Content Reviewed by: Dr. Nathan Servey, D.C. on November 2, 2026
Minnesota Chiropractic License Number: 6295 (NPI: 1932647294)

Orthopedic insoles for effective flatfoot treatment and support.An orthopedist discusses custom insoles and arch support with a patient in a clinic.

What Are Custom Orthotics?

Custom orthotics are precision-fitted insoles prescribed and fabricated to correct the specific mechanical characteristics of an individual patient’s feet and gait. Unlike over-the-counter shoe inserts, which provide general cushioning or arch support, custom orthotics are manufactured from a detailed assessment of foot structure, arch height, pronation pattern, and weight distribution.

The orthotic is designed to position the foot in its optimal functional alignment during weight-bearing and movement, which reduces the mechanical stress transmitted through the ankle, knee, hip, and spine with every step.

At Power of Life Chiropractic and Holistic Health, custom orthotics are prescribed as part of a comprehensive chiropractic care plan when examination findings indicate that foot and gait mechanics are contributing to a patient’s spinal or lower extremity complaints. Assessment, fitting, and follow-up are provided by both Dr. Nate and Dr. Johnson.

What Custom Orthotics Can Help With

Custom orthotics address a range of mechanical and pain-related goals by correcting the foot and gait mechanics that produce them.

Reducing low back and sacroiliac pain from gait asymmetry.

Asymmetrical pronation or a structural leg length discrepancy creates uneven loading on the pelvis and lumbar spine with every step. Custom orthotics level this load and reduce the cumulative mechanical stress that builds into low back and sacroiliac joint pain over time.

Addressing knee pain from improper tracking.

Excessive pronation causes the knee to rotate inward during the stance phase of gait, placing abnormal stress on the medial knee compartment and patellofemoral joint. Correcting foot mechanics with an orthotic can reduce that tracking problem and the knee pain that results from it.

Supporting hip mechanics and reducing hip pain.

Hip joint loading is directly influenced by the alignment and function of the foot below it. Patients with hip pain or sacroiliac dysfunction who have pronation or arch collapse often find that correcting gait mechanics reduces the load on the hip and supports the effectiveness of other hip-directed care.

Improving the durability of chiropractic adjustments.

When poor gait mechanics are continuously reintroducing the same spinal stress between chiropractic visits, adjustments are harder to hold. Orthotics remove that repetitive mechanical input, which allows the structural corrections made through chiropractic care to remain stable for longer.

Reducing plantar fascia and heel pain.

Plantar fasciitis and chronic heel pain are frequently driven by poor arch mechanics and excessive pronation under load. Custom orthotics can distribute pressure more evenly across the foot and reduce the tension placed on the plantar fascia during daily activity.

Conditions We Address With
Custom Orthotics

Custom orthotics are most useful when foot and gait mechanics are identified as a contributing factor in a patient’s musculoskeletal complaint. Each condition below may benefit from orthotic prescription when the gait and structural evaluation confirms it is appropriate.

Woman with long hair holding her lower back.

Back Pain

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Person in white holding their side and lower back.

Hip Pain

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Man in a gray sweater holding his lower back.

Sciatica

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Who Custom Orthotics Are For

Custom orthotics are appropriate for patients whose examination findings show that foot and gait mechanics are contributing to their spinal, hip, knee, or lower extremity complaints. Common candidates include patients with low back or sacroiliac pain that recurs despite chiropractic care, patients with flat feet or significant arch collapse, individuals with one leg functionally shorter than the other, athletes or active adults whose training load is accelerating wear on the lower extremity, and patients with knee pain or plantar fasciitis that has a clear biomechanical driver.

Orthotics are not appropriate for every patient, and we do not recommend them unless the evaluation supports their use. If your gait and foot mechanics are not contributing to your complaint, we will tell you that plainly.

You may benefit from a gait and orthotics assessment if you have been told you overpronate, if your shoes wear asymmetrically or unevenly, if your back pain seems to worsen with prolonged standing or walking, or if previous chiropractic adjustments have not held as well as expected.

Chiropractor performing a knee adjustment on a patient lying on a treatment table.
A doctor discusses custom orthotic insoles with a patient in a clinic setting.

How Power of Life Provides Custom Orthotics

Custom orthotics at Power of Life Chiropractic and Holistic Health are prescribed based on a comprehensive gait and structural evaluation, not a one-size approach. Every prescription is tied to what the examination finds.

Gait and Foot Assessment

Your doctor evaluates your foot structure, arch mechanics, pronation pattern, and dynamic gait. This assessment identifies which mechanical problems are contributing to your complaint and whether an orthotic is the appropriate solution.

Casting or Scanning

A precise impression or scan of your foot is taken to capture your individual arch geometry and weight-bearing profile. This data is used to fabricate an orthotic specific to your anatomy.

Fitting and Follow-Up

When your orthotics arrive, we fit them, check your gait response, and make any necessary adjustments. A follow-up assessment confirms the orthotic is producing the intended mechanical correction.

Process

What to Expect When Getting Custom Orthotics at Power of Life

The orthotics process is straightforward and is typically completed across two to three visits.

Step 01
Step 1: Initial Gait Evaluation

As part of your chiropractic examination, we assess your gait and foot mechanics to determine whether an orthotic prescription is supported by the clinical findings.

