Custom Orthotics
FOOT SUPPORT & PRESSURE RELIEF
Custom orthotics are prescription shoe inserts designed to support foot structure, improve pressure distribution, and help reduce pain related to alignment, overuse, or recurring foot and ankle problems. Evaluation helps determine whether orthotics are appropriate and how they should be built for your needs.
- Supports arch and foot alignment
- May reduce pressure and irritation
- Used for recurring foot or ankle pain
- Fit depends on exam and gait needs
Evaluation & Next Steps
- Clear severity assessment and next steps
- Supportive care and recovery guidance
- Care across 4 Las Vegas locations
Call: (702) 703-4340
Hours: Mon–Fri: 8am–5pm
On this page
Quick Summary
Key takeaway: Custom orthotics may help support foot alignment, reduce pressure points, and improve comfort when symptoms are related to mechanics, overuse, or structural foot changes.
Evaluation usually focuses on symptoms, foot structure, gait, footwear, pressure areas, activity demands, and whether a custom device may be more appropriate than an over-the-counter insert.
Overview
What Are Custom Orthotics?
Custom orthotics are shoe inserts made to match the way your foot functions. They may be used to support the arch, redistribute pressure, reduce strain, or improve comfort during standing, walking, or activity.
Why Evaluation Matters
Foot pain can come from many sources, including tendon strain, arthritis, nerve irritation, deformity, injury, or pressure overload. Evaluation helps determine whether orthotics are likely to help or whether another treatment path is needed.
Symptoms
Symptoms that may lead to an orthotics evaluation often involve recurring pain, pressure, fatigue, or irritation that worsens with standing, walking, footwear, or activity.
Arch or Heel Pain
Pain under the arch or heel may worsen with standing, walking, or long periods on hard surfaces.
Forefoot Pressure
Pressure under the ball of the foot, calluses, or irritation may develop when weight is not distributed evenly.
Foot or Ankle Fatigue
Feet or ankles may feel tired, strained, or unstable during daily activity or exercise.
Shoe Fit Problems
Certain shoes may rub, feel uneven, or create pressure around bunions, hammertoes, or sensitive areas.
Seek care now if…
Seek prompt evaluation if foot pain is worsening, a wound or sore develops, numbness is present, or pressure areas are not improving with shoe changes or basic support.
Causes & Risk Factors
Orthotics may be recommended when foot structure, gait mechanics, pressure distribution, or activity demands contribute to recurring pain or irritation.
Common Causes
- Flat feet or high arches
- Uneven pressure while walking
- Bunions or hammertoes
- Plantar fasciitis
- Tendon strain or overuse
- Arthritis-related joint stress
Custom orthotics are often considered when support, pressure relief, or improved foot mechanics may help reduce recurring symptoms.
Risk Factors
- Long hours standing
- Repetitive activity or sports
- Diabetes or circulation concerns
- Prior foot or ankle injury
- Poor shoe fit
- Progressive foot deformity
- Recurring calluses or pressure spots
Diagnosis
Diagnosis focuses on identifying why symptoms are occurring and whether custom orthotics are likely to help. Not every foot problem is solved by an insert, which is exactly why evaluation matters.
Typical Evaluation
- Symptom and activity review
- Foot structure exam
- Gait or pressure assessment
- Footwear review
- Imaging when needed
What to Bring
- Current shoes
- Existing inserts or braces
- Pain location notes
- Activity or work demands
- Diabetes or wound history
Treatment Options
Treatment planning depends on the cause of symptoms, foot structure, pressure areas, footwear needs, and whether custom orthotics are appropriate as part of a broader care plan.
Related care: Orthotics may be part of care planning for heel pain, arch strain, bunions, hammertoes, arthritis, neuroma symptoms, or recurring foot and ankle pain when support or pressure relief is needed.
Conservative Care
- Activity modification
- Shoe changes
- Stretching guidance
- Pressure relief
Footwear / Orthotics
- Custom device planning
- Arch support
- Pressure redistribution
- Shoe-fit guidance
Additional Evaluation
- Persistent pain
- Numbness or tingling
- Skin breakdown
- Unclear diagnosis
Recovery & Follow-Up
- Fit adjustment
- Break-in guidance
- Symptom tracking
- Follow-up review
Recovery
Recovery and symptom improvement depend on the condition being treated, how consistently the orthotics are used, footwear choices, and whether additional care is needed for the underlying problem.
What Helps Most
- Gradual break-in: Increase wear time as directed.
- Proper shoes: Orthotics work best in supportive footwear.
- Fit review: Adjustments may be needed for comfort.
- Pressure checks: Watch for rubbing, redness, or sores.
- Follow-up care: Persistent pain may need reassessment.
When to Follow Up
- Pain persists: Symptoms are not improving with use.
- New rubbing: Redness, blisters, or sores develop.
- Fit feels wrong: The device causes pressure or imbalance.
- Activity remains limited: Walking or work still triggers pain.
- Symptoms change: Numbness, swelling, or worsening pain appears.
Frequently Asked Questions
Custom orthotics are prescription shoe inserts designed to support foot structure, improve pressure distribution, and help reduce strain related to certain foot or ankle problems.
Yes. Store-bought inserts are general supports, while custom orthotics are made based on your foot structure, symptoms, and exam findings.
Orthotics may be used for heel pain, arch strain, flat feet, bunions, hammertoes, arthritis, tendon strain, neuroma symptoms, or pressure-related foot pain.
No. Orthotics can help with support and pressure relief, but some conditions may need additional treatment, imaging, bracing, wound care, or surgical evaluation.
Many patients need a gradual break-in period. Fit, comfort, and symptom response should be monitored, and adjustments may be recommended when needed.
You should be evaluated if pain keeps returning, limits walking, causes pressure spots, or is associated with numbness, swelling, wounds, or worsening deformity.
Locations
LVVIS offers vein evaluation and treatment planning at multiple Las Vegas locations. Choose the office that is most convenient when scheduling your visit.
LVVIS West Side Consultation Office
8930 W Sunset Rd, Suite 350
Las Vegas, NV 89148
Consultations and vascular evaluations
LV2 Limb & Vascular Division
8930 W Sunset Rd, Suite 350
Las Vegas, NV 89148
Limb preservation and podiatry partnership care
LVVIS East Procedure Office
2250 E Flamingo Rd, Suite 100
Las Vegas, NV 89119
Procedures, diagnostics, and circulatory care
LVVIS West Side Surgical Center
6120 S Fort Apache Rd, Suite 100
Las Vegas, NV 89148
Advanced vascular and interventional procedures