OrthotiCare Clinics – Custom Foot Orthotics

What is a foot orthotic?
A foot orthotic is an orthotic device that can be inserted into footwear to provide improvements in support, alignment and biomechanics. It may also be used to provide accommodation for a foot deformity. Proactively, a foot orthotic can be used to prevent an injury or to protect an existing injury while it heals.

What is a custom foot orthotic?
A custom foot orthotic is made by a qualified professional, such as a Canadian Board Certified Orthotist. A superior custom foot orthotic is made from a plaster cast of the patient’s foot, held in a corrected position to maximize function and comfort. Corrections and modifications are made, during the the patient’s plaster slipper-casting, to address their specific diagnosis, orthotic prescription and treatment goals.

At OrthotiCare Clinics, our custom foot orthotics are made through a process that includes a full clinical and biomechanical evaluation of the patient, plaster slipper-casting (with modifications) of the patient’s feet, plaster-mould fabrication, and production of the custom foot orthotics from raw materials at our on-site fabrication lab. Final custom finishing adjustments are made at the fitting appointment, and we include a period of follow-up adjustments and care.

We make our custom foot orthotics onsite to ensure that the shape of your corrected foot cast is faithfully maintained throughout our entire process. Our goal is to provide you with superior quality custom foot orthotics that maximize your function, fit and comfort.

We also offer high-quality, pre-fabricated foot orthotics for those who do not require a prescribed custom orthopaedic solution. We can modify, and fit into footwear, any of the pre-fabricated foot orthotics that we carry. This option may be suitable for some children, when they are growing and will need additional pairs of foot orthotics in the near future.


OrthotiCare Clinics’ 7-Step Custom Foot Orthotics Process:

At this appointment, the Certified Orthotist performs a full clinical assessment of the patient to confirm the diagnosis and the recommended orthotic treatment plan. This appointment includes an evaluation of range of motion, and static and dynamic foot/ankle positioning. An analysis of how the patient walks and uses their feet (i.e. gait analysis) is performed. Any other factors impacting the orthotic treatment will be noted. As needed, our Certified Orthotist consults with the prescribing physician or other care team members.
We make our custom foot orthotics using a precise plaster slipper-casting method. When performed by an experienced Certified Orthotist, this is a superior method for the design of custom foot orthotics. During plaster casting, the Certified Orthotist marks the adjustments needed to achieve the biomechanically correct position of each foot. Elements to incorporate for cushioning, accommodation and support are all planned for during this stage.
Plaster is poured into the plaster slipper-casts of the patient’s feet. Once dry, the slipper-casts are removed leaving 3-D plaster impressions of the patient’s feet – with all of the necessary markings on them for any modifications or additions needed. The Certified Orthotist modifies these plaster moulds to the custom measurements and specifications set out in the clinical assessment and custom plaster slipper-casting appointment.
At our on-site fabrication lab in Nanaimo, our highly skilled Orthotic Technician uses the modified plaster moulds, and the raw materials appropriate for the planned orthotic treatment, to laminate, vacuum-form, and manufacture the custom foot orthotics for each patient. Raw materials are selected based on the specific orthotic treatment results required for each patient. The custom foot orthotics are trimmed and then smoothed on a grinder to achieve a high-quality finish.
At the fitting and adjustments appointment, the Certified Orthotist may further trim and grind the custom foot orthotics in order to fit the foot orthotics smoothly into the patient’s footwear. Quality, supportive footwear (such as an athletic, walking or orthopaedic shoe) is recommended to provide a base for the custom foot orthotic to sit on. The Certified Orthotist performs another clinical evaluation to ensure that all orthotic treatment goals have been met and that the best function, fit and comfort are achieved. Initial patient feedback is critical to make any fine adjustments needed to fully finish the custom foot orthotics.
Some patients will feel comfortable wearing their custom foot orthotics right away and other patients may require an adjustment period. Patients should begin by wearing their custom foot orthotics for as long as is comfortable. If they become uncomfortable, the custom foot orthotics should be removed from the footwear for a couple of hours and then re-tried. Initially, minor aches or tired feet are normal, but this should lessen over time. After one week of wearing the foot orthotics, if there is any discomfort then the patient should contact OrthotiCare Clinics to book a follow-up appointment for an adjustment.
If a patient requires further adjustments to their custom foot orthotics, a period of follow-up care is included, following the date the custom foot orthotics are dispensed. If a patient’s feet are not comfortable at any time, we want to know. Please contact our Nanaimo Main Clinic.

Some of the many Custom Foot Orthotic Treatments that we provide:

  • Custom, Prescription Foot Orthotics for adults and children
  • Custom and Pre-fabricated Sports Foot Orthotics (for running, walking, soccer, skiing, tennis, hockey, golf and more)
  • Custom designed and made ballet PointeParts for pointe shoes
  • Carbon Plate Foot Orthoses
  • Custom Heel Orthotics, Cups and Lifts
  • Hallux Valgus, Bunion splints
  • Metatarsal Pads
  • Inter-digital toe inserts
  • Silicone Toe Sleeves
  • Custom-made, prescription Orthopaedic Shoes and Boots

Some of the conditions that our Custom Foot Orthoses can help to treat:

Achilles Tendonitis
Arthritis of the foot
Hallux Limitus Rigidus
Hammer Toes
Heel Spurs
Morton’s Neuroma
Pes Cavus
Plantar Fasciitis
Prominent Metatarsal Heads
Over Pronation
Shin Splints