I finally got a chance to test Dr. Emily Splichal’s surface science small nerve stimulating NABOSO insoles (1.)

Naboso (meaning “barefoot” in Czech) is the first-ever small nerve proprioceptive material commercially available in the health and fitness industry. The skin on the bottom of the foot contains thousands of (small nerve) proprioceptors, which are sensitive to different stimuli including texture, vibration, skin stretch, deep …

As I typically do, I used a one on one test protocol with a NABOSO 1.5 insole in my left ski boot and my normal insole in my right boot. The results were nothing short of amazing. There was almost no difference in the feeling under the sole of my left (NABOSO) foot compared to the sole of my right (normal insole) foot. The NABOSO Effect (as I call it) in my left ski boot was nothing like the effect I experience in similar tests in my Xero Prios or Lems Primal 2 minimal shoes. You’re probably wondering why I was amazed if NABOSO was no better than my normal insoles. The fact that I felt little difference told me that something was seriously wrong with my ski boots.

The first thing I suspected was that there was too much ramp angle (aka zeppa) in the boot boards in my Head 335 World Cup boots. I can’t recall what the factory ramp angle. But I lowered the heel a lot and the reduced ramp angle seemed to work well compared to the original ramp angle. As a reference, the boot board zeppa angle in the Head RD boot is 4.0 according to Head literature. The zeppa in recreational ski boots can be as much as 7 degrees. Since 1978, I have known that too much boot board ramp angle can cause significant balance and ski control issues for skiers. But I had no way of accurately determining what the optimal zeppa angle should be. What appears to work well for one skier does not necessarily work for another skier. Zeppa is a crap shoot, a good guess, a lottery. A few skiers win the zeppa lottery. But most skiers lose. I decided that I had to find an accurate way to determine the optimal personal zeppa angle for skiers and especially racers.

Necessity is the mother of invention.

I had a need to know situation. In my next post I will describe the Dynamic Ramp Angle assessment  device that I designed and fabricated and the incredible results that happen when zeppa angle is in the optimal range and the NABOSO Effect kicks in. Prepare to be shocked by the results. I was. I am still in shock. If the results hold up, optimal boot board ramp angle will be a big miss for the ski industry.

  1. http://nabosotechnology.com


A recent post on The Foot Collective FaceBook page titled Humans aren’t meant to walk on ramps!, highlighted the problems caused by elevating the heel above the forefoot known in the footwear industry as drop. Like the author of the post, I also wear zero drop shoes like Xero and Lems exclusively  (with NABOSO insoles) and spend all of my time indoors barefoot. Like the author, I too have experienced an immediate, unnatural and a sense of disorientation in terms of a connection with the ground, when I have worn dress shoes and winter boots with moderate drop.

While some amount of boot board ramp angle or zeppa appears to necessary for a strong, tensioned stance (what I refer to as a planted or rooted stance), the amount of zeppa is turning to be much less than I originally thought. It may be less than 1.5 degrees total (zeppa + delta). Assuming zero delta, there appears to be a very narrow range within which zeppa is optimal after which a tipping point is reached in terms of adverse effects on the motor control and balance systems.

It has also become apparent that some racers are tuning ski response by adjusting binding delta. Zeppa and delta each have a different effect on ski response especially edge control and the ability of a skier to resist the forces acting on them in the load phase of a turn. I will discuss issue this in a future post.

Humans aren’t meant to walk on ramps!

Powerful post by TFC Educator @optimize.physiotherapy
Why do most shoes have a heel on them?
This really hit home the other day when I put on my winter boots (because it snows in November in Canada). Being someone who goes barefoot all day at work and at home (and wears zero drop shoes), it was a very unnatural feeling. It really threw my walking off, and I noticed the effects immediately. It changed the way I walked, stood, and made me use different muscles.
Humans are meant to have a flat base. No other animal wears mini ramps on their feet, but we do. The problem is that your body adapts to having a heel on, and it works different from a biomechanical perspective in any given movement pattern (the higher the heel, the worse the effect…but even most casual, running, and gym shoes have heels)

One thing it really does is affect your ankle/foot function. It has a huge effect on ankle ROM and tissue tension around the ankle. The problem is, when you wear a heel all day at work/at the gym/walking around, your tissues adaptively shorten and you don’t require as much ankle ROM. But then you take your shoes off and walk, go up your stairs, squat down to get things around the house etc. This is where people have issues. Not only at the foot/ankle but all the way upstream at other joints

Ankle ROM is incredibly important, and walking on a ramped surface all the time is incredibly unnatural. So do yourself a favour and spend less time in heeled footwear or get rid of it altogether

The Foot Collective is a group of Canadian physical therapists on a mission to help humans reclaim strong, functional and painfree feet through foot health education.

