Custom Orthotics

Have you been told that you have flat feet or overpronate? Have you tried over-the-counter inserts but felt like they didn’t provide the support you needed?
Have you struggled with trying many shoes hoping that this pair will be the one that relieves your foot, knee, hip, or back pain?
We at Axiom Physiotherapy are experts in crafting the best custom orthotic for you. With years of extensive specialized training, we can provide a custom orthotic for almost any foot or shoe type.



Frequently asked questions

Do you have any Questions ?

Please read questions below and if you can not find your answer, please send us your question, we will answer you as soon as possible.


What is the difference between my custom orthotic at Axiom Physiotherapy versus an over-the-counter insert?

Over-the-counter inserts are not designed with your foot in mind. For some, they can be a real help and it is often what we have our patients try prior to considering custom orthotics. But an over-the-counter can’t provide the support that a well designed custom orthotic can.

What can I expect?

We will spend 1 hour the first session measuring, wedging, and casting you to figure out the best possible orthotic for you, taking into consideration your foot type, shoe options, level of activity, We have found over the years that taking measurements with great details in the first session, we rarely have to make any changes to our orthotics.

We have partnered with Biomechanical Services in the Los Angeles area for the fabrication for all of out orthotics. They have provided the orthotic services for the US Men’s and Women’s National Soccer Teams and countless professional athletes. We trust them implicitly with our orthotics.

Your casts will be sent to Los Angeles where they go through the very detailed process of making your custom orthotic with your foot and shoes in mind. It will take 2-3 weeks to get them back from the lab. That is a great opportunity for us to work on exercises and manual therapy to best help prepare you for using the orthotics.

Your second session will be the fitting where we will put them in all of your shoes that you are considering, to make sure the fit is spot on. We also will provide any treatment and exercise prescription to make sure you adapt to the orthotic as quickly as possible.

How long will it take to break them in?

At Axiom PT in Austin we encourage all of our patients to slowly break in their orthotics over the first week wearing them more each day. It is not uncommon to have some soreness in the feet and calves for the first few weeks. If that soreness persists longer than 3 weeks we need to know so we can figure out why.

How long will my orthotics last?

Our custom orthotics will last between 2-3 years with normal to heavy wear. The orthotic company offers an option of mailing back the molds to you so that when you wear through your orthotics, you can get a new pair without having to get casted again. We highly recommend this to avoid having to pay to be recasted.

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