Medical insoles made by an orthopedic surgeon

It has been happening for some time, but when I walk for long periods of time, my left little toe hits my ring toe and it hurts. I think the first time was when I got a fish eye on my foot due to wearing rather tight boots during a period when boots were popular among me in the past. That was more than 10 years ago.

The fish eye soon disappeared, but since then, my little toe sometimes hurts when I walk or stand for a long time. This is especially true these days, and I even went to the trouble of buying a new pair of shoes.

I wondered if I had gained weight and fat around my feet from all the teleworking I do. I thought so, but changing shoes didn’t help much, and I still had pain.

I began to walk with a limp, shielding my feet, and I realized that this was a bad idea. I gave up and went to an orthopedist and a dermatologist.


I decided to go to a dermatologist. If only the fish eye could be treated, the pain would be gone. The reason for going to an orthopedist is to confirm that there is nothing wrong with my leg, right? I went to the orthopedist to make sure that there was nothing wrong with my leg.

I had visited the orthopedist three times a week when I had a frozen shoulder, so I was familiar with all the staff. I had a light hearted feeling that I wanted to meet and greet them after a long time.

However, when I went to the orthopedist, the doctor told me that I had a higher instep than the average person. He looked at the x-rays and actually touched the instep of my foot, and declared, “You have a higher instep than the average person.

Yes, I knew that. Ever since I was a child, I have been told that I have a wide girth and a high instep, and when I buy shoes, I always buy shoes that are at least 3E. That is how I have been aware of the wide width, but I have never had any specific problems with the high instep. However, as a surgeon, it seems that the high instep is a problem.

I asked him, “Well, do you have a problem with a high instep?
The heel and toes of the foot try to support the weight of the foot, which puts a lot of pressure on the toes and causes the toes to push.
I often hear that flat feet are a problem, but does that mean high arches are also a problem?
That’s what I mean.

I was surprised at this. I had thought that a person with a high instep had high arches on the toes to provide a strong and sturdy spring force to support body weight. But apparently, this is not the case.

There is a genetic component.

Oh, really? It’s not the result of a lifetime of training, is it?

But what can I do?

At best, I thought they would suggest a way to follow up the distortion of my toes by installing an orthotic device like a big toe supporter. But when I was told that the problem was not only in my toes but also in my high instep, I could only be baffled.

There is a treatment for that.
What is that?
We can make insoles.
Insoles?

Insoles are, in essence, shoe insoles. When it is called a treatment, it does not make any sense at all. Or rather, it is a remedy, not a treatment.

Also, the doctor’s explanation was a little clumsy. The reason,

The price is quite expensive. About 40,000 yen.
Oh…”

I have heard of elderly people paying as much as 50,000-60,000 yen for a pair of shoes that fit their feet, so I could somewhat understand when I heard that insoles cost several tens of thousands of yen.

In reality, insurance will cover 30% of the cost, so you will get 70% back. However, after you have paid the full amount, you will need to apply for a refund at a later date to the health insurance association.”

I think the procedure is troublesome. Oh, I see, there is such a procedure. That must be why the doctor was so cautious when recommending the insoles.

Even though 70% of the money will be refunded, it is still a considerable expense. Would insoles alone be effective?

Would they be therapeutic in the first place?”
Yes, quite a bit. If you wear insoles and adjust your feet, you may see improvement within a few months.

Heehee. Is that what it is?

I guess people who work outside or stand on their feet would probably benefit more from such treatment. However, if you work at home like I do, you don’t have much time to wear shoes because you don’t have a chance to go out. I have to assume that the effect will be limited.

However, there is no hope for improvement if the burden on the skeletal structure and muscles of the feet is left unchecked. I decided to ask the doctor to make insoles for me.

The doctor then said, “The orthotist only comes here every afternoon on XX day of the week. You need to make an appointment for that day.

Whoa, here comes the unfamiliar keyword “orthotist”. I’ll just make an appointment and check back later. Who is that person?

After this, I continued to see a dermatologist, but the orthopedist said, “Your feet are not in good shape. I need to correct it with insoles,” a shocking discovery, and the atmosphere was filled with a sense of a digestive game. Initially, I had thought that dermatology was the main battleground this time.

At the dermatologist’s office, I had the part where I had a callus/fish eye removed with a scalpel.

He said, “Next time you come back, please don’t put any spiel plaster on it beforehand. It is a drug that softens the skin, so it will be harder to scrape off the keratin with a scalpel. I see.

This was the first time in my life that I had experienced having my skin scraped off with a scalpel, and it was the first time that I had even seen a scalpel in person. I thought to myself, “What? Isn’t this going to hurt? What about the anesthesia?” I thought to myself, “Oh, isn’t this going to hurt? I felt no pain at all and succeeded in shaving off the protruding horny skin.

The nurse looked rather unsatisfied,

If the skin had not been so soft, I would have been able to shave it off even closer.

She said, “If the skin had not been so soft, we would have been able to shave it off more just in time. In any case, my painful leg was now relieved. He prescribed salicylic acid Vaseline to soften the skin, and that was the end of the day.

(To be continued)

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