Custom Foot Orthotics or Custom Arch Supports
for which custom made orthotics or arch supports may be helpful include:
Plantar fasciitis and heel spurs
Metatarsalgia (pain under the ball of the foot)
Chronic arch strain
Hammer toes, claw toes,
Peroneal or tibialis posterior tendonitis
Support for previously injured
feet and ankles
of the foot or ankle
with peripheral neuropathy
|Runner with hyperpronation
the foot for which custom orthotics or arch supports are helpful in treating include:
Shin splints or medial tibial stress syndrome
Stress fractures of the shins
Patellofemoral syndrome or
tendonitis (jumper’s knee)
Osteoarthritis and other types of arthritis of the knee
Iliotibial band syndrome
Hip girdle dysfunction
Mechanical back pain and postural abnormalities
Generally, the closer
the location of the condition is to the foot, the more predictable the success of the custom foot orthotic prescription will
be in controlling it. Conditions such as metatarsalgia can be easily addressed with a properly fitted custom
orthotic or arch support and may not need any further treatment.
Conditions such as knee pain, back or hip pain
are usually multifactorial. Successful treatment in these cases usually involves other modalities such
as exercises, rehabilitation, braces etc. It is not uncommon for custom foot orthotic prescribers to prescribe
and dispense a custom foot orthotic for patients for such conditions without examining the entire kinetic chain or mentioning
to their clients that the custom foot orthotic is only a partial solution. This typically leads
to an increased failure rate of the custom foot orthotic with respect to controlling the condition at hand. New problems can
be created without a proper examination of all the segments in the kinetic which will be impacted by a custom arch
support or foot orthotic. For example someone with tight soft tissues may experience onset of knee pain or back pain after
being prescribed custom foot orthotics for a simple foot condition. Another potential problem is aggravation of osteoarthritis
of knee due to a standard custom orthotic prescription which has not been adjusted to accommodate for the osteoarthritis.
The Toronto Centre for Sports Medicine, custom foot orthotics or arch supports are prescribed and dispensed only after
a complete medical and orthopedic history and physical exam is performed by Dr. Jack Hakoun MD. Dip. Sport Med. (CASM).
Hakoun has over 28 years of experience including not only orthotic dispensing but in orthopedics and sport medicine.
After a comprehensive orthopedic assessment is performed, an electronic force plate analysis of static and dynamic forces
is made using the TOG Gait Scan system. In addition a mold of the foot is taken. Combining the information from the biomechanical
exam, force plate and the foot mold produces optimal results.
|3D assessment of dynamic foot forces
|Dynamic force scan of foot
treatment in addition to custom foot orthotics is conveniently available on site at our centre.
Due to the comprehensive nature of the custom
orthotic assessment and treatment at our centre, success rates are very high – approaching 100%.
There is no doubt that the procedure for
custom arch supports and foot orthotics at The Toronto Centre for Sports Medicine provides a comprehensive,
accurate, efficient and very effective system of orthotic prescription and treatment.