Custom Orthotics
Built for Your Body
Precision-fitted orthotic insoles and orthotic shoes that correct your unique foot biomechanics — reducing pain from the ground up. No referral needed. Direct billing available.
The Basics
What Are Custom Orthotics?
Custom orthotics are prescription medical devices worn inside your shoes to correct biomechanical imbalances in your feet, ankles, and lower limbs. Unlike over-the-counter insoles, they are fabricated from a precise cast or 3D digital scan of your individual foot — shaped specifically to your anatomy and condition.
At RCP Health, our practitioners conduct a full biomechanical assessment including gait analysis, foot structure evaluation, and lower limb examination before prescribing orthotics. This ensures the device addresses your actual movement pattern rather than a generic average.
Custom orthotics come in three main types depending on your needs: rigid (maximum correction), semi-rigid (support with cushioning), and soft (pressure relief and comfort for sensitive conditions like diabetes).
Rigid
Maximum biomechanical correction for structural conditions
Semi-Rigid
Balance of support and cushioning for active lifestyles
Soft
Pressure relief for diabetic, arthritic, or sensitive feet
Understanding the Difference
Custom Orthotics vs. Over-the-Counter Insoles
Both sit in your shoe — but that's where the similarity ends.
What We Treat
Conditions Custom Orthotics Can Help
Poor foot biomechanics affect the entire kinetic chain. Orthotics treat the source, not just the symptom.
Signs You May Need Orthotics
When Should You Get Custom Orthotics?
Many people wait too long before seeking assessment. Foot pain that persists beyond a few days, or pain that recurs after rest, is often a signal of an underlying biomechanical issue that orthotics can correct. Consider booking an assessment if you experience:
What to Expect
The Orthotic Assessment Process at RCP Health
Our assessment is thorough, precise, and takes approximately 45–60 minutes.
Health History Review
We discuss your symptoms, lifestyle, footwear habits, and any previous injuries or treatments.
Biomechanical Assessment
Static and dynamic evaluation of your foot structure, joint mobility, muscle strength, and alignment from foot to hip.
Gait Analysis
We observe how you walk and identify abnormal movement patterns — overpronation, supination, leg-length discrepancy, and more.
Foot Casting or Digital Scan
A precise three-dimensional record of your foot is taken in the corrected, neutral position — the blueprint for your orthotic.
Prescription & Fabrication
Your custom orthotic is prescribed with specific materials, posting angles, and modifications. Fabrication typically takes 7–14 business days.
Fitting & Follow-Up
We fit the orthotics, check alignment, and schedule follow-up to assess your adaptation and make any adjustments needed.
Orthotic Shoes
Do You Need Orthotic Shoes?
Custom orthotics work best when paired with appropriate footwear. Orthotic shoes — also called orthopedic shoes — are designed with features that accommodate custom insoles and provide additional structural support for compromised feet.
At RCP Health, we provide guidance on footwear selection as part of your orthotic assessment. Key features to look for include:
- A removable factory insole (to make room for your orthotic)
- A firm, supportive midsole that doesn't collapse
- A deep heel cup that holds the foot in place
- A wide, accommodating toe box
- A sole that doesn't flex in the middle third of the shoe
For patients with diabetes, arthritis, or severe deformity, purpose-built orthopedic footwear combined with a custom orthotic provides the most comprehensive protection and comfort.
Coverage & Billing
Insurance, OHIP & Direct Billing
Is OHIP Covered?
OHIP does not cover custom orthotics in Ontario. All orthotic fees are paid privately. However, Ontario's Assistive Devices Program (ADP) may fund up to 75% of costs for patients who qualify based on medical need and physician assessment.
Ontario ADP Program Details →Extended Health Benefits
Most workplace and private extended health plans provide partial or full coverage for custom orthotics. Common requirements include:
- A prescription with diagnosis from a physician, chiropractor, or physiotherapist
- A biomechanical assessment report documenting gait analysis findings
- A detailed invoice with manufacturing method and materials used
- Certification number of the prescribing/dispensing professional
RCP Health provides all required documentation to support your insurance claim.
Direct Billing at RCP Health
RCP Health offers direct billing to most major insurance providers, so you pay only your portion at the time of service — no upfront costs and no chasing reimbursements.
Not sure what your plan covers? Contact us before your appointment and we'll help you understand your benefits.
Book & Ask About Coverage →Integrated Care
How Other RCP Health Services Work With Orthotics
Orthotics correct the foundation. These services address everything above it.
Physiotherapy
Addresses the root musculoskeletal cause alongside orthotics
Learn more →Chiropractic Care
Spinal and joint alignment working in tandem with orthotic correction
Learn more →Massage Therapy
Releases soft tissue tension that orthotics alone cannot address
Learn more →Acupuncture
Pain management and inflammation control during orthotic adaptation
Learn more →Graston Technique
Breaks down scar tissue in the plantar fascia and Achilles tendon
Learn more →Laser Therapy
Accelerates tissue healing in conjunction with orthotic support
Learn more →Common Questions