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240 Graff Avenue, Stratford Ontario N5A 6Y2
Phone: (+1) 519-271-9112
Fax: (+1) 519-271-7040

Pedorthist Services:

Custom Foot Orthotics

A custom foot orthotic is a device that is specifically designed for an individual and by which, can be discretely inserted into the shoe to support. Custom foot orthotics not only align, prevent and/or accommodate foot abnormalities, they assist and improve how the foot functions.

Used in conjunction with appropriate footwear, a foot orthotic can be effective in helping to treat a number of foot and lower limb problems including (and not limited to):


Foot orthotics can also help address foot and lower limb pain and complications related to health conditions such as arthritis, diabetes, congenital deformities and neurological complications.

Pedorthics –

Seeing a Certified Canadian Pedorthist C. Ped (C)

A Certified Canadian Pedorthist are one of the few heath care professionals trained in the assessment of the lower limb anatomy and biomechanics. With their specialized training and education in the design, manufacture, fit and modification of foot orthoses and footwear; the Pedorthist can assist with the alleviation of pain, abnormalities and debilitating conditions of the lower limbs and feet.

C. Ped (C)’s are one of the only two professionals with extensive training in the fabrication (manufacture) of custom foot orthotics, which allow for a complete understanding of the products designed and dispensed, in addition to any modifications necessary for specific patients.

C. Ped (C)’s are the only profession where there is extensive training in footwear features, fit, function and modification. This knowledge spans through therapeutic (generic store bought) to orthopaedic (specialty shoes – patient specific) to custom made (built from a last of the foot, for individuals who cannot wear therapeutic or orthopaedic). Understanding footwear is imperative to ensure orthotic function.

What to expect

Thorough hands on assessment. An assessment will include:

– An evaluation of the entire boy, with emphasis on the hips, pelvis, legs and feet.
– Joint range of motion, muscle testing and posture evaluation
– Gait analysis (frontal and sagittal (side) evaluation)
– Footwear evaluation, checking appropriateness with fit and features of current shoes
– Patient education – explanation of findings and recommendations specific to the patient

Should Custom Foot Orthotics be indicated as part of the treatment, a 3-Dimenstional cast is taken of the foot; plaster wrap, foam box, wax for advanced digital scanning are common methods to capture the specific contours of the foot.

*The use of force plates (walking over a mat)  and viewing a colourful image of the bottom of your foot, does not constitute as an accurate representation of the foots unique structure.

Booking your Fitting

Custom Made foot orthotics are hand crafted and can take up to two weeks to be prepared. Patient education on starting to wear your orthotics will be indicated by our C. Ped (C) as well as any “break-in”, “getting use to” period. The orthotics are fit to footwear (suggested by the C. Ped (C)) and any adjustments or balancing needed will be done by the C. Ped (C) while you wait.

Finally shoe features and education are provided to the patient based on their specific needs.

Process after the fitting

Occasional minor adjustments are necessary for comfort once the patient has worn the custom foot orthotics for the outlined time in the fitting. Booking a revisit or adjustment is no problem, simply contact any of our locations and book an appointment as needed. At every location we have an onsite laboratory to provide immediate service. Follow up appointments are covered in the cost of the devices within the first year.

Life span of Custom Made foot Orthotics.

Each patient is unique and all have different biomechanics which will affect longevity of the devices. There are a lot of variables that affect this longevity: weight, foot type, activity level, types of activity, quality of footwear, changes or growth of the foot, and any progressive conditions.
On average 2-4 years life span is common.

Insurance Eligibility

It is important to note that many insurance policies require a physician’s referral  to accompany all required documentation for reimbursement through extended health benefits.
At Active Alignment – Orthotics & Bracing we are happy to provide our patients with correspondence to their referring professional indicating assessment findings and treatment recommendations unique to you, their patient.

Custom Knee Bracing:

What is a custom knee brace?

Custom knee bracing can be a simple and effective way to reduce pain, prevent injury, and resume your activities. It is the most effective way to both stabilize and protect the knee joint. A custom knee brace is a medical appliance that is manufactured based on precise measurements of your leg, and tailored for your specific injury.

The brace is made from a combination of composite materials and polymers, or aerospace grade aluminum, making it both lightweight and extremely durable. “Custom” means your brace conforms with your knee intimately, ensuring a consistent level of protection and comfort without any significant loss of mobility.

What conditions can custom bracing help?

  • Ligament injuries of the knee (ACL, MCL, LCL, PCL)
  • Osteoarthritis (OA) of the knee
  • Knee instabilities

How effective is custom knee bracing for osteoarthritis (OA) of the knee?

In the majority of cases, very effective! Research has shown that more than 70% of patients with OA of the knee report significant improvements in pain, a reduction in pain medication, and increased activity levels when using a custom knee brace.

Ref:  Barnes CL et al.  American Journal of Orthopaedics 2002 Jul; 31(7): 396-401.

Can I use my knee brace for physical activities?

Absolutely. Many of our patients have continued to participate in regular exercise and recreational activities, such as golf, hiking, tennis, and gardening, thanks to the custom knee braces we’ve fitted them with. Our braces are also contoured to fit easily underneath most types of clothing, including athletic wear.

Will my brace be covered by insurance?

Your brace may be covered if you have extended health benefits. Contact your insurer, as coverage details may not be specifically outlined in your benefits package. A prescription for a knee brace may be required from your physician, so you may wish to obtain this prior to arriving at Active Alignment for your bracing appointment. Please do not hesitate to call our clinic at (519) 390-0327 so we can guide you through each step of this process.

How do I know which brace is right for me?


At Active Alignment  we will not only work with with you to assess your knee problem and activity level, and help determine which brace is ideal for your specific situation; but will consult with many of the representatives from each company to narrow down the best options for you.

 Every patient is unique, so we are delighted to offer a variety of bracing options.

Medical Compression Therapy:

Benefits of Compression:

Compression therapy is a simple and effective means of increasing blood flow activity in the lower limbs through strengthening vein support. It’s a form of wound care that aims to gently apply pressure to the ankles and legs by wearing specifically designed stockings. These dressings then work to slowly stretch out vein walls and improve overall circulation, which in turn helps eliminate swelling.

Typical compression stockings are generally made from elastic garment apparel, and once put on allow for graduated constriction to begin at the ankle and working its way up the leg. The socks or stockings serve as a replicated muscle, adding some pressure to contracting areas of restricted blood circulation in the leg, allowing veins to loosen up and reduce pain in the lower limbs.

Sufferers of chronic venous disease are the main candidates for compression therapy. Chronic venous diseases arise in people increased pressure strains the leg veins, which can prompt valves within the veins to fail to work efficiently, resulting in blood flow to back up and eventually pool out in the legs. Chronic venous diseases can occur in any patients who have experienced one or more of the following:

  • Leg injury or surgery
  • Excessive weight gain or obesity
  • Prolonged periods without movement
  • Blood clots in the veins

 

Without effective compression therapy, chronic venous diseases can lead to future issues. One of the biggest side effects are dilated veins, or “spider veins.” These begin to appear as thin blue lines that can branch out depending on the severity of the blood flow restriction. Dilated veins will drain your limbs and produce heavy periods of fatigue, which can eventually lead to sudden bursts of pain. Compression therapy is a primary source of treatment that can help alleviate aching and loosen constriction between the vein walls.

What about Ankle Bracing?

An ankle brace is a garment that is worn around the ankle to protect it or for immobilization while allowing it to heal post injury. Ankle braces are used to immobilize the joint while providing alignment to the bones by disallowing soft tissue disruption.