Custom Orthotics
At Pemberton Physiotherapy and Wellness, our physiotherapists are trained to assess and create custom orthotics designed to improve your foot function and overall biomechanics. We partner with Paris Orthotics in Vancouver to manufacture high-quality, personalized orthotic devices tailored to your needs. Custom orthotics are often covered by extended medical insurance plans, though Sun Life is an exception (please call the front desk to discuss Sun Life further).
Please note that a prescription from a doctor or nurse practitioner is often required for reimbursement from extended medical insurance. We strongly recommend checking with your insurance provider before booking your appointment.
An orthotics appointment is one hour long. We use the plaster casting technique to make a custom imprint of the foot, along with a biomechanics assessment, prior to sending them off to Vancouver for fabrication.
Custom orthotics may be beneficial for conditions such as:
- Plantar fasciitis
- Flat feet or high arches
- Shin splints
- Knee, hip, or lower back pain related to gait issues
- Achilles tendinopathy
- Diabetes-related foot problems
- Arthritis affecting the feet
Orthotics
Sessions

Your Appointment
Options Explained
New assessment
Book here for your initial biomechanics assessment and casting.
Unfortunately we are unable to direct bill for this type of appointment. We can supply paperwork for reimbursement from extended medical if needed.
Repeat orders
Please call the front desk to discuss
More Questions?
Meet Your Practitioners

Julie Charette
Physiotherapist

Lindsay Skillicorn
Physiotherapist

Mikaela Sherlock
Physiotherapist

Sara Miller
Physiotherapist
Orthotics:
Your Questions Answered
FAQs
What are orthotics, and how do they work?
Orthotics are custom or pre-made shoe inserts designed to support the foot, improve alignment, and reduce pain or discomfort in the feet, knees, hips, or lower back.
Are orthotics covered by insurance?
Many extended health plans cover custom orthotics, especially with a prescription. It’s best to check with your insurance for specific requirements.
Do I need a doctor’s referral for orthotics?
Check with your insurance provider, as most plans require a physician’s referral for reimbursement. No referral is required if you are self-funding the orthotics.
What conditions can orthotics help with?
Orthotics can help with:
- Plantar fasciitis
- Flat feet or high arches
- Heel pain
- Bunions
- Knee, hip, or lower back pain related to foot mechanics
- Shin splints
- Achilles tendinopathy
Will orthotics fix my foot problem permanently?
Orthotics are a tool to support and improve biomechanics. They don’t “fix” the problem permanently but can significantly reduce pain and improve function when used in conjunction with physiotherapy and exercises.
How long do custom orthotics last?
On average, custom orthotics last 1 to 5 years, depending on usage, activity level, and materials used. We are able to send older pairs of orthotics for repairs of the top sheet if required.
How are custom orthotics made?
They’re created using a detailed biomechanical assessment in clinic, gait analysis, and plaster casting to ensure a precise fit. These are then sent to Vancouver and made by Paris Orthotics. It takes around 2–3 weeks from assessment to receiving the orthotics.
Will orthotics fit in all my shoes?
Not all. Most orthotics are designed for athletic shoes, work boots, or everyday shoes. You may need different styles (e.g., slim-fit orthotics) for dress shoes or sandals.
How do I break in my new orthotics?
Start by wearing them for 1–2 hours a day and gradually increase use over a 1–2 week period. Some mild discomfort is normal during the break-in phase.



