Why does my heel hurt the most when I get out of bed in the morning?

Morning heel pain is often linked to plantar fasciitis, a common condition caused by inflammation in the foot’s arch. A podiatrist can help with long-term relief.

Do I need a podiatrist or an orthopedist for foot pain?

Podiatrists are foot and ankle specialists trained to treat everything from skin and nail issues to complex injuries and surgery. NES offers both podiatry and orthopedic care, depending on your needs.

Can a podiatrist help with broken toes or foot fractures?

Yes. NES podiatrists diagnose and treat foot and ankle fractures, offering imaging, bracing, casting, or surgery — all in-house.

How long should I wait before seeing a podiatrist for foot or ankle pain?

If your pain lasts more than a few days or keeps coming back, it’s time to see a podiatrist. NES offers same- and next-day appointments.

Who is the closest podiatrist who can see me today for ankle pain?

NES has multiple Portland-area podiatry locations and often offers same-day appointments. Use our booking tool to find the nearest available provider.

Custom Orthotics in Portland

Foot pain can limit your movement, affect your posture, and interfere with your day-to-day life. At Northwest Extremity Specialists, we provide personalized orthotic solutions to help relieve discomfort and improve foot function. Whether you need extra arch support, pressure relief, or correction for a structural issue, our team is here to guide you toward lasting comfort.

Personalized Support That Fits Your Feet

Many common foot and ankle problems are linked to poor alignment or abnormal motion. When your feet don’t provide proper support, the strain often affects your ankles, knees, hips, and back. Orthotics can help correct these imbalances and reduce stress on your joints and soft tissues.

Our podiatric physicians begin with a thorough evaluation of your feet, gait, and symptoms. Based on your needs, we may recommend:

Over-the-counter inserts for mild or temporary discomfort
Custom orthotics for long-term pain relief and improved biomechanics
Conservative treatments such as physical therapy, footwear changes, or stretching

Our goal is to help you move comfortably and prevent future problems through care that’s tailored to your unique structure and lifestyle.

Custom vs. Over-the-Counter Orthotics

If you’re considering orthotics, it’s important to understand your options. Both custom and over-the-counter devices can provide support, but they serve different purposes and offer different levels of effectiveness.

Over-the-Counter Orthotics

Over-the-counter (OTC) orthotics are mass-produced shoe inserts available at pharmacies and retail stores. While they aren’t designed for long-term correction, they can offer temporary relief for mild symptoms and general foot fatigue.

You may benefit from OTC inserts if you’re dealing with:

Occasional heel or arch pain
Discomfort from standing or walking for long periods
The need for extra cushioning in everyday footwear

Common types of OTC orthotics include:

Insoles that provide full-foot cushioning and shock absorption
Arch supports that help distribute pressure more evenly across the foot
Heel cups that cushion the back of the foot and absorb impact

While convenient and low-cost, OTC orthotics do not address the root cause of biomechanical issues. They typically wear out more quickly and are not recommended for chronic or complex foot problems.

Custom Orthotics

Custom orthotics are medical devices designed specifically for your feet. After capturing a mold or digital scan, we create inserts that match your anatomy and support the way you move. Custom orthotics may be recommended for:

Plantar fasciitis
Flat feet or high arches
Chronic heel or arch pain
Tendonitis or joint instability
Diabetic foot complications

Because they’re made with durable materials and built to last, custom orthotics typically hold up well over time. Many insurance plans offer partial or full coverage, depending on your benefits.

Types of Custom Orthotics We Provide

Orthotics are not one-size-fits-all. At Northwest Extremity Specialists, we help determine the right type for your diagnosis, activity level, and goals. We will walk you through each option, explain the benefits, and ensure you’re comfortable with your care plan.

Functional Orthotics

These semi-rigid inserts are used to correct abnormal motion and support better alignment. They are commonly prescribed for flat feet, overpronation, and chronic ankle instability.

Accommodative Orthotics

Made from softer, more flexible materials, these orthotics are designed to cushion and relieve pressure. They are often used in cases of arthritis, diabetic foot care, or prominent pressure points.

When Orthotics May Be Right for You

Custom orthotics are often recommended when conservative care alone is not enough to relieve symptoms. They may be part of your treatment plan if you have:

Persistent foot or heel pain
Pain that worsens with walking or standing
Visible flattening of the arch or uneven wear on shoes
A history of overuse injuries or joint strain
Complications related to diabetes or poor circulation

Many patients notice not only reduced foot pain but also improved posture and reduced discomfort in the knees, hips, or lower back.

Orthotic Care You Can Count On

It’s easy to feel overwhelmed by the number of foot support products available. While some off-the-shelf devices may provide temporary relief, they’re not a substitute for expert care.

At Northwest Extremity Specialists, we combine advanced technology with in-depth clinical experience to help you find the right solution. From diagnosis through follow-up, our team will walk you through the process and answer any questions along the way.

If you’re ready to get back on your feet, we’re ready to help. Reach out today to schedule a consultation at one of our Portland-area offices.