Custom Foot Orthotics

Our Physical Therapists excel in gait analysis and if deemed necessary, work together with Biomechanics to create a custom-fit orthotic that is personalized to accommodate your foot posture and ailments. A custom orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. They look like insoles but are biomechanical medical appliances that are custom-made to correct your specific foot imbalance.

Orthotics are a supplementary tool to decrease abnormal stresses during walking and support dysfunctional foot postures to relieve pain. Patients may be predisposed to the pathology of the foot/ankle complex due to inherent foot posture (flat feet or high arches), strength deficits, or decreased functional endurance based on their daily activity. In these cases, orthotics can be an appropriate device to bridge the gap and help transition from unbearable/nagging pain to an active lifestyle. We understand and emphasize the importance of simultaneous strength training and orthotic use to preserve and enhance long-term foot health for our patients.  

• Superfeet 
• Custom-fit orthotics 
• Gait training 
• Restoring foot/ankle mobility 
• Regaining foot intrinsic strengthening 

Understanding the Custom Foot Orthotics Process:

1. Assessment and Evaluation:
   • Your Physical Therapist will begin the process with a thorough assessment and evaluation. They will examine your medical history, perform a physical examination, and assess your gait (the way you walk) and foot mechanics.
   • The goal is to identify any biomechanical issues, musculoskeletal problems, or conditions that may benefit from custom orthotics.
2. Prescription:
   • Based on the evaluation, the physical therapist may determine that custom orthotics are necessary to address specific issues. They will then write a prescription for custom orthotics.
3. Casting or Scanning:
   • The next step involves capturing the shape of your feet. This is done through traditional plaster casting.
4. Customization:
   • Once the foot shape is captured, the information (cast) is sent to a specialized lab where the custom orthotics are manufactured. Orthotists, who are professionals trained in the design and fabrication of orthotic devices, use this information to create personalized orthotics tailored to your specific needs.
5. Fitting:
   • When the custom orthotics are ready, you will return to the PT clinic for a fitting session. The physical therapist will ensure that the orthotics fit correctly and provide the necessary support.
6. Adjustments:
   • Your physical therapist may make minor modifications to ensure that the orthotics are comfortable and effective.
7. Education and Follow-Up:
   • Your physical therapist will educate you on how to properly use and care for your custom orthotics. They may also provide exercises or recommendations to complement the orthotic treatment.
   • Follow-up appointments may be scheduled to monitor your progress and make any necessary adjustments to the orthotics.
8. Insurance and Billing:
   • It’s important to check with your insurance provider to understand coverage for custom orthotics. The clinic’s administrative staff can assist with billing and insurance-related matters.