Orthotics

engrish?

Hey,

I have been told that I need Orthotics for my feet as they are bangley (not official mediciney word). I was quoted €200 + which is a bit much for me at the moment, does anyone know where I can get them made cheaper?

Ihaveanopinion

I would question who told you that you needed them.....

engrish?

Ihaveanopinion wrote: »

I would question who told you that you needed them.....

Several physios etc. I was dubious but I walk allot for my job and I get pains in my calfs and ass from it, the ass one is the most upsetting as it flairs when I do situps or weights. I tried the temporary (€6.99 ones) and they do make a difference, but they fall apart.

Ihaveanopinion

To repeat my post, I would question who says you need them. There are very specific diagnoses that require an orthotic. A physio is a therapist ... hence physiotherapist.. and most are very good but they are not diagnosticians. You need a better reason to drop €200 than the physio said.

I would look for a better reason for your underlying problem

engrish?

Ihaveanopinion wrote: »

To repeat my post, I would question who says you need them. There are very specific diagnoses that require an orthotic. A physio is a therapist ... hence physiotherapist.. and most are very good but they are not diagnosticians. You need a better reason to drop €200 than the physio said.

I would look for a better reason for your underlying problem

Who would you suggest I speak to about it?

Ihaveanopinion

If you have a problem with your foot, I would think a foot specialist - of which there are many.

Usually with these things, best place to start is your doctor. May not give you a solution but could point you in the right direction

d'Oracle

engrish? wrote: »

Who would you suggest I speak to about it?

Chiropodist/Podiatrist.

Try here:

http://www.podiatryireland.com/index.cfm/loc/6.htm

Many will do a gait analysis.
Make you walk on a digital pad thingymajig and then design custom orthotics, if you need them.

$300 is a big bite, but they last donkeys. Im into my second pair and have been using them for about 7 years.

L.S.F

do you have flatfeet? this is usually the most common.
easy test is to rub some oil on the sole of your foot and stand on a piece of A4 paper. The less of the "classic footprint" you see, the flatter the feet and usually the more need for orthitcs.

As mentioned above the only real way to see is getting someone to check your gait cycle on the pressure mats.

I got a pair about 5-6 years ago for bad flat feet for €175 i think it was.

Ihaveanopinion

Having flat feet is not necessarily a problem. It can be a normal variant. The impression your foot makes has limited bearing on any problems.

Painting with your feet could be fun though

d'Oracle

Ihaveanopinion wrote: »

Having flat feet is not necessarily a problem. It can be a normal variant. The impression your foot makes has limited bearing on any problems.

Painting with your feet could be fun though

Flat feet doesn't actually mean your feet are flat.
It means that your arches are "collapsing" or rather that the arches of your feet are too close to the ground. usually from a bad gait or turning your feet out.

And it can be pretty bad. Can cause ankle, knee and hip problems.

finisklin

The HSE have foot specialists that are podiatrists/chiropodists that are attached to the various hospitals. The trick is to get into see these people as they are excellent....they see a lot of foot problems, gait problems etc. across a wide spectrum of people (young and old), they know feet inside out. The only problem is the wait to go and see them. It can be months etc.

However, if you can perservere the cost is just for the orthotics, if recommeded. In my case this worked out at €110 and no consultation fee.

I have used specialist physios in the past and found just one execellent. She specialises in orthotics and foot problems, lectures, and focuses on the sports injury market. Expensive but not as good as the guy I go to in the HSE.

I have been wearing orthotics for over 10 years, had severe problems with my feet and had an operation last year to remove a bone growth. So balance has been a problem with me, which the orthotics have helped with!

Hope this is useful for you.....

Ihaveanopinion

d'Oracle. You are incorrect. The majority of people with 'flat feet' do not have collapsed arches or any other percieved problem with their feet. It is either a normal variant or an easily rectifiable problem such as tight TA/hamstrings. While some people with pes planus do have a medical problem, such as tibialis posterior dysfunction, the majority have normal feet that do not require an orthotic.

The problem with going to people who mis-diagnose these 'problems' is that you get offered an orthotic that you do not need and costs €300.

ApeXaviour

The podiatrist in the dublin foot clinic (on westland row) makes them himself for about €50 euro.

