In the self-help section on inlay-soles the use of podiatry has already been discussed in combating the symptoms of heel spurs and plantaris fasciitis. Bad shoes and insoles are one of the main causes of heel spur. Often the insertion of a standard replacement sole can offer excellent help, but sometimes that is not the solution, for example with specific foot deviations. Then tailor-made soles must be purchased or additional therapy is required. For therapy for your feet you can go to both a podiatrist and a podotherapist. Both can often help you well, but there is a difference.
The profession of podiatrist is legally protected, not everyone can call it that way. A podotherapist has guaranteed at least a 4-year HBO bachelor's degree program and is registered in the so-called BIG-register. Within the podotherapy, specialisms can also be distinguished, such as sports podotherapy, for example. In general, a podiatrist will treat heel spurs with corrective soles or orthoses. Usually a referral from a general practitioner or other specialist will be required.
The profession of podiatrist, unlike that of a podotherapist, is not legally protected, and in fact everyone can apply this title. This is not to say that the person in question can not understand anything, but you can not guarantee that this person is qualified. However, it is possible for podiatrists to register via Stichting Loop as a registry podiatrist. This title may only be used if the register podologist program has been successfully completed. The following treatments can be recommended, as indicated on the website of Stichting Loop:
- Personal shoe advice
- Customized therapy soles
- Individual adjustments of shoes
- Correct and protect the toes with silicone
- Protecting orthoses
- Support with bandage and tape techniques
- Reduce pressure spots with felt therapy
- Customized soles
- Podoscopic research
The therapist will often make a sole to size. To this end, the foot is first properly measured. Also, the gait pattern and body posture is often analyzed and an impression of the foot is made in plaster or ink. In this way possible foot deviations can be determined. The insoles will then correct the deviation. For example, with an inwardly lowered foot an extra raise will be made to get the foot straight again. Then the insoles are then produced manually or nowadays also with advanced equipment.
There is a lot of difference in quality between the soles that are produced. It is therefore worthwhile to obtain information on the internet or through patient associations. These types of insoles are not cheap, but do not pay too much. There are therapists who ask more than 300 for a pair of soles, that's just too much. Regular price for a pair of soles is between 150 and 250 euros.
You can also have soles made at the orthopedic shoemaker. These have normally gone through a vocational training. They often work on behalf of general practitioners or specialists, but often you can also contact them directly. The prices of their insoles are often comparable to those of podotherapists and podiatrists.