Carriero Foot and Ankle, Inc. — Foot and Ankle Surgery
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Carriero Foot & Ankle · Encinitas, CA

Foot orthotics.
Support that fits.

Custom orthotics and shoe inserts for the way you move.

Heel pain, arch discomfort, or pressure under your foot? Start with an evaluation. Your symptoms, footwear, and daily activity help guide the right kind of support.

Support comes in different forms.

Top and bottom views of a pair of prefabricated shoe inserts
Prefabricated inserts are one option. Custom orthotics are prescribed for your individual needs after an exam.

Understand the difference

Store-bought
or custom?

Both can have a place in foot care. A custom device is not automatically the best choice for every person. The goal is support that fits your diagnosis, shoes, and activity.

View the options

Compare both, or choose one for a closer look.

Over-the-counter · Ready-made

Shoe inserts.

Available in standard sizes and shapes, with different amounts of cushioning and arch support.

When they may help
For some people, an appropriate prefabricated insert offers enough support or cushioning.
How they are selected
By shoe fit, foot shape, comfort, and the purpose of the insert.
What to consider
Usually less expensive and available sooner. A poor fit or persistent pain needs a closer look.

Prescription · Individually made

Custom orthotics.

Made from a record of your foot shape and a prescription based on your examination.

When they may help
When your care calls for specific support, cushioning, or relief of pressure on a painful area.
How they are designed
Materials and features are chosen for your symptoms, movement, activity, and footwear.
What to consider
Require fabrication and a fitting. Your comfort and response help guide follow-up adjustments.

An insert is one part of your care. Footwear changes, stretching, rehabilitation, or other treatment may also be recommended.

Your orthotics visit

An exam first.
A plan that follows.

Tell us what hurts, when it happens, and what you want to get back to. Bring the shoes and inserts you wear most often.

  1. Understand your feet.

    We assess your symptoms, foot structure, movement, and footwear, then discuss whether an insert belongs in your treatment plan.

  2. Capture the shape, if needed.

    If custom orthotics are recommended, a scan or impression records your foot shape. That record is used with your prescription to plan the device.

  3. Check the fit.

    Once the devices are made, fitting checks how they sit in your shoes and feel under your feet.

  4. Review how they feel.

    Follow your wear instructions. Let us know about pressure, rubbing, or symptoms that persist so we can reassess the fit and plan.

A few helpful answers

Questions
about orthotics.

Choose a question to read more.

Are custom orthotics always better?

No. A well-chosen store-bought insert may be sufficient in some cases. Custom orthotics may be appropriate when your condition calls for a more specific prescription. Your exam helps us decide.

Will they fit in all of my shoes?

Not every device fits every shoe. Depth, width, removable insoles, and heel hold all matter. Bring the shoes you plan to wear so the device and footwear can be considered together.

How should I get used to wearing them?

Follow the wear schedule given at your fitting and increase use gradually as advised. Stop and contact the office about blisters, numbness, skin damage, or worsening pain. You do not need to push through painful pressure.

How much do they cost? Will insurance help?

Pricing and coverage depend on the device and your plan. Before ordering, ask the office about current costs, fabrication time, and fitting arrangements. Check your specific orthotic benefits and any authorization requirements with your insurer.

Insurance information
How long will my orthotics last?

There is no single replacement schedule. Materials, use, changes in your feet, and wear all matter. Bring them in if they become damaged, no longer fit comfortably, or your symptoms change.

Can I use them for running or sports?

They may be part of a plan for activity-related foot symptoms. Tell us about your sport, training, and usual footwear. Support should be considered alongside your diagnosis and any rehabilitation you need.

Your next step

Find the support
that fits your feet.

Have ongoing pain or questions about your inserts? An evaluation is a useful place to start.