He recommended I purchase the orthaheel ones from boots (~€35) some of the best money I've ever spent. My heels aren't tender anymore, and I don't get foot or shin pain from walking. We're not built to walk on hard flat surfaces, and these (without saying they're ideal) make a closer approximation to how your foot would shape itself over soft uneven ground.

d'Oracle

Ihaveanopinion wrote: »

d'Oracle. You are incorrect. The majority of people with 'flat feet' do not have collapsed arches or any other percieved problem with their feet. It is either a normal variant or an easily rectifiable problem such as tight TA/hamstrings. While some people with pes planus do have a medical problem, such as tibialis posterior dysfunction, the majority have normal feet that do not require an orthotic.

The problem with going to people who mis-diagnose these 'problems' is that you get offered an orthotic that you do not need and costs €300.

Fair enough.

But I had bad ankle problems as a result of collapsed arches & a bad gait.
Got orthotics.
Now problem is gone.

Hamstring condition has not changed.

bookerboy

Mine cost €300 a couple of years ago.Still wear them everyday.
Look after them if you have to get them or you will have to fork out another €300
Recently got MBT shoes and have been advised not to wear them with the MBT;s
Might be worth your while getting advise in Elverys about MBT's
Could save you alot of money.
Elverys had a half price sale on them recently

gazzer

Sorry for bumping this thread but I was hoping somebody might be able to help.

My mother has had problems with her feet for a few years now and has been told that she needs orthotic shoes and insoles. She has been quoted €450 for the shoes and €350 for the insoles. That seems like crazy money to me. Is there any places up north that would sell them cheaper than this?

finishedart

engrish? wrote: »

Hey,

I have been told that I need Orthotics for my feet as they are bangley (not official mediciney word). I was quoted €200 + which is a bit much for me at the moment, does anyone know where I can get them made cheaper?

If the recommendation came from a Doctor in a hospital he should direct you to a relevant person/dept with an introductory note. As for the cost, if you have a medical card you can get them free; otherwise you might be able to reclaim some of it from VHI etc. I get them free for my son on his Medical Card!

bookerboy

You should talk to Michael Davis before you do anything.His company is called" Well Shod" ph 045 532792
He is a specalist ,knows his stuff and will not charge you the Earth
He makes insoles and shoes in his own workshop and i know you will be impressed with his services.
Only problem is he normally has a two month waiting list.

branne2003

Does anybody know of a good podiatrist in South Dublin area? Am a dancer having trouble with pain in the ball of my foot which I 'think' may be linked to bunion?!?!

GlassOnion

finishedart wrote: »

If the recommendation came from a Doctor in a hospital he should direct you to a relevant person/dept with an introductory note. As for the cost, if you have a medical card you can get them free; otherwise you might be able to reclaim some of it from VHI etc. I get them free for my son on his Medical Card!

Hi.I was quoted E300+ for custom made orthotics a few months ago.I can't really afford to pay that much right now.I have a medical card but didn't realise they covered orthotics.Did your son have them custom made?Did your GP refer you to a hospital specialist?
Thanks!

Murkler

My Chiropractor has prescribed that I get orthotics, which he will supply at a cost of about €200 on top of the €45 I spent on my 20 minute consultation with him.
Can I say to him 'Ta very much, I will just take your prescription and have them made elsewhere', same as I might do with an optician's prescription or a GP prescription? If so, where would you go to find a good value orthotics supplier?

calfmuscle

You will need to be fully assessed and fitted for the orthotic. However you may not need a custom made one. You may be able to have wedges put in your shoes or an arch support. Go see a good physio who has an interest in gait and will be able to help you get good value for money.

Burkatron

calfmuscle wrote: »

You will need to be fully assessed and fitted for the orthotic. However you may not need a custom made one. You may be able to have wedges put in your shoes or an arch support. Go see a good physio who has an interest in gait and will be able to help you get good value for money.

Or go to a good physio who will prescribe excercises to build up the arches in the op's feet if possible & avoid band aiding the problem, creating more problems down the line?

calfmuscle

Burkatron wrote: »

Or go to a good physio who will prescribe excercises to build up the arches in the op's feet if possible & avoid band aiding the problem, creating more problems down the line?

Orthotics are not just band aids and are useful in some cases. I have seen feet that no amount of exercise will help and if the patient does nothing, will lead to serious mobility problems in the future.
A physio will make their own call on weather they are required.
As I said go get an assessment. The op may need custom fit orthotics or just a wedge or an arch support or nothing just ankle stabilisation work.
This will all be addressed in the assessment.

