Custom Orthotics in Etobicoke, Foot Pain, Gait & Postural Support.
Off-the-shelf insoles treat symptoms. Custom orthotics are built from a precise cast of your foot and prescribed to correct the biomechanical cause of your pain.
Could Custom Orthotics Help You?
Custom orthotics are most effective when:
What Makes Custom Orthotics Different
Custom foot orthotics are prescription medical devices, fabricated in a certified laboratory from a 3D volumetric foam cast of your foot. They correct abnormal biomechanics, redistribute pressure, and realign the ankle, knee, hip, and spine to address the root cause of foot, knee, and lower back pain.
Our registered physiotherapists perform a full biomechanical assessment and gait analysis before any casting takes place. The result is a pair of orthotics built precisely for your foot, your condition, and your footwear.
Most extended health plans cover custom orthotics. We guide you through the prescription and direct billing process from your first appointment.
Conditions Treated with Custom Orthotics
Plantar Fasciitis & Heel Pain
The most common reason people seek custom orthotics. Sharp pain on the bottom of the heel, worst in the morning. Orthotics reduce tension on the plantar fascia by correcting pronation and providing targeted arch and heel support.
Flat Feet (Overpronation)
When the medial arch collapses, the ankle rolls inward and the knee, hip, and lumbar spine compensate. Custom orthotics provide medial arch support and realign the subtalar joint, correcting the source of downstream pain.
High Arches (Pes Cavus)
High-arched feet have poor shock absorption and distribute force abnormally. Orthotics provide the cushioning and lateral support the foot lacks, reducing ball-of-foot pain, lateral ankle instability, and stress fracture risk.
Metatarsalgia / Ball-of-Foot Pain
Excessive pressure on the metatarsal heads causes pain, calluses, and sometimes Morton’s neuroma. Orthotics redistribute pressure away from the metatarsal heads with a metatarsal pad incorporated into the shell.
Achilles Tendinopathy
Chronic Achilles pain is often driven by excessive foot pronation that loads the tendon asymmetrically. Custom orthotics correct the pronation pattern, reducing tensile load. Frequently combined with shockwave therapy.
Morton’s Neuroma
Compression of the interdigital nerve between the third and fourth toes causes burning, shooting pain in the forefoot. Orthotics with a metatarsal dome reduce nerve compression and provide long-term symptom relief.
Knee Pain (Patellofemoral)
Excessive foot pronation causes the tibia and femur to rotate internally, increasing patellofemoral joint pressure. Custom orthotics correct foot alignment, reducing the rotational force that drives anterior knee pain.
IT Band Syndrome / Shin Splints
Lateral knee pain in runners and medial tibial stress syndrome are often driven by overpronation or leg length discrepancy. Custom orthotics correct the asymmetry that overloads the IT band and tibia.
Low Back Pain from Foot Mechanics
A leg length discrepancy, even a few millimetres, creates a pelvic tilt that rotates the lumbar spine. Orthotics with a heel lift or corrective posting can resolve back pain that originates below the pelvis.
Diabetic & Therapeutic Orthotics
Patients with diabetes, peripheral neuropathy, or Charcot foot require specialized therapeutic orthotics designed to protect at-risk skin and distribute pressure away from ulcer-prone areas.
How Your Custom Orthotics Are Made
Biomechanical Assessment
Full lower limb assessment: joint range of motion, muscle strength and flexibility, subtalar joint neutral position, forefoot/rearfoot alignment, and leg length. This is the clinical foundation of the prescription.
Gait Analysis & 3D Foam Cast
You walk while your clinician observes loading patterns, foot strike, pronation/supination, and knee/hip tracking. Your feet are then cast in a precise neutral subtalar joint position using 3D volumetric foam, the standard for insurance reimbursement.
Lab Fabrication & Fitting
Cast and prescription sent to a certified orthotic laboratory. Custom orthotics typically take 2–3 weeks to fabricate. When they arrive, you’re fitted, instructed on break-in, and assessed for modifications (included at no extra charge).
Are Custom Orthotics Covered by Insurance?
Yes, most extended health plans in Ontario cover custom orthotics, typically between $300–$500 per pair (some plans up to $600+), with a renewal period of 1–2 years.
What insurers require
A prescription from a licensed healthcare provider (physiotherapist, chiropractor, or physician), documentation of the biomechanical assessment and gait analysis, a 3D foam cast (most plans do not accept computerized scanning alone), and a lab invoice showing custom fabrication.
Virtual OHIP prescription
If your insurer requires a physician’s prescription, we can facilitate a virtual OHIP medical appointment to obtain it, so you don’t have to navigate this on your own.
MVA & WSIB coverage
Custom orthotics are covered as supplementary goods under SABS (auto accident benefits) and through WSIB for eligible workplace injuries. MVA → · WSIB →
Direct billing
We provide all documentation and offer direct billing to most extended health providers. Call (416) 489-5313 to check your benefits.
Why Etobicoke Patients Choose Us for Custom Orthotics
Physiotherapist-Led Assessment
Full biomechanical evaluation and gait analysis before any prescription is written. You receive orthotics that address the actual mechanical cause of your pain, not a generic prescription based on a foot scan.
3D Volumetric Foam Casting
The industry standard for insurance compliance and clinical accuracy. Most insurers require foam casting, not pressure plate scanning, for reimbursement.
Integrated with Rehabilitation
Orthotics work best as part of a treatment plan, not in isolation. Our team combines orthotics with targeted strength and mobility work. Modifications included at no extra charge.
Custom Orthotics, Common Questions
Custom orthotics are prescription medical devices fabricated from a 3D cast of your foot in a corrected biomechanical position. Store-bought insoles offer generic arch support. Custom orthotics correct the specific foot mechanics driving your pain, and are covered by most extended health insurance plans.
Yes. Most Ontario extended health plans cover custom orthotics, typically between $300–$500 per pair. Insurers require a prescription, biomechanical assessment, and 3D foam cast. We provide all required documentation and offer direct billing to most extended health providers.
After your biomechanical assessment and foam casting appointment, custom orthotics typically take 2–3 weeks to fabricate in the laboratory. A fitting appointment follows to ensure correct fit and function, with any modifications made at no additional charge.
Yes. Abnormal foot mechanics, particularly overpronation and leg length discrepancy, create compensatory stress in the knee, hip, and lumbar spine. Custom orthotics that correct foot alignment reduce this upstream loading and are frequently prescribed for patellofemoral knee pain, IT band syndrome, and low back pain.
A physiotherapist or chiropractor can prescribe custom orthotics. Some extended health plans require a physician’s prescription. If your insurer requires an MD referral, we can facilitate a virtual OHIP medical appointment so you can obtain the required prescription without an additional clinic visit.
Custom orthotics typically last 2–4 years depending on activity level, footwear, and materials. Most insurance plans allow replacement every 1–2 years. A follow-up assessment at replacement time ensures your new prescription accounts for any changes in your mechanics.
Stop Treating Symptoms, Fix the Mechanics
Most foot, knee, and back pain has a biomechanical root cause. A custom orthotics assessment identifies the cause and builds a solution specifically for your foot.
Visit Our Etobicoke Clinic
Etobicoke, ON M9V 5H7