Custom orthotics are prescription inserts designed to match the exact contours of your feet and the way you move. Compared with generic insoles, they’re built from your foot measurements to redistribute pressure, support arches, and guide alignment through the ankle, knee, and hip. Clinically, orthotics are grouped into two broad types: functional (semi‑rigid to influence motion) and accommodative (softer to cushion and off‑load sensitive areas).
Non‑surgical & removable: Orthotics live in your shoes. They’re a conservative tool that integrates with everyday footwear.
Consultation & Assessment: We review your history, activity demands, footwear, and goals (heel pain, over‑pronation, standing tolerance, run mileage). Exam may include gait observation and simple movement screens.
Foot Capture: We take an accurate model of each foot (e.g., foam impression/casting or 3D scan) to capture your arch, heel position, and pressure patterns.
Prescription & Fabrication: Based on your needs, we select materials (from semi‑rigid shells to softer, accommodative builds) and add targeted features—heel cups, arch posting, forefoot accommodations. Your orthotics are milled or molded in a partner lab and finished with a durable top cover.
Fitting & Tuning: We fit the devices in your preferred shoes, check comfort and alignment, and make on‑the‑spot adjustments. You’ll get a simple break‑in schedule and shoe guidance.
Follow‑Up: We review progress and make refinements. As your activity changes—or if symptoms shift—tuning the devices helps maintain results.
What You’ll Feel & When (Typical Timeline)
Week 1: New support can feel “different.” Start with short wear periods in supportive shoes.
Weeks 2–3: Increase wear time daily; most people reach full‑day comfort within 2–4 weeks.
Ongoing: As comfort stabilizes, introduce higher‑impact activity (running, sport) per your plan.
Load redistribution for pain relief: Off‑loads irritated structures (e.g., plantar fascia, metatarsals) while supporting arches and heel alignment.
Movement efficiency & endurance: Guides foot mechanics to reduce excessive collapse/tilt, supporting knees, hips, and lower back during daily life and training.
Protection for sensitive areas: Accommodative builds cushion high‑pressure zones and can help protect vulnerable skin.
Orthotics are most effective when paired with the right shoes and simple strength/mobility work. They’re a tool—not a cure‑all.
Heel/arch pain (plantar fasciitis), forefoot pressure, or achy arches
Over‑pronation/flat feet or high arches affecting comfort or mileage
Repetitive‑stress or standing jobs, runners and walkers increasing distance
Sensitive areas that benefit from cushioning/off‑load (calluses, bony prominences)
Safety & When to Consult First
Custom orthotics are safe for most people when properly fitted and reviewed.
Use caution / medical guidance needed:
Diabetes or poor circulation/neuropathy—monitor skin closely and report hot spots immediately
Active wounds, ulcers, or infections—require medical care before orthotic use
Significant deformity or sudden neurologic changes—requires specialist evaluation
Longevity House Member
At Simpson Medical, we personalize every chiropractic plan based on your goals. Our team is extensively trained to provide relief.
Prescription based on your exam, foot capture, and activity demands.
Clear break‑in guidance, shoe advice, and simple strength drills to support long‑term results.
We can pair orthotics with chiropractic care, stretching, and recovery services to reinforce durable change.
We offer in‑visit tuning and periodic check‑ups so your devices keep working as you do.
Includes screening to tailor techniques and ensure stretching is a good fit for you.
Any Concerns?
Store inserts can cushion or support mildly; custom devices match your feet and gait for targeted support and durability.
Often 1–3+ years depending on materials and mileage. We recommend a yearly check and sooner if discomfort returns.
Most athletic and casual shoes work well. Dress or narrow shoes may need a slimmer build—bring your footwear to the fitting.
Early muscle fatigue or mild soreness can be normal during break‑in, but sharp pain or skin irritation isn’t—pause wear and contact us for an adjustment.
Not necessarily. Many people transition to maintenance once symptoms resolve, with periodic use during heavy training or long workdays.
Includes screening, foot capture, and a personalized break‑in plan.
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