Orthotics // Category

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10 May

Orthotics are inserts or devices worn inside footwear to provide support, correct foot abnormalities, and alleviate discomfort or pain associated with various foot conditions. They can be made from various materials like foam, rubber, plastic, or even metal, depending on the specific needs of the individual. Orthotics are often prescribed by chiropodists or other healthcare professionals to address issues such as flat feet, high arches, plantar fasciitis, bunions, arthritis, and other biomechanical imbalances in the feet and lower limbs. They can help improve alignment, distribute pressure more evenly, and enhance overall foot function, leading to reduced pain and improved mobility.

What are Custom-Made Orthotics?

Custom Orthotics Mississauga

What are over-the-counter Orthotics?

In contrast to custom foot orthotics, standard over-the-counter options are manufactured in bulk and available for purchase at pharmacies, grocery stores, and various retail outlets.

What are the pros and cons of Custom-Made Orthotics and Over-The-Counter Orthotics?

Custom Made Orthotics


  • Tailored Fit: Custom-made orthotics are crafted specifically for the individual’s foot shape and biomechanics, ensuring optimal support and comfort.
  • Targeted Correction: They can address specific foot conditions, such as
    over-pronation or high arches, with precise corrections tailored to the
    patient’s needs.
  • Enhanced Effectiveness: Custom orthotics are often more effective at relieving pain and improving foot function compared to over-the-counter options.
  • Longevity: They are typically made from durable materials and can last for a longer period with proper care and maintenance.


  • Cost: Custom-made orthotics can be expensive, especially in comparison to their OTC counterparts
  • Time-Consuming Process: The process of obtaining custom orthotics
    involves multiple appointments and measurements, which can take time.
  • Adjustment Period: Patients may require some time to get used to wearing
    custom orthotics, and adjustments may be needed to achieve the desired
    comfort and effectiveness.

Over-the-Counter Orthotics


  • Accessibility: Over-the-counter orthotics are readily available at
    pharmacies, retail stores, and online, making them convenient to
    purchase without the need for a prescription or specialized fitting.
  • Affordability: They are generally more affordable than custom-made
    orthotics, making them a cost-effective option for individuals on a
  • Immediate Use: Over-the-counter orthotics can be used right away without the need for a waiting period or multiple appointments.


  • Limited Customization: Over-the-counter orthotics are not tailored to
    the individual’s specific foot shape and biomechanics, which may result
    in less precise support and correction.
  • Less Effective: They may not provide the same level of pain relief or
    improvement in foot function as custom-made orthotics, especially for
    more severe foot conditions.
  • Durability: Over-the-counter orthotics may not be as durable as custom-made ones and may need to be replaced more frequently.
  • Potential Discomfort: Some over-the-counter orthotics may cause
    discomfort or exacerbate existing foot issues if they do not fit
    properly or provide adequate support.

Click here to book an appointment with a chiropodist at one of our eight locations.

17 Jan

Running in the winter can be a great way to stay active, but it does require some adjustments to ensure safety and comfort in cold and potentially icy conditions.

Here are some tips for running in the winter:

1. Dress in Layers:

  • Base Layer: Moisture-wicking fabric to keep sweat away from your skin.
  • Insulating Layer: A warm layer to retain body heat. This can be fleece or a synthetic insulating material.
  • Outer Layer: A waterproof and windproof jacket to protect against the elements.

2. Protect Extremities:

  • Head: Wear a hat or headband to retain heat. A beanie that covers your ears can be especially helpful.
  • Hands: Use insulated, waterproof gloves or mittens.
  • Feet: Wear moisture-wicking socks and consider using gaiters to keep snow out of your shoes.

3. Choose the Right Footwear:

  • Opt for running shoes with good traction to prevent slipping on ice or snow.
  • You can also use traction devices that slip over your shoes for added grip.

4. Stay Visible:

  • Winter days are often darker, so wear reflective gear or bright colors to ensure you’re visible to drivers.

5. Warm-Up Inside:

  • Warm up your muscles indoors before heading out to minimize the shock of the cold on your body.

6. Plan Your Route:

  • Stick to well-lit, well-traveled paths to ensure your safety.
  • Avoid areas with heavy snow or ice accumulation.

7. Hydrate:

  • Even in cold weather, it’s important to stay hydrated. Cold air can be dry, and you can still lose fluids through sweat.

8. Adjust Your Pace:

  • Cold air can make breathing more challenging, so adjust your pace accordingly.

9. Listen to Your Body:

  • If conditions are extreme, consider shortening your run or opting for an indoor workout.

