Do orthopedic shoes really work

Many physiatrists, orthopedic doctors, and chiropractors fully believe orthopedic shoes help improve back and leg pain, especially if one leg is physiologically shorter than the other (a common condition). Most major health insurances pay for orthopedic shoes if the medical record gives supporting evidence of one of many conditions that have shown benefits from orthopedic shoes.

However, people who use orthopedic shoes or shoe insert are divided into 3 camps: 1. those who say they did not see any difference--good or bad; 2. those who claim the shoes or inserts made their situation worse; or 3. those who claim the shoes or inserts made their situation better.

Improvements include:

• A leveling of a shorter leg;
• Better alignment of joints;
• Less back, hip, knee, shin, ankle pain due to better alignment
• Need for less pain medications

Complaints include:

• Increased pain in the same places as before, or in a new place or places;
• That it didn't help the original problem at all;
• That the shoes rub or irritate the heel, for example;
• That the shoes are heavy and clunky;
• That the shoes have a bad appearance, often compared to "old people's shoes"
• That the design of the shoes makes walking harder.

Often, rehab specialists suggest a patient try shoe inserts first because they are cheaper than a pair of shoes. Inserts are made to contour to the individual's foot, with the necessary lift. A patient can try inserts and become comfortable with walking before switching to the shoes.

Do find a reputable orthopedic shoe company instead of buying from an unknown company. Ask about refunds-- usually there is NO refund. Ask if the store is independent or works with the manufacturer; it may be best to work with an authorized representative.