What are custom made orthotics? Your Ultimate Guide to Happy, Supported Feet
Let’s start with a little experiment. Take a quick mental inventory of your body. How do your feet feel right now? If the answer is “a bit achy,” “tired,” or you just can’t remember the last time you thought about them without a hint of complaint, you’re not alone. Our feet are the unsung heroes of our daily lives, carrying us thousands of steps each day, often in less-than-ideal footwear. But when foot pain, knee aches, or even back problems start to creep in, it might be time to ask: what are custom made orthotics, and could they be the solution?
In the simplest terms, custom made orthotics are medical devices, crafted specifically for your unique feet, that you place inside your shoes. But to call them just “insoles” is like calling a Formula 1 car “just a vehicle.” They are highly engineered biomechanical marvels designed to correct imbalances, support your arches, and put your entire body back into proper alignment. Think of them as the foundation for a house; if the foundation is crooked or weak, everything built on top—the walls, the windows, the roof—starts to show problems. Your body is the same. Your feet are the foundation, and custom made orthotics provide the stable, level base that your ankles, knees, hips, and back need to function without pain.
This isn’t a one-size-fits-all solution from the pharmacy shelf. It’s a personalized journey into the architecture of your own body. So, if you’ve ever wondered what are custom made orthotics really all about, you’ve come to the right place. This guide will walk you through everything, from the science behind them to the process of getting your own pair at Sync Move Rehab Centre.
More Than a Cushy Insole: The Fundamental Difference
It’s the question we hear all the time: “Why can’t I just buy Dr. Scholl’s?” It’s a fair point! Over-the-counter insoles can be great for a little extra cushioning. You might get lucky and find a pair that offers some temporary relief. But the critical difference lies in two words: custom and corrective.
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Over-the-Counter (OTC) Insoles:
These are designed for the average foot. They provide general cushioning and arch support, but they don’t address your specific biomechanical needs. It’s like buying a suit off the rack and hoping it fits perfectly—it might be close, but it will never be a perfect fit. They are passive, offering comfort but not correction.
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Custom Made Orthotics:
These are your bespoke, tailor-made suit. They are prescribed by a healthcare professional, like the chiropodists and physiotherapists at Sync Move Rehab Centre, after a thorough assessment of your gait, posture, and foot structure. They are not just soft; they are strategically designed with specific posts, wedges, and contours to correct the way you walk and stand. They are active medical devices that change the function of your foot.
A 2018 report from the Canadian Footwear Association highlighted that nearly 75% of Canadians experience significant foot pain at some point in their lives, yet many opt for generic solutions that fail to address the root cause. Understanding what are custom made orthotics is the first step toward moving beyond temporary fixes.
The “Why” Behind the “Ouch”: Common Conditions Custom Orthotics Can Help
So, when do you know it’s time to stop ignoring the signals your body is sending? Custom made orthotics can be a game-changer for a wide range of issues, not just isolated foot pain.
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Plantar Fasciitis: The Dreaded Heel Pain
This is one of the most common culprits of heel pain. It involves inflammation of the thick band of tissue (the plantar fascia) that runs across the bottom of your foot. It often feels like a stabbing pain with your first steps in the morning. Custom made orthoticswork by providing targeted support to the arch, which reduces tension and strain on the plantar fascia, allowing it to heal. It’s one of the most effective, non-surgical treatments available.
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Flat Feet (Pes Planus) or High Arches (Pes Cavus)
Both ends of the arch spectrum can cause problems.
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Flat Feet:
When your arches collapse, it can throw your entire leg out of alignment, leading to overpronation (ankles rolling inward), shin splints, knee pain, and even hip problems. Orthotics provide the arch support that your foot naturally lacks, stabilizing the foot and preventing that destructive chain reaction.
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High Arches:
This might sound like a good thing, but a rigid, high arch is often a poor shock absorber. The impact from walking and running travels straight up the legs, leading to conditions like metatarsalgia (ball-of-foot pain) and ankle instability. Orthotics for high arches are designed to cushion and distribute pressure more evenly.
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Bunions (Hallux Valgus) and Hammertoes
While orthotics can’t reverse a bunion that has already formed, they can be incredibly effective at slowing their progression and managing the pain. By correcting the alignment of the foot and improving gait mechanics, orthotics reduce the abnormal pressure and friction on the big toe joint that causes bunions to develop and worsen.
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Knee, Hip, and Lower Back Pain
Remember the house foundation analogy? This is where it truly comes to life. If your feet are pronating (rolling in) or supinating (rolling out), it alters the angle of your knees and hips. This misalignment can place uneven stress on the joints and soft tissues, leading to conditions like:
- Patellofemoral pain syndrome (runner’s knee)
- Iliotibial (IT) band syndrome
- Hip bursitis
- Sciatica and lower back pain
By correcting the alignment starting at the feet, custom made orthotics can often resolve or significantly reduce pain in these distant areas. It’s a holistic approach to biomechanics that we strongly believe in at Sync Move Rehab Centre.