10. Post-Run Care:

  • Change out of wet clothes quickly to avoid getting chilled.
  • Warm up gradually, and consider a hot shower to raise your body temperature.

11. Be Cautious of Ice:

  • Watch for icy patches and adjust your stride to reduce the risk of slipping.
  • If conditions are icy, consider using traction devices for your shoes.

12. Stay Informed About the Weather:

  • Check the weather forecast before heading out, and be aware of changing conditions.

By following these tips, you can make your winter runs more enjoyable and safer. Always prioritize safety and listen to your body, adjusting your routine as needed based on the conditions.

Physiotherapy Toronto

How do I book an appointment for a Running Assessment near me?

Click HERE to book an appointment with a physiotherapist or chiropractor at one of our eight locations.

24 Sep

What are orthotics?

Orthotics are custom made inserts that are worn inside your shoe to control abnormal foot function.
Orthotics solve a number of biomechanically related problems, for example, ankle and knee pain, pelvis, hip, spinal pain. This is achieved by preventing misalignment of the foot, which significantly alters the way in which the bones move within their joints.
Orthotics work for the feet the same way prescription glasses work for the eyes.

Who can benefit from orthotics?

Custom orthotics can be used for all ages and for a variety of activities and can be made to fit any type of shoe.

Where can I get the best custom orthotics?

The best custom orthotics can be purchased from a clinic where a chiropodist or qualified health professional conducts an assessment and a 3D scan of your feet to determine the best orthotics for you. The 3D Scan is then sent to a lab where the scan is used to manufacture your orthotics.
Triangle Physiotherapy has qualified health practitioners that can assess you and recommend the best custom orthotics for you.

How can Orthotics correct foot conditions?

The best custom orthotics can:

  • Help balance pressure placed on the feet by redistributing the weight appropriately
  • Help stabilize the heel
  • Support the arch of the feet
  • Provide cushioning to delicate and inflamed areas of the feet that arise from too much walking, jogging, running, etc.

What is a knee brace and how can it help me?

A knee brace can help support and stabilize an unstable knee due to injury or osteoarthritis. The best knee brace will offer the support you need in order to balance and evenly distribute your weight in order to have a more comfortable walk or run.

What conditions can a knee brace help with?

Whether it’s a knee sprain, arthritis, torn ACL, runner’s knee, knee instabilities or knee discomfort, the best knee braces help support and manage pain.

When should I start wearing a knee brace?

Once you start experiencing knee pain or discomfort or find that the knee is unstable while walking or running or after you have had knee surgery , book an appointment with one of our health practitioners who can assess you and recommend the best knee brace for you.

21 Jun

Summer is here, and with the sun on one’s face and a cool breeze, everyone feels like going out and enjoying some fresh air. Be it an early morning run or a quick swim, a game of tennis with your buddies or you just dribbling the ball all by yourself at the basketball court; this is the season when even the lazy ones find some energy to be active. Kids in particular love to go out and play in the summers. But with an active lifestyle, or an energetic kid, there is always the chance of sports-related injuries or foot fatigue.
Maybe you twisted your ankle while playing tennis? Or did your kid get hurt while playing football? Maybe too much running is affecting your feet? Or your friend is having pain in his or her legs post-cycling?
Also read, Physiotherapy Clinic in Etobicoke 

Orthotics might just be the answer to your woes!

Orthotics Downtown Toronto

The type of Orthotics recommended to you will depend on not just your ailment or injury, but the shape of your feet as well.  A physiotherapist can tell you what kind of orthotics you need, by evaluating your injury and the shape of your feet.

The most popular kind of Orthotics include:

  • Casual Orthotics – These are inserts or pads that can be worn with regular shoes.
  • Custom Orthotics – these are inserts that are specially designed, keeping the shape of your feet and your particular needs in mind.
  • Sports Orthotics – these are inserts or pads that help to absorb shock while doing high-impact activities. Be it running, jogging, cycling, or playing a sport. There are even specialized Orthotics that slip easily into athletic shoes for professional athletes.
  • Dress Orthotics – These are inserts that can be put into heels and other fashionable shoes, and are particularly made for women.
  • Accommodative Footwear – this refers to special footwear, which can accommodate the Orthotics.

Also read, Physiotherapy Oakville
If you don’t have a sports injury but are just very active, orthotics can still come to your aid. But do seek your doctor’s advice before using any kind of orthotics.
At Triangle Physiotherapy our health professionals cater to your needs and specifications. With the help of our professionals, you can figure out what is the best solution for you, based on your activities and the needs of your feet. So visit any of our locations in Etobicoke, Oakville, North York, Mississauga & Downtown Toronto, to stay active with Orthotics!

