Do you need a referral for custom orthotics?

Custom orthotics are shaped inserts designed around your foot structure, movement, symptoms, and footwear. A podiatry assessment may include looking at how you stand and walk, checking joint movement, and reviewing pressure or pain areas. The goal is to decide whether an orthotic could help and what design is reasonable. A generic insole may be more suitable for some concerns, while others need treatment for the underlying foot, ankle, knee, or hip problem.

Ask the podiatry clinic whether it accepts self-referrals and whether your health plan or employer pathway asks for a clinician’s referral. Take the shoes you use most, a list of symptoms, and details of previous injuries or treatments. The practitioner may take measurements or a foot impression, discuss materials and break-in instructions, and plan a review if the insert changes your comfort or walking pattern. More information is available in [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/).

Seek prompt assessment for a hot, swollen foot, an open sore, sudden inability to bear weight, or pain after a significant injury. If you have diabetes, poor circulation, or reduced sensation, ask a clinician to check your feet before relying on an insert. Stop using a new orthotic and seek advice if it causes skin damage, marked pain, or worsening numbness.

Ask whether your symptoms need a diagnosis before fitting, whether custom or off-the-shelf support is more suitable, and how to introduce the device gradually. Ask how footwear, exercise, and follow-up will be handled if the orthotic does not feel right.