Custom Orthotics

Custom Orthotics

Elite Physio offers custom made orthotics for multiple problems, such as plantar fasciitis, flat feet, leg length discrepancy and more. We use advanced assessment equipment like the Gait Scan device and foam imprints of your feet to help restore you back to a norm gait, therefore restoring your bodies equilibrium.


Custom Orthotics combines knowledge of anatomy and physiology, pathophysiology, biomechanics and comprise of a specially fitted insert in your footwear to provide support for the foot by distributing pressure or realigning foot joints while standing, walking and/or running.

Custom Orthotics help neutralize the effect of gravity at its interface with the ground. In doing this, we can finally attack the underlying cause of many biomechanical imbalances in the lower extremity and throughout the body.

Faulty biomechanics in the foot can affect both the muscles and the joints of the foot as well as higher up the kinetic chain. With poor foot mechanics, the wrong muscles contract during walking and running or they contract out of their proper, critical sequence. Your muscles and tendons eventually fatigue and break down. This causes microscopic tears in the tissues which triggers a cascade of events. Beginning with inflammation, the process ultimately leads to swelling, pain and scarring within the affected tissues. Your joints may also suffer excess wear leading to inflammation and possibly degeneration. Consequently, pain and dysfunction starting in your feet may rise up to the ankles, legs, knees, thighs, hips, low back, and even further up your body.


Orthotics are made to help the foot move properly and support the weight of the body so that the foot can move with less effort and fatigue. Before we decide that you need a pair of orthotics, a detailed gait analysis and study of the way your foot functions with walking and standing will be performed, the joint ranges of motion are evaluated in order to determine where the foot imbalances exist. If you would benefit from orthotics, a cast will be taken of each foot and sent to the lab, where a custom made orthotic is created that incorporates the necessary corrections.

Benefits of Orthotics

  • Reduce hip, knee and ankle pain
  • Decrease low back pain
  • Decrease heel pain and pain associated with bunions
  • Reduce pain associated with calluses
  • Reduce plantar fasciitis / heel pain
  • Reduce running injuries (eg: Iliotibial Band syndrome, posterior shin splints, runner’s knee)
  • Reduce metatarsal and forefoot pain
  • Decrease or eliminate arch pain
  • Reduce the feeling of tired/achy feet
  • Prevent the progression of many foot problems


What is the Gait Scan Analysis System?

The GaitScan™ system is one of the most advanced and sophisticated gait analysis tools available today. This technology enables the doctors to provide you with a rapid and accurate assessment of the biomechanical function of your feet in BOTH the standing position and while you are walking. This allows us to see your feet while they are in action, to better determine when and where abnormal forces are being imposed onto your bottom block. Although orthotics casted in a neutral, non-weight bearing position (using a foam or plaster cast) are still used extensively, they do not provide the level of accuracy and customization that the GaitScan™ system provides.
Determining the weight distribution in the standing position and measuring pressure distribution of the feet during the act of walking, aids us in the diagnosis of problems of your foot and the kinetic chain. This information is then used to produce an orthotic device that is custom made to help correct your underlying foot/gait dysfunction.

How Does It Work?

The patient first stands on a pressure sensitive plate that is connected to a computer. This analyzes the static pressure (weight) distribution of the feet.
The result of the analysis highlights areas of high pressure on the feet and may help to explain sore points. The next stage involved the patient walking normally over the plate to obtain a dynamic visualization of the pressure distribution. It identifies movement of the patient’s center of gravity and the relative times spent at each part of the gait cycle.


As the patient walks (or runs) across the GaitScan™ pressure plate, thousands of tiny sensors (4 per cm2 ) scan
the plantar surface of the patient’s foot. During the scan, the system records timing sequences during gait and captures the relative pressure load of each area of the foot (Medial Heel, Lateral Heel, Mid-Foot, Metatarsals 1-5, the Hallux and the Toes 2-5).

The pressure distribution and the manner in which this distribution changes can identify whether the patient is either over pronating or supinating.

Either of these can lead not only to problems in the feet themselves but also influence the way in which the lower limb and the whole spine responds to this movement pattern.

From the patient’s step, the computer maps various visual representations of the scan. The GaitScan™ gives us the ability to look at the plantar pressures of your foot in either 2-D or 3-D. You can actually view and compare your right foot from your left foot in a synchronized mode. This 2-D and synchronized analysis also allows us to see the center of pressure or “gait line” of your foot during the entire step. The system also has the ability to compare your scan to a foot with ideal mechanics.

This information is summarized into a full report of the gait analysis. The Gait Scan allows any problems to be identified from a proper diagnosis of biomechanical function and a prescription for orthotics to optimize the bio-mechanics of the feet can then derived. The information generated by our Gait Scan analysis is then used to create custom orthotics designed to restore your foot function back to its normal state.