PRODUCTION OF CUSTOM orthoticS The production of custom orthotics is an
exacting process and determines whether or not you receive quality devices that
will best treat your condition. As with everything, there are well-made
orthotics and poorly-made orthotics. The ability of an orthotic device to
eliminate your pain is dependent on the quality of the orthotics. The quality of
the orthotics is dependent on three primary steps:
- The cast of your feet
- The prescription the doctor writes (based on the examination and the doctors
knowledge and experience
- The work of the orthotic lab in producing your orthotics
What is Involved In Producing Custom Foot orthotics? The most important
factor in designing foot orthotics that will provide optimum function is an
orthotic prescription based on a thorough examination by an experienced and
knowledgeable medical practitioner. I cannot emphasize this enough. The exam
should include a complete biomechanical examination and gait analysis.
Following a biomechanical and gait examination, there are three important
components to ensure you receive the best possible orthotic devices:
- An accurate cast of your foot must be taken. This is a VERY exacting process
as your foot must be placed in a precise position to ensure the best clinical
outcomes. To help ensure that a proper cast is taken, we feel that the doctor,
and not a technician, should take the cast of your foot.
- A proper prescription must be written to accommodate your biomechanical
problems, your activities, and your shoes. This process requires that an
exacting gait evaluation and biomechanical examination be performed.
- A high-quality foot orthotics laboratory should be used to produce your
orthotics. This will ensure that the prescription is filled correctly, that the
orthotics are comfortable, and that high-quality and long lasting materials are
Dispensing and Break-in: Your doctor should work with you to ensure that your
orthotics are comfortable and are relieving your symptoms. They should also
provide you detailed information on the proper shoes for your feet. This will
help you find appropriate, comfortable, and fashionable shoes.
Follow-up: One of the most important parts of orthotic therapy is appropriate
follow-up. If you have a problem with orthotic fit, function, comfort, shoe fit
or any other issue, your doctor must be able to diagnose and correct these
concerns. This is why a skilled, knowledgeable and experienced practitioner can
usually provide the best clinical outcomes.