Why Won’t My Foot Orthotics Fit Into All My Shoes?
By: Deny Dallaire, B.Sc., C.Ped (C)
Certified Pedorthist (Canada) with Thera-Ped Moncton
One of the most common complaints that people have regarding their custom made foot orthotics is that they do not fit into all of their shoes. In short, that’s because:
1. Not all footwear is meant to accommodate orthotics, nor should you always need to wear your orthotics in all of your footwear.
2. No one pair of orthotics will fit into every shoe. In fact, your initial orthotic devices are more than likely made to fit into a deeper type of shoe, such as a comfort walking shoe or a sneaker.
3. Your orthotics are designed with a specific treatment plan in mind and meant to relieve your symptoms. The type of shoe you need to wear is often part of that plan.
In order to demonstrate this, let’s use the following example: A person that works in an office environment complains to their doctor of heel pain. He/She enjoys walking and running for exercise. However, when at work, the dress code requires dress attire and his/her dress shoes do not accommodate orthotics.
Their doctor prescribes pedorthic therapy in the form of custom-made foot orthotics. He/She then sees a Canadian Certified Pedorthist. It is the pedorthist’s job to take into account all factors of the patient’s lifestyle when performing the assessment. Based on what is observed at the assessment, a treatment plan is created.
While each treatment plan is different, this patient’s treatment plan could resemble the following:
1. Provide custom-made foot orthotics as prescribed to be worn with case-specific running shoes (either existing or new) that accommodate orthotics.
2. Wear the running shoes with the prescribed orthotics as much as possible, especially during exercise or when on your feet for long periods.
3. Wear your orthotic devices and sneakers until you get to work. When dress shoes are warranted, wear them with gel heel cups inserted into the shoes.
4. Follow-up with the pedorthist after 4 weeks.
As you get better, the need for larger orthotics may diminish. At that point, smaller and less bulky orthotic devices can be created that will fit into more styles of shoes. Having said that, depending on the case, you may even be able to phase out foot orthotics altogether.
In conclusion, pedorthists who have their Canadian Certification [ C. Ped (C) ] are trained to develop a pedorthic treatment plan that is specific to you. The more you deviate from this plan, the more the results are affected. However, whenever possible, your pedorthist will try to accommodate as much of your existing footwear.
Certified Pedorthist (Canada) with Thera-Ped Moncton
One of the most common complaints that people have regarding their custom made foot orthotics is that they do not fit into all of their shoes. In short, that’s because:
1. Not all footwear is meant to accommodate orthotics, nor should you always need to wear your orthotics in all of your footwear.
2. No one pair of orthotics will fit into every shoe. In fact, your initial orthotic devices are more than likely made to fit into a deeper type of shoe, such as a comfort walking shoe or a sneaker.
3. Your orthotics are designed with a specific treatment plan in mind and meant to relieve your symptoms. The type of shoe you need to wear is often part of that plan.
In order to demonstrate this, let’s use the following example: A person that works in an office environment complains to their doctor of heel pain. He/She enjoys walking and running for exercise. However, when at work, the dress code requires dress attire and his/her dress shoes do not accommodate orthotics.
Their doctor prescribes pedorthic therapy in the form of custom-made foot orthotics. He/She then sees a Canadian Certified Pedorthist. It is the pedorthist’s job to take into account all factors of the patient’s lifestyle when performing the assessment. Based on what is observed at the assessment, a treatment plan is created.
While each treatment plan is different, this patient’s treatment plan could resemble the following:
1. Provide custom-made foot orthotics as prescribed to be worn with case-specific running shoes (either existing or new) that accommodate orthotics.
2. Wear the running shoes with the prescribed orthotics as much as possible, especially during exercise or when on your feet for long periods.
3. Wear your orthotic devices and sneakers until you get to work. When dress shoes are warranted, wear them with gel heel cups inserted into the shoes.
4. Follow-up with the pedorthist after 4 weeks.
As you get better, the need for larger orthotics may diminish. At that point, smaller and less bulky orthotic devices can be created that will fit into more styles of shoes. Having said that, depending on the case, you may even be able to phase out foot orthotics altogether.
In conclusion, pedorthists who have their Canadian Certification [ C. Ped (C) ] are trained to develop a pedorthic treatment plan that is specific to you. The more you deviate from this plan, the more the results are affected. However, whenever possible, your pedorthist will try to accommodate as much of your existing footwear.

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