18 Jun

Wearing heels may be a fashion statement for some, but for others, it is a work necessity.
Studies have shown that:

  • 72% of women wear high heels at some point or the other
  • 50% of them wear them at parties
  • 39% of them wear them every day
  • And 31% of them wear them to work

But wearing heels for a prolonged period of time can lead to multiple issues. So what are the “heel issues” that affect most women? And how can you deal with them?

Physiotherapy Mississauga
Also read, Physiotherapy Mississauga

Do your toes hurt and your feet feel numb?

You might have Morton’s Neuroma, commonly known as forefoot pain. People with this ailment most often complain of pain between the 3rd and the 4th toe.  Pain between the 2nd and the 3rd toe is less common but also known to happen. This ailment occurs when the nerves between the toes get irritated and inflamed.
Another common issue with wearing high heels is back pain. Constantly wearing very high heels puts stress on the thighs and hip flexors, which in turn puts more pressure on the spine and causes it to curve. The curving of the spine then leads to back pain.
Pain in the knee joints is also an issue that occurs if you wear high heels too often. High heels put too much pressure on knee joints and can create an imbalance in your leg alignment, leading to pain and other issues of the knee joint.
Also read, Physiotherapy Treatment in Etobicoke
Ditching the heels completely will obviously be the best solution. But if you can’t do that, here are some things that you can do –

  • Wear heels that are 2 inches or less in height, this will help take off the pressure from your spine and cause less curving.
  • If you absolutely must wear very high heels (4 to 6 inches high) one day, wear low to moderate heels the next day. This way your knee joints, spine and thigh muscles will get a break from undue stress.
  • If you have forefoot pain, try wearing shoes that are wider around the toes – a shoe with a round or square shape in front is a better choice than a pointy-toed shoe.
  • Opt for shoes that have leather insoles so your feet have better grip. Slippery heels cause even more damage to your posture.
  • Wear heels for shorter periods of time. The longer you wear high heels, the more damage you cause to your knees and spine.
  • Ditch those heels if you are in too much pain. It is better to sit at your desk without your heels on, rather than cringe with pain for the entire day.
  • And finally, visit a physiotherapist and do some simple exercises that he or she may suggest to relieve you of your feet, back or knee pain caused by high heels.

At Triangle Physiotherapy our professionals can help you figure out what will be the ideal solution for your ailment. So visit any of our 8 locations of Triangle Physiotherapy clinics – Etobicoke, Oakville, Mississauga, North York, Toronto to heal the issues caused by them heels!

27 Apr
What are orthotics? Orthotics are custom-made inserts that are worn inside your shoe to control abnormal foot function. Orthotics solve a number of biomechanically related problems, for example, ankle and knee pain, pelvis, hip, and spinal pain. This is achieved by preventing misalignment of the foot, which significantly alters the way in which the bones move within their joints. Also read, Physiotherapy Rehab Clinic in Mississauga

Physiotherapist in Toronto

How are custom orthotics made?

The process starts with the chiropodist, chiropractor, or physiotherapist conducting a Biomechanical Gait analysis on a tablet that records your gait pattern & explaining the results to you. The chiropodist, chiropractor, or physiotherapist may also take a 3D cast of your feet in a foam box. The orthotics are then custom-manufactured in the lab based on your foot impressions & scan. Once the orthotics are made & delivered to the clinic, the chiropodist, chiropractor or physiotherapist will have you come in for a fitting & explain to you the wear & care of the orthotics. Also read, Physiotherapy Clinic in Etobicoke

Why choose Triangle Physiotherapy for your custom orthotics?

  • State-of-the-art technology
  • Experienced chiropodists, chiropractors or physiotherapists trained in Biomechanical Assessments & Orthotic Prescription
  • Lifetime warranty on the orthotics*
  • Assistance with sending your claims to your insurance.

Click HERE to book an appointment with a chiropodist at one of our eight locations.