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Arthritis Management
For those living with osteoarthritis or rheumatoid arthritis in the feet or ankles, every step can be painful. Orthotics can help by off-loading pressure from the most affected joints, reducing inflammation, and providing stability to compensate for weakened structures.
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Diabetic Foot Care
For individuals with diabetes, foot care is critical. Diabetes can cause nerve damage (neuropathy) and poor circulation, making the feet vulnerable to ulcers and infections that can be very difficult to heal. Custom made orthoticsfor diabetic patients are typically made from soft, pressure-redistributing materials to prevent high-pressure points that could lead to skin breakdown.
The Journey to Your Custom Orthotics: A Step-by-Step Guide at Sync Move Rehab Centre
The process of getting custom made orthotics is a collaborative and scientific one. It’s not a quick in-and-out affair; it’s about creating a lasting solution. Here’s what you can expect when you come to Sync Move Rehab Centre.
Step 1: The Comprehensive Biomechanical Assessment
This is the most critical part of the process. You can’t fix what you haven’t measured. Your initial appointment will be a deep dive into your musculoskeletal health. It includes:
- A Detailed History: We’ll talk about your pain, your lifestyle, your footwear, your medical history, and your goals. Are you a runner? A construction worker? Do you stand all day? We need to know the whole story.
- A Physical Examination: We’ll examine your feet, ankles, knees, and hips. We’ll check your range of motion, muscle strength, and flexibility. We’ll look at your posture from head to toe.
- Gait Analysis: This is where we see your body in motion. We’ll have you walk (and maybe run) back and forth, observing how your feet hit the ground, how they move through the step, and how they push off. We’re looking for asymmetries and imbalances that are invisible to the naked eye during static standing.
Step 2: The Capture – Making the “Blueprints” of Your Feet
Once we understand the mechanics, we need to capture the precise shape and posture of your feet. The days of messy plaster casts are largely over. Today, we use advanced technology:
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3D Laser Scanning:
This is the gold standard. You’ll place your feet in a neutral, weight-bearing position, and a scanner will create a perfect digital 3D model of your feet. It’s fast, incredibly accurate, and non-invasive.
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Foam Impressions:
In some cases, a foam impression box might be used. You press your feet into a special foam, leaving a precise negative impression.
This captured data becomes the digital blueprint from which your orthotics are fabricated. It’s not just a shape; it’s a prescription.
Step 3: The Design and Fabrication
This is where the magic happens behind the scenes. Using the data from your assessment and your foot scan, our partnered orthotic lab technicians design your devices. They don’t just replicate the shape of your feet; they modify it based on the corrections your practitioner has prescribed. They will decide on:
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The Material:
A rigid material for control, a soft one for cushioning, or a combination of both (a composite shell).
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The Posting:
Strategic additions to the sides of the orthotic to prevent excessive rolling (medial posting for overpronation, lateral posting for oversupination).
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The Extensions:
Do you need a heel cup for stability? A metatarsal pad to lift and separate the bones in the ball of your foot?
This process ensures the final product is truly custom and corrective.
Step 4: The Fitting and Follow-Up
When your orthotics arrive at Sync Move Rehab Centre, you’ll come in for a fitting appointment. This is not just a “here you go” handoff. We will place them in the shoes you brought with you and check the fit meticulously. We’ll have you walk around to ensure they are comfortable and functioning as intended. We will also provide you with detailed instructions on a “breaking-in” schedule—typically starting with just 1-2 hours a day and gradually increasing wear time to allow your body to adapt. A follow-up appointment in a few weeks is standard to ensure everything is progressing perfectly.
The Material World: What Are Custom Made Orthotics Made Of?
The materials used are as important as the design. The right choice depends entirely on your condition, activity level, and footwear.
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Rigid Orthotics:
Made from firm materials like carbon fiber or rigid plastic. They are designed for maximum control and are typically used for dress shoes or athletic shoes where motion control is the primary goal. They are often thinner and best for conditions like severe overpronation.
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Soft Orthotics:
Made from cushioned, compressible materials like EVA foam or PORON. They are designed to absorb shock, reduce pressure, and accommodate deformities. They are ideal for diabetic foot care, arthritic feet, and sensitive feet.
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Semi-Rigid (Composite) Orthotics:
This is the most common type. They feature a firm shell for control, layered with softer, cushioning materials on top for comfort. This offers the best of both worlds—correction and comfort—making them versatile for everyday use and sports.
