The Problem with “Computer Generated” Orthotics

Another type of foot orthotic is known as  “customized” rather than “custom.”  These devices can be difficult to distinguish from custom foot orthotics and, unfortunately, are sometimes marketed as authentic custom foot orthotics.  They are often the product of a computerized system where the patient is asked to walk across a force plate which then shows pressure distribution on a computer display.  Typically, the orthotic is made by adding extra components to a pre-manufactured insole.  Sadly, patients are often told that these are custom – and charged a custom orthotic price.  

So how can you tell the difference between customized orthotics and authentic custom foot orthotics?  If you are receiving authentic custom orthotic devices, a three-dimensional mold of your foot, using plaster or fiberglass, must be taken.   Walking or standing on a force plate can be used to evaluate some aspects of foot function, but a force plate cannot capture the 3-dimensional impressions of your feet that are necessary for best outcomes.  Remember, a non-weightbearing cast or scan of your foot must be taken in order to manufacture a functional custom orthotic. If this does not occur, it cannot be a custom orthotic.

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All pages on this website © 2008
Douglas Hale, DPM & Lawrence Huppin, DPM
Foot and Ankle Center of Washington, Seattle
The material provided on this web site is for informative purposes only.
If you need specific medical advice, please contact the office for an appointment.