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Custom Orthotics Specialist

Bryon Butts, DPM -  - Podiatrist

Performance Footcare, PC

Bryon Butts, DPM

Podiatrist & Foot and Ankle Surgeon located in Midtown West, New York, NY

When you have a structural problem that’s causing foot pain and disability, or you have a painful condition like plantar fasciitis, custom orthotics are highly effective in correcting the problem and relieving pain. Bryon Butts, DPM, and his team at Performance Footcare PC in Midtown West Manhattan in New York have onsite facilities for designing custom orthotics to suit every patient’s needs. Find out more by calling Performance Footcare today to schedule a consultation, or book an appointment online.

Custom Orthotics Q & A

What are custom orthotics?

Custom orthotics are supports you put in your shoes. They help to relieve pressure and adjust the alignment of the internal structure of your foot when you have an imbalance that’s causing you pain or dysfunction.

Dr. Butts creates custom orthotics to each patient’s unique requirements, so your foot gets exactly the support it needs to reduce pain and pressure. He begins by making a copy of your foot using a state-of-the-art 3D scanning laser. He uses this copy to make adjustments to the shape of the orthotic insert to ensure it supports the correct parts of your foot without putting pressure on other parts of your foot.

Why are custom orthotics better than over-the-counter inserts?

Over-the-counter shoe inserts can be useful in some instances for mild foot problems. They can provide support for the whole foot or one part of the foot, such as the arch or heel, helping to reduce pain. What they can’t do is address the cause of your foot pain, unlike a custom orthotic.

Custom orthotics offer a long-lasting solution to foot pain, as Dr. Butts can produce the support that doesn’t just relieve your pain, but also aids in the realignment of the internal structures of your foot. 

By doing this, custom orthotics help your foot to heal more effectively, so you regain function and recover more quickly.

What conditions do custom orthotics treat?

Custom orthotics are used to help correct foot alignment and relieve the pressure that occurs in conditions such as:

  • Arthritis
  • Bunions
  • Bursitis
  • Calluses
  • Diabetic ulcers
  • Flat feet
  • Plantar fasciitis
  • Post-surgical pain
  • Tendinitis

Lower back pain is often due to foot imbalances, so using custom orthotics to correct a foot problem often brings relief from back pain as well.

Are there different kinds of custom orthotics?

Dr. Butts uses two main types of custom orthotics, selecting the appropriate type depending on the cause of your condition:


Functional (rigid) custom orthotics are usually either plastic or carbon fiber, providing supports that have little give. They’re best for lower back and limb aches and pains.


Accommodative (soft) custom orthotics use cushioning materials to give painful conditions like plantar fasciitis effective, comfortable support.

In most cases, your custom orthotics fit into everyday footwear. However, some patients need bulkier custom orthotics, in which case you might need prescription footwear as well.

Find out more about the ways custom orthotics can help you by calling Performance Footcare today, or book an appointment online.

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