Helping the Adjustment Hold

by Foot Levelers

Patients who quickly revert to postural misalignment following a chiropractic adjustment often suffer from an unstable foundation in their feet. Excessive pronation or supination can lead to a collapse of the arches, setting the stage for a ripple effect of instability throughout the musculoskeletal system. This pedal instability affects the feet and can cause unequal postural distortions in the knees, hips, pelvis, spine, and even the neck. As a result, the adjustment often does not have permanency.

To fortify lasting results from the adjustment, it is crucial to identify and address soft tissue dysfunction in the feet. Normalizing foot function can positively influence the entire kinetic chain, promoting better alignment and reducing the risk of recurrent postural issues.

Soft Tissue is the Culprit

Davis’s Law states that soft tissue models according to imposed demand. If pronation or supination exceeds norms of degree or duration, the stability of the entire musculoskeletal complex is at risk. Loose laxity in the foot sets up the entire musculoskeletal system for major instability.

The Instability Factor

Pedal instability starts in the feet but causes unequal postural distortions throughout the structures above: knees, hips, pelvis, spine, and even neck (see Fig. 1)

Postural distortion is relatively easy to identify. Signs include:

  • Unlevel shoulders
  • A functional short leg
  • Internal knee rotation
  • Tilting in the pelvic structure
  • Anterior cervical translation

When the Foot Hits the Ground, Everything Changes

An out-of-balance foundation can transfer up the Kinetic Chain to the pelvis and the spine. Without proper support, it’s highly likely the arches will collapse. And as demonstrated above, Chiropractic adjustments won’t hold properly.

Stabilize and Support

Orthotics can relieve musculoskeletal abnormalities and reduce symptoms by enhancing the feet’s ability to support, move, and protect the body.

The intent is to control the angle and timing of pronation, not to restrict or eliminate normal foot motion. By normalizing movement in the feet, Foot Levelers custom, flexible orthotics encourage normal reactions along the Kinetic Chain.


In fact, it has been shown that four months of Foot Levelers orthotic usage resulted in improvement in 3 key measurables:

  • Femoral head height (5mm average improvement) (Fig. 2)
  • Sacrovertebral angle (2-3-degree improvement)
  • Lumbosacral Disc Angle (2-3-degree improvement)

Image of X-ray showing affect of custom orthotic use.

All-Day Support: The Key to Lasting Results

Recent surveys reveal that the average woman in North America owns 19 pairs of shoes, while men own an average of 12 pairs. However, if the soft tissue of the feet is not adequately supported in each of these shoes, the stability of the entire musculoskeletal complex is compromised. Addressing the need for continuous pedal stability is crucial to achieving optimal results and maintaining the benefits of chiropractic adjustments.

By recommending multiple pairs of stabilizing orthotics tailored to your patients' diverse footwear needs, you can help them maintain proper alignment and support, whether they are at work, engaging in physical activities, or simply going about their daily routine. Providing comprehensive solutions for all- day pedal support is key to promoting lasting musculoskeletal balance and well-being for your patients.

Custom orthotics for work, play, or everyday. Recommended orthotics for all that you do.


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