Custom Orthotics, Built for the Way You Move
Your feet carry you through every part of life. At Excel Foot & Ankle, we use advanced technology and expert medical care to create custom orthotics designed just for you.
Every pair begins with a full biomechanical exam by podiatric surgeon Dr. Graham. During the exam, Dr. Graham studies how your feet move, how your body is balanced, and how pressure travels through your joints with every step. Your orthotics are then calibrated to your body weight and foot range of motion for support that feels natural, stable, and precise.
To create the most accurate fit, we use a semi-weight bearing foam box casting technique. This method captures the foot while it is partially loaded, which closely matches the way your foot functions during walking and standing. The result is a highly detailed mold that reflects both structure and movement.
Book OnlineThis approach is more advanced than traditional non-weight bearing casting, where the foot is held in the air without pressure. A non-weight bearing cast may miss how the foot actually performs during daily activity. It can create an orthotic that feels less natural once you stand and walk.
Our method is also more accurate than systems that rely on walking barefoot across digital sensors. Sensor scans can measure pressure points, but they do not fully capture the shape, flexibility, and motion of the foot. They collect data from a moment in time. A biomechanical exam combined with semi-weight bearing casting provides a complete picture of how your body moves.
Why Precision Matters
The difference matters.
Modern custom orthotics are not just inserts. They are medical devices engineered to improve alignment, reduce stress on joints, and support better movement from the ground up. Whether you are dealing with heel pain, flat feet, sports injuries, or everyday fatigue, your orthotics are designed specifically for your body and your lifestyle.
Precision medicine starts at your feet.
Book OnlineFrequently Asked Questions
How are custom orthotics different from store-bought inserts?
Custom orthotics are made specifically for your feet after a full biomechanical exam by Dr. Graham. They are designed to match your foot shape, body weight, and walking pattern. Store-bought inserts are made for the general public and may be beneficial as trial therapy. Think of custom orthotics to over the counter, like a custom suit to an off the shelf suit sized as small, medium and large; or prescription eyeglasses versus a pair of generic reading glasses.
What conditions can custom orthotics help treat?
Custom orthotics may help with heel pain, plantar fasciitis, flat feet, arch pain, tendonitis, bunions, knee pain, lower back pain, and sports injuries. They can also improve balance, comfort, and walking efficiency.
How long do custom orthotics last?
Most custom orthotics last several years depending on activity level, body weight, and shoe type. Regular follow-up visits help ensure your orthotics continue to fit and function properly over time.
Will custom orthotics fit in all shoes?
Custom orthotics are designed to fit into many types of shoes, including athletic shoes, work shoes, and some dress shoes. During your visit, Dr. Graham can recommend the best shoe styles to maximize comfort and performance, as well as fabricating the device to match your shoe needs.