The Foot Collective are empowering people with the knowledge they need protect their feet from the dangers of modern footwear and the guidance to fix their own feet.



The following post appeared on the Evidence Based Fitness Academy (EBFA) fitness blog on February 6, 2018 under the title Beyond Biomechanics | Addressing Foot Pain with Sensory Stimulation (1.).

I have reproduced the post with the kind permission of Dr. Emily Splichal under the title Beyond Biomechanics by Dr. Emily Splichal because her emphasis on the role of sensory stimulation of the plantar foot on foot, lower limb and function of the entire body has both direct application to and implications for, skiing.

I have a theory on what I call The NABOSO Effect that explains how I think NABOSO insoles improve dynamic stability in the biokinetic chain that I will discuss in a future post. I have been testing NABOSO 1.0 and 1.5 for months.

Beyond Biomechanics | Addressing Foot Pain with Sensory Stimulation – by Dr. Emily Splichal

I want you to picture a human foot.   Now picture a person standing barefoot, and then walking barefoot.   Do you see the foot striking the ground and flexing under impact, only to re-stabilize and push off just a few milliseconds later?

Often times when we think of human movement we can’t help but to be drawn to the thought of joints moving and muscles contracting.   Or in the case of foot function we are quick to consider the mechanics of flat feet, high arches, pronation and supination.   However when we delve deeper into the science of human movement there is more than meets the eye.

The Two Sides of Foot Function

When I teach on behalf of EBFA Global or speak to my patients I always emphasize that there are two sides to foot function (and dysfunction) – biomechanical and neuromuscular.    Now both play an important role in foot function which means that both must be appreciated – however to solely treat foot pain with just one belief system in mind is inherently flawed.

In most Podiatric Medical Schools we are taught foot function and foot pathology solely from a biomechanical perspective.

This means that every patient is tested for foot mobility and told to stand statically to determine arch height and foot type.   Based on this foot-focused biomechanical assessment and foot classification system the patient’s cause of injury and treatment protocol is determined.   Some of the favorite treatment recommendations include motion-controlled footwear and custom-posted orthotic both of which are prescribed with the hopes of controlling foot-focused biomechanics and thereby reducing their foot pain.

Beyond Biomechanics

The other side of foot function is one that is driven from a neuromuscular perspective and integrates the science of sensory stimulation and fascial systems.   In the case of neuromuscular function every patient would be assessed for sensitivity of plantar mechanoceptors as well as co-activation patterns between the foot and the core.  The role of minimal footwear, myofascial releasing, breathing patterns and compensation patterns more proximal would all be considered.

So which is more appropriate?  Well it depends.   In certain cases there will be a stronger argument towards a more biomechanical influence and in others it is more sensory.  This means it really is a marriage between the two approaches that provides the greatest patient outcome.

Sensory Stimulation in Foot Pain

My practice and Podiatry career is built around bringing an awareness to the important role sensory stimulation has on foot function and foot pain.

With every step we take impact forces are entering the foot as vibration.  This vibrational noise stimulates unique mechanoceptors on the bottom of the foot and is used to coordinate the loading of impact forces through coordinated contractions of the intrinsic (small) muscles of the bottom of the foot.   This co-contraction leads to a stiffening or strengthening response of the foot.

Researchers such as Nigg et al. and Robbins et al. have demonstrated a direct relationship between sensory stimulation of the plantar foot and intrinsic muscle strength concluding that one is necessary for the other.   This means that if our footwear or orthotics disconnect us from sensory stimulation – as in the case of cushioned footwear – this can actually weaken our foot making us susceptible to plantar fasciitis, Achilles tendinitis and stress fractures.

Beyond Vibration Stimulation

Vibration stimulation is an extremely important sensory stimulation that enters our foot however it isn’t the only stimulation.   Another important stimulation is the ability for our foot to determine texture and if a surface is rough or smooth.   This information is used to help maintain dynamic balance (think walking on ice).