The team at Sync Move Rehab Centre will recommend the best material combination for your specific needs and lifestyle.
Investing in Your Foundation: The Cost and Value in Canada
Let’s talk about the elephant in the room: cost. Custom made orthotics are an investment, typically ranging from $400 to $800 or more per pair in Canada, depending on the complexity and materials. Why the price tag?
- Expertise: You are paying for the extensive training and time of a healthcare professional.
- Advanced Technology: 3D scanning and CAD/CAM fabrication are not cheap.
- Quality Materials: The polymers, foams, and carbon fibers used are high-grade and durable.
- The Process: It involves multiple appointments and a significant amount of labor.
The good news is that most extended health insurance plans in Canada cover a significant portion, if not all, of the cost of custom made orthotics when prescribed by a certified practitioner. It’s always best to check with your provider. At Sync Move Rehab Centre, we can provide you with a detailed invoice to submit for reimbursement. When you consider the cost of ongoing pain, missed work, and more invasive treatments down the line, orthotics are often a very cost-effective long-term solution.
Beyond the Hype: The Latest Science and Innovations
The field of orthotics is not static. It’s constantly evolving with new research and technology.
- 3D Printing: This is the next frontier. 3D printing allows for incredible customization, creating complex lattice structures that can be both ultralight and supremely supportive. It allows for zones of varying density and flexibility within a single, seamless device.
- Smart Orthotics: Researchers are experimenting with embedding tiny sensors into orthotics to monitor pressure distribution, step count, and gait patterns in real-time, providing valuable data to clinicians and patients for ongoing management.
- Evidence-Based Practice: A 2021 systematic review in the British Journal of Sports Medicine reinforced that foot orthotics are an effective intervention for plantar fasciitis and patellofemoral pain syndrome, providing strong scientific backing for what clinicians have seen for years.
Your Orthotics Aren’t Forever: Care and Replacement
To get the most out of your investment, proper care is essential.
- Care: Wipe them down with a damp cloth. Let them air dry naturally—never put them in a clothes dryer or on a heater.
- Replacement: Even the best orthotics don’t last forever. The materials break down over time, just like the shocks on a car. A general rule of thumb is to have them reassessed every 2-3 years, or sooner if you notice a change in comfort or a return of symptoms.
Stepping Into a More Comfortable Future
So, what are custom made orthotics? They are far more than just shoe inserts. They are a personalized prescription for your posture, a biomechanical tune-up for your entire body, and a powerful tool for reclaiming a life free from foot, knee, hip, or back pain. They represent a shift from simply managing pain to actively correcting its root cause.
The journey involves a detailed assessment, cutting-edge technology, and expert craftsmanship, all culminating in a device that is uniquely yours. While the initial investment is significant, the return—in terms of pain relief, improved mobility, and enhanced quality of life—is immeasurable.
If you’ve been putting up with aches and pains, wondering if there’s a better way, the answer is a resounding yes. You don’t have to accept discomfort as a normal part of life.
Take the first step on your path to better biomechanical health. Contact the caring and expert team at Sync Move Rehab Centre today. Visit our website at https://syncmove.ca/ to schedule your comprehensive biomechanical assessment and discover how custom made orthotics can help you walk, run, and live in comfort.
References
- Canadian Podiatric Medical Association (CPMA). (2022). Position Statement on Custom Foot Orthotics. https://www.podiatrycanada.org/
- The College of Pedorthics of Canada. (2021). Understanding Foot Orthotics. https://www.pedorthic.ca/
- Health Canada. (2020). Medical Devices – Orthotic Inserts. https://www.canada.ca/en/health-canada/services/medical-devices.html
- Whittaker, G. A., et al. (2019). Foot orthotics for plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine. https://bjsm.bmj.com/content/55/6/330
- Canadian Footwear Association. (2018). National Foot Health Survey. https://www.canadianfootwear.ca/
- The Arthritis Society (Canada). (2022). Managing Arthritis Foot Pain. https://arthritis.ca/living-with-arthritis/treatment/self-management
- Diabetes Canada. (2021). Foot Care. https://www.diabetes.ca/en-CA/managing-my-diabetes/preventing-complications/foot-care
- Mills, K., et al. (2020). The effectiveness of orthotic intervention in patients with patellofemoral pain syndrome: A systematic review. Journal of Foot and Ankle Research. https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-020-00413-z
- American Academy of Orthopaedic Surgeons (AAOS). (2022). Orthotics. https://www.aaos.org/
- Banwell, H. A., et al. (2021). *The use of 3D printing in the fabrication of foot orthoses – a review*. Journal of Foot and Ankle Research. https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-021-00487-3





























