At ArchMasters, Dr. David Sables, D.P.M., a former foot surgeon is involved in the entire manufacturing, dispensing and follow up processes of the devices.
Most orthotics are formed from a positive plastar cast model of your feet taken from an impression of your feet in a very specific position. This casting position is a very important step in the manufacturing process. At our office, you will not be casted by a nurse or technician but rather the doctor himself. It is imperative that the foot be held in a specific position to ensure the ideal function of your feet. After the positive model has been made it is further hand sanded for pathological specific prescriptive corrections. This can be accomplished the “Old Fashion” way rather than electronic scanning as it is impossible to do a 3-dimensional correction on a 2 dimensional screen with scanning.
Unlike many facilities, all our orthoses are fabricated in-office instead of sending them to an outside fabricating lab. This is beneficial because if an adjustment needs to be made, Dr. Sables can accomplish this during an appointment. This prevents you from going without your orthotics as he can typically do this while you wait. Furthermore, sending to an outside lab can lead to different results. E.g. sending a cast or scan to 3 different labs can lead to 3 different results -for many reasons not to elaborate in this discussion.
We can usually have your orthoses ready to wear in as little as 1 to 2 business days after taking the impression of your feet. This allows the orthotic therapy to begin rapidly.
Not Only Support Where It’s Needed, But Maximum Function
Can orthotics help my condition?
The image above is showing the different molds of feet Dr. Sables has worked with. Dr. Sables has made orthotics for many different foot conditions. He has helped those who have suffered with: Charcot Deformity, arthritis, low arches, high arches, big toe joint pain, diabetes, bunions, Osgood Schlaters disease, Trevor’s Disease, Sever’s Disease, plantar fasciitis, metatarsalgia, tendonitis, and many more pathological conditions. We invite you to visit ArchMasters and examine the casts. This will allow you to have a better understanding of how our custom orthotics will capture the different angular aspects of your feet.
What shoes can I wear with my orthotics?
Custom Orthotics fabricated by Dr. Sables himself can be fit to many different types of shoes. The material of the manufactured foot orthoses is meticulously selected for the appropriate fitting to your foot and shoe gear.
When our clients first arrive one common concern we hear is if they will be stuck wearing one type of shoe with the orthotic. Most assume they will need to wear a running shoe or orthopedic or “Orthotic” shoes. While wearing an orthopedic shoe or athletic shoe may be most beneficial for some, an orthotic can also be made for dress shoes (including high heels) or sandals with removable inserts.
Dr. Sables can also create a custom orthotic for your specific activity. He has not only fabricated orthotics for runners but also hikers, cyclists, ice skaters and even military personal and more!
Custom Fabricated Ankle Foot Orthotics and Foot Braces
Complicated conditions may need custom molded Ankle Foot Orthotics (AFO). ArchMasters has succeeded in relieving pain from abnormal boimechanical stresses on the feet, ankles, legs, hips, back, and neck. We address the causes of your problem, not just simply cover up the symptoms.
We have made braces for runners and soccer players, but our AFO’s will provide you with maximum function rather than just bracing. Dr. Sables’ avoids bracing as much as possible as bracing can lead to mosque muscle and bone atrophy and cause increased strain in other areas of the body.
Are Custom Orthotics Covered By Insurance?
Now, roughly less than 50% of insurance companies cover custom orthotics. When they do it is usually accompanied by limitations. For example, Medicare will only cover functional orthotics if the orthotic is attached to a brace on the leg. Some others will require a specific diagnosis to cover such.
However, it varies depending on your policy. We recommend reaching out to your insurance company and asking if the cover custom orthotics, code L3000. If your insurance policy does cover custom orthotics, we are able to provide a claim form for you to submit to insurance for reimbursement. Of course, as he is a doctor, health savings accounts typically qualify for coverage of orthotics.
By not participating with insurances, Dr. Sables is able to spend more time walking you through different treatment options as well as answering any questions you may have. Your treated like a human, no computer-generated questions to up your bill, etc. It also saves you copay charges for follow ups as well as sometimes costly overcharged allowed deductibles charges.