Toronto Custom Orthotics

Medical centre
ABOUT US

Toronto Custom Orthotics has provided quality custom foot Orthotics to thousands of Toronto’s residents, visitors and professionals over the last 13 years. A division of Emkiro Health Services, TCO’s Orthotics experts use the most advanced technology for casting and manufacturing only the highest quality custom Orthotics.

Toronto Custom Orthotics is committed to providing the best Custom Orthotics to provide structural support and improve function while treating and preventing various painful conditions.

What are Custom Foot Orthotics?

Custom orthotics are medical devices that are designed to improve the alignment of your feet and ankles. They are similar to shoe insoles but are designed using biomechanical medical appliances that are entirely customizable based on the needs of your feet. The primary purpose of custom orthotics is that they help reduce the amount of stress that can be placed on your feet as they support the entire body. Orthotics also help re-align and evenly distribute the pressure that is put onto your feet by minimizing specific movements that occur during the gait cycle. Custom orthotics are simple to use as they sit comfortably within the inside of your shoe and are made precisely to your foot structure.

Who Needs Custom Orthotics?

If you have symptoms of poor foot mechanics or any of the following, you may want to consider custom orthotics;

  • Flat feet / pes planus
  • High or low/fallen arches
  • Plantar fasciitis
  • Bunions
  • Localized foot pain
  • Leg and knee pain
  • Low back pain

What Can I Do?

Paying a visit to your health care practitioner can help determine the type of custom orthotics you need. This will done by performing a full assessment of your feet, lifestyle and even activity levels. Make sure to inform your health care practitioner of any leg, back or hip pain. Click here to book online: http://www.torontocustomorthotics.ca/request-appointment/

Should I Wear My Custom Orthotics All The Time?

Yes! Typically, the more regularly you wear your orthotics, the better your results will be. Thus, wearing your orthotics daily will help minimize any pressure that is being put on your feet. If you are switching your footwear throughout your day, you should have a pair of orthotics to go in each of those shoes, however they are able to be switched between shoes as required.

Will My New Custom Orthotics Feel Uncomfortable?

The primary focus of custom orthotics is to realign and optimize foot mechanics. This requires applying pressure on certain areas of the foot.  The typical rule of thumb if there is some discomfort:  wear the orthotics for an hour on the first day, and double it every day for a week. (ie. 1 hour, 2 hours, 4 hours, 8 hours..)  This should help gradually break in the orthotic while proving increasing support to feet and spine.

What Kind Of Shoe Do I Need For Custom Orthotics?

You are able to insert your custom orthotics in almost any shoe as our custom orthotics come in various thicknesses and are modifiable with many options to attain that perfect fit.  We offer custom orthotics that are multi-purpose, which can fit in many different types of footwear and we also offer custom orthotics that are footwear specific (ie. Dress shoe, heels, flats, athletic shoe, etc.) and even sport-specific (ie. Court, ski boot, skate, cleat, etc.)

Will My Muscles Get Weaker By Wearing Custom Orthotics?

No! Custom orthotics will not reduce your muscle tone. However, they will ensure that your body is using the correct muscles at the correct time. This will help minimize fatigue, pain and will ultimately increase muscle function and efficiency.

How are Toronto Custom Orthotics different than insoles that can be bought off-the-shelf?

Typically, the insoles that you can buy at drugstores are solely made to provide added cushioning under your feet. These are made for basic foot shape and are not fitted to your exact foot structure. Off-the-shelf insoles are also often made of poor quality and do not provide you a long-term value. At Toronto Custom Orthotics, we ensure that your orthotics are made according to your unique foot structure. We also aim to provide you with the greatest amount of support and comfort, whilst meeting your needs. The orthotics we provide are entirely customized and are thoroughly examined with a detailed quality control process.

How can custom orthotics help me?

Toronto Custom Orthotics ensures that your feet are receiving the support they need to function correctly. Custom orthotics help manage the weight and pressure that is applied on the feet. This is done by optimizing force distribution whilst, taking into account an individuals current standing or walking stance. In essence, custom orthotics will improve your body’s alignment, especially the feet, ankles or knees.

How are Toronto Custom Orthotics made?

We use a highly advanced technology system that is known as a Gait Scan. This is a detailed foot mapping system that helps us analyze the internal biomechanics of your feet during weight bearing activities such as walking or standing. We use the information gathered from the Gait Scan and pair it with an in-depth consultation to achieve maximum precision. This includes gathering information such as health history, injuries or even your daily lifestyle. The data collected will then be sent to laboratory, which allows lab technicians to analyze all data in detail. Lastly, after you select materials, your orthotics will begin being custom-milled for you.

How long does it take for you to make custom orthotics?

It can take up to 5-7 business days, beginning from order date to the pickup date.  You will receive a call when your custom orthotics are ready to be picked up.

How long can a pair of Toronto Custom Orthotics last me?

If you are using multiple pairs of custom orthotics with care, they are able to last you up to 2 to 5 years. However, if you are using a single pair daily, your orthotics should last a minimum of 1 year.

How long will it take for me to adjust to custom orthotics?

