A Step by Step Guide for Patients New
to the Benefits of Custom Orthotics
Step One: The Referral
You need a referral/Rx to start because we work together as a team with health professionals. If you are experiencing foot, knee, leg, hip or back pain or have questions about your lower limbs, speak to your physician, chiropractor or physiotherapist or nurse practioner about your interest in being assessed by a Canadian Certified Pedorthist. Your physician can write you a prescription/referral for Bedford Orthotics for a professional assessment. An appointment is necessary.
Many patients can have their orthotics covered or partly covered by their private insurance plans. Check your plan. Bedford Orthotics is insurance provider approved.
Step Two: Your First Appointment.
Please bring your doctor's prescription/referral and a
couple pairs of shoes that
you most frequently wear.
For your comfort and ease of assessment we suggest that
you bring shorts or wear pants that you can roll up to your knees.
VIDEO - What To Expect at Your Appointment
Part 2A: Biomechanical Evaluation - About one hour
A biomechanical evaluation for foot orthotics should consist of the following:
Medical History: Complete investigation of your medial history, symptoms, previous injuries, lifestyle (occupation, activities) and footwear (fit, style, wear patterns)
Examination: Complete hands-on evaluation of the lower limb including foot structure, alignment, strength, range of motion and the identification of abnormalities.
Gait Analysis: Observations while you walk to identify accommodations or abnormalities
Pedograph: Mapping the pressure points where your foot does, or does not, touch the ground.
Orthotic Assessment: Determination of treatment options, as well as explanation of how the treatment will address the specific needs of the patient.
Part 2B: Handcrafting Your Custom Orthotics
Casting: A cast is a 3-D model of your foot and is the medium by which the unique contours of your foot are captured. The cast is taken in a position that minimizes mechanical anomalies by either improving foot alignment, or accommodating foot alignment when necessary. At Bedford Orthotics we get optimal results from a 3-D mold of the foot made while standing up and bearing weight on your feet as they naturally touch the ground.
Consumer note: Casting does not include taking a footprint on an ink pad or forceplace. Recording your shoe size and providing a prefabricated insole of
the shelf does not qualify as casting or custom made nor is it insurance approved.
Manufacturing: Our orthotics are constructed completely from raw materials fabricated directly from your full standing, weight-bearing cast in our onsite lab. It will typically take less than two weeks between your assessment and pick-up/fitting appointments. Rush orders are available and we envy your trip :)
Step Three: Fitting Your Custom Orthotics
Dispensing: We will contact you to pickup and try on your orthotics on or well before 2 weeks from your first visit. Your new orthotics will be fit to your footwear and be evaluated while walking with the orthotic.
Break-in Routine: You will be given instructions on breaking in your new orthotics. Many patients have immediate results but there are some cases where it can take a few months to realign back to healing.
Optimal Fit Warranty: We back all our orthotics with a full-year warranty and can make fine tuning adjustments while you wait if needed.
Step Four: Maintaining Optimal Effectiveness
Education: How to support orthotic longevity, footwear fit and footwear features are all part of a good patient education discussion.
Care and Cleaning: Wash with soapy water and air dry. (NOT on a heating source like hot water radiator or clothes dryer) Note you dog may like to chew orthotics, cats we are not concerned.
Two-Year Recheck: We recommend to come in for a complimentary recheck at the 2 year anniversary of your orthotics as they can compress over time and the foot changes shape over time - both factors can make your orthotics less effective.
Enjoy: The things that your previous foot pain prevented you from doing!
Did You Know?
For winter safety we recommend Yak Traks - a traction device worn over your footwear to ensure safer walking in slippery winter conditions.