Custom molded orthotics are a central part of the care of foot and ankle problems. Many foot and ankle problems including ankle instability, tendonitis, plantar fascitis, bunion deformity and arthritis are caused by poor foot position or alignment and can be dramatically improved with use of custom orthotics.
The purpose of the devise is to hold the foot in a certain position while controlling the amount of motion the joints go through during the gait cycle. Every situation and every foot requires a different amount of control and positioning. At the same time, every foot has a unique arch and foot type. For these reasons, custom orthotics are significantly more appropriate than over the counter type arch supports. There are several different types of orthotics from those for athletic shoes to those that are very thin used for dress shoes.
My Orthotics are Custom Neutral-Casted Foot Orthotics. These are not the off the shelf one size fits all foot inserts. They are created individually for each patient, based on their specific needs, with not only emphasis on the foot and ankle problems but also the affect that they will have on the rest of the body structurally. I create them by first doing a complete foot and lower extremity examination, then I take an individual cast of each foot utilizing plaster casting material. This allows me to get an exact impression of how the foot should be positioned. We don’t take impressions by using a box of foam or using any computer scanning devices. These techniques give us an inaccurate impression of the shape of the foot and negatively impact the success of the orthotic therapy. While eventually the computer based scanning devices will likely produce a perfect impression of the foot they are not there as of yet. Once we have performed our extensive examination and done our casting, then I discuss with each patient the types of shoes that they will be wearing and what their specific needs are for their devices. Each set of casts are then shipped to our laboratory and custom made to order. Finished orthotics are shipped back within 10 days to 2 weeks.
As a Chiropractic Orthopedist, I have been making custom foot orthotics for patients of all walks of life. From the disabled to the world class athlete, I have developed over the past 22 years of practice, a style of orthotics that has been widely embraced, because of their combining the benefits of control with that of comfort. I rarely make hard orthotics, because it has been my experience that a hard orthotic is an uncomfortable orthotic and patients won’t wear them.