Advanced Foot and Ankle Center Blog

Posts for tag: Foot Pain

You can now purchase a second pair for a discounted price of $225! 

Having a second pair of custom orthotics is a great option for:

  • A thinner, narrower orthotic that can fit easier into dress shoes, cleats, ice skates, golf shoes, etc.

  •  Convenience of not having to constantly switch your orthotics between shoes. 

Offer expires August 31st!


Advanced Foot and Ankle



What is a custom orthotic?

A custom orthotic is a shoe insert that is made to exactly fit the contour of your foot.  Orthotics are used for a variety of foot conditions including heel pain, flat feet, pain in the ball of the foot, high arched feet, various ligament and tendon injuries, diabetes, arthritis and many more.  They are made by taking a cast mold of the foot, which is sent to a lab for precise fitting of the shape of the foot with specialized prescription modifications that help the foot to function in its most ideal position.


Orthotics work by decreasing high pressure areas, stabilizing the foot alignment and cushioning the foot.  They also help to stabilize the foot during the walking cycle to adjust abnormalities in walking.  Orthotics are like glasses- they only work when you wear them. Orthotics will not permanently change your anatomy. It does make sense that they would aid in the prevention of injuries and some arthritic conditions of the lower half of your body. Orthotics have a synergistic effect with other treatments such as physical therapy, stretching, icing, anti-inflammatory medicines and in some cases surgical correction of the foot.


How will my orthotics feel?

When orthotics are first worn, it is common to have arch soreness or discomfort for a short period of time, but when properly fit they will help alleviate foot pain and help to correct poorly aligned feet and ankles.  Pain in new areas, blistering or redness, while rare, can occur initially and should be reported to your doc tor so that your orthotics can be adjusted.  Custom orthotics are made I such a way that their shape can be changed by your doctor for an even better fit.  It is common for your orthotics to feel stiff at first but with some wear this stiffness will allow your foot to be properly supported and will feel better than before.  Although symptomatic relief will not occur over night, consistently wearing orthotics for a period of time will help realign your feet and allow healing to occur as well as help prevent future pain or injury.


Are orthotics adjustable?

Yes.  As discussed above your doctor can adjust your orthotics to make them a truly custom fit.  These adjustments can be made by the lab as well, depending on the type of adjustment needed.  There are many areas that may need adjustment and this versatility allows for the best fit for each individual.


Are custom orthotics covered by insurance?

Coverage for custom orthotics varies by insurance plan.  Our staff will review your insurance coverage to determine of custom orthotics is a covered service on your plan.  Please be aware that we can only forward the coverage information to you that the insurance company gives us.  This is not a guarantee of coverage since the insurance company cannot guarantee benefits until the claim is processed.  If you are concerned that your insurance company does not cover custom orthotics, we urge you to call them and confirm coverage.  They may ask for the billing code, which is L3000.  Please feel free to ask our staff if you have any questions or concerns.  We are here to help you and our primary concern is your complete satisfaction and well-being.


How long do custom orthotics take to make?

The time needed for custom orthotics to be made and return to our office is approximately 3-4 weeks.  There are a variety of factors involved including the company used, the speed of shipping and the complexity of the orthotic prescription.  We will give you a custom estimate of the time it will take when you are molded for custom orthotics.


What are the alternatives to custom orthotics?

There are many kinds of ‘off the shelf’ or prefabricated orthotics on the market today, many of which can be purchased at the pharmacy or supermarket.  These vary greatly in quality and function.  There are many different foot types and most of these insoles are geared toward being soft rather than being supportive.  Soft insoles, while they feel good on the skin, do not properly support the arch and can cause more harm in some cases.  There are also a variety of higher end prefabricated orthotics that can be selected by your doctor to match your foot type, and in some cases these may be sufficient to support your foot condition.  In all cases, prefabricated orthotics lack the custom fit of your foot and the durability provided by custom orthotics.  A prefabricated orthotic will last about a year on average, where a quality custom orthotics can last for more than 10 years!


Where can I get custom orthotics?

The doctors at Advanced Foot and Ankle Center have special training in all types of foot and ankle conditions and well versed in treating these conditions with custom orthotics in people of all ages, from young children to the geriatric population. 


If you have questions please feel free to call the office and members of our staff will be happy to assist you.



Advanced Foot and Ankle Center

September 14, 2018
Category: Foot Care
Tags: Foot Pain   Custom Orthotics  

Custom orthotics are removable shoe inserts that provide greater arch support and stability to the feet and ankles. There are different types of orthotics available depending on the issue and level of support that is needed. Basic orthotics are sold over the counter, but a custom pair designed specifically for your foot will provide optimal support and comfort.

When are Custom Orthotics Necessary?

