frequently asked questions
Are Custom Orthotics only for people with foot problems? Many clinical conditions may be present without any obvious foot problems. Subtle imbalances in the foot are amplified as they go up the leg, knee, hip and back resulting in problems that may not have been properly assessed due to lack of a full biomechanical evaluation.
Will orthotics fit in all my shoes? Yes and no. Some shoes will not fit properly with an orthotic inside. These are usually dress shoes. Women have more fitting problems than men due to shoe fashion. You can find dress shoes that nicely fit an orthotic, but choices will be more limited. Fashionistas, don't fret! There are special dress shoe orthotics that fit more easily into fashionable shoes, even stiletto heels. Ask Dr. Eve about the type of orthotics that will be best suited for your needs.
My legs and back were sore after wearing my orthotics. Is this normal? Some people develop discomfort in the foot, leg, or lower back when they first start to wear orthotics. This is normal and is due to a realignment of the whole lower extremity and pelvis. Muscles and ligaments have to readjust to this new alignment. When they do the discomfort disappears. Most patients never have any "break in" discomfort. When it occurs, it usually disappears in two or three weeks. If the discomfort occurs, it is advisable to gradually "break in" your new orthotics. Persistent discomfort may necessitate adjustment to your orthotics.
How long will it take before I notice an improvement? Once the wearing in period is completed and appropriate footwear is being worn, most people begin to notice an improvement in the first 4-6 weeks. Between 6-12 weeks is generally when you can expect the most improvement. These time frames will vary depending on the individual foot problem.
Why are orthotics so expensive? They are custom made for your feet and any problems you have. Dr. Eve will assess your feet, your gait and any other problems you may have and make a specific cast of your feet. The castings are then sent to a lab, where they are analyzed and fabricated accordingly. The materials used are strong and durable, so your orthotics can last.
How long do orthotics last? If they are only worn occasionally then they will last many years. If they are worn all day, every day then they should be replaced every 12 months.
Are orthotics covered by OHIP? No, but many third party payers (e.g. private health care insurers, employee benefit plans) cover the cost of orthotics and orthopaedic shoes.
Do I need a referral for orthotics? Yes and no. Each company's terms are different. It is best that you check your benefits book or call your insurance company to find out whether a referral note from a medical doctor is required.
What is the difference between insoles and orthotics? Insoles generally offer some degree of relief through cushioning without offering any correction in the foot alignment that you would find in an orthotic. Insole covers a range of products including a flat shoe lining included in the manufacturing process of a shoe, to the more contoured foot beds commonly seen in most styles of running shoes and safety boots. Insoles can be cut out from various density materials and fitted to a shoe in order to assist in shock absorption. An orthotic is designed to exert some level of control or correction to the foot and provides a more targeted, longer lasting adjustment to the alignment of the foot.
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