Treatment Guide
Custom Orthotics
Prescription foot inserts precisely crafted to support, correct, and offload your feet.
Overview
Custom orthotics are physician-prescribed, individually fabricated insoles designed to correct biomechanical abnormalities, redistribute pressure, and support the foot in its optimal functional position. Unlike over-the-counter insoles - which are mass-produced to generic specifications - custom orthotics are cast or scanned directly from your foot, capturing the unique contours of your arch, heel, and forefoot. They are prescribed by Dr. Golan following a thorough biomechanical examination and gait analysis, and are manufactured by a certified orthotics laboratory to his exact specifications. Custom orthotics can be accommodative (providing cushioning and offloading for sensitive areas) or functional (controlling abnormal motion and correcting alignment). They fit inside most regular shoes and are durable enough to last several years with proper care.
Benefits
- Correction of biomechanical imbalances that cause chronic foot, ankle, knee, and back pain
- Reduction of pressure on bony prominences, calluses, and diabetic foot ulcer sites
- Improved shock absorption during walking and athletic activity
- Support for flat feet, high arches, and abnormal pronation or supination
- Prevention of recurring foot conditions when worn consistently
- Long-term durability - most custom orthotics last 3-5 years
What to Expect
At your orthotics appointment, Dr. Golan will conduct a detailed biomechanical assessment - evaluating your standing posture, gait pattern, joint range of motion, and foot structure. A cast, foam impression, or 3D digital scan of your foot will be taken while your foot is held in its corrected position. This is sent to a specialized laboratory where your orthotics are fabricated. Most patients receive their custom orthotics within 2-3 weeks. A follow-up fitting appointment ensures proper fit and alignment. A short break-in period of 1-2 weeks is normal as your muscles and joints adapt to the corrected positioning.
Who Is a Candidate?
Custom orthotics are appropriate for patients with plantar fasciitis, flat feet, high arches, bunions, hammertoes, metatarsalgia, heel pain, diabetic foot conditions, sports-related overuse injuries, and chronic knee or back pain linked to foot biomechanics. They are also an excellent preventative measure for runners, athletes, and individuals who spend long hours on their feet.
Frequently Asked Questions
Are custom orthotics covered by insurance?
Many insurance plans cover custom orthotics when prescribed by a physician for a documented medical condition. Our office will work with your insurer to verify coverage prior to fabrication.
How long do custom orthotics last?
Most custom orthotics last 3-5 years depending on activity level and body weight. We recommend annual evaluations to assess wear and function.
Can I use orthotics in all my shoes?
Custom orthotics can be fitted for most dress shoes, athletic shoes, and work boots. Sandals and high heels have limited accommodation, but sport-specific or dress orthotics can be made for specific footwear.
Ready to get started?
Schedule a consultation with Dr. Golan to find out if custom orthotics is the right treatment for you.
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