Frequently Asked Questions
About Foot Care

Pedorthists specialize in foot mechanics, gait analysis, orthotics, and proper footwear fitting, requiring 6 years of university training in Canada. They do not treat skin and nails, prescribe, or diagnose.Podiatrists are physicians (DPM) with 7 to 11 years of training who diagnose conditions, prescribe medication, and perform surgery. Many chiropodists in Canada also call themselves podiatrists, which causes confusion.Chiropodists focus on general foot care and diagnosis. In Nova Scotia, most hold 3- to 4-year degrees from the UK and typically do not specialize in biomechanics or custom orthotics.

You generally do not need a referral to book an appointment. However, if you plan to claim the visit or custom orthotics through your extended health insurance, your provider dictates what is required in order that they cover you. Always find this out before booking to see a foot specialist.

Yes, if you have chronic pain or structural issues. Store-bought insoles offer basic cushioning for minor fatigue. Custom orthotics are precisely made for your feet to correct specific gait abnormalities and relieve targeted pressure. What you buy off the shelf if generic. If two people have the same size feet, they get the same insole so it’s not specific to your condition.

Some initial discomfort is normal as your body adjusts to its new, properly aligned position. Break orthotics in gradually, starting with 1 to 2 hours a day. If pain persists beyond a few weeks, they may need a minor adjustment. At HealthWalks, we go over this break in schedule during your fitting and phone you in 3 months to make sure you are feeling better.

The rigid shell typically lasts 2-3 years, depending on wear and activity, as well as your weight. The softer orthotics used for people with diabetes and arthritis wear out faster and need replacing every year or 2 depending on your weight. Remember, your feet can change over time as well. If your symptoms start to return, see your provider right away.

Most fit into standard shoes, provided they have removable insoles and adequate depth. If you frequently wear very slim dress shoes, your clinician can design a lower-profile, ¾ length orthotic specifically for dress shoes and boots.

This is a classic sign of plantar fasciitis. The tissue band across the bottom of your foot tightens overnight. When you stand up, the sudden stretching of this inflamed tissue causes sharp pain until it warms up. There are easy fixes if you see a pedorthist right away. If you leave it too long, more treatment and costs increase.

Rest and ice the area to allow micro-tears to heal. To prevent them, ensure your shoes have adequate shock absorption, avoid running on hard surfaces, increase your activity levels gradually, and stretch your calves daily. If the symptoms continue, you may be an over-pronator and that can be addressed with orthotics by seeing a pedorthist.

For flat feet: Firm, supportive inserts that stabilize the heel and prevent inward rolling (overpronation).For high arches: EVA material inserts with cushioned heels focused on absorbing impact, since rigid arches cannot. Make sure the arch does not compress too easily or you will have no support when you stand. It is always best to see a pedorthist to have these type custom made.

Absolutely. If shoes lack support, poor foot alignment travels up your body. This forces your knees, hips, and lower back to overcompensate, eventually leading to significant strain and joint pain. At HealthWalks, we have a Canadian pedorthist fit you properly.