An in-shoe assistive medical device which is designed specifically to support, cushion, and potential alter less than optimal gait patterns acting on the plantar aspect of the foot. This is done in order to allow more normal lower extremity function and to decrease high pressure load bearing areas of the foot during weightbearing activities.
Custom Orthotics vs. Store Bought Insoles
Store Bought Insoles or Over the Counter Foot Orthoses, according to the PAC Website, Pedorthic Terminology 2011 are defined as: "mass-produced devices that are not unique to the patient."
Where as The Pedorthic Association of Canada defines a custom foot orthoses as “an internal foot appliance which is manufactured from a three dimensional image of the foot, and made from raw materials. A custom foot orthoses can accommodate bony deformities, and/or modify the movement pattern of the foot and lower limb.” (Pedorthic Association of Canada, Pedorthic Terminology, 2003)
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After an extensive, gait analysis, weightbearing and non-weight bearing assessment are completed a cast mold of the patients foot is take using either a foam box impression, plaster, or digital scanning.
A positive cast is made from the negative mold and the shell is than thermoformed with the positive.
Once all of the shell specifications are complete any additions necessary ie. posting, extensions, cushion, metatarsal padding, etc., are added and the bottom and top cover materials applied.
For more details on Custom Orthotic Manufacturing click the button below to check out the Biotech Orthotic Design Inc. Website!