We utilize over 15 different types of custom made orthotics that are fabricated at different national labs. Each orthotic is fitted from a custom mold utilizing neutral position casting techniques. These orthotics are custom fit to each individual and can be utilized in all shoes. Dress orthotics are available that can be designed and made to fit into 2 to 3 inch high heels. Sports orthotics are utilized with individual specifications to each sport including ski and hockey boots, football, baseball, soccer, and track cleats, basketball, running, and volleyball shoes, and all other sports activities. There are a variety of different orthotics utilized for running from a marathon style orthotic to specialty inserts that can be adapted to track spikes and ballroom dancing shoes. Diabetic orthotics are also evaluated in a similar manner with a custom molded cast impression that can accommodate pressure sensitive areas and ulcers with specific materials that are conducive to desensitize the neuropathic foot. It is our experience that over 50% of all insurance companies cover custom made orthotics.