Arch Support for Walking on Inside of Foot After Childhood Metatarsus Adductus Treatment
Yes, you should definitely get arch support shoes to address your current foot mechanics where you walk on the inside of your foot following childhood treatment for metatarsus adductus (pigeon-toed gait).
Understanding Your Condition
Walking on the inside of your foot (overpronation) after childhood metatarsus adductus treatment is a common long-term outcome that can lead to:
- Increased plantar pressures on the medial (inside) aspect of your foot 1
- Higher risk of pain and discomfort while walking
- Potential development of calluses and hyperkeratosis on weight-bearing areas
- Possible long-term biomechanical issues affecting mobility and quality of life
Recommended Interventions
1. Appropriate Footwear
- Extra-depth shoes with sufficient width to accommodate any foot deformity 2
- Shoes with firm heel support and a flexible flat sole to provide stability 3
- Footwear with laces or straps to prevent excessive foot movement inside the shoe 3
- Avoid walking barefoot or wearing shoes with rough edges 2
2. Custom Orthotic Solutions
- Custom-molded insoles to redistribute pressure and provide arch support 2
- Pressure-relieving orthoses specifically designed for your foot mechanics 3
- Consider metatarsal pads to relieve focal pressure and transfer load more proximally 3
3. Professional Assessment
- Podiatric evaluation using gait analysis to assess your walking pattern 3
- Assessment of weight distribution to identify areas of abnormal pressure 3
- Evaluation for any hyperkeratosis (callus) that may have developed 3
Treatment Algorithm Based on Severity
| Severity | Intervention |
|---|---|
| Mild overpronation | OTC arch supports, supportive athletic shoes with good arch support |
| Moderate overpronation | Custom orthotic devices, extra-depth shoes with medial support |
| Severe overpronation | Custom-molded footwear, comprehensive podiatric care |
Important Considerations
- Early intervention is key: Addressing biomechanical issues now can prevent future complications 3, 2
- Regular monitoring: Follow up with a podiatrist every 6-12 months to assess effectiveness of interventions 3
- Cushioning materials: Use appropriate cushioning to reduce pressure on overpronated areas 3
- Debridement of calluses: If hyperkeratosis has developed, regular professional debridement may be necessary 3
Common Pitfalls to Avoid
- Delaying treatment: Walking on the inside of your foot can lead to progressive biomechanical issues if not addressed
- Self-diagnosis: Professional assessment is essential for proper orthotic prescription
- Inadequate footwear: Shoes without proper support can worsen your condition
- Over-debridement: If calluses have developed, excessive removal can make underlying skin vulnerable 3
Addressing your foot mechanics now with appropriate arch support and footwear will help maintain your mobility, reduce pain, and improve your quality of life in the long term.