Are you experiencing foot, knee, or even back pain? Custom Orthotics may be a good option for you.

What is a foot orthotic?
Custom made orthotics are prescription-based inserts customized to fit your foot for your specific needs. Orthotics work by reducing stress and strain on the body by bringing your feet back into proper alignment.
 
Do I need an orthotic?
Orthotics are beneficial for everyone as they are an effective way to give your feet added support no matter what activity you’re doing. Orthotics also offer benefits to people with certain foot problems. If you’re a pronator, supinator, diabetic, suffer from any form of arthritis, or have any other foot related problem, then it is definitely worth giving orthotics a try. We recommend a foot orthotic if muscles, tendons, ligaments, joints or bones are not in an optimally functioning position and are causing pain, discomfort, and/or fatigue. 
 
BONUS!! Most insurance providers and benefit packages cover orthotics! Make use of your hard-earned dollars and put that pep back into your step.

Now offering 3D Scanning

What is 3D Scanning and is it beneficial?
Capturing the foot accurately is both a science as well as an art. With the use of innovative technology, 3D scanning captures the entirety of your foot into a 3D model with remarkable accuracy. This allows our lab to create an orthotic that fits you seamlessly.

Overview

Foot orthotics are custom made shoe inserts designed to treat biomechanical foot disorders. Poor foot biomechanics may lead to ankle, knee and even back pain. Foot orthotics may be simple and generic devices, which are sold over-the-counter, or they can be custom-moulded orthotics specifically crafted to meet the needs of a particular individual. This is done by making an impression of the foot in an 'ideal position' called a cast. Specialists in an orthotic laboratory use this cast to mould a high quality orthotic. The finished orthotic is then placed in the patient's shoe and helps keep the foot in proper alignment. Dysfunctional feet are either over-supinating or over-pronating.

Over-Pronating

op.jpg

A different problem results if the arch flattens too much. This is known as a pes-planus or flat foot (over-pronation). An excessively pronated foot may cause excessive internal rotation of the entire lower limb during weight-bearing and this increases demands on numerous structures. The increased force placed on the medial aspect of the foot contributes to abnormalities of the 1st MTP joint, including hallux valgus (bunions). Interdigital (Morton's) neuromas may be caused by metatarsal hypermobility. Over-pronation also causes flattening of the medial longitudinal arch and increased strain on the plantar fascia and plantar musculature (connective tissue and muscles on bottom of foot). The gastrocnemius-soleus complex and tibialis posterior may overly contract while lengthening (eccentric contraction) to decelerate the rotation of the leg and pronation of the foot. This may contribute to damage of the achilles and tibialis posterior tendons. Overload of the long flexors of the leg may result in medial tibial stress syndrome (shin splints) which may lead to stress fractures of the tibia. Metatarsal fractures may occur due to uneven distribution of weight and excessive movement of the metatarsals with forefoot lowering. Stress fractures of the little bones of the foot (sesamoids). Excessive pronation leads to an increased internal rotation of the tibia, which results in the patella moving outwards (lateral displacement) and muscular imbalance of the quadriceps, all of which contribute to patellofemoral joint dysfunction. Internal rotation of the tibia contributes to a change in alignment of the patellar tendon, which may predispose to patellar tendonitis, and later patellar tendinopathy. Internal rotation of the tibia may also contribute to tightening of the Iliotibial band (ITB).

 

Over-Supinating

os.png

Supination occurs when the arch does not flatten at all. This typically occurs in a person with a high arch, called pes-cavus (over-supination). Because the arch does not flatten, it absorbs shock poorly. Instead of spreading it throughout the entire foot, the weight of the body falls only on the heel and the bases of the toes. This may occur as a result of weakness of the peroneal muscles (muscles at outside of leg) or as a result of spasm or tightness of the tibialis posterior and the gastrocnemius-soleus complex (muscles at back of leg). The supinated foot is often less mobile, which may result in poor shock absorption. It is possible that this may predispose to the development of stress fractures of the tibia, fibula, calcaneus and metatarsals (especially the fourth and fifth metatarsals).

 With over-pronation or over-supination, the wrong muscles contract during gait, or they contract out of their proper sequence. These muscles and tendons eventually fatigue and break down suffering microscopic tears. This triggers inflammation leading to swelling, pain, and scarring in these tissues. In addition, your joints may suffer excess wear leading to inflammation and possibly degeneration. Treatment for any of the above conditions should include reducing inflammation with ice or non-steroidal anti-inflammatories (NSAIDs, prescribed by a physician), strengthening and normalizing normal muscle function with Active Release Technique® (ART®) and joint mobility with manipulative techniques. In addition, custom made orthotics can play an integral role in the overall treatment of many problems caused by ankle and foot dysfunction and more importantly, to prevent their re-occurrences.

 

Conditions That Are Successfully Treated With Orthotics

Any over-use injury can be prevented from proper foot wear and well made custom orthotics. Some examples of this are:

  • Patellar Tendonitis

  • Patellar Femoral Syndrome

  • Shin Splints & Stress Fractures

  • Achilles Tendonitis

  • Plantar Fasciitis