Enter the merkel disk mechanoceptors.   These superficial sensory nerves are used to determine what’s called 2 point discrimination which is translated to roughness or the texture of a surface.  Surface texture and insole texture is one of the most studied aspects of foot stimulation and posture or gait.  From decreased medial lateral sway in patients with Parkinson’s or MS to reduced prefrontal cortical activity in atheltes post-concusion the applications are promising!

One area that hasn’t been focused on for sensory stimulation and foot function is foot pain.  I am here to change the awareness around this concept and share the powerful application of sensory stimulation and foot pain.

As we mentioned earlier sensory stimulation of the foot leads to a contraction of the intrinsic muscles of the foot.   Intrinsic muscle contraction is not only a criticial step in the damping of impact forces but has also been shown to increase the medial arch and build co-activation contractions in the core.

 The Evolution of Textured Insoles

In October 2017 Naboso Technology launched the first-ever commercially available textured insole!   Naboso Technology essentially brought the science of touch and years of textured insole research to the market place giving new hope to people with foot pain.

Available in two strengths – Naboso 1.0 (1mm texture) and Naboso 1.5 (1.5mm texture) Naboso Insoles are designed to be worn without socks (or at the most very thin socks).  They fit into all footwear, are freely movable in all planes of motion and are only 3mm thick.


Are you barefoot strong?

Learn more about the power of texture! – http://www.nabosostechnology.com

  1. https://barefootstrongblog.com/2018/02/06/beyond-biomechanics-addressing-foot-pain-with-sensory-stimulation/



In this post, I will expand on the content of The Shocking Truth About Power Straps (1.) which was by far the most popular post since I started this blog in 2013.

While the truth about what power straps can potentially do if improperly adjusted is shocking, the lack of support in principles of applied science for the basic premise that I describe as indiscriminate envelopment as the approach to achieving a fit of a ski boot with the foot and leg of the user with the objective of substantially immobilizing it’s joints with unknown consequences, is even more shocking. Little or no consideration appears to be given to the effects of indiscriminate envelopment on the balance and motor control systems of the skier.

What is done to the foot and (lower) leg can affect the entire body. In his post, Foot biomechanics is dead. Discuss (2.), Professor Chris Nester states:

The foot is not a compilation of interconnected mechanical components that respond precisely to the laws of mechanics. It is a complex matrix of at least 11 biological tissues (i.e. skin, fat, muscle, tendon, joint capsule, ligament, bone, cartilage, fascia, nerves, blood vessels….) that responds to external loads through the symbiotic relationship between the motor control system and tissue properties.

Professor Nester goes on to state:

I believe the integration of our current foot biomechanics knowledge with insights from motor control, neurophysiology and related domains (e.g. tissue biology) will drive advances in foot function more than pursuing a pure mechanics paradigm.

Professor Nester proposes that the term biomechanics be replaced with the term Neurobiomechanics. I concur.

How Does the Ski Boot Affect the Human Performance of the Skier?

The short answer is that when the structures of a ski boot indiscriminately envelop the structures of a foot and a portion of the leg (aka the Perfect Fit or the Holy Grail), no one knows. While it is essential that a ski boot create a secure connection of the foot of a skier with the ski, it should not achieve this connection at the expense of natural neuromuscular function, especially balance.

In 1980, when I was about to prepare a new pair of Lange race boots for Steve Podborski, I asked myself whether it was possible to obtain a secure connection of the foot with the ski without compromising natural neuromuscular function or, even better, was it possible to enhance natural neuromuscular function?

I took a significant step towards answering this question in 1980 when I designed and fabricated a device I called a Dorthotic. The Dorthotic supports the upper or dorsal aspect of the foot as opposed to supporting the plantar aspect (i.e. the arch). My theory that loading the top of the foot or dorsum with a force perpendicular to the transverse or medial-lateral plantar plane of the foot has positive benefits for motor control and balance has begun to be recognized. The Dorthotic enabled Steve Podborski to compete and win on the World Cup Downhill circuit mere months after reconstructive ACL surgery and to eventually win the World Cup Downhill title, a feat no non-European has repeated. US and international patents for the dorsal device were awarded to me (David MacPhail) in 1983.

