Custom Foot Orthotics includes a physical therapy evaluation, casting for the orthotic, and one follow-up/fitting visit. Indicated for clients needing more support than an off-the-shelf non custom shoe insert can provide. Alignment issues and pain alleviated by a custom orthotic intervention include those found in: Orthopedic Deformities Overuse and Sports Injuries Arthritic Conditions Low Muscle Tone Flat Feet Lower Extremity or Low Back Pain.