SM01

Burkatron wrote: »

Or go to a good physio who will prescribe excercises to build up the arches in the op's feet if possible & avoid band aiding the problem, creating more problems down the line?

That's quite a flippant an ill-informed comment to make. With some foot types, no amount of 'exercises' will compensate. The barefoot movement may say differently but the evidence for that isn't available yet or is just emerging.

Go see a podiatrist (rather than a physio) specialising in biomechanics as (if they're competent) they should have a thorough understanding of the lower limb and gait and be able to supply you with suitable orthotics.

Price-wise, off the shelf orthotics are available however remember they have to be customised so they suit you foot type. It's also possible that podiatrists can make a less expensive orthotic for you out of 'pre-cut' materials. These tend to not last as long (6 months to 1.5 years) but are a cheaper alternative to forking out a fortune for custom-made orthotics and finding out that they're not right for you.

Do go to someone who is well versed in biomechanics however. Speaking from experience, there's a few snake-oil salesmen and women out there who are offering orthotics but don't understand proper foot function.

Burkatron

calfmuscle wrote: »

Orthotics are not just band aids

Maybe not band aid, but they aren't a cure! What are they comparable to in most cases? A splint? Do you really believe they fix problems or just support them? Do you not agree they ruin/alter proprioception & when they're not worn the mechanics they've altered get worse?

calfmuscle wrote: »

and are useful in some cases. I have seen feet that no amount of exercise will help and if the patient does nothing, will lead to serious mobility problems in the future.

Yep, I totally agree with this but that's not what you said in your last post, why does the OP need anything in their shoe?

calfmuscle wrote: »

You will need to be fully assessed and fitted for the orthotic. However you may not need a custom made one. You may be able to have wedges put in your shoes or an arch support. Go see a good physio who has an interest in gait and will be able to help you get good value for money.

The OP hasn't been assesed & unless they have major functional issues with their feet or a structural issue rehab should be their 1st port of call instead of introducing more artificial stability to their feet!

calfmuscle wrote: »

A physio will make their own call on weather they are required.
As I said go get an assessment. The op may need custom fit orthotics or just a wedge or an arch support or nothing just ankle stabilisation work.
This will all be addressed in the assessment.

Do you not think there's an AWFUL lot of physio's/ practitioners who sell orthotics out there who prescribe them straight off the bat as the be all & end all instead of rehab? I've seen it myself & heard of so many people that were just prescribed them & nothing else! A lot of the people I've seen didn't have structural problems with their legs & feet & with excercise & persistence some of them have rebuilt their feet & gotten away from expensive support they shouldn't have had in the 1st place.

I'd like to believe these practitioners have been trained/brain washed to use orthotics as the be all & end all but it's very hard to believe that the commission they make off them isn't the driving factor behind them being pushed on clients. If it wasn't the case why not try off the shelf 1st?

SM01 wrote: »

That's quite a flippant an ill-informed comment to make.

Flippant? Maybe! I could've expanded on it more but didn't have time.

Is it ill-informed? How is saying that excercise/rehab to retrain muscles if possible is the way to go ill-informed?

SM01 wrote: »

With some foot types, no amount of 'exercises' will compensate. The barefoot movement may say differently but the evidence for that isn't available yet or is just emerging.

Yep, again, some not all!

Or go to a good physio who will prescribe excercises to build up the arches in the op's feet if possible & avoid band aiding the problem, creating more problems down the line?

See my reply paragraph 1 or the bolded part above! As I've said, excercise/rehab should be the 1st port of call if possible!

Go see a podiatrist (rather than a physio) specialising in biomechanics as (if they're competent) they should have a thorough understanding of the lower limb and gait and be able to supply you with suitable orthotics. Price-wise, off the shelf orthotics are available however remember they have to be customised so they suit you foot type. It's also possible that podiatrists can make a less expensive orthotic for you out of 'pre-cut' materials. These tend to not last as long (6 months to 1.5 years) but are a cheaper alternative to forking out a fortune for custom-made orthotics and finding out that they're not right for you.

Do go to someone who is well versed in biomechanics however. Speaking from experience, there's a few snake-oil salesmen and women out there who are offering orthotics but don't understand proper foot function.

Good call, anyone you recommend as I said before, it seems like a lot of practitioners who prescribe orthotics will use it as their 1 stop shop for all foot,knee, hip & back problems! As I said before I really believe this is money driven!