The success of the Dorthotic gave me a start towards answering the question of whether a secure connection of the foot with a ski was possible without compromising natural neuromuscular function. But I knew that I needed to learn a lot more. I realized that finding the answers I was seeking and especially unraveling the secret that enables the world’s best skiers to stand and balance on their outside ski, would require a multi-disciplinary approach.

The Missing Factor in Skiing: A Multi-Disciplinary Approach

A significant influence that served as the impetus for the design of the Birdcage research vehicle and the on-snow studies, was the work of Dr. Benno Nigg. In 1981, Dr. Nigg accepted an invitation to move from ETH Zurich, where he was the director of the biomechanics laboratory, to the University of Calgary, where he founded and developed the Human Performance Laboratory (HPL), a multi-disciplinary Research Center that concentrated on the study of the human body and its locomotion.

The publication of the Shoe In Sport in English in 1988 served as a seque to introduce me to Nigg’s research at HPL. Studies done at HPL found that any interference with the function of the human foot, even a thin sock, extracts a price in terms of the adaptive process the human body has to undergo to deal with what is really an externally imposed disability.

The Effect of Footwear on the Neuromusculoskeletal System

There is an excellent discussion in a recent post on the Correct Toes blog (3.) on the impact of a narrow toe box, toe spring and elevated heel of traditional footwear on the human body. Elevating the heel in relation to the forefoot will predictably cause a realigment of the ankle-knee-pelvis joint system with a corresponding adjustment in the tension of the associated muscles with a global effect on the Neuromuscularskeletal System. This has been known for decades. Elevating the heel in relation to the forefoot, will cause the ankle joint to plantarflex (reduce dorsiflexion) in relation to the support surface under the foot in order to maintain COM within the limits of the base of support.

Ramp Angle Rules

Due to the unstructured nature of the indiscriminate envelopment characteristic of the fit of the majority of conventional ski boots, it is extremely difficult, if not impossible, to determine the effect of constraint of this nature on the Neuromusculoskeletal System. So I’ll focus on the one aspect of the ski boot that has consistent and profound implications on skier human performance, especially motor control and balance; boot board ramp angle or zeppa. Binding ramp angle or delta compounds any effect of zeppa. For the sake of simplicity we’ll assume zero delta.

Contrary to the widely help perception, raising the heel of a skier in a ski boot does not cause CoM to move forward. In fact, it usually has the exact opposite effect. It puts a skier in the back seat with the weight on their heels. Worse, it can disrupt the competence of the biokinetic chain that dynamically stabilizes and protects the joints of the lower limbs. Excessive heel elevation can render a skier static and cause the balance system to resort to using the back of the shaft as a security blanket.

As of this writing, I am unaware of any standard within the ski industry for zeppa. It appears to be all over the map with some boots having as much as 6.5 or more degrees. The default zeppa for the human foot on a hard, flat level surface, is zero.

Through subjective experiments in 1978, I arbitrarily determined that zeppas in excess 3° had a detrimental affect on skier balance. In 1991, zeppas of 2.3° and 2.5° were chosen for the large (US 8-12) and small (US 4-8) Birdcages based on an analysis of the effect of ramp angle on COM and neuromuscular activity. This range appears to work for a majority of recreational skiers. But recent tests with a dynamic ramp angle assessment device that I designed and fabricated is finding the stance of elite skiers optimizes at much lower zeppa angles, with some skiers below 1.5°. Interestingly, when NABOSO insoles are introduced for the assessment, zeppas decrease even further. With minimal training, most skiers are sensitive to dynamic changes in zeppa of 0.1 degrees.

Implications for the future of skiing

A tectonic shift is underway on a number of fronts (see A Revolution) that is challenging the mechanical and static premises that form the underpinnings of the key positions in ski teaching and the design of equipment such as ski boots and the fit process. In my next post I will post recent material by Dr. Emily Splichal, functional podiatrist and inventor the revolutionary NABOSO small proprioceptive stimulating insole.

  1. https://wp.me/p3vZhu-UB
  2. https://talkingfeet.online/2018/01/18/question-3-foot-biomechanics-is-dead-discuss/
  3. https://www.correcttoes.com/foot-help/footwears-impact-musculoskeletal-system/


When a World Cup racer wins a GS by a commanding margin, it’s a sure sign they’ve crossed the line and the gravity of the situation is significant. But I’m not talking about  breaking any rules. Instead, I’m referring to Hirscher and Shiffrin mobilizing the force of gravity by jumping across the rise line above the gate and/or minimizing pressure while rotating their skis across the rise line towards the gate so the edges of their outside ski progressively engage and lock up as they extend and incline closing the kinetic chain. Knee extension, in combination with ankle extension, uses the momentum of COM in conjunction with the force of gravity to progressively engage and apply force to the outside ski.

