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Custom Orthotics for Running

Custom Orthotics for Running: Do You Really Need Them For Your Regular Run In Ontario?

Not every runner needs custom orthotics, but they make a significant difference for those with biomechanical issues such as overpronation, flat feet, or high arches, and for runners experiencing recurring pain or injury. Ontario’s varied terrain and seasonal conditions add extra demand on the feet, making proper support even more important for regular runners. At LMC Footcare, our registered chiropodists and Canadian Certified Pedorthists across Ontario — including Toronto and Vaughan — assess running gait to determine whether custom orthotics are right for you.

Do All Runners Need Custom Orthotics?

No. Runners with neutral foot mechanics, no history of recurring injury, and properly fitted running shoes often do not require custom orthotics. Orthotics become beneficial when a runner has a biomechanical imbalance, such as overpronation, supination, flat feet, or high arches, that places uneven stress on the foot and lower limb during the repetitive impact of running. The best way to determine your individual need is through a biomechanical gait assessment.

How Do I Know if I Need Orthotics for Running?

Signs that custom orthotics may benefit your running include recurring pain in the feet, knees, hips, or lower back that develops with mileage, visible wear patterns on one side of your running shoes, a history of stress fractures or shin splints, or known flat feet or high arches. If you experience these patterns consistently, a gait assessment can identify whether a biomechanical issue is contributing and whether orthotics would help correct it.

Does Running in Ontario Winters Increase the Need for Orthotic Support?

Yes, for many runners. Winter running in Ontario introduces icy, uneven, and compacted snow surfaces that change how the foot strikes the ground and increase the risk of compensatory movement patterns and falls. Maintaining proper foot alignment and stability becomes more important under these conditions, particularly for runners who continue training through the colder months. Custom orthotics, combined with appropriate winter running footwear, help maintain consistent support even as underfoot conditions change.

Can Custom Orthotics Help Prevent Running Injuries?

Yes, particularly for runners whose injuries stem from biomechanical imbalances. Custom orthotics correct alignment issues such as overpronation or excessive supination that place uneven stress on the foot, ankle, and knee with every stride. Over the thousands of repetitive impacts involved in regular running, even small misalignments can accumulate into significant strain. By addressing the root mechanical cause, orthotics can reduce the risk of conditions such as plantar fasciitis, shin splints, and runner’s knee.

What Type of Orthotic Is Best for Running?

The exact design of running-specific orthotics depends on the runner’s foot structure, gait pattern, typical mileage, and the type of running shoe being used. A biomechanical assessment that includes gait analysis during running, not just standing, provides the most accurate basis for prescription.

Can I Use the Same Orthotics for Running and Everyday Shoes?

It depends on the orthotic design and the type of footwear involved. Running shoes typically have a different volume and structure than casual or dress shoes, which can affect how an orthotic fits and functions. Many runners benefit from a running-specific orthotic for their athletic shoes, while using a different design for daily footwear. A Canadian Certified Pedorthist can advise on whether one device will work across your different shoe types or whether multiple pairs are recommended.

How Often Should Runners Replace Their Orthotics

Running places significant repetitive stress on orthotics, so runners often need to replace their devices more frequently than people using orthotics primarily for walking, typically every one to three years depending on weekly mileage and body weight. Signs that running orthotics need replacing include visible compression or wear of the support material, a return of symptoms that had previously resolved, or noticeable changes in how the device feels underfoot.

Should New Runners in Ontario Get a Gait Assessment Before Starting?

A gait assessment is a valuable step for new runners, particularly those planning to train regularly through Ontario’s varied seasons and terrain. Identifying biomechanical tendencies before significant mileage builds up allows potential issues to be addressed proactively rather than after an injury develops. While not every new runner will need custom orthotics, an assessment provides clarity on footwear needs and whether additional support would benefit your specific running goals.

Frequently Asked Question

Q: Will custom orthotics make me run faster?

Custom orthotics are not designed or intended to improve running speed or performance directly. Their primary purpose is to correct biomechanical imbalances, reduce injury risk, and improve comfort during running. Some runners do report feeling more efficient or experiencing less fatigue once a biomechanical issue is corrected, but performance enhancement is a secondary effect rather than the main goal of orthotic therapy.

Q: Can I run trails and roads with the same orthotics?

In many cases, a single pair of running orthotics can be used across both trail and road running, provided the orthotic is compatible with the footwear used for each surface. However, trail running shoes and road running shoes often differ significantly in structure, so a Canadian Certified Pedorthist should confirm that your orthotic fits and performs correctly in both shoe types.

