Biomechanics & Orthotics

Poor biomechanics can be debilitating for patients. It can cause chronic pain, which can significantly affect a patient’s quality of life. Podiatrists can change a patient’s life quality by altering their biomechanics to function more efficiently. Over-the-counter or custom orthotics are effective, common treatments.

Over-the-counter (OTC) orthotics can be a quick fix for a minor issue or an intermediary step when transitioning a patient into custom orthotics. Generally, patients who are of light to normal weight, have minimal deformity, a relatively neutral arch, and have a job that requires light weight-bearing benefit the most from OTC orthotics. These orthotics tend to be less expensive, softer, and fit in most shoe-types. There are some excellent choices in OTC orthotics and can offer choices that are similar in nature to custom devices. There are limitations to OTC orthotics. They are not a replacement for custom orthotics, as they do not address specific pathologies that may be present in a patient’s foot. If a patient has a severe deformity or has a heavy weight-bearing job, they would benefit more from a custom orthotic. However, when used appropriately, an OTC orthotic can drastically aid patient outcomes.

Custom orthotics, on the other hand, can be specifically designed for the needs of each patient, as well as individual feet. They can be used to manage specific deformities or gait abnormalities, such as: bunions, tendonitis or tendon dysfunction, arthritis, or plantar fasciitis. In general, the design of the orthotic is to accommodate these issues as well as allow the foot to function in a more neutral and proper position.

To develop the orthotic, the Podiatrist captures an image of the foot as accurately as possible. There are many ways to do this: plaster casting, foam box molding, pressure scanning, and 3-dimensional camera modeling. Customizations occur and vary based on each patient’s needs. The material the orthotic is made of is chosen by the Podiatrist based on exam and can range from flexible and soft to super rigid. The material needs to be supportive for the foot as well as comfortable enough to wear. Once the device is made, they usually require a break in period. This can take 2 - 4 weeks to become comfortable. Generally, a follow up appointment is scheduled to make sure the orthotic is managing the issues appropriately. In some cases, adjustments may be needed initially and in the future to best treat each patient.

Custom orthotics are a great treatment option for many podiatric conditions and can alleviate pain not only in the feet and ankles but also can help hip, knee and back pain by helping alignment issues in the lower extremities.

FASMA Doctors Performing This Specialty / Service

Dr. Ian Beiser

Washington, DC (19th Street)
Dr. Man Cho

Reston, VA
Dr. Louis DeFazio

Clarksville, MD
Dr. Reema Dua

Rockville, MD (North Bethesda)
Podiatrist Dr. Mo Esmaili DPM Dr. Mohammad Esmaili

Kensington, MD
Dr. Casey Friske

Clarksville, MD
Podiatrist Dr. Ira Gottlieb DPM Dr. Ira J. Gottlieb

Pasadena, MD
Dr. Adam Grahn

Greencastle, PA Hagerstown, MD
Dr. Brandy Grahn

Gettysburg, PA Hagerstown, MD
Dr. Michelle Le

Rockville, MD (North Bethesda)
Dr. Enzo J. Leone

Pasadena, MD
Dr. Andrew Liss

Columbia, MD Kensington, MD
Podiatrist Dr. Eric Masternick DPM Dr. Eric Masternick

Reston, VA
Dr. Alexander Mount

Richmond, VA
Dr. Jenny Nguyen

Pasadena, MD
Dr. Alex Olivera

Columbia, MD Kensington, MD
Dr. Robert Pica

Richmond, VA
Dr. Mark Roemer

Hagerstown, MD
Dr. Betsy F. Rosenthal

Hagerstown, MD
Dr. Seth Rubenstein

Reston, VA
Podiatrist Dr. Gina M. Saffo DPM Dr. Gina M. Saffo

Annapolis, MD Greenbelt, MD
Dr. Sagar Shah

Colonial Heights, VA Richmond, VA
Dr. Gregory Smith

Gettysburg, PA Hagerstown, MD
Dr. Mitchell Waskin

Richmond, VA

Locations

  1. Silver Spring, MD (Fenton)
    8630 Fenton Street Suite 1
    Silver Spring, MD 20910
    Phone: (301) 587-5666
    Fax: (301) 589-4479

  2. Washington, DC (1775 K Street)
    1775 K Street NW Suite 580
    Washington, DC 20006
    Phone: (202) 331-9727
    Fax: (202) 887-0741

  3. Charlottesville, VA (Abbey Road)
    2050 Abbey Road Suite C
    Charlottesville, VA 22911
    Phone: 434-295-4443
    Fax: 434-295-8598

  4. Culpeper, VA
    530 Sunset Lane Suite A
    Culpeper, VA 22701
    Phone: 540-825-6113
    Fax: 540-825-4937

  5. Washington, DC (19th Street)
    1145 19th Street NW Suite 605
    Washington, DC 20036
    Phone: (202) 833-9109
    Fax: (202) 833-5762

  6. Clarksville, MD
    6100 Day Long Lane Suite 208
    Clarksville, MD 21029
    Phone: (443) 535-8770
    Fax: (443) 535-8775

