Frequently Asked Questions

What are custom foot Orthotics?
Custom foot orthotics are custom made inserts that go into your shoes to address many types of foot disorders. They provide support, correction and cushioning to improve foot performance and comfort.

Are they uncomfortable? Do I need to work in the Orthotics?

Proper orthotics are designed to treat foot discomfort, not cause it. Because the custom foot orthotics may change your foot posture, a break- in period of 1 – 2 weeks is normal. Increase your wear by 1 hr. per day.

Will the Orthotics fit in any shoe?

If the shoe has a removable foot bed that is deep enough it may accommodate a custom foot orthotic. Orthotics for Running shoes / casual shoes are interchangeable; however between running shoes and sandals is challenging. Similarly, dress shoes have a narrower fit and may not accommodate an orthotic made for a running shoe. Dress shoes may require a separate low profile dress orthotic for proper fitment.

What is the Process of obtaining Orthotics?

1) Most Insurance companies cover some if not all the cost of Custom Orthotics. Contact your provider for more details; Some plans may cover orthopedic footwear as well.
2) You will require a doctor’s note with a diagnosis.
3) Book an appointment at the Clinic
4) Visit the Clinic where a Pedorthist will perform a full pedorthic assessment, check your range of motion (ROM) , biomechanics, and perform a gait analysis. Your foot will then be casted in plaster . Once you have been assessed you will be advised on proper shoes for your foot type that you can purchase.

What does my Orthotics Cost Cover?

Full Pedorthic Assessment including:
Bio-Mechanical exam
Gait Analysis
Plaster Casting
Dispensing and Fitting the custom orthotics
Any Future Adjustments or modifications, if necessary
Advice on correct shoe selection for your foot type

What is a Pedorthist?

Certified Pedorthists are one of the few healthcare professionals educated in the assessment, design, fit, manufacture and modification of footwear and foot orthoses. A Certified Pedorthist has extensive training and experience in dealing with the biomechanics of the foot and in selecting appropriate footwear. In order to become a Certified Pedorthist, they have undergone a rigorous examination process testing their knowledge and biomechanics, disease, anatomy, orthoses fabrication and fitting as well as footwear function, design and modification. A Certified Pedorthist works as part of a medical team and require a referral from a prescribing healthcare provider in order to provide treatment.

Why Milton Orthotic & Wellness Centre?

We are different than most Clinics. We have Pedorthists, Kinesiologists and Athletic Therapists on staff that perform assessments and casting. Our predominant casting technique is Plaster Casting whereby a mold of your foot is taken; we believe this is  the most accurate method of capturing the true contours of the foot; very few orthotics providers cast in plaster; most have moved to a computerized gait scan or exclusively to semi or full weight bearing methods.

What kind of orthopedic shoe selection do you have?

Our Clinic has a great selection of High End name brand Shoes, from Work Boots to Dress Shoes to Running Shoes to Sandals. We also have specific Sports Shoes for Golf and Soccer. All our footwear will accomodate a custom foot orthotic.

Should kids wear Orthotics?

Orthotics may be recommended for Children when severe cases of flat foot or any congenital deformity is present (at birth). Parents should speak with their physicians about the need for orthotics for their children at around age 6. Orthotics are important for kids to provide support to the growing skeletal system

Do I need Orthotics?

Orthotics help problems such as Back, Knee, Hip OR Heel Pain, but they can even help prevent future problems from occurring. Speak with you physician or book an appointment for a consultation with our highly qualified Pedorthists.

Do I have the Right Shoe?

20-30% of Canadians wear improper fitting footwear.  Pedorthists are trained in proper Shoe Fitting, and will advise you on how to select the right shoe for your foot type.

How long does it take to make an Orthotic?

Othotics are hand made and custom made in Burlington, ON. Typically it takes up to 2 weeks.

Are Future Adjustments Included?

Yes they are, within a reasonable period of time. On Pick-Up, the Pedorthist shows you how to fit the orthotics into your shoes and can usually make adjustments right there on the spot. After the break in period future adjustments may be necessary.

How long do Orthotics last?

Custom orthotics are composed of 2 major components; the orthotic shell and the topcover materials. The topcover material is usually the first to show signs of wear and tear depending on the activity level and amount of wear. The topcover can be easily refurbsihed. The orthotic shell material has lifetime warranty against cracking ( except diabetic orthotics), however depending on materials, wear and activity performed in them , the arch profile may compress after approximately 16 months – 2 years.

How long does an Assessment take?

Typically it takes 45 minutes.

What do I need to bring to my appointment?

Physicians referral indicating the need for either orthopedic footwear and/or Orthotics.
Call your insurance provider prior to your appointment to ensure you are aware of their requirements.
Bring footwear that you wear for activity, work and inside the house so that they may be evaluated by our professionals.

I have diabetes. Why should I wear special shoes? Why can’t I just buy my shoes from a local department store like everyone else?

Diabetes is a serious disease the affects millions. Unfortunately, a lot of complications are also associated with diabetes, including disruption of the vascular system, which can impair many areas of the body, such as the legs and feet. As a result, people with diabetes should pay special attention to their feet.

An estimated 246 million people worldwide are affected by diabetes. With a further 7 million people developing diabetes each year, that number is expected to hit 380 million by 2025. About 25 percent will develop foot problems related to the disease.
These foot problems often develop from a combination of causes, including poor circulation, which impairs the healing process, and lack of sensation to pain, heat or cold. With lack of feeling in their feet, people with diabetes can develop minor cuts, blisters or pressure sores and not be aware a wound is developing. If these minor injuries are not noticed and are left untreated, serious complications like skin ulcerations may arise and could eventually lead to the need for amputation.
It is very important, therefore, for those with diabetes to prevent all foot-related injuries. One of the best ways to do this is to wear proper-fitting and correctly constructed shoes. Wearing tight-fitting or inappropriate shoes greatly increases the chances that a serious foot complication will develop. In addition, it is recommended those with diabetes inspect their feet daily to watch for potential problems.