Re: internet custom orthotics

I am sorry your visit to one of my colleagues was not satisfactory. It is very common that insurance will not pay for custom orthotics. I think the rationale is that "everyone's feet hurt so they will all want them, and we can't have that."

The fees for custom orthotics in my office include the evaluation of the patient's foot and gait, casting the patient's foot in a neutral position with plaster to make the mold of the foot, dispensing the orthotics and up to 2 months of any necessary adjustments. It is what I call a case fee. The orthotics are just part of the overall evaluation and treatment.
The "kit" you refer to is a styrofoam material you make an impression in. It is notoriously inaccurate.
I can not say specifically what the orthotics are that you saw online. There are many very decent pre-fabs that podiatrists use, depending on the patient's needs and wants. But like eyeglasses, no one product works for everyone.

In summary, I can't give you an exact answer, but would recommend you get another opinion

Posted By Vivian Abrams DPM on September 06, 2005 at 10:57:00:

In Reply to: internet custom orthotics posted by Emily on September 05, 2005 at 23:11:35:

Indications: Achilles tendonitis, Acute Achilles paratendonitis, Achillobursitis, Post-operative treatment after Achilles tendon ruptures, Posterior Achilles tendon bursitis.

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