Accommodative Diabetic Foot Orthotic


Worn daily, custom foot orthotics are a device that fits into a person’s regular footwear. People who experience foot pain in the heel, arch, or forefoot (toes) are possible candidates for custom foot orthotics. Individuals with knee pain, ankle pain, or balance issues can also find relief from custom orthopedic (foot orthotics) devices.

A custom-made foot orthotic is handmade by an experienced and knowledgeable Pedorthist. Three different types of cast techniques, wax, plaster, and foam box, are used based on the individual patient and their concerns. As a corrective device, most insurance plans cover the cost of a custom casted orthotic with a prescription and include a complete biomechanical assessment.

Please note: an assessment by Simcoe Mobility must be performed.

Most insurance plans cover the cost of the custom casted foot orthotic and custom knee brace with a prescription and a complete biomechanical assessment. Off the shelf “non- custom” foot orthotics and non-custom knee braces are not covered by insurance plans.


1. Rigid Style of Foot Orthotics
Sulcus length (3/4)
Fits a variety of footwear, no need to remove shoe insole, examples (dress, flats, walking shoes)
Excellent at controlling ankle/foot motion and alignment.
Usually fabricated out of plastics that come in different thickness and materials for the orthotic are based on foot shape, body weight, foot conditions and foot wear.
Rigid foot orthotics work well with shoes that have little support and low volume.

2. Semi Rigid Style of Foot Orthotics
Full length foot orthotic in length, replaces the shoe insole.
Fabricated from a variety of materials, which include plastics, foams, soft covers.
This type of orthotic is used on a wide spectrum of foot shapes such as flat feet (pes planus) , high arch feet(pes cavus).
Also arthritic, and rheumatoid, as well as sports injuries. A wide variety of foot problem such as metarsalgia, plantar fascia, ankle pain, tendon, nerve, ligament pain.
This orthotic will fit running shoes, hikers, work boots, skates, ski boots, soccer shoes as examples.
This type of orthotic has great shock absorption for the foot.

3. Accommodative (soft) Foot Orthotics Full Length
Thick in nature to allow modifications for prominent bones and ulcers, corns, calluses.
Need high volume foot wear, with deep toe box, stiff soles, usually running or walking shoes.
Works well with diabetics, r/a patients, and o/a patients.
This type of orthotic is easily modified and made to off-load problem areas such as ulcers and bones.

The materials are selected based on the assessment of the patient taking into account the history and patients concerns


Sold as a shoe insert, an off-the-shelf orthotic is premade and available in-store. Off-the-shelf (non-custom) foot orthotics are NOT covered by insurance plans.