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Custom Orthotics in EDS population http://edspainrelief.com/ My name is Kevin Muldowney and I am the owner of Muldowney Physical Therapy. Today, I would like to discuss why it is so important for people with EDS to wear custom orthotics. Most people with EDS have flat feet and a custom orthotic is designed to control the arch in your foot so your foot is not flat while you are wearing them. When your foot is flat, it affects not only your ankle, but also your knee and your hip. People with EDS who have a flat foot have a tendency to sublux their ankle, causing pain in the front part of their ankle joint. Also, when your foot is flat, it will bend your knee inward which is called valgus, causing increased pain on the inside part of your knee and may also contribute to having your patella sublux. Finally, flat feet can also rotate your hip inward, causing bursitis in your hip which causes pain on the outside part of your hip every time you take a step. Therefore, proper fitting of a custom orthotic can reduce not only your foot and ankle pain, but also will reduce your knee and hip pain as well. Most of my patients with EDS require at least three adjustments to their custom orthotics in order to fit them properly. I understand that custom orthotics are expensive, but trust me, they are worth the price. Thank you.