Podiatrists typically recommend custom orthotics for people with flat feet, or very high arches. One of the most common signs that you may benefit from a pair of orthotics is heel pain (although you may also experience pain and swelling in other parts of the foot). You may also experience pain and swelling after normal and relatively low impact activities like standing or walking.

A good way to figure out if you are having pronation issues is to examine the soles of your shoes and sneakers. If the soles and insoles tend to become visibly more worn on one side, it may be a sign that your alignment is off and you are over or under pronating. A podiatrist may ask you to walk in your bare feet to observe your stride and gait (known as a gait analysis). If you experience persistent pain, swelling, or stiffness, especially after exercise or after long periods of rest, schedule an appointment with a podiatrist.

Types of Custom Orthotics

There are a few different types of custom orthotics designs available depending on your needs.

Functional (also known as rigid) orthotics are made of harder materials and are usually prescribed for pronation problems or joint issues like arthritis.

Accommodative orthotics are designed to provide more cushioning and support and are typically prescribed for problems like plantar fasciitis and bunions.

In addition to improving your gait and foot and ankle alignment, custom orthotics can help to prevent related strains and injuries and relieve back, joint, and knee pain if it is caused by issues with your arches and pronation.

April 17, 2018
Category: Foot Conditions
Tags: Foot Pain   Turf Toe  

Turf toe is a sprain of the joint just below the big toe, also known as the first metatarsophalangeal (MTP) joint. This foot injury is particularly common among athletes who play on artificial turf, hence the name “turf” toe. When athletes play sports on turf or other hard surfaces, the foot can stick to the ground, resulting in jamming of the big toe joint.

Typically the injury is sudden, but it can also occur after sustaining multiple injuries, such as pushing off repeatedly when running or jumping. Although it’s a condition most commonly associated with dancers, soccer players, wrestlers, gymnasts and football players, you don’t have to be an athlete to get it.

Symptoms of turf toe range from mild to severe, and may gradually worsen with continued movement. The most common symptoms of turf toe include:

  • Swelling and pain at the joint of the big toe

  • Pain and tenderness when bending the toe

  • Stiffness and limited movement of the big toe joint

If your symptoms are indicative of turf toe, then you may be able to relieve the pain and swelling with the following self-treatment, including:

  • Ice the injury

  • Apply a compression bandage

  • Rest and temporarily discontinue any physical activity

  • Wear a brace to protect the toe and to limit bending

For more severe cases of turf toe, visit our office for a proper diagnosis and treatment plan. A podiatrist can easily diagnose turf toe through an evaluation that includes a range of motion and joint stability tests.

Professional treatment may include exercises to strengthen the toe, modified footwear or splinting. With proper treatment, you can eliminate pain resulting from turf toe and return to your favorite sport or activity!

January 04, 2017
Category: Podiatry
Tags: Pregnancy   Foot Pain  

Pregnant Foot PainDuring pregnancy, it's not uncommon for women to experience an array of aches and pains all over the body. Among these complaints are tired, swollen, achy feet - a common and painful symptom experienced by mothers-to-be during their nine months of pregnancy.

One of the most common foot problems to occur during pregnancy is swelling, or edema, which results from an extra accumulation of blood. The natural weight gain and enlarging uterus puts pressure on the veins that lead to the legs, causing circulation to slow down and increasing fluid retention. The legs and feet may become swollen, making shoes tight, and in some cases causing pain and discomfort. Slight swelling during pregnancy is normal and usually subsides after giving birth. Women should pay close attention to edema symptoms. Swelling to the face or a sudden onset of swelling could be a sign of a more serious condition called preeclampsia and should be reported immediately.

Another troubling foot problem that can occur during pregnancy is over-pronation (flat feet) which is caused when a person's arch flattens out upon weight bearing causing the feet to turn in abnormally. This condition develops when the dense band of tissue in the arch of the foot called the plantar fascia becomes strained and inflamed due to increased flattening of the feet. Over-pronation is common in pregnancy due to the increased weight gain which stresses the feet and flattens the arches. Walking can become very painful, and women may experience increased discomfort and strain on the feet, calves and back.

There are various remedies available to help minimize and alleviate foot pain during pregnancy.

  • Take short breaks during the day and elevate your feet to relieve pressure and swelling.
  • Drink plenty of water.
  • Wear shoes that are soft, comfortable and give your feet room to move.
  • Wear seamless socks that do not constrict circulation.
  • Exercise or walk regularly to promote overall health.
  • Stretch legs frequently and avoid crossing your legs when sitting.
  • To prevent arch pain, stretch daily, avoid going barefoot and wear supportive low-heeled shoes.

When foot pain persists, visit your podiatrist. We'll work with you to find the best treatments for your foot pain. Pregnancy and pending motherhood should be a pleasant, enjoyable experience. Understanding the causes of foot pain and learning easy home remedies can help women step more comfortably throughout these special nine months.