For some patients, custom biomechanical orthotics are a necessity for full pain relief. This may be due to several factors. Unlike many other providers of orthotics, our Physical Therapists perform a complete evaluation of the strength, flexibility and stability of your ankle, knee and hip which allows for the appropriate fabrication of a custom orthotic. Your PT will cast your foot in a precise position to capture the optimal impression of your foot. Those casts form the basis for your therapist to prescribe how to fabricate your custom device. The resultant improvement in biomechanics allows weight- bearing with more optimal alignment and efficiency, leading to alleviation of painful symptoms.