Total Therapy Blog

What Are Orthotics?

This article was written by our Chiropractor, Dr. Carolyne Nellis

Having benefitted from chiropractic care for two decades, I am happy to be able to offer the same natural, safe and effective care that I have received. My approach to care involves assessing and treating each individual as a whole and creating treatment plans tailored to each individual’s health care goals.




What are custom-made orthotics? 

Orthotics are soles that can be inserted into a shoe to help support, align or accommodate foot deformities and poor foot mechanics. By using a three-dimensional cast, the orthotic is fabricated to correct your specific imbalances or biomechanical misalignments. This helps optimize your musculoskeletal system and reduce any physical stress on your feet and other joints.



Am I a candidate for custom-made orthotics?

Custom orthotics can be used for the treatment of a variety of conditions, including but not limited to;

  • Plantar Fasciitis
  • Pes Planus (Flat feet)
  • Metatarsalgia (Forefoot pain)
  • Morton’s neuroma
  • Knee pain
  • Low back pain
  • Bunions
  • Achilles tendinopathy
  • Chronic ankle sprains/fractures
  • Lower limb circulatory issues/Diabetic complications


I believe orthotics can help me, what should I do next? 

If you believe you could benefit from custom-made orthotics, contact our clinic at (604)620-9700 or go online at and book a custom orthotics assessment appointment with Dr. Carolyne Nellis, D.C.. If you have extended coverage, your insurance company may require a referral note from a medical doctor in order to process your claim. It’s always a good idea to familiarize yourself with what your insurance company requires to process your claim. It is also important to note that Dr. Nellis will assess your need for orthotics, and may decide that orthotics will not be deemed beneficial.

What should I expect during my assessment appointment? 

The assessment appointment will last approximately 40 minutes. The assessment begins with taking a history of your complaint(s), followed by a postural observation, gait analysis and range of motion assessment of your feet and ankles. A mould of your feet will then be taken using a foam box.

How long will it take until I receive my orthotics? 

Once the assessment is complete, our staff will send the mould to Kintec Lab services. It takes approximately 2 weeks for the orthotics to arrive at our clinic, at which point we will contact you to inform you that they have arrived, and you can book a complimentary custom orthotic pick-up and fitting appointment with Dr. Nellis. During this appointment, we make sure that your orthotics fit properly in your shoes and that you feel comfortable wearing them.


Total Therapy is proud to use Kintec lab services, the leader in orthotic fabrication in B.C.


If you have any questions, please don’t hesitate to contact Dr. Carolyne Nellis at or at (604)620-9700

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