Heel Pain & Plantar Fasciitis
Redistribute load away from the inflamed fascia and correct the mechanics that caused it.
Learn moreCustom Orthotics
Most inserts are built for a hypothetical average foot. Yours is not average. Alto custom orthotics are designed from a precise impression of your foot, correcting the biomechanics causing your pain, not just cushioning the impact.
Why Mechanics Matter
Pain Starts with How You Move
Every step you take loads your foot differently. When the mechanics are off, whether it's the way your arch collapses, how your heel strikes, or where pressure concentrates, pain follows. In your foot, yes. But also in your knee, hip, and lower back.
Custom orthotics work by changing how that force is distributed. Not just where your foot lands, but how your entire kinetic chain responds. That's why they're used to treat conditions that seem unrelated to your feet.
What Custom Orthotics Can Treat
Orthotics are used across a wide range of foot and ankle conditions, and often alongside other treatment.
Bunions & Hammertoes
Support the foot structure to slow progression and reduce pressure during recovery.
Learn moreFlat Feet & High Arches
Provide the arch support your foot lacks, or absorb the impact an unusually rigid arch can't.
Learn moreForefoot Pain & Arthritis
Offload the joint, reduce friction, and support function without restricting movement.
Learn moreNeuromas & Nerve Pain
Reduce compression between metatarsals where nerves are most vulnerable.
Learn morePost-Surgical Recovery
Maintain corrections made during MIS procedures and support long-term healing.
Learn moreThe Alto Approach
Not a Prescription. A Design Process.
At most clinics, orthotics start with a foot tracing. At Alto, they start with an evaluation of how you stand, how you walk, how weight distributes across your foot in motion. Dr. McGrath uses that picture to design a device that corrects what's actually happening, not what an average patient's foot looks like.
What Goes Into the Evaluation
- How you stand and bear weight
- Gait pattern and foot strike mechanics
- Arch structure and flexibility
- Your condition, symptoms, and treatment goals
- Footwear and daily activity level
What You Get
- A device cast from a precise foot impression
- Materials matched to your weight, activity, and condition
- Corrective design, not just cushioning
- A fitting appointment with Dr. McGrath present
- Adjustments made until it's right
Custom Orthotics FAQs
Store-bought inserts are built around a statistical average foot. They add cushioning but don't address the mechanics causing your pain. Alto orthotics are cast from your foot specifically, designed around your gait, and built to correct what's actually happening, not to approximate it.
Start with a Conversation
A consultation with Dr. McGrath begins with your full evaluation, not a sales pitch. We'll assess your mechanics, review your history, and tell you plainly whether custom orthotics make sense for you.