- Concept of Orthotic Therapy at Ikejiri-Ohashi Sera Clinic
'Are corsets, supporters and insoles okay to use all the time?'
We are often asked this question in the rehabilitation field.
What is orthotic therapy?It is an “external aid” to support or limit the movement of a body part.
We also prescribe orthotics (supporters and insoles) for hips, knees, ankles, and soles, depending on symptoms and stage of disease.The company is doing so.
However, we do not believe that orthotics are something to be used continuously, but rather to improve the body while using them.
[What is the purpose of orthotics therapy?
There are three main purposes for using orthotics
- Prevent excessive movement (rest)
- Supporting a body part (compensatory)
- Learning the right moves (retraining)
In other words,Preventing the worsening of existing symptoms while promoting physical recovery and re-education in the meantime.It is.

The main orthotic therapy we provide at our clinic is
Lumbar spondylolysis (growth sports disorder)
Lumbar spondylolysis, which is common in growing athletes, is treated with a brace (thoracolumbar brace) that restricts movement of the hips in a warped position.
This reduces stress on the affected area,Allow time to promote bone fusionI will do so.
Along with the use of orthotics,Exercise therapy, including strengthening of core muscles and improvement of hip and thoracic spine mobility, is provided to help the patient return to competition.
Acute lumbar compression fracture
In compression fractures, which are common in the elderly,Rigid corset to stabilize the affected area and maintain postureprescribe.
Because rest alone causes muscle weakness,As soon as pain subsides, begin daily activities and exercise therapy while wearing the braceI will do so.
Sprained ankle joint
After an ankle sprain, an ankle brace is prescribed to stabilize and protect the affected joint.
Starting exercise therapy early while wearing orthotics leads to early recovery and reduces the risk of re-sprains and ankle instability.
Foot diseases (plantar fasciitis, flat feet, hallux valgus, etc.)
In chronic foot conditions, insoles (plantar plates) may be used to compensate for excessive loading on the painful area.
- In plantar fasciitisReduced heel stress and arch retention
- In flat feetMedial longitudinal arch support
- In the big toeToe pressure relief and alignment adjustment
These orthotics are only to help people adjust their “walking habits,
Use in conjunction with exercise therapy to improve walking and posture to prevent recurrenceThe following is an example of a product that can be used in this way.

[Things to keep in mind when using orthotics
- Prolonged wear can lead to muscle weakness and dependence
- It is important to “graduate” at the right time.
- Custom-made fit and use instructions are essential.
At our hospital, physicians and physical therapists work together,Consistent support from orthotic introduction, evaluation during use, and graduationThe company is doing so.
[It is important to "improve while using" the orthotic.
There is a risk of falling into “dependent treatment,” such as "I feel safe while wearing the brace" or "I can't take it off because it makes my pain so much better.
Therefore, at our clinic,
- Why is the orthotic needed?
- How long will you use it?
- What exercises should be done in parallel?
We clearly explain the "purpose and plan of use," and help patients understand how to deal with orthotics on their own.
Summary
Orthotics are “tools” that help people to adjust their bodies,Creating “triggers” for symptom improvement and recurrence preventionIt is.
At Ikejiri-Ohashi Sera Clinic, we place importance on "not ending with orthotics alone,
Treatment for proper use of orthotics along with exercise therapy and lifestyle modification.We provide the following services.
If you are considering the use of orthotics or are unsure if your current orthotics are right for you, please contact us.
therapeutic exerciseAbout
physiotherapyAbout
manual therapyAbout
Growth-Promoting RehabilitationAbout
medical checkupAbout
acupuncture and moxibustionAbout
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