Custom Orthotics, Knee & Ankle Bracing, Diabetic Foot Care

Are orthotics covered by my extended health benefits plan?

Yes. Our products and services are eligible for reimbursement through health benefit plans. We recommend double checking this eligibility as not all plans and plan carriers are the same.

Do I need to see my doctor before coming in for an assessment?

No. Our Pedorthists will assess and create a treatment report with recommendations for your physician at your request following the initial appointment.

Are your orthotics and services covered by OHIP?

Unfortunately, no. OHIP does not cover custom-made foot orthotics.

What will I need to submit to my extended health benefits plan?

In most cases, you will require these items for submission:

  • A written prescription/referral from a physician/family doctor including a medical diagnosis.

Active Alignment Pedorthists will provide you with:

  • A copy of our biomechanical examination and gait analysis
  • A copy of our lab form which includes lab address, casting technique, materials used, and the fabrication process.
  • A receipt showing payment and dispensing date (date you were fitted with the orthotics).

What can I expect during my assessment?

You can expect to spend 45 minutes with us. During this time, we will go over your history of injury, surgeries, activities, and any other relevant medical information. We will provide a biomechanical exam that includes an anatomical evaluation, range of motion and functional testing; gait analysis and footwear evaluation. A treatment plan is created so that you can be empowered on plan of action for your treatment. It is very important to us that you leave your appointment feeling confident in understanding your assessment. We place a high value on patient education as we realize the importance it plays not only with your experience, but also in successful outcomes.

I have been told orthotics hurt. Is that true?

On the contrary. If your orthotics hurt, then you must return to your provider to determine what needs to be adjusted to improve comfort.

They may feel “weird” in the beginning, but weird is OK! In our experience, when the custom-made foot orthotics are casted and designed correctly, the sensation should feel natural and comfortable under your foot. Other than providing relief and comfort, you should not know you are wearing them.

What can I expect with my “fitting” appointment?

Come prepared to your appointment with a variety of footwear that you wear often or will be using with your new orthotics. Since your custom-made foot orthotics are hand made, we finish the manufacturing process onsite at your appointment. A description of expected sensation and comfort will be outlined as per your specific needs. A “getting used to” plan will be generated with you to ensure comfort and function.

How long do custom foot orthotics last?

On average, custom-made foot orthotics can last anywhere between 2-4 years and some times longer. However there are a lot of factors that affect longevity.
These factors include: weight, foot type, personal body mechanics, physical stresses of activity and workplace demands, and the quality of footwear they are used in.

What happens with foot growth in children and their orthotics?

One size per year is the average foot growth rate in children. Our custom-made foot orthotics can be effective and functional up to 2.5 growth in size. Oftentimes a small modification can be done to the orthotics to accommodate the increase in size and extend the life span.

What is the difference between orthopaedic shoes and custom-made shoes?

Custom-made orthopaedic footwear is most often recommended when the patient’s foot shape or physical/medical condition cannot be accommodated by an off-the-shelf (prefabricate, in-stock) orthopaedic footwear.

Providing such footwear is a highly technical undertaking that always requires a 3D cast of the patient’s foot. The cast is turned into a “last” that remains specific to that individual patient. Footwear design begins around that last to optimize function, accommodation for the individual’s medical needs. Custom-made footwear is created from raw materials. One pair of custom-made orthopaedic footwear may cost anywhere from $1,200- $3,500 per pair.

Off-the-shelf (pre-fabricated, in stock) orthopaedic shoes are not made for an individual patient. True orthopaedic footwear must incorporate a variety of features that support and are appropriate to specific medical needs. They should also be available in a range of lengths, widths, styles, and materials. Footwear like this is not generally found or purchased at conventional footwear stores or online.