WHAT IS CUSTOM ORTHOTIC THERAPY?

Custom orthotics are based on a detailed and thorough Biomechanical foot and ankle assessment specific to each individual. Orthotic therapy is designed to address specific but manageable injuries that go beyond simple foot problems. 

Over the counter orthotics are great solutions for individuals that need simple arch support or have plantar faciiitis and I can provide direction in choosing the appropriate product.  However, these insoles do not address issues in the midfoot, forefoot, knees and hip joints or back. At Elysian Physical Therapy, each patient undergoes an individual assessment to determine if they are a good candidate for orthotic therapy. If patients present a more complicated problem than an over-the-counter insole can provide, I outline and offer orthotic AND physical therapy treatments that meet the specific needs of each person. 


THE DIFFERENCE WITH CUSTOM FIT

-The you will receive a 20 + item evaluation including gait, foot postures in NEUTRAL, ROM, joint mobility and STABILITY of rearfoot, midfoot and forefoot.

-Handmade Casts are made from your feet in a NEUTRAL foot and ankle position,  NOT in STANDING without support.

           *This is  a key differentiator and is important because when a foam cast is made with the patient standing,  without any method for placing the patient’s feet in neutral, the cast that is made is just the opposite of the deviated foot.  It doesn’t necessarily correct ANYTHING. And corrections cannot be made on pressure point information alone.  It must be correlated with dynamic movement, joint play and range of motion (ROM) of the foot and ankle.

-Additional modifications included after receiving your orthotics to ensure fit and effectivenes


  KEY DIAGNOSES 

  • Undiagnosed low back pain
  • Hip and/or knee pain
  • ITB syndrome
  • Runner’s Knee
  • Jumper’s Knee
  • Hip Bursitis
  • Ankle pain
  • Foot pain
  • SIJ pain
  • Bunion Pain

HOW DO I KNOW IF I NEED ORTHOTIC THERAPY?

If you have foot or ankle pain that is worse when you walk, stand or play sports, you may have a problem that could be corrected with orthotic therapy.  Many times low back, hip and knee problems may also be a result of foot/ankle problems which may also be resolved by putting your foot in the normal position for walking and everyday activity.  There are tests that can be done to determine if you are a good candidate.  

WILL THE ORTHOSES FIT IN MY SHOES?

One of the most important determinants of whether the devices will work is how they interface with the shoes you want to wear them in.  It is most helpful if you bring the shoes you wear to the office and we can send in the insole to the fabricating clinic (Biomechanical Services).

WHAT IS THE COST AND IS THERE A DISCOUNT FOR A SECOND PAIR?

 The cost for each pair is $325.  You will receive the devices at the office to make sure they fit initially.  I will make modifications and send them for re-fabrication as needed to ensure they correct the problems and pain.  If for any reason further modifications are needed, Biomechanical services will re-evaluate you at their facility to ensure a resolution. 


Yes, there is a -$75 discount for a second pair of the identical device. These can be ordered within 4 months of the first pair at this discount.  

WHAT IF MY ORTHOSES HURT WHEN I TRY THEM ON?

Your feet need time to adjust to their new position and movement patterns, especially if there are multiple problems.  It’s important to gradually increase the wearing time of your new orthoses to avoid a “too much change too fast” negative response.  You will wear the new devices for 1 hour and increase 1 hour each day.


*If you have sharp pain or joint pain upon initial use of your devices, you will bring them back to the office for readjustment at no cost

WHAT PATIENTS HAVE SAID ABOUT THEIR CUSTOM ORTHOTICS

"Elyse  fit  me  for  orthotics  to  treat my  foot  neuroma  and  they’ve  been  really  effective...many  fewer  painful  episodes  when  walking.    So  effective,  in  fact,  I  purchased  a  second  pair! "-  Nick  G.