  7. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-829-2244
    Fax: 301-696-8872

  8. Frederick, MD (Thomas Johnson Drive)
    63 Thomas Johnson Dr Suite C
    Frederick, MD 21702
    Phone: (301) 696-0818
    Fax: (301) 696-8872

  9. Holly Springs, NC
    1004 Werrington Drive, Ste. 300
    Holly Springs, NC 27540
    Phone: 919-850-9111
    Fax: 919-850-2499

  10. Raleigh, NC (Millbrook)
    1418 E. Millbrook Road
    Raleigh, NC 27609
    Phone: 919-850-9111
    Fax: 919-850-2499

  11. Charlottesville, VA (Rio East Ct)
    887 Rio East Ct. Suite A
    Charlottesville, VA 22901
    Phone: 434-979-8116
    Fax: 434-979-8880

  12. Fishersville, VA
    66 Parkway Lane Suite 102
    Fishersville, VA 22939
    Phone: 540-949-5150
    Fax: 540-932-8535

  13. Reston, VA
    1860 Town Center Drive Suite 220
    Reston, VA 20190
    Phone: (703) 391-0211
    Fax: (703) 880-1192

  14. Rockville, MD (North Bethesda)
    11801 Rockville Pike Suite 105
    Rockville, MD 20852
    Phone: (301) 881-6222
    Fax: (301) 881-1639

  15. Rockville, MD (Shady Grove Rd)
    15215 Shady Grove Rd Suite 307
    Rockville, MD 20850
    Phone: (240) 268-7450
    Fax: (301) 949-8833

  16. Wheaton, MD
    2730 University Blvd. W. Suite 1000
    Wheaton, MD 20902
    Phone: (301) 949-3668
    Fax: (301) 949-8833

  17. Kensington, MD
    10901 Connecticut Avenue Suite 200
    Kensington, MD 20895
    Phone: (301) 949-2000
    Fax: (301) 949-2002

  18. Chevy Chase, MD
    5530 Wisconsin Avenue Suite 945
    Chevy Chase, MD 20815
    Phone: (301) 913-5225
    Fax: (301) 913-9145

  19. Washington, DC (2021 K Street)
    2021 K Street NW Suite 520
    Washington, DC 20006
    Phone: (202) 223-4616
    Fax: (202) 223-0740

  20. Silver Spring, MD (International Drive)
    3801 International Drive Suite 204
    Silver Spring, MD 20906
    Phone: (301) 598-0130
    Fax: (301) 598-5091

  21. Pasadena, MD
    8028 Governor Ritchie Hwy Suite 100
    Pasadena, MD 21122
    Phone: (410) 768-5800
    Fax: (410) 768-5806

  22. Frederick, MD (Solarex Ct)
    604 Solarex Court Suite 103
    Frederick, MD 21703
    Phone: (301) 698-9260
    Fax: (301) 698-8962

  23. Greencastle, PA
    50 Eastern Ave Suite 122
    Greencastle, PA 17225
    Phone: 717-643-0795
    Fax: 717-643-0833

  24. Hagerstown, MD
    11110 Medical Campus Road Suite 100
    Hagerstown, MD 21742
    Phone: (301) 739-1575
    Fax: (301) 739-1578

  25. Gettysburg, PA
    506 W. Middle Street
    Gettysburg, PA 17325
    Phone: 717-778-3338
    Fax: 717-778-3340

  26. Silver Spring, MD (MedStar-Leisure World)
    3305 N Leisure World Blvd.
    Silver Spring, MD 20906
    Phone: 301-598-0130
    Fax: 301-598-5091

  27. Columbia, MD
    11055 Little Patuxent Pkwy Suite 204
    Columbia, MD 21044
    Phone: (410) 730-2623
    Fax: (410) 992-4779

  28. Annapolis, MD
    129 Lubrano Drive Suite 303
    Annapolis, MD 21401
    Phone: (410) 266-7575
    Fax: (410) 266-7366

  29. Silver Spring, MD (White Oak)
    2415 Musgrove Road Suite 103
    Silver Spring, MD 20904
    Phone: (301) 384-6500
    Fax: (301) 384-6670

  30. Richmond, VA
    1465 Johnston Willis Drive
    Richmond, VA 23235
    Phone: 804-320-3668
    Fax: 804-320-2600

  31. Greenbelt, MD
    7501 Greenway Center Dr Suite 810
    Greenbelt, MD 20770
    Phone: (301) 577-4464
    Fax: (301) 577-4702

  32. Orange, VA
    175-C Spicers Mill Road
    Orange, VA 22960
    Phone: 540-672-1402
    Fax: 540-825-4937

  33. Colonial Heights, VA
    4730 Puddledock Rd.
    Prince George, VA 23875
    Phone: 804-320-3668

  34. Urbana, MD
    3430 Worthington Blvd Suite 101
    Urbana, MD 21704
    Phone: 301-696-0818

  35. McConnellsburg, PA
    214 Peach Orchard Road
    McConnellsburg, PA 17233
    Phone: (301) 739-1575
    Fax: (301) 739-1578