Emily casting feet with slipper sock. Slipper sock ready for plaster. Emily casting feet with biofoam.   An oven and vacuum press are used to shape the orthotics to the mold.  Custom made orthotics.  Pick-up appointment.


What are custom made orthotics?

A custom foot orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. These  biomechanical medical appliances are custom made to correct your specific foot imbalance.

  • realign joints, reduce stress
  • improve motion and promotes an active lifestyle
  • controls muscle/tendon imbalance
  • accommodates deformities
  • evenly distributes body weight / off loads pressure points
  • are made from a cast of your foot
  • able to fit in any shoe that has a removable insole provided the shoes fit your feet properly
Do I need an appointment to get orthotics?
  • Yes, we need to book an appointment for you to make sure one of our orthotic professionals are available to see you.
  • Appointments are scheduled for 45 min to one hour.

 Please note:  We require 24 hours notice to reschedule appointments.

How should I prepare for my orthotic appointment?
  • Arrive 15 minutes prior to your appointment time to register and complete paperwork
  • Bring your prescription/referral (with a diagnosis) from your physician, podiatrist or health care professional approved by your insurance company
  • Your existing footwear – all of the shoes that you wear on a regular basis – work shoes, sneakers,  casual shoes, winter boots, sandals, etc.
  • $60.00 deposit/assessment fee – this fee will be credited towards the total price of the orthotics (cash, debit, visa, mastercard).

 Please note:  We require 24 hours notice to reschedule appointments.

What takes place in my initial appointment?

Initial Appointment:

  • Discussion of condition / symptoms
  • Gait analysis
  • Footwear evaluation
  • Impression of foot is taken  un-weighted, semi-weighted or in a weighted position.
  • Casting methods – plaster slipper casts or bio-foam depending upon the foot condition and individual needs. Negative to positive.
  • The Pedorthist or Podiatrist selects the materials and type of orthotic to fabricate which will best treat the patients symptoms
    • Accommodative, functional, rigid, soft, diabetic, etc.
  • Pick up appointment is booked for 7 to 10 days later
Where are orthotics made and what is the process?

Orthotics are fabricated here at our clinic

  • The plaster is mixed and poured into the negative impression – creating a positive mold
  • The plaster is then set to dry
  • The plaster molds are placed in a vacuum press
  • Orthotic materials are then heated and placed on the mold and pressed individually
  • Once the final posting layer is pressed onto the mold the orthotics are set aside to cool
  • The orthotics are then trimmed to fit in your footwear

Patients are welcome to see our on-site lab, simply ask your pedorthist or podiatrist for a tour.

What is the process for picking up my orthotics?

Picking up orthotics:

  • The orthotics are placed in the patients footwear (which has already been evaluated to ensure the features of the footwear meet the patients needs).
  • We explain to the patient how it should feel and ensure the orthotics fit properly into the shoes.
  • The break in process is explained and patients are encouraged to contact us should they require adjustments after the break in period is complete.

The composition and the density of the materials used will depend upon the particular requirements of the patient.  This allows us to build your orthotics to provide you with the maximum support and comfort to best meet your specific requirements.  Orthotics will be fabricated here on-site and will be ready for pick-up 7 to 10 days from your initial appointment.

When the patients pick up their orthotics they are given their plaster molds. If patients would like to have an additional pair of orthotics we can use the same plaster mold – By doing this we are able to save a few steps and therefore saving money for both clients and insurance companies.

Will my orthotics fit in all of my shoes?

Orthotics can be built for any shoe with a removable footbed, however, proper fit and function of the footwear will impact the effectiveness of the orthotic.  Click for – Tips to a great shoe fit.

Do orthotics need to be broken in?

Yes, orthotics generally have a two week break in period. Start by wearing them a little each day.  If they start to hurt take them off for the rest of the day.

For the first 2 weeks, the wear time and comfort level will vary. After 2 weeks of wearing the orthotics everyday they should be comfortable. If not, simply call the office and make an appointment, we will be glad to adjust them for you at no charge.

How long do orthotics last?

Orthotics compress and wear out over time.  Your weight and activity level affect the life of  your orthotics. You typically will know when they need to be replaced as your symptoms may begin to re-appear. Generally, orthotics should be replaced every 2-3 years. Children and adolescents need their orthotics replaced more frequently as their feet continue to grow.

Can orthotics be repaired?

The life of your orthotics can be extended by repairing/replacing the top cover, metatarsal pads, extensions, cushioning, posting, etc.  The cost of repairing orthotics will be determined by the extent of the repair required. Generally it is between $40-$80.

How much do orthotics cost?

Our Custom Made Orthotics currently cost $345.00 per pair. They are fabricated in-house, and we use top quality materials.

If you would like a second pair of orthotics made from the same plaster cast (within 2 years) the cost for each additional pair is $270 (a $75 savings per pair).

People often ask us why our orthotics are less expensive than others, and our response is:
Our price reflects the costs involved in providing this service.
These include: the time required to assess/cast/fabricate/dispense and follow up with patients, material costs, professional compensation expenses, support staff, Canadian Pedorthic and Podiatry professional association fees and our overhead.
We make our orthotics onsite ourselves. There are no compromises regarding professional education, types of material – as we use a variety of more expensive (top of the line materials) than those typically used in the industry . The public is invited to come and see the lab where our orthotics are fabricated, as we are quite proud of our team and facility.

Will my insurance plan cover my orthotics?

We are approved insurance providers.

Most medical insurance plans will cover: Custom Made Orthotics, Footwear Modifications, Compression Stockings and Podiatry Services.
Some medical insurance plans will cover: Orthopedic Footwear
Each insurance plan is different, therefore coverage for each product and service will vary from plan to plan. To ensure you understand your coverage it is best if you contact your insurance company to inquire about your plan details.

Upon request, we are happy to direct bill your health benefits plan. Direct billing needs to be arranged prior to your appointment.

Note:If you would like us to bill your plan directly, please call to inquire if you plan permits direct billing. Some plans require members to pay for the services and submit receipts for reimbursement.

Blue Cross – Belmont – Benefit Plan Administrators – Chamber of Commerce – Claim Secure – Co-operators – Community Services – Desjardins – Equitable Life – Great West Life  – Green Shield – Industrial Alliance – Johnson – Manion Wilkins – Manulife – Maxium Benefit Assurance – Standard Life – Sunlife – Workers Compensation Board, etc.

Are your professionals registered and approved in Canada?

Yes, all of the professionals at Comfort Orthotics & Podiatry are registered with their respective provincial and national self regulatory associations, who ensure these individuals:

1.  Have obtained the required credentials
2.  Meet Canadian standards
3.  Fulfill required continuing education courses
4.  Have professional liability insurance
5.  Abide by their association and company code of ethics and rules of professional responsibility

These associations include:
PFA – Pedorthic Footcare Association (Canadian Chapter)
Nova Scotia Podiatry Association
Canadian Kinesiology Alliance