Step 02
Step 2: Foot Assessment and Impression

We take a detailed impression or digital scan of your foot in the appropriate weight-bearing position. This provides the measurements needed for a precision-fabricated orthotic.

Step 03
Step 3: Prescription and Fabrication

The orthotic is prescribed based on your examination findings and fabricated to match your foot geometry, gait pattern, and the mechanical goals of your care plan. Fabrication typically takes one to two weeks.

Step 04
Step 4: Fitting

When your orthotics arrive, we have you walk and assess the immediate gait response. Adjustments are made as needed to ensure the correction is accurate and comfortable.

Step 05
Step 5: Follow-Up and Integration

We follow up to confirm the orthotics are performing as expected and that the mechanical correction is supporting the goals of your overall care plan. Wear-in guidance is provided so you integrate them gradually and comfortably.

A sports woman adjusts orthopedic insoles in her shoes for foot comfort and health.
Testimonials

What Our Patients Are Saying

Patients who have integrated custom orthotics into their chiropractic care at Power of Life Chiropractic and Holistic Health often notice that their adjustments hold better and their lower back and leg symptoms are less likely to return.

Services

Related Services That Work Alongside Custom Orthotics

Custom orthotics at Power of Life are always prescribed as part of a broader chiropractic care plan. Most patients receiving orthotics are also under active chiropractic care for back pain, sciatica, or a lower extremity complaint. Patients whose spinal symptoms have a tension component alongside the mechanical gait problem often benefit from Intersegmental Traction as a supporting therapy.

Woman listening during a consultation.

Functional Medicine

Nutrition Response Testing and personalized nutritional protocols to find the root cause of chronic health concerns.

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Patient lying on an intersegmental traction table.

Intersegmental Traction

A therapy that gently mobilizes the spine to relax tight muscles, restore flexibility, and improve circulation between vertebrae.

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Chiropractor's hands pressing on a patient's back.

Chiropractic Care

Spinal and extremity adjustments that restore joint motion and support nervous system function for pain relief and wellness.

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Serving Victoria, Waconia, Chaska, and the Southwest Metro

Power of Life Chiropractic and Holistic Health is located at 1700 Stieger Lake Ln, Victoria, MN 55386. We provide custom orthotic assessment and fitting for patients from Victoria, Waconia, Chaska, Chanhassen, Minnetrista, Carver, and the surrounding southwest metro.

Team

Meet The Team

Dr. Kandace Johnson, D.C smiling.

Dr. Kandace Johnson, D.C.

Owner, Chiropractor & NRT Practitioner

Dr. Kandace Johnson is a Partner and the founder of Power of Life Chiropractic and Holistic Health. She realized, through her own health challenge (IBS & Migraines) that finding the CAUSE to symptoms is the most effective approach to healing.

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Dr. Nate Servey D,C, smiling.

Dr. Nathan Servey, D.C

Owner & Chiropractor

Dr. Nathan Servey is an owner and partner at Power of Life and a graduate of Northwestern Health Sciences University in Bloomington, where he earned his Doctor of Chiropractic degree.

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Sources and Clinical References

The references below support the definition of custom orthotics and cautious evidence for selected foot-pain and lower-extremity conditions.

Source: American College of Foot and Ankle Surgeons: Orthotics — Supports: the distinction between prescribed custom orthotics and generic shoe inserts, individualized molding, and mechanical foot support.

Source: Cochrane / PubMed: Custom-Made Foot Orthoses for the Treatment of Foot Pain — Supports: condition-specific evidence for custom foot orthoses and the variability of outcomes by diagnosis.

Source: British Journal of Sports Medicine / PubMed: Foot Orthoses for Plantar Heel Pain — Systematic Review and Meta-Analysis — Supports: evidence for plantar heel pain; it should not be generalized to all knee, hip, back, posture, or sports conditions.

FAQs

Frequently Asked Questions About Custom Orthotics

How are custom orthotics different from store-bought insoles?

Store-bought insoles are mass-produced for average foot dimensions and provide general cushioning or generic arch support. Custom orthotics are fabricated from a precise impression of your specific foot and prescribed to correct the individual mechanical pattern identified in your gait assessment.

How long do custom orthotics last?

Well-made custom orthotics typically last two to five years depending on activity level, body weight, and the materials used. We assess your orthotics periodically and recommend replacement when the correction is no longer being maintained.

Will I need to wear orthotics forever?

That depends on the structural characteristics of your feet. Some patients have a correctable functional issue and use orthotics for a defined period. Others have structural characteristics that benefit from ongoing support. We discuss realistic expectations based on what the evaluation finds.

Can children wear custom orthotics?

Yes. Custom orthotics can be prescribed for children when foot mechanics are contributing to their complaint. We assess appropriateness based on the child’s age, foot development, and clinical findings.

Do custom orthotics fit in all shoes?

Most custom orthotics are designed to transfer between shoes with removable insoles. We discuss footwear at the time of prescription to ensure the orthotic will function as intended in the shoes you actually wear.

Book Your Custom Orthotics Assessment in Victoria, MN

If your back or lower extremity pain keeps returning despite chiropractic care, your gait mechanics may be part of the reason. A custom orthotics assessment at Power of Life Chiropractic and Holistic Health takes a close look at what your feet are doing to your spine and lower extremity with every step. Call (952) 443-9000 or book a consultation online.