Custom Orthotics for Venous Patients with Foot Static Disorders

Compression versus inner sole for
venous patients with foot static disorders:
a prospective trial comparing symptoms
and quality of life
Jean-Franc¸ois Uhl1, Maxime Chahim2 and
Franc¸ois-Andre´ Allaert3

Objective: To prospectively compare the improvement in quality of life and symptoms achieved when using two
treatments—medical compression stockings and inner sole—in subjects with symptomatic chronic venous disease in
the presence of foot static disorders.

Materials and methods: This prospective study included 24 patients with a symptomatic chronic venous disease
associated with foot static disorders. The basic CEAP was used to classify the patients. The venous symptoms were
recorded using a 10-point visual analog scale and scored using a customized questionnaire. Patient-reported quality of life
data were acquired using a CIVIC questionnaire. A standardized measurement of the Djian-Annonier angle was used to
quantify the foot static disorders.We compared the use of the following two treatments: medical compression stockings
(18mm of Hg) and inner sole. For this comparison, we used a crossover technique over 4 successive weeks.

Results: One male and 23 female patients were included in this study.We found significant improvement in quality of life
scores when only medical compression stockings were used (p<0.005), only inner sole were used (p<0.01) and also
when both treatments were used together (p<0.001), compared with no treatment. This was mainly observed for the
somatic component of CIVIC. The symptoms of pain, heaviness, swollen feeling, and cramps were significantly improved
by the two treatments, whether given separately (p<0.001) or together (p<0.0001). No additive effect of the treatments
was observed.

Conclusion: This study suggests that a number of leg symptoms occurring in varicose veins patients are not likely to
have a venous origin. They are frequently related to a foot static disorder, which is responsible for postural changes. This
study also strongly demonstrates the need for correction of the foot static disorder if such a disorder is present in any
patient with chronic venous disease. The use of the inner sole will improve the symptoms and also the quality of life with
an efficiency that is almost equal to that provided by the medical compression stockings and the combined use of both
treatments is recommended.

Commonly Asked Questions About Orthotics

Orthotic Questions

Whether it is walking to the bus stop, standing on your feet at work, or running in your free time, puts pressure on your feet. You may also suffer from a physical or biomechanical ailment that can affect your lower extremities and requiring additional support. In either case getting custom molded orthotics could be a long-term solution. Getting a custom molded orthotic can help with foot and leg alignment, reducing pain feet; as well as, protecting the feet of people with diabetes and arthritis.
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