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How We Treat

Custom Made Orthotics

Custom foot orthotics are devices worn inside your shoes to support the feet and improve comfort during daily activities. They can be helpful for managing foot fatigue, pressure points, and discomfort related to standing, walking, or specific foot mechanics. If you experience foot, ankle, or heel discomfort, custom orthotics may be an option to consider. These devices are designed based on your foot structure and activity needs, and can be made in a variety of styles—firm or flexible, long or short—with additions such as cushioning or pads to help create a comfortable, supportive fit tailored to your specific concerns

Assessment

Heel Pain relief with orthotics

Your appointment begins with a detailed assessment of your feet, footwear, and walking pattern. The chiropodist will examine how your feet move, identify areas of pressure or irritation, and discuss the activities that are most important to you. This helps determine whether custom orthotics may support your comfort and mobility.

 

If orthotics are recommended, precise measurements and a 3D scan of your feet are taken to capture your unique foot shape and alignment.

3D Scanning or Plaster Casting

Modern orthotic fabrication begins with a digital 3D scan. This technology captures the exact contours of your feet in a non‑invasive, highly accurate way. Plaster casting is also available when appropriate. The chiropodist will determine which method, 3D scanning or plaster casting, is most suitable based on your foot type and the specific orthotic design required.

 

The scan allows the chiropodist to:

  • Record your foot structure in detail

  • Identify areas of high pressure

  • Assess arch height and foot alignment

  • Create a digital model for custom orthotic design

Custom Orthotic Design (CAD)

Using your 3D scan or plaster cast an orthotic prescription from the chiropodist, the orthotic technician designs an orthotic tailored to your foot structure and daily activities. The design may include:

  • Arch support

  • Heel stabilization

  • Forefoot modifications

  • Pressure redistribution features

  • Cushioning or shock‑absorbing materials

 

Your orthotics are created to fit comfortably inside your footwear and support your feet throughout the day.

3D Printed Orthotics

Many modern orthotics are produced using 3D printing technology. This method allows for:

  • Lightweight, durable materials

  • Precise shaping based on your digital scan

  • Consistent quality and accuracy

  • Customizable flexibility and support zones

 

3D‑printed orthotics are designed to provide targeted support while maintaining a slim profile that fits easily into most shoes

Fitting Appointment

Once your orthotics are ready, you will return for a fitting. The chiropodist will:

  • Ensure the orthotics fit your shoes properly

  • Check that they sit correctly under your feet

  • Review how they feel during standing and walking

  • Provide guidance on gradually increasing wear time

 

Any adjustments needed for comfort or function can be made at this stage.

Aftercare

You will receive instructions on:

  • How to break in your orthotics gradually

  • What to expect during the first few weeks

  • How to monitor for pressure points or irritation

  • When to return for follow‑up or adjustments

  • How to care for the orthotics

 

Orthotics may require periodic review to ensure they continue to support your needs, especially if your activities or footwear change.

When Orthotics May Be Helpful

Custom orthotics may be considered if you experience:

  • Foot fatigue during daily activities

  • Discomfort related to prolonged standing or walking

  • Pressure points or irritation in specific areas of the foot

  • Difficulty finding comfortable footwear

  • Changes in comfort after an injury or increased activity

 

Your chiropodist will help determine whether orthotics are appropriate or whether other options may be more suitable.

When To Seek care

A chiropodist can help if you notice:

  • Ongoing foot discomfort

  • Uneven wear patterns in your shoes

  • Difficulty with certain activities due to foot mechanics

  • Pain that increases with activity

  • Discomfort with existing orthotics

 

If your symptoms suggest a condition outside chiropody scope, your chiropodist may recommend follow‑up with your primary care provider.

Conditions that may benefit from custom orthotics:

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