What Are Custom Orthotics & Who Needs Them?

Custom orthotics are medical-grade shoe inserts made specifically for your feet. Unlike over-the-counter insoles, they’re prescribed by a podiatrist and fabricated to correct your unique biomechanics. Orthotics can be rigid or semi-rigid (for control), soft/accommodative (for cushioning), or hybrid—depending on your needs. They align the foot and ankle, distribute pressure evenly, and support where you need it most. By improving mechanics (e.g., limiting overpronation), orthotics can reduce pain from the feet up the kinetic chain.

• Plantar fasciitis / heel pain: Arch support to reduce strain and speed healing.
• Flat feet or high arches: Balance alignment and shock absorption.
• Arthritis (feet/ankles/knees): Offload painful joints to improve walking tolerance.
• Bunions / hammertoes: Slow progression by reducing abnormal pressures.
• Diabetic foot concerns: Accommodative offloading to prevent ulcers.
• Growing pains, shin splints, Achilles issues, knee pain: Correct mechanics to reduce stress.
• Lower back pain from foot posture: Improve alignment up the chain.
• Athletes & military: Performance, endurance, and injury-prevention benefits.
• On-your-feet professions: Nurses, retail, construction—reduce end-of-day fatigue.
• Anyone seeking comfort: Walk, run, and stand more comfortably—at any age.

Why Our Orthotics Are a Step Above

Precise Customization

Dr. Patish performs a thorough exam and gait assessment, identifies pressure points, and captures an exact 3D digital cast. Your prescription—materials, posting, pads, top covers—is sent to a top orthotic lab with detailed instructions. The result: a device tailored to your foot to the millimeter.

Military-Grade Confidence

High-demand training on hard surfaces drives overuse injuries. Service members commonly receive custom orthotics to reduce pain and keep them mission-ready. We’re proud to support Marines, Navy, and soldiers from Camp Pendleton who report less pain and more efficient marching, running, and ruck hikes.

Athlete-Tested, Athlete-Approved

From runners and soccer players to golfers and pickleball enthusiasts—orthotics help prevent plantar fasciitis, shin splints, Achilles issues, and stress injuries. With sport-appropriate materials and profiles, we aim for both comfort and performance optimization.

Senior Friendly—Comfort & Balance

As fat pads thin and joints stiffen, we emphasize cushioning, stability, and balance. Thoughtful designs can reduce fall risk and make everyday walking more enjoyable. Ease-of-use and proper break-in guidance ensure success.

Quality Materials & Craftsmanship

From resilient shells (e.g., polypropylene) to medical-grade EVA and antimicrobial covers, our orthotics are built to last—often 2–5 years with periodic check-ins and refurbish options when appropriate.

The Process: From Foot Exam to Happy Feet

1. Comprehensive Evaluation: Exam, symptom review, gait analysis, and biomechanical testing.
2. 3D Casting & Prescription: Corrected-position digital cast; detailed materials & posting plan.
3. Fabrication: Partner lab builds your devices to spec (typically 2–3 weeks).
4. Fitting Appointment: In-shoe evaluation for comfort and stability; adjust as needed.
5. Break-In Plan: Gradual wear (1–2 hours day one, building to full-time over 1–2 weeks).
6. Follow-Up: Check-in at 2–4 weeks; we fine-tune until you say, “Yes—these feel great.”

Tips & Tricks: Getting the Most Out of Your Orthotics

• Use them consistently: Wear in all supportive shoes for best results.
• Pair with good footwear: Sturdy heel counters and removable insoles play nicely with orthotics.
• Keep them clean: Wipe with alcohol-damp cloth; air dry. No washer/dryer.
• Monitor wear: Ask about refurbishing when covers wear or needs change.
• Listen to your body: New discomfort? Tell us—small tweaks make big differences.

We can craft dress-shoe or ¾-length variants when space is tight, and sport-specific profiles for training or competition.

A Stepping Stone to a Better Life

When your feet feel good, everything feels better. Patients tell us orthotics get them back to the pickleball court, through long shifts without aching, or walking farther with less fatigue. Many say, “If I go a day without them, I can really tell—I want them back in!”

Even if you’re not in pain now, orthotics can be preventative—especially for athletes ramping up training or anyone facing increased time on their feet.