Treatment of Low Back Pain with Orthotics

One of the most common debilitating complaints, low back pain can result in significant limitations in movement, work absence and increase in health care costs.

With a multifactorial epidemiology and symptoms recurring over time, diagnosing the cause of low back pain is both essential and challenging.

The mechanism of low back pain often involves but is not limited to, spraining an intervertebral ligament or straining low back muscles due to overuse. This leads to inflammation and spasms that produce pain and swelling in the region.

While reviewing the effects of podiatrical deviations on non-specific chronic low back pain, O’Leary et al. outline the postural discrepancies created as a result of excessive foot pronation leading to the development of pain in the lumbar spine.

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The abnormal biomechanics associated with the prevalence of hyperpronation – namely, leg length discrepancy or static pelvic tilt – cause a lateral deviation of the spinal column and rotation of vertebral bodies, resulting in functional lumbar scoliosis and low back pain.

The early management and treatment of low back pain should provide for correction of underlying biomechanical disturbances such as hyperpronation in order to prevent relapses and to further protect the individual from developing conditions related to aberrant kinematics.

Customised foot orthoses were found to be effective for a group of patients included in a study by Williams et al. to investigate patients’ experiences with the device and to evaluate any changes in their back pain as a result of it.

Participants in the study reported improvements in posture and symptoms with an increased ability to perform activities; customised foot orthotics help to minimise compensatory movements of the body to reduce any excess stress placed on the entire spine allowing for maximum functionality of all joints in the foot.

MASS4D® positions the foot in an optimal manner to enforce normal functioning of the feet and to address postural changes produced by rotatory stress on the spine as a result of hyperpronation. This includes changes in the pelvis, spine and sacroiliac joints to prevent subluxations of the joints.

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References:

O’Leary, C. B., Cahill, C. R., Robinson, A. W., Barnes, M. J., Hong, J. (2013) A Systematic Review: The Effects of Podiatrical Deviations on Nonspecific Chronic Low Back Pain. Journal of Back and Musculoskeletal Rehabilitation: 2013, Vol. 26, pp. 117-123. DOI 10.3233/BMR-130367
Williams, A. E., Hill, L. A., Nester, C. J. (2013) Foot Orthoses for the Management of Low Back Pain: A Qualitative Approach Capturing the Patient’s Perspective. Journal of Foot and Ankle Research: May 2013, Vol. 6, No. 17. DOI: 10.1186/1757-1146-6-17

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