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custom orthotics


What are Custom Orthotics?

Custom orthotics are specially-made devices designed and crafted for you based on prescribed specifications for the comfort of your feet. Prescription orthotics are crafted for you and no one else. They match the contours of your feet precisely and are designed for the way you move. Orthotics are only manufactured after a gait analysis has been conducted and a complete evaluation of your feet, ankles, and legs, so the orthotic can accommodate your unique foot structure and pathology.


Selecting a shoe insert from the wide variety of devices on the market can be overwhelming. Here are some tips to help you find the insert that best meets your needs:

  • Consider your health. Do you have diabetes? Problems with circulation? An over-the-counter insert may not be your best option. Diabetes and poor circulation increase your risk of foot ulcers and infections, so schedule an appointment with us.  We can help you select the solution that will not cause additional health problems for you.

  • Think about the purpose. Are you planning to run a marathon, or do you just need a little arch support in your work shoes? Look for a product that fits your planned level of activity.

  • Bring your shoes. For the insert to be effective, it has to fit into your shoes. So bring your sneakers, dress shoes, or work boots—whatever you plan to wear with your insert. We will customize an insert that will fit contours of your shoe.

  • Try them on. If all possible, slip the insert into your shoe and try it out. Walk around a little. How does it feel? Don't assume that feelings of pressure will go away with continued wear. (If you can't try the inserts at the store, ask about the store's return policy and hold on to your receipt.)

The most common types of shoe inserts are:

  • Arch supports: Some people have high arches. Others have low arches or flat feet. Arch supports generally have a “bumped-up” appearance and are designed to support the foot's natural arch.

  • Insoles: Insoles slip into your shoe to provide extra cushioning and support. Insoles are often made of gel, foam, or plastic.  

  • Heel liners: Heel liners, sometimes called heel pads or heel cups, provide extra cushioning in the heel region. They may be especially useful for patients who have foot pain caused by age-related thinning of the heels' natural fat pads.

  • Foot cushions: Do your shoes rub against your heel or your toes? Foot cushions come in many different shapes and sizes and can be used as a barrier between you and your shoe.

What are Compression Stockings?

Leg health is important.  In North America, millions of people suffer from venous disorders, and so many are unaware they have a problem. Symptoms include achy legs, early signs of varicose veins, cramps or leg fatigue, leg or foot swelling, spider veins, skin discoloration and leg ulcers.

Healthcare workers, teachers, factory workers, business travelers, expecting mothers, athletes, retailers and anyone who stands or sits for long periods of time each day are all groups of people who can often benefit from wearing compression stockings.

Risk Factors for Vein Disorders:

Heredity, being 40 years and older, pregnancy, obesity, prolonged sitting or standing, long distance travel, sedentary lifestyle, surgery or trauma,

infectious disease, use of hormone medication.

Symptoms of Vein Disorders Include:

Heavy, tired, or achy legs, initial signs of varicose veins, feelings of tension, cramps, or fatigue in legs, swollen ankles or feet,

"spider" veins, skin discoloration or problems, leg ulcers.

Compression socks and stockings are designed to be tightest at the ankle in order to decrease in pressure going up the legs. They help minimize the risk of varicose and spider veins and helps improve overall circulation.

First Care offers high-quality graduated compression in many different fabric choices and styles designed to fit any lifestyle. Today, these products look similar to products available in department stores with the added health benefit of graduated compression.

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