
Pes Cavus (High Arches): Symptoms, Complications, and Treatment Options
High arches (pes cavus) are a foot condition in which the arch sits significantly higher than normal, concentrating body weight on the heel and ball
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Custom orthotics are tailor-made shoe inserts or devices created to support and add comfort to your feet, while aiming to correct structural issues. Custom foot orthotics are made from a cast or scan of your feet. They precisely match the contours of your feet to support how you walk, run and stand, allowing for a perfect fit and pain relief.
A Chiropodist thoroughly evaluates your feet, ankles, legs and the way you walk. This gives a clear picture of how the orthotic inserts can help support or accommodate the unique structure of your feet. Moulds or scans of your feet ensure a custom fit with the orthotic device.
An LMC Chiropodist may recommend custom-made orthotics to treat foot conditions such as diabetic foot ulcers, plantar fasciitis, arthritis and foot, ankle, or heel pain.
Shoe inserts are non-prescription foot supports worn inside your shoe that you can buy in local pharmacies or online. They can provide a cushioning for your feet, but they can’t correct biomechanical foot issues or help chronic or long-lasting foot issues. In many instances they feel soft at first but will contribute to a worsening of the underlying problem. It’s best to have your feet assessed by a Chiropodist prior to buying a shoe insert to prevent further exacerbating the problem.
Shoe inserts and other shoe support products are mass-produced, packaged and ready to sell.
Recommended by a Chiropodist, orthotics are custom-made for your feet and the mechanical concerns, pain you are experiencing. Custom insoles or foot supports sold online or in a store are considered shoe inserts. Unless the insert or device has been recommended by a Foot Specialist and designed specifically for your foot, it’s a shoe insert, not a custom orthotic. Even if you see it marketed as “custom,” it is not unless it meets the criteria.
Orthotics usually cost more than shoe inserts found in a store or online, but the additional cost is worth it. Unlike shoe inserts, orthotics mould to fit each foot so that they fit you properly and help correct or fix the issue(s) you’re experiencing. Custom-made orthotics are also made of material that has a longer life span if you properly take care of them. Many insurance companies cover all or part of the cost of custom orthotics.
Prior to determining your treatment options, we conduct a thorough history to determine the cause of your symptoms, any health concerns, and your goals for treatment, whether your goals are pain relief or you’re hoping to participate in a marathon.
We physically examine your skin, nails, tendons, ligaments, muscles, joints, range of motion, and gait (how you walk). We also check your footwear for wear patterns. For example, if your shoes are worn on one side and not on another.
Our specialists explain our findings to you throughout the process so that you completely understand the root cause of your symptoms. After completing the examination and analysis, we will discuss treatment options, timelines and expectations for symptom relief.
LMC Chiropody and Footcare is dedicated to your treatment plan using custom made foot orthotics, so much so that we’re happy to provide you with Comfort Assurance. If you aren’t feeling increased comfort within 90 days of wearing your custom orthotics, we’ll give you your money back! Please ask us for more details.
While a referral is not required to see our Chiropodists, we keep your family physician informed every step of the way with assessment and treatment summaries.
You also never have to wait long for an appointment! We have eight easily accessible locations in Ontario. Brampton, Vaughan, Oakville, Scarborough, Etobicoke, Midtown Toronto, Barrie, Ottawa, with more coming soon.
Phone: 1-844-562-3668
Email: footcare@lmc.ca
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 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
Bachelor of Arts with a specialization in Kinesiology. He used this opportunity to explore the many streams of healthcare by completing a variety of courses in Anatomy, Physiology, Biomechanics and Psychology to name a few. In his final years of undergraduate studies, Andre completed various specialized courses in Physical Rehabilitation and volunteered to coordinate health education and physical activities for various demographics. Andre chose Chiropody as this profession most strongly integrates his educational experiences with real-world opportunities. He completed the Post-Graduate Advanced Diploma in
Chiropody from the Michener Institute of Education at UHN in 2022. Andre brings an emerging scope of practice into the workplace with diverse experiences at Family Health Centres, St. Michael’s Hospital and Foot Clinics dedicated specifically to a wide range of foot-care services. Andre is well equipped to be a member of your healthcare team and is dedicated to his lifelong practice.
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.

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