Custom-Made Orthotics

Feet will be cast for the building of orthotics. There are a few different casting options, depending on the pathology of the patient, all of which have their advantages, such as slipper casting, synthetic slipper casting socks and impression foam casting.

What happens after casting?

Once the casts are made, they are shipped to an orthotic laboratory with the podiatrist’s prescription.  It then goes through 27 different steps over the course of approximately two weeks, finally resulting in custom foot orthotics made just for you.

One to two weeks after casting, the orthotics will be dispensed and fitted to the individual’s shoes.

Two or three different pairs of shoes that are frequently worn should be brought in at this time. Shoes with extra depth or with removable insoles work the best. We will make adjustments to the orthotics if necessary and give proper break-in instructions.

After the custom-made orthotics come back to our clinic, Shoe-fitting concerns will be addressed.

Shoes hold the orthosis in the proper place on the foot, so shoes can maximize the value of an orthosis or limit it. Because an orthosis can take up room that would otherwise be available for the foot, not all shoe types are suitable for an orthosis. Many shoes nowadays are manufactured with a removable insole, which is the “bed” that the foot rests on in a shoe. When the insole is removed, there may be sufficient space to replace it with an orthosis.

Treatments and stretches may be given for specific foot problems.

A recheck appointment will be set up for two weeks after the dispense. We will recheck the patient’s condition using wear patterns on the orthotics, verbal feedback from the patient, and any changes in gait. We will then make any adjustments or changes to the orthotics that are needed.