Commonly referred to as "orthotics," are shoe inserts that are intended to adjust an abnormal, or irregular, walking pattern. They perform functions that make standing, walking and running more comfortable and efficient by altering the alignment between the foot and the lower leg.

Podiatrists at Bermuda Podiatry Centre prescribe the use of orthoses as a conservative approach to problems such as plantar fasciitis (arch pain), tendinitis and "runner's knee." Their use is a highly successful, practical form of treatment.

Orthoses are not truly or solely "arch supports" though some people use those words to describe them. Orthoses are medical devices that require a prescription and are custom-made by trained individuals. Podiatrists specialize in assessing and understanding the bio-mechanical faults of the foot and what is required to balance excessive pronation (collapsing in) and supination (rolling out) and reduce excessive forces that can lead to injury.

However, if you are prescribed orthoses by a podiatrist, in most cases they are successful in relieving, preventing and/or correcting the pain/problem for which they were prescribed. This is not the only treatment which will be prescribed for a condition as there will be other modalities used like manipulation, laser ,strapping ,taping and other advice used in conjunction.

Orthoses take various forms and are constructed of various materials. All are concerned with improving foot function and minimizing stress forces that could ultimately cause foot deformity and pain.


Orthotic devices are effective in the treatment of children with certain foot and leg deformities. Most podiatrists recommend that children with such deformities be placed in orthoses soon after they start walking, to help stabilize the foot. The devices can be placed directly into a standard shoe or an athletic shoe.

Usually, the orthoses need to be replaced when the child's foot has grown one and a half to two sizes. Different types of orthoses may be needed as the child's foot develops and changes shape.

The length of time a child needs orthoses varies considerably, depending on the seriousness of the deformity and how soon treatment is initiated.


Research has shown that back problems frequently can be traced to a foot imbalance. It is just as likely that foot problems are brought about by a back imbalance. It's important for your podiatrist to evaluate the lower extremity as a whole to provide for appropriate orthotic control for foot problems.


Our podiatrists at Bermuda Podiatry Centre will most likely do a gait analysis or a full biomechanical assessment before prescribing the orthoses. This gives the clinician the most valuable information to make the best orthotic choice for the patient.


We use the latest 3d scanning technology to take the perfect scan of your foot and theses are sent electronically to the lab.


- Wear shoes that work well with your orthoses.
- Bring your orthoses with you whenever you purchase a new pair of shoes.
- Wear socks or stockings similar to those that you plan on wearing when you shop for new shoes.
- Return as directed for follow-up evaluation of the functioning of your orthoses. This is important for making certain that your feet and orthoses are functioning properly together.
Source: American Podiatric Medical Association