones, nerves, and muscles work together to help you move around. Additionally, they study injuries and how to properly diagnose and treat them. Admittance into podiatric medical school requires the completion of 90 semester hours of undergraduate study with a good grade point average, and acceptable scores on the MCAT (Medical College Admission Test)
Podiatrists treat many different conditions such as: aching feet, ankle pain, bunions, corns, hammertoes, fungus, ingrown toenails, plantar fasciitis, sprains and more. Common forms of treatment for these conditions are physical therapy, drugs, or surgery. Podiatrists may also recommend corrective shoe inserts, custom-made shoes, plaster casts, and strappings to correct deformities.
Even if you are someone whose feet are in generally good condition, you should still visit a podiatrist to have your feet properly exfoliated and maintained, or to make sure you are looking after your feet properly.
Managing Hammertoe

Hammertoe is a foot deformity that affects the toes, causing them to bend or curl unnaturally at the middle joint, resembling a hammer's shape. This condition can cause discomfort, pain, and difficulty in finding comfortable footwear. Causes of hammertoe include wearing ill fitting shoes, especially high heels or shoes with a narrow toe box. These types of shoes can force the toes into an abnormal position over time. Genetic factors, arthritis, or nerve damage can also contribute to the onset of a hammertoe. Early intervention can often prevent the condition from worsening. Non surgical treatments include wearing shoes with a wide toe box, custom orthotics, or splints to help straighten the toes. In more severe cases, surgical intervention may be necessary to straighten the affected toe. If you have developed a hammertoe that is causing pain, it is suggested that you make an appointment with a podiatrist for an evaluation and appropriate treatment options.
Hammertoes can be a painful condition to live with. For more information, contact Cory Brown, DPM of Cory Brown, DPM. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.
The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.
There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.
Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.
To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.
If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.
Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.
Gout: Painful Arthritis Caused by Uric Acid Crystals

Gout is a painful arthritis caused by uric acid buildup in the body, leading to joint redness, tenderness, and severe pain. It commonly affects the feet and specifically the big toe, but can impact other joints, like the ankles, elbows, wrists, fingers, and knees. Symptoms include intense joint pain, joint inflammation, and limited range of movement. Gout is typically more common in individuals with high levels of uric acid in their bodies. Several factors contribute to this condition, including obesity, family history of gout, being male, consuming foods higher in purines, and specific medical conditions like untreated high blood pressure, diabetes, and heart and kidney diseases. Diagnosing gout involves a physical examination and may include tests such as uric acid blood tests and joint aspiration to check for urate crystals. Adopting a healthy diet, maintaining a proper body weight to prevent obesity, and making lifestyle changes like reducing alcohol and sweetened beverage consumption can be beneficial in managing gout effectively. If you suspect you have gout, it is strongly suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Cory Brown, DPM from Cory Brown, DPM. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Various Reasons for Heel Pain

Heel pain is a common condition that affects people worldwide. There are various foot conditions that can cause heel pain, including plantar fasciitis, heel spurs, and Achilles tendonitis. It can be difficult to walk, and medical attention is often sought for relief. There are certain stretches that can be performed that may reduce heel pain. The standing calf stretch is done by standing on a step and lowering one heel at a time until a gentle stretch is felt. This can be repeated several times per day to gradually strengthen the heel. Another effective stretch is done by sitting on the floor while stretching the feet out in front of you. After rolling up a towel lengthwise, it can be put around the ball of the feet, while pulling it towards you. After holding for several seconds, this stretch can be repeated during the day. If you have heel pain, it is strongly suggested that you confer with a podiatrist who can determine the cause and provide effective treatment solutions.
Many people suffer from bouts of heel pain. For more information, contact Cory Brown, DPM of Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.