Your custom orthotics by Foothills Pedorthics include three visits to our office including a biomechanical evaluation and the casting of your feet, fitting the orthotics in your shoes, and re-evaluating the orthotics once you have worn them for a time.
On your first visit, a full biomechanical evaluation will be provided. Biomechanics is the study of human locomotion — how the foot moves affects the rest of the body. A house can’t be built on a crooked foundation. If the feet are not balanced correctly while in motion, all joints up the line may be affected. Ankle, knee, hip, and back pain can all be caused by foot imbalances.
In a biomechanical and foot evaluation, the different planes of the foot are viewed to see any imbalances that may be present. Watching the patient walk reveals deficiencies that may have gone undetected for months or even years.
Feet will be cast for the building of orthotics. Several different casting methods are used, depending on the pathology of the patient.
Shoe-fitting concerns will be addressed. Shoes hold the orthosis in the proper place on the foot, so shoes can maximize the value of an orthosis or limit it. Because an orthosis takes up room that would otherwise be available for the foot, not all shoe types are suitable for an orthosis. Many of today’s shoes, however, are manufactured with a removable insole, which is the “bed” the foot rests on in a shoe. When the insole is removed, there may be sufficient space to replace it with an orthosis. Treatments and stretches may be given for specific foot problems.
Two weeks after casting, the orthotics will be dispensed and fitted to shoes. Two or three different pairs of shoes that are frequently worn should be brought at this time. Shoes with extra depth or that have removable insoles work best. We will make adjustments to the orthotics if necessary and give proper break-in instructions.
A recheck appointment will be set up for two weeks after the dispense. We will recheck the patient’s condition using wear patterns on the orthotics, verbal feedback from the patient, and any changes in gait. We will then make any adjustments or changes to the orthotics that are needed.
The orthotic cost is $495. This fee includes three office visits, casting and adjustments, and the first pair of orthotics. Casts of the feet are provided to the patient so that additional orthotics can be made at a cost of $225/pair. Additional pairs of orthotics can be built to fit sport sandals, ski boots, dress shoes, and other various footwear.
A deposit is taken on the first visit, with the balance due at the time of dispense. We will provide all the necessary billing codes and information so that our patients may file with their own insurance company, as we do not file insurance claims.
* Prices subject to change
Wearing Your Custom-Fit Orthotics
The following suggestions will help you get maximum benefit from your custom orthotic footbeds.
- Always place the orthotics into your shoes as far toward the heels as possible. Make sure the correct orthotic is in the left and right shoe.
- Wear your orthotics for only a couple of hours the first day and increase by an hour or two each day. The break-in period may vary with the individual. Use common sense and listen to your feet and body.
- Orthotics change the way you walk and the way your muscles work. You may now be using muscles you have not used in a long time. Foot and leg muscle fatigue, as well as discomfort, can occur during the initial break-in period.
- If your orthotics squeak while walking, place a bit of talc-based baby powder into your shoes.
- Orthotics work best when worn with socks or stockings.
- When purchasing new shoes, try them with your orthotics. For proper fit, it will probably be necessary to buy footwear with removable insoles. We will gladly give you information on shoe types which will work best for you.
- Never wash your orthotics in hot water or leave them in your shoes when your shoes are wet.
- If your orthotics are uncomfortable after the break-in period, or if they pinch or cause blisters, please stop wearing them and call for an adjustment.
- Casting for orthotics cannot capture dynamic foot position in all phases of the gait cycle. Therefore, occasionally, minor adjustments are necessary.
- Save your casts for future pairs of orthotics.