The Importance of  a Proper Diagnosis

Before considering custom orthotics, it's crucial to:
- Get a proper medical diagnosis first
- Understand exactly why you need orthotics
- Consult a trained foot and ankle specialist
- Have clear treatment goals

Red Flags to Watch For

Be cautious if someone:
- Tries to sell orthotics without a diagnosis
- Suggests you need multiple pairs for different activities
- Recommends "sets" of orthotics
- Sells orthotics without examining your feet

What Makes a Quality Orthotic?

Durability
- Should last several years
- Made with quality materials
- Backed by manufacturer or doctor
- Built for long-term use

Proper Calibration
Custom orthotics must be calibrated for:
- Your specific foot shape
- Your body weight
- Your activity level
- Your particular foot condition

For example: Two people with size 9 shoes and medium arches but different weights (100 lbs vs. 300 lbs) need different orthotic specifications, not just different shapes.

The Importance of Proper Casting

Correct casting technique is crucial for effective orthotics:

Correct Casting Method
1. Heel positioned straight down
2. No tilting or rolling
3. Lateral column aligned properly
4. Toes positioned naturally
5. Maximum arch support maintained
6. Forefoot properly aligned

Common Casting Mistakes
- Simply standing in foam
- Allowing foot to roll inward
- Not maintaining proper arch position
- Incorrect heel alignment

The difference between proper and improper casting can be dramatic - the same foot cast two different ways will produce very different results.

The Right Choice

A properly made custom orthotic should:
- Work for all your activities
- Feel comfortable in any appropriate footwear
- Address your specific foot condition
- Provide long-lasting support
- Be based on accurate casting
- Be properly calibrated for your needs

Remember: One well-made, properly calibrated orthotic is better than multiple pairs of inferior quality or incorrectly made ones.

Joel Foster, DPM
Board certified podiatrist helping patients throughout the Kansas City area treat all foot & ankle conditions.