**This applies to motion control runners & anything that supports feet, not just orthotics!

calfmuscle

ah now first up calm down, we are only talking about orthotics.
Orthotics do not ruin proprioception. That's a massive statement to make and id like to see some evidence to support it.
If a patient is in pain due to over pronation and orthotics remove the pain then the pain is cured. Some people have biomechanical issues that no amount if rehab will correct.
As for pbysio's over prescribing them i can't say i have seen this.
Going back to the op the original question stated that a chiropractor had recommended orthotics to which i recommended a Physio. I did this because a pbysio's will know whether orthotics are needed or not. And will no that type is best.

Burkatron

calfmuscle wrote: »

ah now first up calm down

I'm perfectly calm! I'm just posting on a message board....see smiley happy face

we are only talking about orthotics.

I'm talking anything put into shoes or on feet that do the job your muscles should do!

(Just to note, I'm not shouting for barefoot either, but I do believe that there's a happy medium that needs to be found & I've seen it work with my own clients).

Orthotics do not ruin proprioception. That's a massive statement to make and id like to see some evidence to support it.

I'll come back to you on this! The study was done on motion control runners, not orthotics! I'll dig it out (if I can)! Do you not agree that if you put something on your feet for long enough you're going to significantly change proprioceptive feedback? Using foreign structures as support for muscle long term is a bad idea!

If a patient is in pain due to over pronation and orthotics remove the pain then the pain is cured.

I can't agree with this, you're papering over the cracks not curing. What happens when you remove the orthotic/support?

Some people have biomechanical issues that no amount if rehab will correct.

Yep, I've agreed on this already, this is when Orthotics/supports should be prescribed!

As for pbysio's over prescribing them i can't say i have seen this.

I'm not physio bashing! I've seen it with a lot of Osteopath's & chiropractors who have gone down the Orthotics route!

Going back to the op the original question stated that a chiropractor had recommended orthotics to which i recommended a Physio. I did this because a pbysio's will know whether orthotics are needed or not. And will no that type is best.

Fair enough, I didn't get that from the post! This is not suppose to be an attack on anyone so again, apologies if that's what you're getting from it!

SM01

Just a couple of points 'cause I'm pressed for time.

Orthotics aren't supposed to rectify problems in gait over-night (though that's not to say that can't happen) It takes weeks, sometimes up to a couple of months for the subtle changes to gait to manifest and for pain to relieve itself. Any decent podiatrist or physio will warn a patient of this and tell him / her to wear them in slowly.

Regarding proprioception. There is no evidence whatsoever that proprioception is negatively affected when wearing orthotics. To qualify that, in the initial stages of wearing orthotics it's possible for a temporary change in proprioception as there is a change in gait during this initial stage of wearing a new orthotic. However that would just be temporary and minor and settles down once the wearer becomes more familiar with the device. Anecdotally, I've never heard anyone report deleterious affects on propioception as a result of orthotics. As for switching between wearing orthotics and not wearing them - again, I'm not aware of any evidence but I can speak from experience. I wear orthotics daily but not when I go running / other training / play football and I personally don't notice any difference.

My 'Ill informed' remark was with regard to your comment that orthotics are a band aid. I should declare my interests here. I'm a long time wearer of orthotics (no big deal) and I qualify as a podiatrist with a particular interest in locomotory gait and biomechanics in a month or so.

Saying that, I don't consider myself brain-washed by the field of practice and I'm interested in alternative means for injury avoidance or performance improvement, be it barefoot running (inconclusive) multi-directional running, backwards running, strength and flexibility training etc. When functional orthotics are prescribed they should in cases where it helps, be in conjunction with exercises - a point I believe you were making, and I absolutely agree with that however I doubt exercise could help with say a fixed osseous condition whereas an orthotic would.

The problem with orthotics from my experience is those prescribing them. There are some fantastic practitioners out there and a lot less so, without the necessary qualifications, understanding or experience of gait and the foot (under a body) as a dynamic structure. The prescribing of orthotics isn't regulated so it's easy for anyone with a wee bit of knowledge to do it and make a mess of it. It's a field that's being dragged towards the proper application of science and the laws of physics and hopefully we'll see an improvement in soon practitioners too.

sconhome

Nice discussion!

Lots of points but it's not worth singling out topics for argument. I've looking at this from the other side, where people are geting shoes to go with orthotics.

My first comment is there are a lot of people being put into orthotics that don't need to be. There are also a lot of people who are being sold 'cheap' off the shelf moulded insoles (as orthotics) that don't need them either. I would agree that there is a trend for orthotics to be over-recommended in the majority of cases.

