1. What To Look For
Before Purchasing
Custom Orthotics

2. There are a number of problems that can cause a
person to need orthotics for one or both feet. Some
medical conditions are so serious or painful that
walking around without an insert is nearly impossible.
One of the most effect ways to deal with this problem
is to have custom orthotics produced. These medical
devices are sculpted to conform exactly to the foot to
provide the unique support that is needed. There are
a few points to consider before making a purchase.

3. Casting Technique
There are three different techniques that are used to define
the shape of the foot. The first is making an impression in a
foam box. The second is to wrap the foot in a type of plaster in
order to create a mold. The final method is to use a pressure-
sensitive plate that is connected to a computer in order to record
weighted areas. There are also new technologies that allow
three-dimensional (3D) scanning of the feet. The important thing
to consider is that a person who cannot stand correctly on the
feet will require either a foam box or plaster casting since they
can be done while the foot is elevated.

4. Flexibility
Custom orthotics can be rigid, semi-rigid or
soft. The flexibility of the insert is normally
determined by the type of problem that is being
treated. In some cases, however, soft and semi-
rigid orthotics can be used interchangeably. Soft
constructions are preferable for people who will
be standing or walking for long periods during the
day. The harder materials will provide better
support for advanced conditions but are less
comfortable.

5. Qualifications
The medical professional who is overseeing
the process, making the casting and prescribing
the insert should have the correct qualifications
to make these types of decisions. The most
common way to tell is to look for a degree in
orthotics. A qualified individual will also have
some type of license. There are national and
local certifications that will indicate that the
person diagnosing the problem is qualified to
prescribe a custom insert.

6. Finished Size
It is important to consider how much extra
width and height the insert will add to the foot.
This will determine whether it will be able to fit
into existing shoes that are worn without the
orthotics, or whether new larger shoes will have
to be purchased later. There are some steps
such as using softer materials that can adjust
the finished size of the orthotics so that they will
be able to fit inside of existing footwear.

7. Warranty
It takes time and patience to create custom orthotics. The
process of replacing a damaged or broken insert can take
weeks. It is important to check if there is some type of warranty
covering replacement or repair of the device. There could be
manufacturing issues that cause the materials to come apart
later. Normal use might cause damage in a short period of time.
There are even situations where orthotics will start to change
shape after a week because of construction issues. Having a
warranty will mean that replacing or repairing the orthotics can
be done quickly and easily.