Orthotics for foot pain

What are custom orthotics?

When it comes to orthotics, you have two options to consider: off-the-shelf and custom.

Off-the-shelf orthotics are readily available in drug and retail shoe stores, so there’s no waiting before you can try them out in your shoes. Plus, they are an inexpensive option, with prices ranging from $30-$100. But you may need to replace them after a year or so of wear. Because there are so many options out there—different arch heights, amount of cushioning, degree of rigidity—it’s still a good idea to consult a healthcare professional, such as a Canadian Certified Pedorthist, to help determine your foot corrective needs. Off-the-shelf orthotics can be good first start to correcting your foot problems.

When you’re ready to make more of an investment, custom orthotics are an effective option. Unlike orthotics you can buy at the drugstore, these ones are designed specifically for your foot and are built to last. Following an assessment, a cast is made of your foot using plaster, a foam mold or a 3D-laser scan. This cast is used to create an orthotic with personalized adjustments that target your foot condition.

There are two types of custom orthotics: functional orthotics and accommodative orthotics.

Functional orthotics focus on helping you regain proper alignment in the bones of your foot as you bear weight on it while walking. They are often made of rigid or semi-rigid materials.

Accommodative orthotics are designed to relieve stress on firm or inflexible feet. They tend to be made of softer, more flexible materials than functional orthotics, such as cork, leather, plastic foams, and rubber materials. Individuals with diabetes or arthritis can benefit from accommodative orthotics.

Podiatrist vs. Pedorthist: What’s the difference?

Many people hear the terms podiatrist and pedorthist and are confused about who does what. Which one is the foot doctor? Who should I see first?

Both podiatrists and pedorthists are highly trained healthcare professionals with education and experience that focuses on feet. However, their education and the tasks they perform are different.

Podiatrists have an undergraduate degree (BA/BSc) and a Doctor of Podiatry Medicine degree (DPM). They diagnose and treat foot problems, often prescribing custom orthotics as a part of treatment.

On the other hand, pedorthists have an undergraduate degree in kinesiology or related field, along with either a post-graduate Diploma in Pedorthics or a three-year apprenticeship. While your podiatrist may prescribe orthotics, your pedorthist will make and fit the orthotic—or recommend a non-custom, off-the-shelf option. They are trained in the assessment of the foot and lower limb, as well as the design, manufacturing and fitting of foot devices. This includes modifying custom footwear.

From foot assessments to modifying devices, there are a range of individuals who can help, including podiatrists, pedorthists, chiropodist, orthotists and other clinicians such as physiotherapists or chiropractors.

How can orthotics helps my foot problems?

Orthotics can help reduce pain in the arch, heel or toe joints, as well as other parts of the body that are affected when your feet aren’t in balance or functioning properly. Orthotics can help correct posture and help you become more efficient at walking, standing, running and sports.

What are orthopedic shoes?

Orthopedic shoes are custom corrective footwear that can be worn with removable orthotics. They are especially helpful if you have a foot deformity, complicated foot injury, wide bunion, open sore, or neurological disease affecting your feet.