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The Making of a Good Orthosis: Tips for the Savvy Triathlete

Do you really need one?

Orthoses should not be handed out like T-shirts at a local race. They simply are not the proper modality for every triathlete with a running/cycling induced injury.

Designed for Triathletes!

Orthoses for use in running/cycling shoes should be feather-light. That’s not to imply they should be a simple piece of cheap lining material however, thick, heavy, leather-lined versions have no place in a 9-10 oz running shoe. You may as well buy a Brooks Beast and get maximum mid-foot control with your shoe alone.

Who’s making your orthosis?

The guy beside Laura Secord’s in the mall kiosk or an office that sells lotions, potions and pillows as well as orthotics is not likely your best choice. Don’t be talked into “orthotics” by someone who dabbles in foot posture. Locate a Pedorthist, Orthotist, or Podiatrist who are athletes themselves and who specialize in athletes. It’s best to deal with a foot care expert who also has experience in your sport.

3D…3 dimensional that is!

If you are submitting a claim for orthoses through your Insurer, you’d be wise to ensure that the orthoses are madefrom a 3D cast of your feet. For example, the practitioner should be able to show you your plaster of Paris foot model. Insurers have begun to reject claim for “inserts” made by having you walk across a pressure pad. These do not produce a true custom orthosis.

On-site lab = speedy service

What happens if your top cover tears or you loosen a post or you find that there is an intolerable area of pressure? Can your practitioner fix it for you at their own clinic in a few minutes or will you be waiting till mid-season for the repair to be sent to an external lab?


Leslie Trotter, BSc, DC, CPed(C), MBA
Sports Orthoses Specialist