These shoes are not prescribed to address difficult fitting issues that are related to proper width, length, depth or other preferred shoe style. There are many commercially available shoes that can accommodate these fitting issues.

Custom made shoes are prescribed to address the specific needs of individuals with structural foot deformities and special mechanics deficiencies. The primary focus is to accommodate bony, structural deformities of the feet and lower leg due to congenital deformities and conditions (i.e. severe arthritis, polio, diabetic complications ie. Charcot feet). In most cases these custom made shoes are covered by AADL or other insurance plans but only if there is a real medical need for them.