Custom Orthotics

IT ALL STARTS WITH THE FEET
Rehab United Custom Orthotic assessments, fittings, and castings are all done at any of our facilities. Custom orthotics are made to manage specific foot types that a limiting function, causing pain, and preventing normal activity or recreation. Our specialists determine the structural foot deformities encountered in clinical practice and look for expected compensations through the foot. In addition, we use all subjective information from the patient and their presentation to find compensations that result in either proximal or distal tissue or joint injuries. Finding a biomechanical rationale for the current acute or chronic injury is essential in creating a device that meets the needs of the foot allowing the client to return to a normal functioning status and pain free daily life.

 

CUSTOM ORTHOTICS

  • By teaming with Biomechanical Services, we are able to offer the most comprehensive custom orthotic services available
  • We take comprehensive measurements of your foot and ankle, both standing and lying down, to get the best results.
  • We discuss the patient, their lifestyle and their orthotic needs with a Biomechanical Services representative who then amalgamates the information and builds the ideal orthotic
  • Evaluation of proper foot wear (type, size, where to find) that fits both the clients needs and allows for a great fit for the device.
  • “Break-In” schedule to allow the foot and ankle to become accustomed to the devices.
  • For more information and to schedule an appointment, please contact one of our 4 locations
 

WHY CUSTOM AND WHAT ARE THEY FOR?

Custom orthotics assist with some common foot/leg deformities that can result in pain or injury, including:

  • Rear Foot Varus (Subtalar)
  • Compensated/Uncompensated Forefoot Varus
  • Forefoot Varus
  • Forefoot Valgus
  • Plantar Flexed 1st Ray
  • Supinatus
  • Forefoot Equinus
  • Plantar Lesions
   

Common structural deformities include a collapsed foot (pes planus) and rigid foot mechanics in the high arch type foot (pes cavus). Very commonly these foot types lead to functional changes such as over-pronation during walking and running, knee pain in running and jumping sports, leg length differences, “shin splints”, hip pain, and stress fractures, toe pain, lateral foot pain, and more. Custom orthotics capable of successfully managing all of these foot types.

 

STRUCTURAL IMBALANCES

From an anatomical look, the foot is one of the most important parts of our body considering it hits the ground first in in walking (one of our most important task). It is comprised of 26 bones and multiple joints that all operate in three planes of motion, but have biases towards specific plans depending on their orientation. The foot is amazing how it accommodates to various terrains flexing, loading, and unloading. A normal foot 1) should be pliable during initial contact to allow us to load the foot control up the chain to turn on the knee and hip musculature. It must shock absorb and adapt to the environment essential in the loading phase and 2) should lock up to allow for push-off during walking and running, and should function as a rigid lever creating stability during propulsion.

Structural and positional deformities of the feet or lower limb can negatively influence foot function during all standing and movement activities. Rehab United Custom Foot Orthotics are used to decrease abnormal compensations. We make our orthotics using a comprehensive Weight Bearing and Non-Weight Baring assessment. We have specific tools to measure forefoot and Rearfoot (arch and heel relationships) mechanics then follow that with a custom cast of your foot in the ideal neutral position. Each device is specific to your foot and are very effective in returning runners to previous levels of activity, allows for standing without heel pain, squatting without knee pain, and more.

 

ARE CUSTOM ORTHOTICS A “CRUTCH?”

Often clients are worried that by wearing orthotics they are creating a “crutch” or a false support for their foot or body. It is important to note that when a foot presents with a structural deformity, the body must compensate to get the foot flat on the ground. Those compensations can be very limiting and often are associated with non-foot injuries up or down the chain. An orthotic can be looked at similar to wearing glasses. The eye has a biomechanical deficit that is being corrected to normal by an external device. The orthotic operates in the same way allowing the foot, the first part of our body to touch the ground in function/walking (gait), to go through normal sequencing, speed, distance, and mechanical form. This allows the rest of the body to engage in normal motion and function.

 

HOW MUCH DO THEY COST?

Rehab United charges one rate that includes a comprehensive foot and ankle evaluation to determine if you are a candidate for custom orthotics. If it is determined that you will benefit than the PT will proceed with the full evaluation, measurement weight bearing and non-weight bearing, the casting process, shipping the molds to our manufacturer, and the fitting phase of the device. Additionally, the PT will cover all aspects of shoe selection, break-in period, additional rehabilitation suggestions, and follow through. The goal is to get them right, feel good, and we want you to use them.

 

CAN I USE MY INSURANCE?

Unfortunately no. This is a fee for service that we offer our clients and the community due to our specialty and biomechanical expertise.

THE PROCESS

1. Once you are casted, your orthotics will take approximately 2-3 weeks to be produced, shipped and received. At that time, our Front Office team will call to inform you that they have arrived. You may opt to stop by and pick them up at your convenience or schedule a time for the casting therapist to do a fitting to ensure they fit properly.

2. Once you receive your orthotics, we recommend that you gradually begin to wear the new insoles as your body will need time to adjust. Please follow the timeline below to ensure your comfort:

  • Day 1: Wear the orthotics 1 to 2 hours then remove

  • Following Days: Increase by a couple of hours per day

  • Increase as per comfort; remove if you feel pain or discomfort.

3. You have the option to purchase a warranty for your orthotics. This is a 2-year warranty and is purchased directly through the orthotics manufacturer, Biomechanical. This warranty covers one lost/stolen pair in addition to any repairs or resurfacing within that 2-year timeframe. You have up to 3 months after the orthotics completion date to purchase the warranty.

4. You have the option to purchase a second pair of orthotics at a reduced cost of $295.00. However, if you have interest in purchasing a second pair and you are not purchasing the warranty, the decision to do so must be made within 3 months from the time you receive your orthotics. Biomechanical disposes of all casts after 3 months if you do not purchase their warranty. Therefore, if you want to order a second pair and the casts are not available, you must be re-casted and pay the full rate of $395.00.

5. All repairs and resurfacing for your orthotics must be processed through Rehab United. Orthotics should not be sent directly to Biomechanical for these types of services. This ensures that the process is handled correctly and that the orthotics always reflect the original protocols from the casting therapist.