27 Apr

Pacifying the Pain – All about Patella Tendon Tears

Physiotherapy Etobicoke
Despite it being named a “Tendon”, the patella tendon is both a ligament and a tendon. It connects to two different bones, the patella and the tibia. The patella tendon works in unison with the quadricep muscles and quadriceps tendons allowing them to straighten the knee. The tear within the patella tendon is either partial or complete and can be a disabling injury:

  • Partial tear- More frayed and not complete, (think of a rope that is not completely torn)
  • Complete Tear- The tissue is torn into two complete pieces

There are numerous causes that can contribute to the tear of a patella tendon:

  • Falls
  • Jumping
  • Patellar tendonitis- inflammation of the patellar tendon thus weakening the tendon, causing small tears.
  • Chronic disease – Chronic renal failure, rheumatoid arthritis, Diabetes mellitus & metabolic disease, etc.
  • Infection
  • Surgery

Also read, Best Physiotherapy Clinic Mississauga
Most patients have stated that they had felt a popping or tearing sensation when the patella tendon has torn. Additional symptoms recorded were:

  • Indentation at the spot where the patella tendon is located
  • Bruising
  • Tenderness
  • Cramping
  • Shift of the kneecap to thigh, due to un-attachment
  • Difficulty walking due to weakness in the knee

Also read, Physiotherapy Oakville
Once the initial pain and swelling has subsided, physiotherapy treatments can be started. Physiotherapy can restore strength and range of motion. Depending on the intensity of the injury, a brace may need to be worn. While the brace is worn, straight leg exercises are often prescribed to strengthen the quadriceps muscles. As the patellar tendon heals, eventually the brace may be removed, allowing the patient to move freely with a greater range of motion, with more exercises being put into use as healing progresses.
Recovery from patellar tendon tears is possible, and most individuals are able to return to work and regular activities. Even though patients may feel stiffness in the region after recovery, most regain nearly equal motion compared to the uninjured leg. At Triangle Physiotherapy, we are able to dispense custom-fit braces to aid in the recovery of patellar tendon tears. For more information visit our custom braces page at: https://www.trianglephysiotherapy.com/services/custom-bracing

22 Jan

What is Plantar Fasciitis?

Plantar fasciitis is the most common cause of heel pain. Plantar fasciitis is a repetitive strain injury to the plantar surface of the foot. Tiny micro tears can develop in the ligament with repetitive use. This condition is most common in middle-aged populations however you can develop it at any age. It occurs in people who are on their feet a lot such as athletes and construction workers. You can develop plantar fasciitis in one or both feet.

What is the Plantar Fascia?

The plantar fascia is a flat band of tissue that connects your heel bone (Calcaneus) to the base of the toes (Metatarsophalangeal joints). This ligament assists in supporting the arch of your foot.

Symptoms of Plantar Fasciitis

Most people experience pain during the first few steps after they get out of bed in the morning. It can also cause irritation, inflammation, weakness and swelling to the bottom of the heel and foot. Symptoms may decrease throughout the day with increased activity but it typically worsens after prolonged sitting, standing, walking or at the end of the day.

Factors that predispose you to develop Plantar Fasciitis

There are many factors that can contribute to plantar fasciitis. The most common causes of plantar fasciitis are biomechanical imbalances within the body. This includes tight or weakened muscular structures, leg length discrepancies and excessive flat feet (pronation) or very high arches (supination) of the foot. It often develops with overtraining and repetitive overuse of the foot and ankle. More specifically, plantar fasciitis develops with training or working on unyielding surfaces such as concrete and occupation-related footwear such as steel-toed boots. It can also occur with prolonged standing and weight-bearing activities such as walking or running. As we age, tissue degeneration occurs weakening the supporting structures of the arch of the foot. In addition, during pregnancy, hormonal changes can cause weakening of ligaments such as the plantar fascia. Excessive weight gain also compromises the integrity of this ligament. It can also occur from wearing worn down or unsupportive footwear.

Treatment Options Available for Plantar Fasciitis

If this sounds familiar, contact your physiotherapist to set up an initial assessment. Physiotherapists offer a wide variety of treatment options to help decrease the pain associated with plantar fasciitis. Your physiotherapist will create an individualized treatment plan for you consisting of soft tissue techniques, manual therapy joint mobilizations, modalities and a targeted exercise program involving stretching and strengthening the muscles of the foot and ankle. They can also provide you with education regarding proper gait mechanics, running technique, orthotics and splinting options for day and night use. Written by: Natalie Langstaff, Physiotherapy Resident Tags : Orthotics Toronto, Orthotics Mississauga, Orthotics Etobicoke, Orthotics North york, Orthotics Oakville, Acupuncture Toronto, Acupuncture Mississauga, Acupuncture Etobicoke, Acupuncture North york, Acupuncture Oakville

Click HERE to book an appointment with a physiotherapist at one of our eight locations.