Custom or store bought?

Store inserts help many people and cost much less, so we often suggest one first. A custom orthotic makes sense when your foot shape, your activity or a problem that keeps coming back needs more support.
How they are made

The doctor examines your feet and how you walk, then takes a 3D scan of each foot. A lab builds the orthotics to the doctor's prescription, and you come back for a fitting.
Getting used to them

Most people wear them a few hours the first day and add time each day. Bring them to a follow-up visit so we can adjust anything that rubs.
Questions about custom orthotics
Does insurance cover custom orthotics?
Some plans do and many do not. We check your plan and tell you the price before we take a scan.
Will they fit in all my shoes?
Most fit in athletic and walking shoes. We can make a slimmer pair for dress shoes.
Reviewed by Dr. Rosalind Quenneville, DPM, October 7, 2026
