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Welcome! Active Alignment has merged with Ortho-Kinetics to expand our service area. While Brad Gibbs remains on as a Pedorthic Consultant, Jen Gulas C. Ped (C) and Patrick Purves C. Ped (C) will be providing pedorthic care in the Cambridge and Oakville locations in addition to the existing Active Alignment locations in Waterloo, New Hamburg, and Stratford. Ortho-Kinetics patients, please click here to learn more.


Good shoes take you good places.”


Footwear modifications are changes or adaptations made to footwear to improve function and to accommodate specific pathologies such as a Leg Length Discrepancy, Ankle Arthrodesis (fusion), Severe Arthritis, Neurological conditions and Diabetic complications.

Lift – sole extension

A lift or a sole extension is a permanent, external modification of the midsole and outsole. It adds a prescribed amount of height to one or both shoes to help a patient who has a leg length discrepancy feel and walk level. Walking and feeling level can reduce unwanted compensations of other soft tissue and joint structures that would be required to support a shorter limb.

When constructing a lift modification, there is a potential of utilizing an internal lift instead of external modification. If the lift required is below 2cm, and there is sufficient space within the footwear, the inclusion on an internal modification is possible.

Rockered Sole

A rockered sole is a permanent, external modification to the midsole where material is added to allow the flex point(s) of the shoe be:

  • Moved
  • Increased
  • Strategically placed to improved function
  • Protection of the foot and ankle during gait

Circumstances that would require a change to the flex point(s) of the shoe would include:

  • Instances/conditions where the natural transfer of pressure from heel to toe is limited by surgical intervention
  • Arthritic joints and deformities of the foot.

Often times the patient is unaware of the compensations other joints of the body make (knees, hips, back) to create smooth ambulation.



908 King St. E.
Cambridge N3H 3P4

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Aligned Health

745 Bridge St. W.
Waterloo N2V 2G6

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New Hamburg

Affinity Health

3 Waterloo St.
New Hamburg N3A 1S3

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Black Creek

240 Graff Ave.
Stratford N5A 6Y2
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250 Wyecroft Road, OSMC, Unit 16
Oakville L6K 3T7

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