Orthotists are specifically trained to work with medical supportive devices, such as spinal or knee braces. Prosthetists are specifically trained to work with prostheses, such as artificial limbs and other body parts. Some orthotists and prosthetists construct devices for their patients.

Many people who could not take a step without pain are walking normally and living more active lives because of orthotics. Anyone can provide mass-produced inserts, but only doctors are trained and licensed to diagnosis medical conditions and prescribe orthotics.

Custom-made orthotics can only be prescribed by physicians, podiatrists and chiropodists. They diagnose whether an orthotic would be beneficial to your situation. Your custom-made orthotics can be dispensed by a physician, podiatrist, chiropodist, orthotist or pedorthist.

There are several different types of orthotics that your physical therapist may use. Examples of orthotics that your PT may prescribe include: Ankle Foot Orthosis (AFO): This is a device that encloses the ankle and foot and does not extend above the knee.

Orthoses are medical devices that require a prescription and are custom-made by trained individuals.

An Orthotic Prescription involves assessing the patients bio-mechanics. Checking overall posture, structure, strength and range of motion in the legs and feet. It also involves reviewing your presenting symptoms and condition, reviewing your current footwear for fit, wear patterns and functions.

Physical therapists play a critical role in identifying the need for orthotics. The decision to use orthotics is based on the assessment of range of motion, foot alignment, voluntary control of movement, muscle tone, and functional level of the child.