Custom Orthotics
Prescription medical devices made specifically for your feet — correcting abnormal motion, redistributing pressure, and preventing reinjury.
What Are Custom Orthotics?
Custom orthotics are prescription medical devices worn inside your shoes. Unlike over-the-counter insoles, custom orthotics are specifically designed for your unique foot shape, biomechanics, and condition. They correct abnormal foot motion, redistribute pressure, and provide support where you need it most.
Think of orthotics like prescription eyeglasses for your feet — they correct the way your feet function, not just cushion the bottom.
Who Can Benefit?
- Plantar Fasciitis (heel pain)
- Flat Feet (overpronation)
- High Arches (underpronation/supination)
- Achilles Tendinitis
- Posterior Tibial Tendinitis
- Bunions
- Hammertoes
- Morton's Neuroma
- Arthritis (foot or ankle)
- Diabetic foot conditions
How Do They Work?
Custom orthotics work by controlling abnormal foot motion and realigning the foot and ankle into a more efficient position. This reduces stress on painful structures, improves gait efficiency, and prevents reinjury.
The Fitting Process at Pathways Foot & Ankle
- Step 1 – Comprehensive Evaluation – Dr. Clifford examines your feet, watches you walk (gait analysis), and assesses your range of motion.
- Step 2 – Foam Impression Casting – We use high-quality foam impression molds to capture the exact 3D shape of your feet.
- Step 3 – Prescription Design – Based on your diagnosis, Dr. Clifford specifies the materials, density, arch height, and corrective features needed.
- Step 4 – Fabrication – Your custom orthotics are manufactured in a specialized lab (typically 2-3 weeks).
- Step 5 – Fitting and Adjustment – You return to try on your orthotics. Dr. Clifford makes any necessary adjustments and teaches you how to use them.
Custom vs. Over-the-Counter
Custom Orthotics
Over-the-Counter Insoles
Getting Used to Your Orthotics
- Break-in period – Wear them for 1–2 hours on the first day, then gradually increase over 1–2 weeks.
- Expect some adjustment – Mild soreness or a "different" feeling is normal as your feet adapt.
- Start with low-impact activities – Walking, then progress to more demanding activities.
- Shoe compatibility – Orthotics work best in shoes with removable insoles and a wide toe box.
Frequently Asked Questions
How long do custom orthotics last?
With normal use, a well-made pair typically lasts 3–5 years. We recommend a brief check every year or two to make sure the materials haven't broken down and that the fit still matches your needs.
Can I use my orthotics in multiple pairs of shoes?
Yes — as long as the shoes have removable insoles and a similar heel height and width. Many patients order a second pair for a different shoe type (athletic vs. dress) so they aren't constantly moving them between shoes.
What if my orthotics don't feel right at first?
A break-in period of up to 4 weeks is normal. If discomfort persists or the fit feels off, we'll schedule a follow-up adjustment. Custom orthotics should feel supportive, not painful — if they hurt, we fix them.
How are custom orthotics different from the insoles I can buy online?
Custom orthotics are made from a 3D mold of your foot and a prescription tailored to your diagnosis and biomechanics. Over-the-counter insoles are mass-produced and only provide cushioning — they can't correct abnormal motion.
What to Expect at Pathways Foot & Ankle
- A thorough biomechanical evaluation and gait analysis
- A clear explanation of the prescription and expected outcomes
- Transparent pricing with no surprise bills
- Same-day or next-day appointments, no referral needed
Take the next step — reach out today
Pathways Foot & Ankle - Dr. Craig Clifford
216 14th St, Oregon City, OR 97045
(971) 359-5299 — Call Dr. Clifford directly
Same-day & next-day appointments available, no referral needed
House calls also available throughout the region.