Nov 17, 2025
Orthotics for Flat Feet
Treating Flat Feet with Custom Orthotics & Physiotherapy in Richmond BC
Flat feet are one of the most common causes of chronic foot pain, knee discomfort, and lower-body movement issues. When the arches collapse or fail to provide proper support, it sets off a chain reaction throughout the ankles, knees, hips, and lower back. Many people in Richmond experience symptoms without realizing their flat feet are the underlying cause.
At Proactive Health, we provide custom orthotics in Richmond, BC, along with physiotherapy-based treatment to help patients with flat feet restore proper alignment and move comfortably again. Our holistic, evidence-based approach corrects poor foot mechanics and strengthens the body from the ground up.
Understanding Flat Feet
Flat feet (pes planus) occur when the arches of the feet sit lower than normal or collapse during weight-bearing activities. This often leads to overpronation, where the ankles roll inward excessively.
Common signs of flat feet include:
Tired or achy feet after walking
Heel, arch, or ankle pain
Excessive inward ankle rolling
Knee pain due to misalignment
Frequent shin splints
Reduced stability or balance
Difficulty finding supportive footwear
Lower-body fatigue during work or activity
Without treatment, flat feet can contribute to conditions such as plantar fasciitis, shin splints, knee pain, and chronic lower-back discomfort.
Why Custom Orthotics Are Effective for Flat Feet
Custom orthotics are one of the most effective long-term solutions for flat feet because they correct alignment and support the arches where your feet need it most.
How custom orthotics help flat feet:
Improve arch height and reduce flattening
Control overpronation
Distribute pressure more evenly across the feet
Reduce strain on the ankles, knees, hips, and spine
Improve balance and walking mechanics
Reduce pain during daily activities and exercise
Prevent injuries commonly related to flat feet
At Proactive Health, your custom orthotics in Richmond, BC are tailored specifically to your unique foot shape and biomechanics — offering far better support than generic insoles.
How Physiotherapy Supports Flat Feet at Proactive Health
Physiotherapy plays an important role in treating flat feet by strengthening the muscles that stabilize your arches and improving lower-body mechanics.
A Richmond physiotherapist at our clinic may incorporate:
Intrinsic foot strengthening
Ankle mobility work
Glute and hip strengthening to support knee alignment
Gait retraining to reduce overpronation
Balance and stability drills
Plantar fascia and calf-focused treatment
Combining physiotherapy in Richmond, BC, with custom orthotics results in more durable, long-term improvements than using either treatment alone.
Why You May Need Custom Orthotics for Flat Feet
You may benefit from orthotics if you experience:
Flat feet or collapsed arches
Overpronation
Chronic foot or arch pain
Morning heel pain (plantar fasciitis)
Shin splints
Knee pain related to flat feet
Hip or lower-back discomfort
Uneven wear patterns on your shoes
Difficulty standing or walking for long periods
Orthotics help stabilize your foundation, which supports healthier movement throughout your entire body.
The Custom Orthotics Process at Proactive Health (Richmond, BC)
To ensure accuracy and comfort, our orthotics process is detailed, thorough, and clinically guided.
1. Comprehensive Assessment
Your appointment begins with a consultation where we review:
Your symptoms
Flat-foot severity
Walking and standing habits
Footwear concerns
Pain patterns in the feet, knees, hips, or back
A Richmond physiotherapist will evaluate how your flat feet affect your alignment and overall movement.
2. Gait and Biomechanical Analysis
We analyze your gait to understand:
How your arches move during walking
Whether your ankles collapse inward
How your knees and hips respond
Pressure distribution across your feet
Where strain accumulates during movement
This step is essential for designing orthotics that correct your specific flat-foot mechanics.
3. 3D Foot Scan or Casting
We use advanced 3D foot scanning or foam casting to capture the precise structure of your feet. This ensures your orthotics match your arch height, heel shape, and pressure points perfectly.
4. Custom Fabrication
Your orthotics are created using durable, medical-grade materials suitable for:
Work boots
Everyday shoes
Athletic footwear
Dress shoes
Each pair is tailored to your flat feet and aligned with your daily activity level.
Benefits of Custom Orthotics for Flat Feet
Patients using our custom orthotics in Richmond, BC often experience:
Reduced arch, heel, and foot pain
Improved alignment from the feet up
Fewer shin splints
Relief from plantar fasciitis
Better knee and hip mechanics
Greater stability and balance
Less fatigue during daily activities
Prevention of recurring injuries
By correcting flat feet, you support better movement and reduce the risk of strain throughout your entire lower body.
Why Choose Proactive Health for Orthotics in Richmond BC
Proactive Health provides a comprehensive, physiotherapy-led approach to flat feet. We do more than simply create orthotics — we assess your movement as a whole.
Patients choose us because:
Our assessments are completed by experienced physiotherapists
We specialize in flat feet and lower-body biomechanics
We integrate orthotics with physiotherapy for lasting results
We use high-quality materials and precise 3D scanning
We personalize each treatment plan to your activity level, lifestyle, and footwear
We focus on long-term correction and comfort
Whether you want to reduce pain, improve mobility, or prevent recurring injuries, our team helps you build stronger, healthier movement from the ground up.
Frequently Asked Questions About Orthotics in Richmond, BC
Are custom orthotics good for flat feet?
Yes. Custom orthotics are one of the most effective treatments for supporting the arch, controlling overpronation, and improving alignment.
How long do orthotics last?
Most custom orthotics last 2–5 years, depending on usage and activity levels.
Do orthotics replace physiotherapy?
Orthotics correct alignment, while physiotherapy strengthens the muscles that support your feet and knees. Together, they create the best long-term results.
Are orthotics covered by insurance?
Many insurance plans in BC include full or partial coverage. Our clinic offers direct billing to most providers.
Do I need a referral?
No referral is needed to see a physiotherapist in Richmond, BC or to book a custom orthotics assessment at Proactive Health.
Take the First Step Toward Better Foot Health
If you’re dealing with flat feet, pain, or overpronation, our team at Proactive Health can help.
Book your custom orthotics assessment today and experience relief, improved alignment, and better movement with every step.