We recommend a 2-week trial period to ensure that you can properly adjust and get accustomed to your new orthotics. However, we notice that many patients experience comfort immediately.

Can I get a warranty on my Toronto Custom Orthotics?

Yes. We have a 90-day warranty policy. This means that you are able to request any changes or modifications you feel necessary on your custom orthotics.

Will my insurance plan be able to cover the cost of Toronto Custom Orthotics?

Yes, we are aware that many Canadians have workplace insurance that covers the cost of custom orthotics. If you have workplace insurance that covers orthotics, we are happy to help! We aim to make insurance reimbursement a simple process. We do this by providing you with an itemized receipt when you purchase the orthotics. This will list the health provider’s credentials as well as a registration number. This will be also be stamped with the cost and date of the order placed.

However, note that OHIP does not cover the cost of custom orthotics.

Will I need to get a doctor’s prescription for Toronto Custom Orthotics?

We do not require a doctor’s prescription. However, it is best to check with your insurance provider as some companies may request a note that explains the reason why a custom orthotic has been recommended. If you require a doctor’s note you can simple request a walk-in appointment to receive a physicians assessment and referral. We are able to provide this on the same day.

What do I need to bring to my custom orthotics appointment?

If you are using an insurance plan, we need you to bring the following;

  • Exact amount of insurance coverage for orthotics
  • Casting method required
  • The exact practitioner required for assessment, casting and dispensing ex. Chiropractor, podiatrist, chiropodist. The Toronto Custom Orthotics are provided by Chiropractic doctor’s
  • Any documentation required ex. Referral notice from a doctor or chiropractor
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Conditions Most Commonly Treated by Custom Orthotics

Many conditions are often rooted from a type of biomechanical gait abnormality, which can be treated and even prevented with custom orthotics. The following is a list of common foot conditions and diagnoses that can be addressed with custom orthotics:

What Is It?

Achilles Tendonitis is a condition that can cause you to experience pain along the backside of your leg and near the heel.  This is caused by an inflammation of the gastrocnemius and soleus muscles in the posterior portion of the leg.

What Causes It?

Individuals that suffer with an equinis deformity or regularly run up-hill can develop this disorder. As your tibia moves over the foot, it is important that the ankle is able to move the foot upwards and close to the shin at an angle of at least 10 degrees, also known as dorsiflexion. If this is not possible, the tightness in your leg can cause damage to the tissues of the tendon. Over-use and over pronation may also result in the reduction of blood supply in the area. Overuse of the muscle is similar to “wringing out” the arterial blood supply to the tendon. This is because of the consistent twisting motion that occurs during over-pronation. Custom Orthotics can provide support for the ankle-foot complex and prevent over-pronation.

What Is It?

The iliotibial band extends along the lateral portion of the thigh, all the way through the pelvis and tibia. The iliotibial band syndrome is the overuse injury of the various connective tissues that are present on the outer parts of the thigh and knee. It is the inflammatory reaction in which the fascia latae muscle slides along the lateral epicondyle.

toronto-illiotibial-band-syndrome

What Causes It?

If your foot over-pronates, this leads to an internal rotation of the entire lower limb. This produces continual friction between the iliotibial band and the femur. This IT syndrome is prevalent in runners that regularly run downhill or on a banked track. Custom Orthotics can help prevent foot over-pronation which can prevent these symptoms from occurring.

What Is It?

This is a condition, which is often classified as a symptom of other conditions, rather than a disorder itself. This usually includes pain within the ball of the foot. It may often even include bruising or inflammation. Typically, this pain resides within the metatarsal heads or may be more isolated near your big toe. A major indication or metatarsalgia is the endurance of pain that occurs during weight-bearing activities. You may also often encounter sharp or shooting pain within your toes, and especially when you flex your toes. Some other symptoms you may also experience include the numbness or tingling sensation in your toes. It is not uncommon for you to experience acute, recurring or chronic pain as a result of metatarsalgia.

toronto-metatarsalgia

What Causes It?

Metatarsalgia can often develop when your feet are experiencing change or an external threat to the normal mechanic of your foot. The added pressure within the ball of the foot can lead to developing metatarsalgia. Some of the following causes include;

  • Higher impact and force downwards due to higher weight bearing loads, or repetitive higher impacts at the feet: The feet are the base of the body and support the entire body. Thus, the more weight that the feet have to bear; the more pressure is applied onto the forefoot. This can cause inflammation and pain
  • Ageing: As people age, it is common for the foot pads to begin to thin out. This provides the foot with minimal cushioning and increases the risk of experiencing foot problems. Custom Orthotics can provide support and cushioning under the feet for increased protection.
  • Improper footwear: It is important to invest in comfortable shoes that do not add pressure onto the feet. Poor shoes include those with a tight toe box, heels or even shoes that are too small for you.
  • Claw toes or Hammertoes: These foot forms can apply pressure onto the metatarsals and push them towards the ground, which consequently applies pressure onto the ball of the foot.
  • Arthritis or Gout: Various inflammatory disorders can be the cause of pain in the foot and lead to metatarsalgia.
  • Custom Orthotics have been shown to prevent and treat pain from Metatarsalgia.

What Is It?