I think there is a responsibility on the behalf of the consumer in this too, its not all the prescribers fault, though they should have more of a professional approach to this. As I see it people are exercising more (brilliant!) but over doing it slightly and not giving their bodies a chance to adjust. As a result the feet and lower limbs that are doing all the stabilisation work are being over used and getting sore.

The epidemic of Plantar fascitis is a catch all for foot pain and as a result of 'I need this pain to stop so I can train' rather than 'I need to ease off training for this pain to stop' people are reaching for orthotics which support the foot, reduce the range of movement (natural) and hey-presto pain is gone.

Unfortunately as a result of poor advice on management people become over dependent on them and the foot muscles atrophy further creating a circle of dependence and issues arising elsewhere in the body are unmasked due to muscle weaknesses.

I believe we start with poor proprioception due to society and civilisation requiring us to wear footwear and orthotics do nothing to help it in any way.

sconhome

Burkatron wrote: »

The study was done on motion control runners, not orthotics! I'll dig it out (if I can)

Love a copy if possible.

SM01

amphkingwest wrote: »

Nice discussion!

Lots of points but it's not worth singling out topics for argument. I've looking at this from the other side, where people are geting shoes to go with orthotics.

My first comment is there are a lot of people being put into orthotics that don't need to be. There are also a lot of people who are being sold 'cheap' off the shelf moulded insoles (as orthotics) that don't need them either. I would agree that there is a trend for orthotics to be over-recommended in the majority of cases.

I think there is a responsibility on the behalf of the consumer in this too, its not all the prescribers fault, though they should have more of a professional approach to this. As I see it people are exercising more (brilliant!) but over doing it slightly and not giving their bodies a chance to adjust. As a result the feet and lower limbs that are doing all the stabilisation work are being over used and getting sore.

The epidemic of Plantar fascitis is a catch all for foot pain and as a result of 'I need this pain to stop so I can train' rather than 'I need to ease off training for this pain to stop' people are reaching for orthotics which support the foot, reduce the range of movement (natural) and hey-presto pain is gone.

Unfortunately as a result of poor advice on management people become over dependent on them and the foot muscles atrophy further creating a circle of dependence and issues arising elsewhere in the body are unmasked due to muscle weaknesses.

I believe we start with poor proprioception due to society and civilisation requiring us to wear footwear and orthotics do nothing to help it in any way.

Yes, I absolutely agree there's too much prescribing of orthotics. And without wanting to fall back on cliche, a lot of practitioners aren't considering a holistic view of the patient. I would lay the blame at the practitioner's feet however (did I just write that?!) If you're going to prescribe something that will fundamentally affect a person's biomechanics you better know what you're doing. There's ample grounds for litigation is something goes wrong. It's been the case in the states and the UK for quite a while now but doesn't seem to have crept into Ireland so much. Yet. Also, I have been working on and off for 2 years in a musculoskeletal clinic in Edinburgh presently (moving back to Dublin soon) and my singular objective is to get my patients as close to, if not totally pain-free and everything I do has to have a solid base in evidence before I do it so orthotic prescription is never considered lightly.


Just very quickly on Platar Fasciitis - (IMO) this is a classic case where exercises of the intrinsic muscles should be of paramount importance as well as calf muscle stretches (even though the PF is not attached to tendo achilles.) Saying that, as a TEMPORARY AID to recovery an orthotic may help ease the traction stresses on the PF as it's going through the hicks-windlass motion during gait but I'd see it only as a temporary measure in conjunction with exercises (which should be continued indefinitely after recovery as prevention).

Orthotics can play a huge role in getting folk who are immobilised by pain or injury back exercising again but it's part of a bigger picture or sometimes they're not part of the picture at all. It depends on the individual (another cliche, I know). I fundamentally disagree that they're a band-aid however.

sconhome

SM01 wrote: »

Orthotics can play a huge role in getting folk who are immobilised by pain or injury back exercising again but it's part of a bigger picture or sometimes they're not part of the picture at all. It depends on the individual (another cliche, I know). I fundamentally disagree that they're a band-aid however.

The issue appears to be left as band-aid because advice re exercising and management of the transition to orthotic goes in one ear and out the other.

Majority (consumers) just rely on the orthotic to do all the work and not expect to have any input themselves. Its either the education by the practitioner which is inadequate or the understanding by the user which is going wrong.

