Where to Get Custom Orthotics

You can get custom orthotics from medical professionals like podiatrists, physiotherapists, or orthopedic specialists.

While most of these options require a physical, in-house examination process, you can get custom orthotics from special providers who work with podiatrists and orthotists to design and produce orthotics based on molds, scans, and 3D models without the need for any physical meeting.

Key Takeaways 

1. Custom orthotics are different from off-the-shelf insoles because they are tailor-made to meet each person’s unique needs.
2. You can get custom orthotics from different providers - orthopedic clinics, podiatrists, physiotherapy facilities, pedorthists, hospitals, and specialty facilities.
3. When unsure about what you need, talk to your podiatrist.
4. The process of getting custom orthotics will involve assessment and customization. 
5. Custom orthotics can be expensive, but you may be able to lower your cost by choosing more affordable options. 
6. Your provider must offer follow-up care or modifications and adjustments to ensure that the device is performing as it should.

What are Custom Orthotics? 

Custom orthotics are shoe inserts that are specially designed to help improve foot function by providing support, shock absorption, balance, and alignment. Unlike regular, or over-the-counter orthotics, they are custom-made to match an individual’s exact foot size, structure, and condition to be treated.

Custom orthotics will often be recommended to patients who have tried OTC inserts without improvement. This is because they offer a more precise solution for various foot conditions.

Why Custom Orthotics Are Different

Unlike off-the-shelf insoles that only offer general support, custom orthotics offer targeted support because they are designed after a detailed examination of the feet has been carried out. This will include gait analysis, physical examination (or video examination), and consultation.

Some of the benefits that custom orthotics offer include:

• Relief from chronic foot or leg pain
  
• Improved balance and stability
  
• Lower risk of injuries
  
• Greater comfort in daily activities and sports.

Where to Get Custom Orthotics

Common providers of custom orthotics include:

1. Podiatrists’ Offices

Podiatrists are doctors who specialize in foot and ankle care. They are, therefore, among the leading providers of orthotics. At a podiatrist’s office, you’ll typically go through two main steps:

1. Assessment - This entails a comprehensive examination that will include an oral interview, a physical examination, and a gait analysis.. In some cases, X-rays may also be taken

2. Customization: Following the examination, a custom orthotic will be designed using 3D scans, molds, or footprints to ensure that it is tailored to your needs.

A key benefit of seeing a podiatrist is that they can also identify and treat other foot conditions while providing orthotics.

2. Orthopedic Clinics

Orthopedic doctors specialize in the musculoskeletal system—bones, muscles, joints, tendons, and ligaments. Orthopedic clinics often work with orthotists, who design and fit supportive devices like custom orthotics. Their process is similar to that of podiatrists but may also address issues related to the spine, knees, and hips. Orthopedic clinics are ideal for people with pain linked to broader musculoskeletal problems.

3. Certified Pedorthists

Certified pedorthists are trained in biomechanics and shoe modification, so they are adept at using orthotics and footwear to treat lower limb and foot issues. Their process includes assessment and customization, with a focus on how orthotics interact with daily footwear. They can also adjust shoes for a proper fit, making them ideal for people who need orthotics tailored to specific shoes or conditions requiring both shoe and orthotic modification.

4. Rehabilitation and Physiotherapy Centers

Rehabilitation centers and physiotherapists often work with orthotists and may have access to 3D foot scanning and gait analysis. Their process includes:

• Assessment: Evaluating how foot mechanics affect movement and recovery.
  

• Customization: Prescribing orthotics alongside other treatments to improve mobility and posture. They are best suited for athletes, post-surgery patients, or those with severe pain affecting muscle function and movement.

5. Sports Medicine Clinics

Sports medicine clinics are tailored for athletes and active individuals, offering orthotics that improve performance, prevent injuries, and enhance movement efficiency.

Their process includes:

• Assessment: Biomechanical evaluations, sometimes with motion capture or treadmill analysis.

• Customization: Designing orthotics to optimize performance and comfort in specific sports.

These clinics are recommended for runners, cyclists, and athletes with repetitive strain injuries, providing both medical support and performance benefits.

6. Hospitals and Specialty Medical Centers

Some hospitals and specialty centers for conditions like arthritis or diabetes provide custom orthotics as part of their comprehensive care.

