
At Foot & Ankle Associates of Southern NH, located in Derry, New Hampshire, we understand the critical role that custom orthotics play in enhancing foot health. Many patients come to us seeking relief from various foot conditions, and the science behind custom orthotic design is integral to our approach to treatment. This article will explore the anatomy of the foot, common conditions that benefit from orthotics, the design process, and how custom orthotics can provide significant relief and improve overall mobility.
Foot pain can result from a variety of factors, including:
Custom orthotics are specially designed shoe inserts that provide support, cushioning, and correct alignment for the feet. These devices work by redistributing pressure across the foot, promoting proper posture and alleviating pain. They can be crafted to address specific conditions, such as:
At Foot & Ankle Associates of Southern NH, we follow a comprehensive process to ensure the orthotics are tailored to each patient's unique anatomy:
Our podiatrists conduct a thorough evaluation of your foot structure, gait, and any existing conditions. This assessment may include:
To create precise orthotics, we take detailed impressions of your feet using 3D scanning or plaster cast techniques to capture the foot's shape and alignment correctly.
Based on the assessment, we select specific materials and designs that provide the necessary support and comfort, such as EVA foam, cork, or thermoplastics. Each material has unique properties that influence cushioning, support, and durability.
Once the design is finalized, our lab fabricates the orthotics. State-of-the-art technology ensures accuracy and quality, resulting in a product that will reliably relieve pain and improve function.
After fabrication, we conduct a fitting appointment to ensure the orthotic devices interact properly with your footwear and provide the anticipated support. Adjustments may be made to maximize comfort.
The lifespan of custom orthotics varies based on activity level, body weight, and the materials used. Generally, high-quality orthotics can last from one to three years. Regular check-ups with our podiatrists at Foot & Ankle Associates of Southern NH can help you assess their condition and effectiveness.
Many insurance plans offer coverage for custom orthotics, especially if prescribed by a licensed podiatrist. We recommend checking with your insurance provider to understand the specifics of your coverage. Our team can assist with any necessary documentation to help you maximize your benefits.
Common conditions include plantar fasciitis, flat feet, metatarsalgia, Achilles tendinitis, and diabetic foot issues.
Initially, custom orthotics may require an adjustment period, but they should not be painful. Proper fitting and adjustments can enhance comfort.
Custom orthotics can fit into most types of footwear, but it's best to wear them in supportive shoes to maintain proper alignment.
Keep them clean by wiping them with a damp cloth and letting them air dry. Avoid exposing them to excessive moisture or high temperatures.
If you're experiencing persistent foot pain, discomfort, or have been diagnosed with a condition affecting your feet, it's advisable to consult a podiatrist.
Understanding the science behind custom orthotic design can empower you to make informed decisions regarding your foot health. If you're experiencing foot pain or have questions about how custom orthotics can help, schedule an appointment with Foot & Ankle Associates of Southern NH. Our team in Derry, New Hampshire, is dedicated to improving your quality of life through expert care and tailored solutions.
To book your consultation, click here.
Fill in the form to request a call from our team. One of our team members will call you for FREE and answer any questions or concerns you may have about your condition

If you have any questions before scheduling an appointment or for general inquiries, please use the contact us button below. Our team will promptly reach out to assist you.
Monday: 8:00am – 5:00pm
Tuesday: 8:00am – 5:00pm
Wednesday: 8:00am – 2:00pm
Thursday: 8:00am – 5:00pm
Friday: 8:00am – 2:00pm
Saturday: Closed
Sunday: Closed