Reilly McGlashan has an excellent YouTube analysis of Marcel Hirscher using this technique in the 2017 Alta Badia GS (1.) The technique Hirscher and now Mikaela Shiffrin are using relates directly to the second rocker/internal rotation, impulse loading mechanism I described in a series of posts. The text below is excerpted from a comment I posted on McGlashan’s YouTube video analysis of Hirscher.

Hirscher progressively engages his edges, especially on his outside ski then hooks a tight arc close to the gate to establish his line. Once he has established his line, he no longer needs his outside ski. He gets off it in milliseconds and uses the rebound energy to project forward with only enough pressure on his uphill (new outside) ski to influence his trajectory of inertia so his COM enters the rise line at a low angle of intersection. He gets rebound energy from the loading  of his outside ski and from what amounts to a plyometric release of muscle tension from the biokinetic chain of muscles extending from the balls of his outside foot to his pelvis. The energy is created by the vertical drop from above the gate to below the gate similar to jumping off a box, landing and then making a plyometric rebound. Hirscher is skiing the optimal way and it shows on the clock and leader board.

Replicating the mechanism in a static environment is not possible because there is no inertia. But a device I have designed and constructed enables the mechanism to be rehearsed with the same feeling as in skiing.

The key is loading the forebody of the outside ski with a shovel down position as the leg is rotating the ski into the turn. This sets up the second rocker impulse loading mechanism that tips the ski onto its inside edge. Extending the knee and ankle uses momentum to exert a force on the snow with the ski.

The photo below shows the training mechanism head on. The white horizontal arms represent the sidecut of the ski. The platform under the foot can be adjusted transversely to change the sensitivity. Vertical plates set beside the ball of the foot and on the outer corner and behind the heel transfer turntable rotation torque to the ski created by rotating the leg internally with the glutes. The platform will only tilt under impulse loading if the second rocker can engage. Few skiers can use this mechanism because their ski boots do not accommodate second rocker biomechanics.

The link below is to a video that shows the effect of extending the knee and ankle while moving the hips forward and over the support foot (monopedal function). The stack height and minimum profile width of are FIS 93 mm/63 mm. Rotation in itself will not cause the device to tip onto its inside edge if centre of pressure is on the anatomic centre of the foot (through the centre of the heel and ball of the second toe).

Dr. Emily Splichal’s recent webinar on the Science of Sensory Sequencing and Afferent Stimulation (2.) is relevant to motor control and cognitive development associated with high performance skiing. Pay careful attention to Dr. Splichal’s discussion of the role of mechanoceptors and the fact there are none on the inner (medial) aspect of the arches of the feet which is why footbeds or anything that impinges on the inner arch is a bad thing. I will discuss the implications of Dr. Splichal’s webinar in a future post.

In my next post, I will provide detailed information on the training device.

  1. https://youtu.be/OxqEp7LS_24
  2. https://www.youtube.com/watch?v=2qPnrQ85uec&feature=youtu.be




In June of this year, I posted on my beta testing experience with NABOSO surface science, small nerve, proprioception stimulating technology (1.).

Recently, I received the consumer version of NABOSO called NABOSO 1.0 shown in the photo below.

NABOSO 1.0 has a tighter grid than the NABOSO beta version I have been testing. The pyramid-like texture is also smaller.

The photo below shows NABOSO 1.o on the left and NABOSO beta on the right. The photo was taken before I trimmed NABOSO 1.0 to fit my shoes. 
Here is the information that came with my pair NABOSO 1.0 insoles.

I use both NABOSO 1.0 and NABOSO beta in my Lems Primal 2 and Xero Prio shoes. I immediately sensed better balance with the tighter grid of NABOSO 1.0. But I found it interesting after going back to NABOSO beta, after a period of time in NABOSO 1.o, that NABOSO beta felt more stimulating. Based on this subjective experience, I think there may be some advantage to switching back and forth between different texture grids. Hence my interest in the new NABOSO 1.5.