Their process includes:

• Assessment: This is carried out by a team of specialists such as doctors, orthotists, and therapists.
  

• Customization: After proper assessment, the chosen orthotics may be combined with other medical treatments.

 These centers are best for people with complex conditions requiring multi-specialist care.

7. Prosthetics and Orthotics Facilities

These facilities specialize in supportive devices for people with mobility impairments. Orthotists here are trained in orthotics, braces, and prosthetics.

Their process often includes:

• Assessment: Using advanced technology such as scanning and pressure mapping.
  
  

• Customization: Creating durable, highly specific orthotics.

They are best for people with structural issues, disabilities, or deformities requiring specialized devices

8. Some Pharmacies and Foot Care Stores

Some large pharmacies and foot care shops employ professionals to assist with custom orthotics. However, their services are often less advanced than medical providers.

Their process includes:

• Assessment: Foot scans, basic gait analysis, or pressure plates.
  
  

• Customization: Results are sent to a lab to make the orthotics.

This is a more affordable option for people with mild foot discomfort.

9. Online Providers

With the current advancement in technology, online providers who deliver custom orthotics, without requiring the physical presence of the patient, are getting popular by the day. Companies like Stride Soles conduct the entire examination process online, using their app.

Gait analysis is done via video, 3D scanning is taken using your phone camera, and simple questionnaires provide important information required to complete the assessment. By cutting out the need for a physical examination, these companies reduce their operational cost, which leads to a reduction in the cost that customers have to bear. Additionally, the customers also enjoy a stress-free process from the comfort of their homes.

Things to Consider Before Choosing a Provider

Key factors to consider when choosing a provider include:-

1. Qualifications – Ensure the provider is a certified professional or works with one.
   

2. Assessment Methods – A thorough evaluation should include physical exams, gait analysis, and imaging. Avoid providers who rush this process.
   

3. Cost and Insurance – Orthotics can cost several hundred dollars or more. Check if your insurance provider will cover products from the provider.
   

4. Follow-Up Care – Choose a provider that offers follow-up for adjustments or modifications to ensure a perfect fit.
   

5. Intended Use- Clarify whether you need orthotics for sports, work, or daily wear so the provider can design appropriately.
   

6. Durability and Warranty- Find out their warranty and/or replacement policies. A provider that is confident of its product will offer sufficient warranty.

Tips For Getting The Best Custom Orthotics Provider

Word of Mouth and Referrals 

You can get the best custom orthotics by just asking those who have used or are still using them. They can refer you to the specialist or facility that provided theirs. 

If you don't know anyone you can ask for a referral, talk to your doctor. They will likely know orthotists they can recommend.

Convenience and Accessibility

It may take more than one visit to complete your assessment, fitting, and adjustment if necessary. Therefore, look out for a provider that is close to you ( home, workplace, or business routes). Better still, choose a provider you can work with online and have your orthotics delivered to you at home. This will make the process quite convenient for you. 

Other things to note and consider include:-

• Their waiting list

• Appointment system 

• Flexibility of hours

• Ease of access

The process should be as stress-free as possible for you.

Things To Bear In Mind When Getting Custom Orthotics 

The Adjustment Period

Bear in mind that there is an adjustment period when using orthotics; the results may not be immediate. Factor in a break-in period to allow your feet adjust to the device. You may experience some initial discomfort, but your provider will give you wearing tips that will help you get the desired result.

Maintenance and Repair

Your orthotics require maintenance. Find out from your provider the best way to clean and maintain your orthotics. If they are well-maintained, they will serve you for much longer.

Footwear Compatibility

Your custom orthotics may not fit into every shoe you own. It may therefore be necessary to have different sets for different shoes. This is something you can discuss with your provider while you are placing your order.

Bonus Tip

Avoid providers that:

1. Rush assessments and are more focused on selling than on your well-being. 

2. Push generic insoles as custom orthotics 

3. Don’t have a clear warranty, return policy, and offer to make free adjustments. 

Conclusion

Custom orthotics can provide lasting relief for conditions such as flat feet, plantar fasciitis, or arthritis. They are more effective than OTC insoles, making them more suitable for cases where other insoles have not been effective.

Though they may be more expensive than over-the-counter options, they offer benefits that more than make up for this additional cost. Thankfully, you can now get more affordable options from online providers without compromising on quality.