Understanding Gait Assessment and Custom Orthotics: What to Expect

When you experience persistent foot, knee, or lower back discomfort, it is natural to wonder if the way you walk—your gait—is playing a role. A gait assessment is a clinical process used to observe and analyze your movement patterns. By understanding how your feet interact with the ground and how that force travels up through your kinetic chain, a chiropractor can better determine if conservative management strategies, such as custom orthotics, may be appropriate for your specific needs. A gait assessment typically involves a physical examination of your foot structure, range of motion, and observation of your walking pattern (Tao et al., 2012). This process helps identify asymmetries or movement patterns that may be contributing to your symptoms (Weizman et al., 2021). Evidence suggests that gait analysis is a valuable clinical tool for treatment planning and monitoring progress over time (Tao et al., 2012). Contributing factors to gait abnormalities can include muscle imbalances, joint stiffness, previous injuries, or structural variations in the foot. When these factors lead to pain, a comprehensive assessment is the first step toward finding a solution. Custom orthotics are individually designed shoe inserts intended to support the foot and ankle complex (AAOS, n.d.). While they are often discussed in the context of plantar fasciitis or localized foot pain, they are sometimes considered as part of a broader treatment plan for lower limb or back discomfort. It is important to note that evidence regarding the effectiveness of custom versus prefabricated orthotics is mixed; some studies suggest that for certain conditions, high-quality prefabricated inserts combined with a structured exercise program can be just as effective as custom-made options (AAOS, n.d.; CDA, n.d.). Conservative management at Union Health Network often focuses on a multimodal approach. This may include manual therapy, targeted exercises to improve strength and flexibility, and education on footwear. If orthotics are recommended, they are viewed as a supportive tool rather than a standalone solution. Self-management is a critical component of recovery. This often includes consistent adherence to prescribed stretching and strengthening exercises, which help address the underlying muscle imbalances that may be affecting your gait. If you notice sudden, severe pain, swelling, or an inability to bear weight, it is important to consult a physician or visit an urgent care facility to rule out fractures or other acute injuries. If you have questions about your movement patterns or persistent joint pain, our team is here to help. You can learn more about our approach to care on our /treatments page or read more about our clinical philosophy from /providers/dr-shahab-entezami. Frequently Asked Questions: Do I always need custom orthotics for foot pain? Not necessarily. Many patients find relief through a combination of manual therapy, exercise, and appropriate footwear. An assessment will determine if orthotics are a suitable addition to your care plan. How long do orthotics last? The lifespan of an orthotic depends on the materials used and your activity level. Your chiropractor can advise you on when they may need to be replaced. If jaw, back or joint symptoms are affecting your daily activities, a clinical assessment may help clarify the possible contributing factors and appropriate care options. Union Health Network is accepting new patients in Richmond Hill. Book an Initial Examination | Book a Complimentary Discovery Call | Call (647) 368-7344