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Why Might My Podiatrist Recommend Custom-Made Orthotics?

As healthcare practitioners who devote their time to diagnosing and treating ailments associated with the foot and lower extremities, a podiatrist’s relevance cannot be overstated; they are uniquely equipped to handle various short-term and long-term foot-related conditions. One recommendation a podiatrist might make to patients is to use custom-made orthotics.

The Underlying Principle of Orthotics

Orthotics are specialized medical devices designed to optimize the alignment and biomechanics of the foot and ankle. They address functional or structural issues contributing to pain, discomfort, or inefficient movement patterns in the lower extremities.

  • Alignment and Biomechanics: The primary goal of orthotics is to align the foot and ankle in a biomechanically efficient position. This optimal alignment promotes proper distribution of weight and pressure across the feet, which in turn helps reduce strain on muscles, ligaments, and joints. 
  • Functional and Structural Correction: Orthotics correct various functional and structural issues within the feet. Orthotics provide the necessary support to address these issues and encourage a more natural and balanced walking or running pattern.
  • Customization for Individual Needs: One of the key principles of orthotics is customization. Orthotics are tailored to each individual’s specific needs, considering factors like foot structure, gait pattern, and the nature of the foot condition. 
  • Consultation and Prescription: To determine if orthotics are necessary and appropriate, individuals should seek consultation from a qualified healthcare provider, such as a podiatrist. A thorough assessment will be conducted to evaluate foot structure, movement patterns, and any existing conditions. If recommended orthotics are prescribed, they will be prescribed based on the individual’s needs.

Contrary to over-the-counter orthotics, which cater to a broad spectrum of foot types, custom made orthotics in Hamilton are built from individual foot impressions. A mold of the foot is created and used to make a unique shoe insert that accurately aligns with the contours and structures of the patient’s foot. This ensures a fit that is not only comfortable but also therapeutic.

Why Are Custom-Made Orthotics Recommended?

1. Foot Pain or Discomfort

Your podiatrist may recommend custom orthotics to provide targeted support and cushioning if you’re experiencing persistent foot pain, discomfort, or fatigue. These orthotics can help alleviate pain by redistributing pressure, stabilizing your feet, and improving overall foot mechanics. Custom orthotics can relieve your discomfort due to daily activities, certain footwear, or specific conditions.

2. Structural Abnormalities

Conditions such as flat feet (pes planus) or high arches (pes cavus) can lead to imbalances in foot mechanics, resulting in pain and instability. Custom orthotics can be designed to address these structural issues by providing appropriate arch support and promoting a more natural alignment of your feet. By correcting these imbalances, custom orthotics can help reduce strain and discomfort.

3. Overpronation or Oversupination

It can impact your gait and contribute to discomfort or injuries if you tend to overpronate (roll your feet excessively inward) or over-supinate (roll outward). Custom orthotics can be tailored to control these motions, ensuring your feet are properly aligned during each step. This can help prevent excessive strain on muscles, ligaments, and joints.

4. Plantar Fasciitis

Plantar fasciitis is characterized by plantar fascia inflammation, resulting in heel pain. Custom orthotics can provide the necessary arch support to reduce tension on the fascia and alleviate pain. By promoting proper foot alignment and distributing pressure more evenly, custom orthotics can help manage plantar fasciitis symptoms and facilitate healing.

5. Bunions or Hammertoes

Bunions and hammertoes can cause discomfort and deformities in your feet. Custom orthotics can offer relief by cushioning and supporting the affected areas, reducing friction and pressure. Additionally, orthotics can help slow down the progression of these conditions by promoting proper alignment and preventing excessive strain on the affected joints.

6. Sports Injuries

Athletes are prone to foot and lower limb injuries due to the demands of physical activity. Custom orthotics can optimize foot mechanics, reduce stress on vulnerable areas, and enhance shock absorption during sports. By addressing issues like overpronation or improper foot alignment, custom orthotics can help athletes perform at their best while minimizing the risk of injuries.

7. Arthritis

Arthritis in the feet can lead to pain, stiffness, and reduced mobility. Custom orthotics can provide cushioning and support to reduce pressure on affected joints, helping to manage pain and improve overall foot comfort. By maintaining proper foot alignment, custom orthotics preserve joint function and enhance your ability to move with less discomfort.

8. Diabetes 

Individuals with diabetes are at a higher risk of foot complications due to reduced circulation and nerve damage. Custom orthotics can be crucial in preventing pressure ulcers, reducing the risk of wounds, and providing proper support. Orthotics designed to accommodate the specific needs of diabetic feet can contribute to maintaining foot health and preventing serious complications.

9. Workplace Demands

Jobs that involve prolonged standing, walking, or physical strain can take a toll on your feet. Custom orthotics can provide support and shock absorption to prevent fatigue, discomfort, and potential injuries. By improving foot alignment and cushioning high-pressure areas, orthotics help you stay comfortable and productive throughout your workday.

10. Post-Surgical Recovery

After foot surgery, your feet may require extra support and protection during healing. Custom orthotics can aid recovery by promoting proper alignment, reducing strain on surgical areas, and preventing excessive motion that could hinder healing. Your podiatrist may recommend orthotics designed to accommodate the specific requirements of your post-surgical needs.

11. Gait Abnormalities

Gait abnormalities, such as overpronation, over-supination, or uneven distribution of weight, can lead to discomfort and potential injuries. Gait analysis performed by your podiatrist can identify these issues. Custom orthotics can then be designed to correct your gait pattern, improving overall mechanics and reducing strain on muscles and joints.

Foot Injection Therapy

In addition to custom-made orthotics, another treatment option that a podiatrist might recommend is foot injection therapy. This therapy utilizes injections to relieve patients suffering from foot conditions such as arthritis, tendonitis, or plantar fasciitis.

One popular foot injection therapy is a cortisone shot in foot. This shot incorporates corticosteroids, which help reduce pain and inflammation in affected foot regions. As a result, patients experience relief and can carry on with their normal activities with minimal interruption.


If you frequently find yourself dealing with foot pain or discomfort, it is advisable to consult a podiatrist. They may suggest custom-made orthotics, foot injection therapy, or other treatments to ensure your feet are healthy, comfortable, and well-equipped to carry you throughout your daily endeavors. Regarding foot health, the insight and recommendations of a professional podiatrist are invaluable. So trust their advice and strive to maintain good foot health to improve your well-being.