Your Solution to Foot Pain Starts Here
At Bayshore Podiatry Center, Dr. James E. Repko, DPM, DABPM and Dr. Saleena Niehaus, DPM, DABPM have designed and fitted thousands of custom orthotics over our 8 years of practice in Tampa Bay. Drawing from Dr. Repko's international fellowship training at the Third Military Hospital of China, we create precision-engineered medical devices that address your unique biomechanical needs—not just shoe inserts, but targeted solutions for lasting pain relief.
Top 3 Benefits of Our Custom Orthotics:
✓ Eliminate Pain at the Source - Address biomechanical imbalances causing foot, knee, and back pain
✓ Precision-Crafted for You - 3D scanning and gait analysis create orthotics matched to your exact anatomy
✓ Expert Care & Lifetime Support - Board-certified podiatrists with ongoing adjustments and follow-up
What Are Custom Foot Orthotics?
Custom foot orthotics are specialized medical devices that provide individualized support, cushioning, and alignment to enhance foot function. Unlike over-the-counter inserts, our custom orthotics are precision-crafted based on 3D scans, gait analysis, and comprehensive biomechanical evaluation of your unique foot structure.
"In our 8 years of practice, we've seen how properly designed custom orthotics can transform a patient's quality of life," explains Dr. Repko. "They're not just about comfort—they're about correcting the underlying biomechanical issues that cause pain and dysfunction."
Addressing Common Misconceptions
"Orthotics are only for the elderly."
We regularly prescribe orthotics for patients from teenagers to seniors. Young athletes, active professionals, and anyone with biomechanical issues can benefit.
"They're just expensive shoe inserts."
Our custom orthotics are FDA-regulated medical devices created through precise measurements and specialized manufacturing—far different from generic store-bought inserts.
"Orthotics weaken your feet."
Evidence-based research shows properly designed orthotics improve foot function rather than weaken it.
Conditions We Treat with Custom Orthotics
Plantar Fasciitis: Our Most Common Application
Based on our clinical experience treating thousands of plantar fasciitis cases, custom orthotics provide targeted arch support, heel cushioning, and first ray control.
Clinical outcome: Over 85% of our plantar fasciitis patients experience significant improvement with custom orthotics combined with our comprehensive treatment approach.
Other Conditions We Successfully Treat:
- Flat Feet (Pes Planus) - Medial arch support with heel stabilization
- High Arches (Pes Cavus) - Targeted cushioning and pressure redistribution
- Bunions - Pressure redistribution and deformity progression control
- Achilles Tendinitis - Heel elevation and biomechanical correction
- Diabetic Foot Protection - Pressure relief and ulcer prevention
- Sports Injuries - Performance optimization and injury prevention
Our Advanced Orthotic Fitting Process
Step 1: Comprehensive Biomechanical Evaluation
- 3D foot scanning for precise measurements
- Gait analysis using pressure mapping technology
- Range of motion and muscle strength assessment
- Activity and lifestyle evaluation
Step 2: Precision Manufacturing
We partner with leading orthotic laboratories using medical-grade materials and precise fabrication based on our detailed prescriptions.
Step 3: Custom Fitting & Ongoing Care
- Initial fitting assessment with pressure point evaluation
- Follow-up appointments at 2 weeks, 6 weeks, and 3 months
- Ongoing adjustments as needed for optimal comfort
- Lifetime adjustment policy for optimal fit
Types of Custom Orthotics Available
Functional Orthotics - Most Prescribed Type
Dr. Repko's approach: "Functional orthotics are our most prescribed type for active Tampa Bay residents. They control abnormal motion while allowing natural foot function."
Constructed from semi-rigid materials like medical-grade plastics or carbon fiber, prescribed for:
- Plantar fasciitis (our most common indication)
- Posterior tibial tendon dysfunction
- Overpronation control in runners and athletes
- Shin splints and knee pain related to foot mechanics
- Sports performance optimization
Accommodative Orthotics - Gentle Cushioning
For patients requiring gentle cushioning and pressure redistribution, using soft, flexible materials to:
- Relieve pressure points in diabetic patients
- Accommodate foot deformities while providing comfort
- Support arthritis management with cushioned support
- Protect sensitive areas during healing
Sports Orthotics - Activity-Specific
"Many of our patients are weekend warriors, runners, and pickleball players," notes Dr. Niehaus. "We design sport-specific orthotics that enhance performance while preventing injury."
Features include:
- Enhanced shock absorption for high-impact activities
- Moisture-wicking materials for Tampa's humid climate
- Low-profile designs for athletic footwear
- Sport-specific modifications based on movement patterns
Work Orthotics - Professional Support
For Tampa Bay's healthcare workers, teachers, and service professionals:
- Maximum cushioning for prolonged standing
- Anti-fatigue technology to reduce leg and back strain
- Slip-resistant materials for safety
- Durable construction for demanding work environments
Patient Success Stories
Marathon Runner Recovery: A 35-year-old Tampa Bay marathon runner with chronic heel pain returned to pain-free running within 8 weeks through custom functional orthotics combined with our MLS laser therapy.
Healthcare Worker Relief: A nurse at Tampa General Hospital eliminated daily foot and leg pain after 12-hour shifts with our custom work orthotics featuring maximum cushioning.
The Bayshore Podiatry Difference
Clinical Excellence
- Board-certified podiatrists with specialized training
- 8 years of combined Tampa Bay experience
- International fellowship training bringing global expertise
- Active hospital privileges at HCA South Tampa Hospital
Advanced Technology
- 3D scanning systems for precise measurements
- Pressure mapping for gait analysis
- Integration with other treatments (laser, shockwave, injections)
Comprehensive Care
- Same-day consultations available for urgent needs
- Insurance verification and pre-authorization assistance
- Lifetime adjustment policy for optimal fit
Frequently Asked Questions
How long does the orthotic fitting process take?
Initial evaluation and casting take about 45 minutes. Manufacturing typically requires 2 weeks, followed by fitting and adjustment appointments.Will insurance cover custom orthotics?
Many insurance plans provide coverage for custom orthotics when medically necessary. Our team handles prior authorization and insurance verification.Can I use orthotics in all my shoes?
We often prescribe multiple pairs for different activities—dress orthotics, athletic orthotics, and work orthotics to accommodate various footwear needs.How do I know if I need custom orthotics vs. over-the-counter inserts?
If you have persistent foot pain, biomechanical issues, or specific medical conditions, custom orthotics provide targeted treatment that generic inserts cannot match.What shoes work best with custom orthotics?
Essential features include removable insoles, adequate depth, wide toe box, firm heel counter, and quality midsole. We recommend local retailers like Feet First, The Running Center, and Fleet Feet for proper fitting.How long do custom orthotics last?
With proper care, our custom orthotics typically last 2-3 years for average use, though active athletes may need replacement sooner.What's the difference between custom-made and over-the-counter orthotics?
Custom orthotics are created from 3D scans and detailed biomechanical assessment, tailored to your specific anatomy and conditions. Over-the-counter options provide generic support best suited for mild conditions or temporary relief.
Schedule Your Custom Orthotic Consultation
Don't let foot pain limit your active Tampa Bay lifestyle. Our expert orthotic services have helped thousands of patients return to pain-free mobility through precision-crafted solutions tailored to their unique needs.
Ready for Real Solutions?
Contact Bayshore Podiatry Center to arrange an appointment with our experienced Tampa podiatrists. Our South Tampa Medical Center office serves patients throughout Tampa Bay, including Hyde Park, Davis Islands, and MacDill Air Force Base.