Q: Should I switch to different orthotics for winter running in Ontario?

Most running orthotics can be used in winter running shoes designed for cold and icy conditions, provided there is adequate volume in the shoe to accommodate the device. If you are using significantly different footwear for winter training, such as trail or stability shoes with traction features, it is worth confirming that your orthotics fit and function properly within that footwear.

Q: How long does it take to adjust to running in new orthotics?

Most runners need a gradual break-in period of four to six weeks when introducing new orthotics, starting with shorter, easier runs and progressively increasing distance and intensity as the body adapts. Jumping into high-mileage training with new orthotics too quickly increases the risk of temporary discomfort. A chiropodist or Canadian Certified Pedorthist can help structure an appropriate break-in plan based on your training schedule.

Q: Where can Ontario runners get a gait assessment for custom orthotics?

LMC Footcare offers running gait assessments at clinic locations across Ontario, including Toronto and Vaughan. Our team evaluates your running mechanics, training surfaces, and any history of pain or injury to determine whether custom orthotics would benefit your training. Book an assessment at lmcfootcare.ca or by calling 1-844-562-3668.

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    Natasha Johnny

    Natasha Johnny, RPN, Foot Care Nurse
    Natasha Johnny is a Registered Practical Nurse and Certified Foot Care Nurse specializing in preventative and diabetic foot care. With a background in nursing and over 25 years of experience in aesthetics and personal care, she brings a compassionate, patient-centered approach to every treatment. Natasha is passionate about helping patients maintain healthy feet, mobility, independence, and overall quality of life.

    Eric Szeto

    Eric Szeto, B.Sc., D.Ch., completed his Chiropody training at The Michener Institute of Education at UHN after earning his Bachelor of Science in Kinesiology from York University. Combining a strong foundation in lower-limb biomechanics with compassionate clinical care, Eric focuses on diabetic foot care, custom orthotic therapy and comprehensive foot care treatments. He is passionate about helping patients maintain active, pain-free lifestyles and fluently serves patients in English, Cantonese, and Mandarin.

    Desmond Chan

    Desmond pursed Chiropody as his second career with interests in foot dermatology, biomechanics, and soft tissue surgeries. He strives to advance his clinical skillset and continue learning the latest technologies. With five years of critical care experience as a Respiratory Therapist, he is prepared to leverage his communication, critical thinking, inter-professional collaboration skill in delivering high quality foot care to the community.

    Miriam Fortes

    Miriam Fortes is a Registered Chiropodist dedicated to providing compassionate foot care to patients of all ages. She earned her Advanced Diploma in Chiropody from The Michener Institute of Education at UHN and completed her undergraduate studies with honours in Biomedical Sciences at Toronto Metropolitan University.
    During her clinical education, Miriam gained valuable experience in private chiropody clinics, rehabilitation hospitals, long term care and community health centres, treating a wide variety of foot and lower limb conditions.
    Known for her gentle and attentive approach, Miriam takes the time to listen, educate, and provide personalized care in a welcoming and comfortable environment.
    Outside of work, Miriam enjoys reading, cooking, going to the movies, hunting for vintage finds, and nature walks (especially with her dog).

    Fairouz Altwair

    Canadian Certified Pedorthist
    Fairouz is a Canadian certified Pedorthic Clinician with a strong medical foundation, having earned her Doctor of Medicine (MD) degree before continuing her career in Canada. Her medical background, combined with her expertise in lower limb biomechanics, enables her to provide comprehensive, patient-centered care. Fairouz specializes in lower limb assessments, custom foot orthotics, footwear recommendations, knee braces, compression therapy, and other conservative treatment options to help improve mobility, reduce pain, and enhance quality of life. She is passionate about educating patients and tailoring treatment plans to meet each individual’s needs

    Andre Moniz

    Andre knew from an early age that he wanted to work in healthcare. He learned to appreciate this field of work as numerous health-related professionals worked to keep him healthy and active in his competitive sporting activities. Andre’s post-secondary studies began at Western University where he received an Honours
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    Zhi Du

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    Mohamed Kalimuddin is a licensed Chiropodist and graduate of the Michener Institute (2017). He has developed extensive clinical experience across private practices and wound care clinics throughout the GTA. His primary focus is diabetic foot care, including the management of thickened nails, fungal infections, and wound treatment, with an emphasis on education and prevention to support long-term foot health. Outside of his clinical work, Mohamed enjoys exploring new cuisines—most recently Thai cooking—and has a passion for travel and sports. He’s an avid fan of both the Toronto Blue Jays and Raptors.

