Custom-Made Orthotics vs Over-the-Counter
Custom-Made Foot Orthotics
A custom-made foot orthotic is made specifically for the patient following an assessment of their feet and legs by a footcare expert such as a Canadian Certified Pedorthist.
A custom-made foot orthotic is made from a three-dimensional model of the patient’s foot and is fabricated from raw materials. It is designed to meet the patient’s unique and specific needs. A custom-made foot orthotic can be
Accommodative
Where the primary goal is to deflect pressure away from ulcers, calluses and other painful pressure points
Functional
A device primarily designed to control foot and lower leg biomechanical function
PROS
Custom-made foot orthotics provide accurate biomechanical assistance.
There is an ongoing ability to modify the device to create perfect fit and function.
A vast variety of materials can be used to provide specific support and cushioning for increased function and comfort.
Custom-made foot orthotics have a longer lifespan that may off-set the greater initial cost.
CONS
Although many insurance programs cover orthotics, a custom-made foot orthotic costs significantly more than an over-the-counter device.
Over-the-Counter Devices
Unlike custom-made foot orthotics, basic over-the-counter devices are mass produced and sold through pharmacies, grocery stores, and other retail stores. More supportive types of over-the-counter devices can be found at pedorthic clinics.
PROS
Over-the-counter devices have the added benefits of convenience and affordability.
Many over-the-counter devices bring satisfactory results in treating common foot conditions resulting from minor biomechanical abnormalities. For example, they can be used as a temporary device for a child who is rapidly growing or as a “first step” to provide insight into how a patient will respond to and tolerate an orthotic.
CONS
They do not fit all foot types.
They only support moderate biomechanical abnormalities. More significant issues will likely require a custom-made device.
They typically have a shorter life span than a custom-made foot orthotic.