Custom Orthotics

Nicole Money Physiotherapy & Pilates

Orthotics are insoles that can be put into a pair of shoes to help correct foot alignment issues, reducing foot pain, fatigue and inflammation. If your feet are out of alignment, lower back, knee and hip pain may start, as your body compensates for any foot issues. Chronic foot malignemnt issues can contribute to lower back, hip and knee pain as they body compensates for the lack of support from the feet. Off the shelf orthotics can be purchased in many sports and outdoor stores; however, these types of orthotics are not specific to a patient's foot and unique needs.  Off the shelf orthotics are a great product for patients that require little to no customization and have minor foot issues. Patient with long standing foot pain, collapses or high arch, bunions or nerve intrapment in the feet, may require a custom orthotic to support the feet and relive chronic pain and inflammation. 

Conditions that may benefit from Custom Orthotics

Plantar Fasciitis

Foot & Heel Pain

Mortons Neuroma

High or Low Foot Arches


Lower Back Pain

Hip Pain

Knee Pain

Chronic Ankle Sprains​

Occupations with prolonged standing

This list is not exhaustive. Other conditions also benefit from custom orthotics. 

What to Expect

A full medical history will be taken along with a discussion of a patients symptoms, sports activities and occupation demands.  What shoes the patient will be wearing the custom orthotics in will be reviewed, as there are a wide variety of orthotics for different shoes and sports.  

A complete assessment of the feet and lower body will be completed including: gait (walking) analysis, foot and ankle mobility and strength, pelvis alignment, and hip and knee mobility. Functional movements such as squatting and standing on one foot, may be evaluated as well to get a complete overall picture of how a patients feet and lower body are functioning.


A plaster cast of a patients feet will be made with the ankle and foot in an optimal functional foot alignment position. Once the casts have dried on the patients feet (time line?),  they are removed and a 3D model of each patients unique foot remains. Custom orhotics are made from these casts at Paris Orthotics. Turn around time ?


The casting process can be slightly messy, please wear or bring shorts to the appointment for the casting and for ease of the assessment.

Benefits of Custom Orthotics

Custom orthotics assist in supporting and realigning the feet. When the foot is out of alignment, the rest of the body has to compensate which can contribute to lower back, knee, and hip pain. Patients that spend a lot of time standing on their feet at their job are more at risk of these assoicated compensations, which can lead to other injuries and pain. 

Custom orthotics have many benefits such as: reduced foot pain and inflammation, correction of foot malignements, foot arch support, reduced foot and lower leg fatigue, reduction in strain on pelivs hips and knees. 

The arches of our feet act like springs, supporting our body weight -

Orthotics Assessment


Custom Orthotics


If you have further questions or concerns regarding neural manipulation, or if you are not sure if this is best type of treatment for your health care needs, please contact the clinic.

For more information on custom orthotics, please visit: Paris Orthotics