    Amy McNeilly, RPN, AFCN

    Amy McNeilly is a compassionate and dedicated Registered Practical Nurse (RPN) with over a decade of healthcare experience, including 10+ years as a Healthcare Worker. A graduate of Algonquin College’s Practical Nursing Program in 2023 and Advanced Foot Care Certification in 2025, Amy has a strong foundation in holistic patient care, infection prevention, and community health. She has provided nursing care in both long-term care and hospital settings and now specializes in advanced foot care services, emphasizing preventative treatment and patient education.
    Known for her empathy, strong communication skills, and commitment to lifelong learning, Amy delivers patient-centered care that promotes dignity and wellness. Outside of her professional role, Amy is a proud mother of two children who inspire her daily and fuel her passion for making a difference in the lives of others.

    Cindy Micciola

    Cindy is a registered Chiropodist, with the D.Ch designation. She graduated in 2000 from the Michener Institute. With over 20 + years working in both a hospital and private practice setting, she feels she can bring many years of experience and education as a Chiropodist to the role of Manager of Medical Education and Clinical Operations position within LMC. She also holds a Bachelor of Physical and Health Education from the University of Toronto, graduating in 1996.

    Drue Gandhi

    Drue Drue Gandhi is a Registered Chiropodist (D.Ch) with the College of Chiropodists of Ontario. He has previously gained experience within both independent private practices and public hospitals. This has allowed Drue to gain clinical experience across multiple aspects of podiatric care. This can include the management of skin and nail conditions and the treatment of bacterial or fungal infections. An emphasis was also placed on education in foot and wound care, especially for higher-risk populations, including, but not limited to, older adults and those with diabetes. Drue completed his chiropody-related studies at the Michener Institute of Education (2025). Previously, Drue graduated from the University of Waterloo with a Master of Science (M.Sc) and a Bachelor of Science (B.Sc), both in Kinesiology. Recreationally, Drue likes to spend summer outdoors with or friends and family, doing activities such as kayaking or camping. During the winter, Drue likes to hibernate indoors, choosing to go to the cinema. Drue will occasionally bear the elements, going snowboarding when Ontario weather allows.

    Sara Ste-Croix

    Sara’s passion for nursing and teaching has led her through a now 17-year journey nursing career, attending to the health and well-being of individuals within many different areas in an acute care hospital including surgery and medicine. Diabetic foot care became an interest during these years, where the increasing need for foot care professionals became more prevalent for the prevention and treatment of skin, nails and wounds.
    Sara completed both Basic and Advanced Foot Care For Nurses certifications from Mohawk College in 2022. She completed her Practical Nursing diploma program in 2008 at Sheridan College, and obtained her Bachelor of Science in Nursing degree (BScN) from Nipissing university in 2016.

    Karam Al-Naqar

    Karam Al-Naqar, D. Ch, BSc., is a licensed Chiropodist who graduated with distinction from the Michener Institute of Education with an advanced diploma in chiropody. He also holds a Bachelor of Science in Biology (First Class with Distinction) from York University. Through his clinical experience at St. Michael’s Hospital, The Four Villages Community Health Centre, LAMP CHC,FCO and The Michener Institute Chiropody Clinic, Karam has developed extensive expertise in wound care, biomechanics, wart treatments, and nail procedures. He currently practices at LMC Etobicoke, where he is dedicated to providing comprehensive foot care to his patients. Outside of work, Karam enjoys crafts, art, watching soccer, and spending time with his loved ones.

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    Sumrat Randhawa

    Sumrat graduated from the University of Waterloo with an Honours Bachelor of Science, majoring in Biomedical Sciences and a minor in Psychology. Following completion of his undergraduate degree his passion for the medical field lead him to pursue a career in Chiropody at the Michener Institute at the UHN in Toronto. Sumrat graduated from the Michener Institute in 2021 gaining valuable experience working at both the Michener Foot Clinic and private practice ensuring each and every patient is treated with the utmost care and respect. Sumrat’s passion for Podiatric Medicine allow him to comprehensively treat a wide variety of foot and ankle conditions ranging from diabetic foot care to sports medicine, he looks forward to helping you with any foot care needs you may have.

    Melissa Mandlowitz

    Melissa knew very early in her life that working in the healthcare field and helping enhance the health and quality of life of individuals was her passion. With an Honors undergraduate degree in Kinesiology from The University of Western Ontario, as well as a keen interest in anatomy, physiology, Diabetes, biomechanics and sports medicine, she is able to help patients with a wide array of concerns, so they are able to get back on their feet and active as soon as possible.

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