NABOSO 1.5 can be pre-ordered now for a reduced price of $30 US at orders@nabosotechnology.com

Disclosure: I do not receive any form of compensation from NABOSO or Dr. Emily Splichal. Nor do I hold any shares or have any financial interest in the company. The sole benefit I derive from NABOSO is to my feet and my balance and the efficiency of my movement.

I will be testing NABOSO insoles in my ski boots this winter in conjunction with toe spreaders starting with NABOSO 1.0. I will report on my experience in a future post.

  1. http://wp.me/p3vZhu-27v


There are some who can benefit from footbeds or orthotics and some who do actually need them. But these groups are the rare exception. And they are unlikely to be skiers.

Orthotics. The pros / cons of orthotics in today’s society!

In a recent YouTube video (1.), Podiatrist & Human Movement Specialist, Dr Emily Splichal, explores the concept of orthotics and their role in today’s society. Dr. Splichal doesn’t pull any punches when she says:

“…..I have been through the conventional podiatric school and been fed pretty much the bullshit from podiatry of how every single person needs to be in orthotics, that our foot is not able to support itself without orthotics……if we do not use orthotics our foot is going to completely collapse  and you are going to lose your arch…….”

“……Our foot is designed to support itself. If we actually needed orthotics, we would be born…..we would come out of the womb, with orthotics on our feet.”

Meantime, The Foot Collective  asks (2.) Are you promoting weak feet?

  • Anything you use for artificial support at the feet (footwear with arch support & orthotics) your brain takes into account and accommodates for it.
  • That means if you provide your foot support your brain shuts down the natural arch supporters to reduce un-necessary energy expenditure.
  • Stop using support to help with pronation and understand why your feet pronate in the first place – because they are weak.
  • Strong feet = strong foundation = strong body.

The Real Source of Support for the Arch

Ray McClanahan, D.P.M. offers a perspective on the issue of Arch Support in his post on the CorrectToes blog (3.)

Are Custom Footbeds and Orthotics better than stock insoles?

In his post of August 20, 2017, Custom Foot Orthotics; No Better Than Stock Insoles (4.), Rick Merriam, of Engaging Muscles, explores the issue of orthotics in depth.

Prior to being told that supportive insoles are the way to go, I think it’s safe to say that all of those people didn’t know what they didn’t know.

The erroneous assumption that every skier needs footbeds or orthotics was made at a time when little  was known about the function of the foot and lower limb, especially in late stance. I was one of those who didn’t know what I didn’t know when initially when down the ‘the foot needs to be supported in skiing’ road up until I realized what I didn’t know and took steps to acquire the requisite knowledge.

Footbeds; is anyone checking what they do?

In 2000, I formed a company called Synergy Sports Performance Consultants (5). Synergys’ product was high quality information. One of my partners, UK Podiatrist, Sophie Cox, was trained by Novel of Germany and was one of the few experts in the world at that time on the Pedar system. Synergy did not make and/or sell footbeds or orthotics. Instead, we checked the effect of footbeds on skier performance. We performed a quick footbed check for a minimal fee of $20 using the sophisticated Novel Pedar pressure analysis technology.

Synergy was one of the first companies in the world to use the Novel Pedar pressure analysis system synchronized to video to acquire data on skier performance and analyze the captured data.  The Synergy team with diverse expertise studied the effect of ski boots and custom insoles on skier performance and identified functional issues in the body that needed to be addressed. It was a common finding that custom footbeds were significantly compromising skier performance, especially the ability to create the necessary platform under the foot on which to stand and balance on the outside ski.

Synergy offered a comprehensive 5 Step Performance Program that started with a footbed check. A key component was item 2., the Biomechanical Check.

With increasing recognition of the negative effect of most footwear on the user and criticism of the unproven claims made for footbeds and orthotics coming hard and fast, credibility in skiing is rapidly going downhill. It is time for proponents of custom insoles for ski boots to support their claims with solid evidence, especially evidence supported with data acquired during actual ski maneuvers. The technology to do this has existed since at least the year 2000.

  1. https://youtu.be/CIRf9WHmMXI
  2. http://www.thefootcollective.com
  3. https://www.correcttoes.com/foot-help/articles-studies/arch-support/
  4. http://www.engagingmuscles.com/2017/08/20/custom-foot-orthotics/