Custom Fit Orthotics & Footwear

Your feet are your body's structural foundation. When the arches aren't supporting you properly, the bones above them compensate — the ankle rolls, the knee tracks improperly, the hip rotates, the pelvis tilts, and the spine adjusts to keep you upright. Years of those compensations produce wear and pain in places that seem to have nothing to do with the feet. Many patients with persistent back, knee, or hip pain have an underlying foot problem they never knew about.

We use advanced foot scanning technology to capture a detailed three-dimensional map of your feet, identifying exactly where the structural imbalances are. That data drives the design of orthotics built specifically for your feet, your weight, your activity level, and the conditions we're addressing. The result is orthotics that fit perfectly and correct your specific issues — not a generic mold.

The initial scan and evaluation typically take 30–45 minutes. We discuss your symptoms, examine your gait and posture, and capture the foot scan. Your custom orthotics are then manufactured to specification and typically ready within 1–2 weeks. We schedule a follow-up to make sure the fit is correct and that they're producing the intended benefits.

Common conditions include plantar fasciitis, foot pain, heel pain, fallen arches, bunions, neuromas, Achilles tendonitis, shin splints, knee pain (particularly tracking issues and runner's knee), iliotibial band syndrome, hip pain, lower back pain, sciatica, and even chronic neck pain when there's a postural component originating from the feet. We also use orthotics for athletic performance and to support patients with leg-length inequality.

Many patients wear them indefinitely because of how much better they feel — but others find that a course of orthotic correction, paired with appropriate rehabilitation, allows them to wear less supportive footwear comfortably over time. The right answer depends on your underlying anatomy and the conditions we're addressing. Patients with structural foot issues like flat feet typically benefit from continuous use; those with mostly soft-tissue problems may need orthotics primarily during the active treatment phase.

Most patients adapt within 2–3 weeks. We typically recommend starting with a few hours per day and gradually increasing wear time as your feet, muscles, and joints adjust to the new alignment. Some patients feel relief almost immediately; others go through a brief adaptation period where new muscles are being recruited. We coach you through the break-in period so the transition is smooth.

Custom orthotics typically last 2–5 years depending on your activity level, body weight, and how many hours per day you wear them. They're built to be far more durable than drugstore inserts. We recheck them at regular intervals to make sure they're still providing the right support, and replace them when wear or your changing anatomy makes it appropriate.

We design orthotics to work in the shoes you actually wear — whether that's athletic shoes, work boots, dress shoes, or casual footwear. Different shoe styles sometimes require different orthotic configurations, and we'll discuss your footwear needs during the evaluation. Most patients end up with one primary pair for everyday use and sometimes a second pair customized for a different shoe type.

Yes — for many athletes, orthotics improve both performance and injury resilience. Properly supported feet transfer force more efficiently, reduce compensations that lead to injury, and decrease fatigue over long training sessions or events. Runners, golfers, tennis players, and patients in physically demanding occupations often see significant benefit.

Yes. Children with conditions like flat feet, in-toeing or out-toeing, knee pain, or recurring sports injuries can often benefit from orthotic support. Because children are still growing, we recheck the fit more frequently. Early correction of foot imbalances during developmental years can prevent the long-term compensatory problems that show up in adulthood.

Generic arch supports address one aspect of foot function — typically just the medial (inner) arch. Custom orthotics address all three arches of the foot (medial, lateral, and transverse) and are built around your specific biomechanics. They correct multiple imbalances simultaneously, which is why they help conditions that arch supports alone don't.

Yes, particularly. Diabetes can affect foot sensation, circulation, and tissue integrity, making proper foot mechanics and pressure distribution especially important. Custom orthotics designed for diabetic feet help prevent the pressure points and gait abnormalities that contribute to ulcers and complications. Diabetic patients should consider custom orthotics part of their preventive care.