This is a condition in which the tissue that surrounds the nerves of the foot is thickened or inflamed. This causes can compress the nerve which can cause pain in the ball of the foot (can feel like you are walking on a marble). Individuals with Morton’s Neuroma often experience the sensation of pins and needles that spreads into the toes.

toronto-mortons-neuroma

What Causes It?

The thickening of the tissue that causes pressure on your nerves is often caused by;

  • Abnormal foot function: Poor foot mechanics can promote excessive foot pronation which can place strain on the nerve
  • Improper footwear: Any footwear that is poorly fitted can compress the foot, which adds unnecessary pressure onto the nerve. Avoid prolonged use of footwear with a tight toe box and/or high heels.
  • Injury or Overuse: Repetitive high intensity impact on the foot can increase the likelihood of developing a neuroma.

Custom Orthotics have been shown to prevent and treat pain and symptoms from Morton’s Neuroma.

What Is It?

Plantar Fasciitis is a very common cause of heel pain. This is an inflammatory condition of the soft tissue which supports the arch of the foot and is attached to the heel bone. It is a frequent cause of heel and foot pain. The hallmark sign is heel pain when taking the first step out of bed in the morning.

toronto-plantar-fasciitis

What Causes It?

Once again, foot over-pronation can result in a pressure imbalance underneath the foot which can lead to inflammation during weight bearing activity. Repetitive impact to the foot and heel area without proper foot supports can increase the risk of Plantar fasciitis.

Custom Orthotics are hugely beneficial in cases of plantar fasciitis as they help restore the length of the soft tissue supporting the soft tissue throughout the day, and during weight bearing activity, simultaneously treating pain and discomfort.

What Is It?

Runner’s knee is a basic term that describes the general pain that exists within the kneecap region. Health professionals may refer to this as patellofemoral pain syndrome.

toronto-runners-knee

What Causes It?

Pain experienced may be due to over-pronation of the feet / fallen arches. This can impact the ligaments of the knee. Abnormal function or motion will consequently lead to abnormal pressure being applied behind the patella (kneecap). This can further lead to a specific knee disorder also known as chondromalacia patella which affects the cartilage of the knee joint.

Custom Orthotics can help with knee pain due to their contribution to proper alignment of the knee joints, starting with the proper support and alignment of the foot and ankle.

What Is It?

This syndrome is an inflammatory condition of the sacroiliac joints and can often be quite painful.  Typically, patients experience pain within the thigh and buttock regions.  Sitting for extended periods of time can often worsen the pain.

toronto-sacroiliac-syndrome

What Causes It?

Studies have also shown that this syndrome can often be caused by the chronic irritation of abnormal foot mechanics. If your feet are over-pronated due to fallen arches, it can cause internal rotation of the hip joint which can cause the extension of the pelvis. If the mechanics of the feet are not moving symmetrically, this can cause simultaneous conflicting rotations within the sacroiliac joints. This conflict between joints can cause inflammation and a pain.

Custom Orthotics have shown to decrease in the lower back and sacroiliac joints due to optimal support for the feet and spine.

What Is It?

Anterior shin splints are caused by over-use of the Tibialis anterior muscle located on the front of the shin bone.  Posterior shin splints involve the Tibialis posterior muscle, which is located at the back of the leg.

toronto-shin-splints

What Causes It?

The Tibialis muscles are utilized to slow down the pronation that occurs during the stance stage of gait. The Tibialis anterior functions first and earlier in the stance, which is followed by the functioning of the Tibialis posterior. However, if there is significant foot over-pronation due to flat feet or fallen arches, both muscles may have to work simultaneously and also have to work harder than usual.  The inefficient force production can be the cause of micro tearing of the surrounding soft tissue, which results in inflammation. The muscle is surrounded by a soft tissue covering, which can restrict the blood flow to the muscle and add stress to the muscle. In severe cases this swelling can cause damage to the deep peroneal nerve which can cause a permanent “foot drop”. This can typically happen to an individual living a sedentary lifestyle that suddenly begins running or walking long distances. This is caused because of the weak muscles being over-pronated over a short span of time. However, by simply wearing custom foot orthotics, you can prevent the likelihood of over-pronation and injury.

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Gaitscan and Scancast 3D Technology

Our GaitScan technology system is an innovative diagnostic tool and digital casting device that provides us the ability to analyze each patient’s biomechanics and pressure data. This allows the practitioner to order custom orthotic products made specifically for each patient. With 4096 sensors and the ability to scan 300 frames per second, the GaitScan is an industry leader with the latest innovative scanning abilities.

Our ScanCast 3D system allows us to accurately capture full volumetric data in less than five seconds. ScanCast 3D data faithfully captures all of the plantar shape data from the bottom of the foot and up to 8 inches up the back of the leg.

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Hours of Operation

Open 5 days a week to better serve you in the downtown Toronto core.

Monday – Friday: 9:00 am – 6:00 pm
CONTACT INFORMATION

Conveniently located downtown Toronto at University and Wellington.

70 University Ave. (Ground Floor)
Toronto, ON, Canada  M5J 2M4
Located inside Emkiro Health Services

Phone: 416-977-7474

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