Custom Orthotic Fitting
Custom fitted orthotics replace your existing footwear's insole.
They are individualized to match the shape of your foot. Your physiotherapist will do a biomechanical assessment and make any necessary adjustments in order to ensure that you have optimal foot posture.
Custom orthotics reduce and prevent problems relating to weight bearing on the ground. These may result from faulty biomechanics, structural asymmetry of your skeletal system, specific foot lesions, deformities of the foot, and many conditions affecting the lower back and lower body.
Individualized insoles help to decrease muscle and joint pain and can slow or prevent arthritis by making sure you have correct alignment. They can also help with pain in conditions that result from poor foot posture such as plantar fasciitis, Achilles tendonitis, fat pad discomfort, heel spurs, calf tightness and more.
Orthotics can also help prevent the development of pressure sores in those experiencing decreased sensation due to diabetes.
Our Custom Orthotic Fitting Road Map
- Assessment done by a registered physiotherapist
- Plaster cast impression made
- Order created for orthotics specific to your assessment and needs
- Casts are sent to a lab
- Within 2-3 weeks; custom orthotics are in your shoes!
How Much do They Cost? Can I Get Duplicates?
Our custom orthotic fitting session is a separate physiotherapy appointment; fees apply.
Please consult us regarding the cost of the orthotics and payment terms. A deposit of 50% is required at the time of fitting. Custom orthotics must be paid in full prior to receiving them. Pricing for duplicate pairs, future pairs or for the sandal style of custom orthotics is less than the first pair.
Are they Covered by Private Insurance?
Many private insurers cover the cost of custom fitted orthotics, however, requirements for reimbursement will vary depending on the insurance company.
We do not direct bill for orthotics. Refer to your coverage details. We suggest giving your insurance company a call prior to your casting. Some insurance providers require a detailed orthotics report. When required by the insurer, this report will incur an additional fee of $35. Please advise the clinic of the insurer’s requirements prior to casting. It is your responsibility to pay for the orthotics if your insurance does not cover the orthotics.
Can I Wear Them with Sandals?
Yes. There are specific sandals which accommodate orthotics. Many people choose to wear sandal orthotics at home indoors/outdoors in summer. We will need you to bring these in at the time of your assessment. Your sandals, and orthotic profile are sent to the lab. They will use your digital orthotics prescription to fit a sandal orthotic.
An Elevated Shoe has Been Recommended for me
An elevated shoe may be recommended for leg length differences. Depending on the amount needed, lift height can be built into the orthotic. A shoe maker can make additional modifications to the outsole.
How Long do They Last?
Depending on wear and on materials used, most custom orthotics will last 3 to 6 years before replacement. If the goal is to change your foot posture, adjustments may be required sooner. Consult with your physiotherapist for more information.
How Long Does it Take to Get Them?
About 2-3 weeks from the date of the custom orthotic fitting. For faster service, extra fees will apply.
Should I Get Treatment Before/After the Orthotics Arrive?
This depends upon the condition. Please consult your attending physiotherapist.
What About my Pick-up Visit?
We will give you a call once your orthotics have arrived. Please bring the pair of your shoes you wish to use the orthotics in. Leaving the existing (removable) insoles in the shoes. Those insoles become a template for trimming if needed.
Do They Have Warranty?
From date of acquisition, revisions can be made up to 6 months. The first revision is at no cost. About 15% of pairs will require one no-charge lab revision, a second lab revision is quite rare.
**Patient Questions to Ask the Insurer**
- Do you have coverage for custom orthotics?
- Do you need a referral? If so, can it come from the physiotherapist that’s fitting you? If not, then who must the referral come from?
- Can a physiotherapist do the fitting?
- Is a detailed orthotics report required? If so, will the insurer pay for it?