Having said that it is possible to become a certified orthotic prescriber without any medical / theraputic background and this route to 'easy' money is a big attraction for anyone without scruples.

calfmuscle

I literally only have a minute to come back on this, but one point I just read caught my attention.
I have never considered using orthotics or foot wear for planterfaciitis. (other than advising sensible footwear).
Treatment always centers arounds stretching of the planterfacia and calves as well as stregnth and adjustments to training regimes. Its very common in weight management patients so obviously weight management can be a part of treatment as well.

Right got to go

SM01

calfmuscle wrote: »

I literally only have a minute to come back on this, but one point I just read caught my attention.
I have never considered using orthotics or foot wear for planterfaciitis. (other than advising sensible footwear).
Treatment always centers arounds stretching of the planterfacia and calves as well as stregnth and adjustments to training regimes. Its very common in weight management patients so obviously weight management can be a part of treatment as well.

Right got to go

If you consider the movement of the plantar fascia in gait, something that would ease the traction (PF being a traction injury) that would allow the area to repair by reducing the risk of further insult should be considered. Not forever but for the extent of the injury. Again, the original cause of PF should identified and addressed too. If excess weight is implicated (and it often is) then that's made clear to the patient in the most sensitive way possible but dietary advice is outside my remit!

sconhome

SM01 wrote: »

If you consider the movement of the plantar fascia in gait, something that would ease the traction (PF being a traction injury) that would allow the area to repair by reducing the risk of further insult should be considered. Not forever but for the extent of the injury. Again, the original cause of PF should identified and addressed too. If excess weight is implicated (and it often is) then that's made clear to the patient in the most sensitive way possible but dietary advice is outside my remit!

Would you agree the incidence of PF is as a result of sudden increased activity (in most likely case) following a long period of sedentary behaviour?

It seems to be the most common reason for people opting for orthotics, temporary support leading to short term gains and a 'I can't live without them' mentality.

A lot of people when asked are blissfully unaware of other treatments, ice, rolling, stretching, reduced activity that will help alleviate their issues.

SM01

amphkingwest wrote: »

Would you agree the incidence of PF is as a result of sudden increased activity (in most likely case) following a long period of sedentary behaviour?

It seems to be the most common reason for people opting for orthotics, temporary support leading to short term gains and a 'I can't live without them' mentality.

A lot of people when asked are blissfully unaware of other treatments, ice, rolling, stretching, reduced activity that will help alleviate their issues.

Yes, it's an overuse traction injury which can be as a result of going from low activity to higher activity OR it could be an increase in intensity of exercise. Excess weight, poor footwear, a change in running surface or a foot/feet that over-pronate could be the cause too.

Basically the PF is being tugged and pulled too much for whatever reason (pick one or a number of the above) and while it's a very strong structure, some fibres can give way at the weakest point which is where it inserts on the inside and bottom of the foot into the calcaneus / heel bone.

All of what you mention does help IMO (as can an orthotic!) Also trying to pick up something like a soft stress ball with your toes a number of times can help strengthen the intrinsic muscles of the foot which aid recovery of the PF too (you don't have to be able to pick it up, just the action of trying works).

Everything you've mentioned works, in combination they work even better, they are cheap or very low cost to administer and is easy to self-administer (not the orthotic) but for some reason a high portion of folk will do the exercises etc to begin with but then give up soon after. It can be frustrating.

all_smilz

L.S.F wrote: »

do you have flatfeet? this is usually the most common.
easy test is to rub some oil on the sole of your foot and stand on a piece of A4 paper. The less of the "classic footprint" you see, the flatter the feet and usually the more need for orthitcs.

As mentioned above the only real way to see is getting someone to check your gait cycle on the pressure mats.

I got a pair about 5-6 years ago for bad flat feet for €175 i think it was.

I went to a physio with foot pain and I have very HIGH arches which get flattened throughout the day... she told me to do foot massage with a small ball ( I found the dryer balls from heatons very good as the dogs kept nicking my tennis balls). Also she said buy a cheap pair and see if they help. I spent 20 quid on a really hard pair from ebay and they did the business...
She could have just taken my money but she didn't. Fair play like...
Best of luck. Im on my feet all day too.

greeneye

I got Orthotics 3 years ago in Foot Solutions Cork. They cost E200. They were the best buy ever and have Ben adjusted and recovered for nothing over these 3 year.