Current Pedorthics | July-August 2018 | Vol.50, Issue 4 | Page 51

UNDERFOOT CUSHIONING SYSTEMS shoe’s midsole itself is one of the primary shock absorbing systems. Most running shoe midsoles are made of EVA, but some include substances such as rubber or polyurethane (for greater durability and for heavier runners). EVA (Ethyl Vinyl Acetate) is available in differ- ent durometer ratings, making it either easier or harder to compress. One of the more popu- lar EVA compounds that shoe companies have adopted in the last few years is to blend rubber with EVA, creating a midsole that is a little more durable than regular EVA, to give better energy return. Mechanical forms of cushioning or “systems” in running shoes are also very popular in the marketplace. their customer choose the best technology for their style of running and to help address any problems they are having. Knowledge of the various over the counter inserts is where you can really shine. There are a dizzying array on the market and your customer will appreciate you being able to present the ones that will work best for them, along with information about why those are the best options. In short, keep current with the newest technology and utilize your knowledge to help your clients sort through the options and you will be developing a relationship that makes them customers for life! PFA In discussing underfoot materials and interac- tions we must also consider the shoe socklin- er/insert as another means of cushioning. The manufacturer’s factory shoe inserts are usually very basic. The reason for this is two-fold: firstly, it's to reduce the cost of a new shoe in production and secondly, the shoe companies are well aware of the custom and sophisticated OTC (Over-the-counter) after-market orthotic business. Some companies, such as New Bal- ance offer a separate range of OTC inserts, but generally the shoe companies have little inter- est in competing in the specialized over the counter orthotics arena. Usually, the new shoe insert is a simple pre-molded single density EVA material, but some companies provide a better-quality insert in their high end premium shoes. By keeping current with the various technolo- gies offered by these manufacturers, even ones you don’t carry, the pedorthist can help Current Pedorthics | July/August 2018 49