What is considered a contraindication for foot orthotic use?

Severe peripheral vascular disease is considered a contraindication for foot orthotic use because this condition significantly affects blood circulation in the feet. Patients with severe peripheral vascular disease are at a higher risk for ulcers, infections, and complications due to reduced blood flow. The application of foot orthotics in such cases can lead to increased pressure on areas of the foot that may already be compromised, potentially exacerbating the condition and increasing the risk of further complications.

In contrast, mild arthritis, flat feet, and overpronation are conditions for which foot orthotics are often prescribed as a form of treatment or support. Mild arthritis can be managed with orthotics to improve alignment and reduce discomfort. Flat feet can benefit from orthotics designed to provide arch support, while overpronation can be addressed by using orthotics that help to stabilize the foot and prevent excessive movement during walking or running. These conditions typically do not pose the same level of risk associated with circulatory problems seen in severe peripheral vascular disease.