Low back pain is a common condition that affects millions of people worldwide. It can stem from a variety of causes such as muscle strain, poor posture, degenerative conditions, and spinal misalignments. While most people associate low back pain with issues directly related to the spine, what’s often overlooked is the important connection between the feet and the lower back. The feet are the foundation of our body, and any imbalance or misalignment in the feet can lead to issues further up the kinetic chain—including the knees, hips, and ultimately, the lower back. One effective and often underutilized solution to help alleviate low back pain is the use of custom foot orthotics.

The Foot-Back Connection

To understand how foot orthotics can help with low back pain, it’s essential to first understand how the feet influence the rest of the body. When we walk, run, or stand, our feet absorb and distribute the forces that travel through our legs and into our spine. If the feet are not properly aligned—for example, if you have flat feet, high arches, or an uneven gait—these forces are not distributed evenly. This imbalance can lead to overcompensation by other joints and muscles, placing extra stress on the knees, hips, and especially the lower back.

For instance, overpronation (where the feet roll inward excessively) can cause the legs to rotate inward, leading to poor posture and pelvic misalignment. These changes can strain the muscles and ligaments in the lower back, contributing to chronic discomfort or pain.

What Are Foot Orthotics?

Foot orthotics are specially designed shoe inserts that help correct abnormal foot mechanics. Unlike over-the-counter insoles, custom orthotics are tailored to an individual’s unique foot structure and gait pattern. They are made based on a thorough assessment, which may include gait analysis, foot impressions, and a review of symptoms.

Orthotics are not just about cushioning; they are biomechanical medical devices designed to correct alignment, redistribute pressure, and provide support where it’s needed most.

How Foot Orthotics Help Relieve Low Back Pain

  1. Correcting Foot Alignment

    Custom orthotics help realign the foot and ankle into a more neutral position. This improved alignment reduces stress and strain not only in the feet but throughout the entire musculoskeletal system, including the lower back. When the base is stable and aligned, the body is better supported.

  2. Improving Posture

    Poor foot mechanics can lead to poor posture, which is a common cause of low back pain. Orthotics can help promote proper posture by supporting the arches, stabilizing the heels, and balancing the body’s weight distribution. As posture improves, pressure on the lumbar spine is reduced.

  3. Reducing Muscle Fatigue

    When foot biomechanics are compromised, muscles throughout the legs and lower back have to work harder to maintain balance and movement. This extra work can cause fatigue, tension, and pain. Orthotics help reduce this workload by providing efficient shock absorption and support.

  4. Enhancing Movement Efficiency

    Orthotics contribute to a more natural and efficient walking pattern. With each step better supported and aligned, the body can move with less effort and less impact on the joints and spine. Over time, this efficiency helps reduce strain on the lower back.

  5. Managing Chronic Conditions

    Individuals with conditions such as scoliosis, leg length discrepancy, or pelvic tilt may find additional relief with custom orthotics. These devices can be designed to accommodate and correct these abnormalities, providing a more balanced foundation and reducing asymmetrical stress on the back.

Who Can Benefit From Orthotics?

Anyone experiencing chronic low back pain that isn’t resolving with traditional treatment methods—such as chiropractic adjustments, physical therapy, or medication—may benefit from a foot assessment. People with visibly flat feet, high arches, uneven wear on their shoes, or those who stand or walk for long periods daily are prime candidates for custom orthotics.

The Role of Chiropractors and Orthotics

Chiropractors often recommend custom orthotics as part of a comprehensive care plan for back pain. While spinal adjustments help restore proper joint motion and reduce inflammation, orthotics support the structural integrity of the entire body, enhancing the effectiveness and longevity of chiropractic treatments.

Low back pain can be debilitating, affecting every aspect of daily life. While treatment typically focuses on the spine, it’s important not to overlook the role of the feet in maintaining overall musculoskeletal health. Custom foot orthotics provide support, improve alignment, and reduce the strain on the lower back caused by poor foot mechanics. By addressing the root cause from the ground up, orthotics can be a vital tool in the long-term management and prevention of low back pain.

If you’re dealing with chronic low back pain, consider speaking with a Vancouver chiropractor or healthcare professional about having your feet assessed. You might be surprised at how much relief can come from simply supporting your foundation.

Article by: Dr. Farokh Zavosh

Burrard Chiropractic and Foot Orthotics – Vancouver Chiropractor