Patient receiving plantar fasciitis treatment on a treadmill with PT, emphasizing arch support and custom orthotics guidance.

Custom Foot Orthotics

Foot Orthotics come in two varieties: pre-made insoles and custom-made devices designed to alleviate foot, leg, and back pain. We are able to craft them specifically for you and to match the arch height and contours of your feet. When this is accomplished the distribution of weight when you walk is dispersed, lessening impact and pain when walking throughout the day. Foot orthotics are one of many conservative measures you should try to avoid surgical interventions.  In the younger and athletic populations, foot orthotics can be accommodative to treat tendonitis or shin splints.  We can formulate low-profile semi-rigid orthotics that can fit in running shoes and disperse forces from the ground when running or jumping.  These rigid or semi-rigid orthotics usually contain some plastic.

For some, custom foot orthotics can be a long-term solution to plantar fasciitis, chronic ankle sprains, or neuromas.  If you wake up with pain first thing in the morning and feel the immediate need to wear your ‘house shoes’ for support, it is worth being screened for orthotics.


As we age and experience the impact of carrying all our weight through our feet, it is common to develop calluses, neuropathy symptoms, or foot ulcers.  For this population, Carolina Physical Therapy can offer more cushioned support as well as make footwear recommendations. These soft or cushioned orthotics are made of spongy, malleable compression material.  For more complicated cases, we can help recommend a podiatrist (foot specialist) close to home.

Carolina Physical Therapy offers you the ability to have custom foot orthotics at much lower costs than going through a retail provider.  Additionally, you are screened for gait abnormalities and sub-talar neutral (the natural bony position of your foot) determined, which is not done with most retail orthotic fittings.  By seeing the body as a whole, your therapist is able to make a mold, make any necessary adjustments, monitor how your gait changes, and ultimately provide the necessary balance between support and control in your shoes for the long-term – all while you are in the clinic!