Abstract

Foot pain affects approximately one quarter of the population at any given time [1,2], is disabling in nearly half of these cases [3] and can impair mood, behaviour, risk of falls, self-care ability and quality of life [4-7]. Custom-made foot orthoses are hypothesised to alleviate foot pain by reducing the biomechanical stress applied to injured tissues [8,9]. We aimed to systematically review the effectiveness of custom-made foot orthoses for the treatment of all types of foot pain.

Highlights

  • Foot pain affects approximately one quarter of the population at any given time [1,2], is disabling in nearly half of these cases [3] and can impair mood, behaviour, risk of falls, self-care ability and quality of life [4,5,6,7]

  • Five trials evaluated custom foot orthoses for plantar fasciitis, three for foot pain in rheumatoid arthritis and one each for foot pain in pes cavus, hallux valgus and juvenile idiopathic arthritis (JIA)

  • Custom foot orthoses were clearly effective for painful pes cavus (Number Needed to Treat [NNT]:5) and rearfoot pain in rheumatoid arthritis (NNT:4)

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Summary

Introduction

Foot pain affects approximately one quarter of the population at any given time [1,2], is disabling in nearly half of these cases [3] and can impair mood, behaviour, risk of falls, self-care ability and quality of life [4,5,6,7]. Custommade foot orthoses are hypothesised to alleviate foot pain by reducing the biomechanical stress applied to injured tissues [8,9]. We aimed to systematically review the effectiveness of custom-made foot orthoses for the treatment of all types of foot pain

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