Custom-cast orthotics built from a full biomechanical and gait assessment — prescribed only when the evidence says they will meaningfully change your recovery.
Pick your practitioner, then a date and time. We'll confirm by email within one business day.
Pick the practitioner you'd like to see, or let us match you with whoever has the next available slot.
Came in with chronic lower back pain after years of office work. Dr. Patel actually listened, ran a proper assessment, and built a plan around my schedule. Six weeks in and I'm sleeping through the night again. The clinic itself is calm and welcoming.
Tore my ACL in a soccer game and was told my season was over. Tanvir built me a return-to-play programme that pushed but never broke me. Back on the pitch — stronger than before. Honest, expert, no upsell. Cannot recommend enough.
Sciatica had me dreading every car ride. Dr. Reid was the first person to actually find the root issue and explain it in plain language. Three weeks of treatment and I'm back to long drives without flinching. Direct insurance billing was a nice bonus.
Frozen shoulder had me unable to reach overhead for over a year. Fereshteh ran a proper differential and got me on a manual-therapy plus loading plan. Range of motion is back to within five degrees of my good side. Real expertise, no rushed sessions.
Post-partum pelvic and lower back pain — felt dismissed everywhere else. Gary took the time to actually map what was going on and built a programme around being a new mom. I can lift my baby pain-free again. Genuinely changed my year.
Knee replacement at 58 — surgeon recommended Physio2Health and I'm grateful. Properly graded loading, weekly check-ins, and an honest conversation about timelines. Walking 5 km comfortably eight weeks in. Best money I've ever spent on my body.
Custom orthotics start with a full biomechanical and gait assessment by Dr. Marsha Black — posture, joint loading, foot mechanics and how it all connects up the chain. From there, we cast and order the right insoles from leading Canadian labs.
If you don't see your concern listed, give us a call — chances are we can help, and we'll tell you honestly if a different specialist is a better fit.
Acute episodes, chronic stiffness, postural patterns from desk work.
Identify the root cause, calm the irritation, and build long-term resilience.
Sprains, strains, ACL recovery, and structured return-to-play programmes.
Knee replacements, rotator-cuff repair, fracture rehab, coordinated with your surgeon.
Restore range of motion with manual therapy and progressive loading.
Tendinopathy treatment, ergonomic coaching, gradual return to your sport.
Meniscus issues, patellar pain, ankle sprains, and balance retraining.
Tension headaches and jaw pain from upper-cervical and postural sources.
We listen, examine, and explain what we see — before a single technique is applied. You leave with a clear picture of what's going on and what we'll do about it.
Manual therapy and exercise prescription built around your body, your goals, and your week. Most patients feel a meaningful shift in the first or second session.
Check-ins, measurable milestones, and honest answers when you're done. We never stretch out a plan to fill a calendar.
10 Headdon Gate
Richmond Hill, ON L4C 8A3
Mon – Fri 9:00 AM – 6:00 PM
6:00 – 8:00 PM by appointment
Saturday 9:00 AM – 3:00 PM
Sunday By appointment
Honest answers about gait analysis, fitting, insurance and how custom orthotics actually help.
Custom orthotics are prescription insoles moulded to the exact shape and mechanics of your feet. Unlike off-the-shelf inserts, they're built from a 3D cast and a biomechanical assessment, so they correct how your foot loads through every step. At Physio2Health they're prescribed and fitted by Dr. Marsha Black and manufactured by leading Canadian labs.
Dr. Marsha takes you through a full posture and joint screen, then watches you walk to see how your foot strikes, rolls and pushes off. She checks arch height, ankle mobility, knee tracking and pelvic alignment because problems higher up the chain often start at the feet. The findings are explained on the spot, and if orthotics are right for you, a foam-box cast is taken in the same visit.
Anyone whose foot mechanics are driving pain — chronic heel or arch pain, recurring knee or hip strain, low-back discomfort that worsens through the day. Runners, nurses, retail and trades workers, and patients recovering from foot or ankle surgery all benefit, as do people with diabetes who need pressure offloading. If your feet feel tired before the rest of you, that's usually the signal.
Common indications include plantar fasciitis, flat or high-arched feet, bunions, Morton's neuroma, Achilles tendinopathy, shin splints, patellofemoral (knee tracking) pain, IT-band syndrome, sciatica linked to pelvic tilt, and postural overload from prolonged standing. By correcting the foundation, orthotics often unload the joints further up the chain and reduce the strain that fuels these issues.
The initial assessment and foam casting takes about 45 to 60 minutes in one visit. The lab then manufactures your orthotics, and the finished pair is typically ready in 2 to 3 weeks. You return for a short fitting appointment so Dr. Marsha can check the fit in your actual shoes and make any tweaks before you take them home.
Most patients get 2 to 3 years out of a pair with daily wear. Lifespan depends on your weight, activity level, and the materials chosen — runners and tradespeople tend to wear them out faster than office workers. Tell-tale signs it's time for a new pair: visible compression of the shell, worn-through top covers, or the original symptoms quietly creeping back.
Yes — most Canadian extended health plans cover custom orthotics, typically once every 1 to 2 years per person. We direct-bill Manulife, Sun Life, Canada Life, Green Shield, Desjardins and others where the plan allows. We'll confirm your coverage and required paperwork (biomechanical exam report, lab invoice, gait analysis) before you commit, so there are no surprises at reimbursement.
Most styles transfer well between running shoes, walking shoes and work boots — anywhere the existing insole can be removed. For dress shoes, low-profile or "fashion" orthotics are made on a slimmer shell, and for sandals or flats we can prescribe a sandal-specific build. Tell Dr. Marsha which footwear matters most to you and the prescription is tailored around it.
Plan on a 2-week graduated break-in: start with 1 to 2 hours on day one and add an hour or so each day. Mild arch awareness, calf tightness or a "different" feel through the hips is normal as your body adapts. By the end of the second week most patients can wear them all day comfortably — if anything still feels off, call us and we'll adjust.
You don't need one to book the assessment — Dr. Marsha can prescribe orthotics directly as a chiropractor. However, some insurance plans require a referral from your family doctor before they'll reimburse you. Check your benefits booklet, and if a referral is needed we'll let you know exactly what wording your physician should include.
The full gait analysis, biomechanical assessment, foam casting, custom-cast orthotics and fitting appointment is $500 — one transparent price, no add-ons. Most extended-health plans cover the majority or all of that amount, and we direct-bill where your insurer permits so you only pay the gap (if any) at the desk.
Look for flattening or cracking of the shell, a worn-through top cover, the return of old foot, knee or back symptoms, or a noticeable change in your gait. If your shoes are wearing unevenly again or you've had a major change in weight, activity or pregnancy, those are all good reasons to book a re-assessment. Most plans renew coverage every 1 to 2 years.
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