Text Box: A pedorthist is an individual who is trained in the manufacturing, fitting and modification of foot appliances and footwear to assist in: (1) Alleviating painful or debilitating conditions of the lower limb. (2) Accommodation of foot deformities. (3) Re-alignment of anatomical structures. (4) Redistribution of external and internal forces. (5) Improvement of balance. (6) Control of biomechanical function. (7) Accommodation of circulatory special requirements. (8) Enhancement of the actions of limbs compromised as a result of accident, congenital deformity, neural condition, or disease. A Certified Pedorthist (Canada) [ C.Ped(C). ] is certified and trained in providing the following: Assessment through observation of surface anatomy and palpation of the limb, gait analyses, range-of-motion testing, footwear analysis and review of potentially complicated health factors. Casting, manufacturing, fitting and adjusting orthoses. Fitting and modifying standard and orthopaedic footwear. Accommodating / incorporating complementary assistive devices. Casting and measuring for custom footwear. Source: College of Pedorthics of Canada Text Box: Certified Pedorthist (Canada) Text Box: Custom-made foot orthoses are also known as foot orthotics, insoles, foot beds, foot pads or liners. All of these terms are correct in some sense, but the correct word is orthosis (plural = orthoses). Custom foot orthoses are internal foot appliances which are manufactured from a three-dimensional image of the foot and made from raw materials. A custom-made foot orthosis can accommodate bony deformities and / or modify the movement pattern of the foot and lower limb. Source: Pedorthic Association of Canada Custom-made foot orthoses are made available when prescribed by a health professional duly entitled to prescribe under the laws of the Province of New Brunswick. Text Box: Custom-Made Foot Orthoses Text Box: Custom-made footwear is only used for clients for whom, therapeutic, orthopaedic and / or modified footwear will not accommodate his or her condition. Custom-made footwear is used to accommodate the bony and structural abnormalities of the feet and lower legs resulting from trauma, disease or congenital deformities. Custom-made footwear is made from a unique last of the patient’s feet and built from raw materials. Note: Custom-made footwear DOES NOT include mass-produced footwear of any kind. Source: Pedorthic Association of Canada Text Box: Custom-Made Footwear Text Box: In addition to the features of therapeutic footwear, orthopaedic footwear will have: A minimum 0.5 cm (3/16”) for women or 0.8 cm (5/16”) for men additional depth in the last. A sole tread that is graded to suit the upper width. Note: Orthopaedic footwear cannot be created by modifying mass-produced therapeutic footwear. The shoe and the modification are separate items and services and this will be reflected on the bill as separate items. Source: Pedorthic Association of Canada Text Box: Orthopaedic Footwear