Pedorthics & Orthotics
Pedorthics London at Pro Function
Pro Function’s goal has always been to provide top quality care in an environment that meets the needs and goals of our patients. Achieving that goal means finding health care professionals that compliment each others skills and experiences so that patients can have the benefit of accessing multiple services all under one roof! Early in 2021 Pro Function took another step forward and managed to add a truly exceptional team of foot specialists (Pedorthics London) that will compliment every area of the health care team.
Whether you’re an athlete, a weekend warrior, an office worker, or spend 20 hours a day on your feet; whether you are older, younger, pregnant or post-surgical, there is always one common concern that comes up in conversation … your feet!
Now with the Pedorthics London Team joining Pro Function, it’s one more way we can help get our patients to reach their goals, quickly, conveniently and comfortably.
What’s a Pedorthist?
Pedorthists are certified health care professionals whose practice focuses on feet and the movement patterns of the lower body. At Pro Function we have teamed up with Pedorthics London, a longstanding and highly reputable team of Canadian Certified Pedorthists here in London Ontario. Judy Flegel and Jon Matthews are both Canadian Certified Pedorthists (C.Ped (C)); which means they’ve completed their training either through Western Continuing Studies (with an undergraduate prerequisite, usually kinesiology or health science), or through the completion of an extensive apprenticeship program under the direct supervision of a C. Ped (C) clinician.
Pedorthists are foot and leg care professionals who are trained to:
- Assess foot and lower limb anatomy, muscles and joint function, as well as gait analysis (examination of how & why someone stands, walks and transfers weight the way they do)
- Fabricate and/or modify fully-custom foot orthotics
- Make recommendations and teach about non-custom orthotics & supports
- Customize and modify footwear (eg: the customization of shoes)
- Make recommendations about the design and features someone needs in their footwear
- Provide guidance about activities and exercises needed to recover from foot and lower leg injuries
- Recommend and apply foot and toe splints or braces
- Recommend and apply compression stockings (*unique to the Pedorthics London Team, not possible with all pedorthists)
*Canadian Certified Pedorthists are governed by The College of Pedorthists of Canada – Visit https://cpedcs.ca/ to learn more.
What's the difference between a Pedorthist and other Foot Care Professions?
Most foot care professionals, and some other health care providers are able to make impressions (casts) that are used to create custom orthotics, however, Pedorthists are trained in the manufacturing of orthotics as well as in footwear modification. This means that Pedorthists have an in-depth understanding of not only how to take a mold for an orthotic, but also how to actually build an orthotic from scratch. Also, Pedorthists take an approach that focuses on the shape, movement pattern, habits and prior injuries of your foot and lower body (a biomechanical assessment) which provides an understanding about how you move, why you move that way and an awareness of what should be changed versus what should be left alone.
Because of their training, Pedorthists like those from Pedorthics London will have on-site equipment to either fabricate or make adjustments to orthotics and footwear right on-site.
Top Reasons people see a Pedorthist
- Plantar Fasciitis/Heel Pain/Sore arches
- Numbness/Deep Ache at the ball of the foot
- Bunions / Bunion Surgery
- Hip and/or Knee Osteoarthritis
- Knee Cap Pain (Runners Knee)
- Diabetes or Rheumatoid Arthritis
- Following Foot or Leg Surgery
Pedorthic Assessments are Available
What to know about Pedorthic Appointments
Pedorthic initial assessment appointments are generally 45 to 60 minutes long. Follow up appointment including those for orthotic fitting, modification or re-assessment average 30 minutes in length.
Assessments include an in-depth medical history and an understanding of how, when, where why and/or how the patient’s concerns began, what goals the patient has, and a comprehensive examination of foot and lower leg function. Examinations will look at mobility, flexibility, strength, loading ability and pattern, gait assessment, footwear assessment, a 3 dimensional cast/mold of the foot (when needed) and a breakdown to the patient about their injury/concern and the plan going forward to manage and correct the injury/concern. When arriving to an initial appointment, patients should bring their typical and activity footwear, shorts or pants that can be rolled above the knee, and a referral note from doctor or practitioner.
A written referral is not required before booking and/or attending an assessment. However, it is necessary prior to fabrication and dispensing of any custom orthotics.
It’s important to note that pedorthists are providers but not prescribers of custom orthotics. Pedorthists cannot write the referral that will be accepted by extended health benefits or other forms of insurance coverage. For reimbursement, most extended health coverage companies require the referral to have a diagnosis (eg. plantar fasciitis).
Are Pedorthists Covered by Extended Health Plans?
Pedorthic treatments are not covered by the provincial health care plan (OHIP,), however,. most extended health care plans (benefit plans) do have coverage for custom orthotics because they are considered medical devices. Each extended health plan is different based on the company and the employer who provides the plan.
Pedorthic fees (eg. for orthotics) includes the initial assessment, orthotic fabrication, orthotic fitting/dispensing and any adjustments needed within the first year. In some cases a custom orthotics is not required. In those cases it is best for patients to check with their plan to determine if they have coverage.