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Our Certified Orthotists assess for and design specialized orthoses (braces and splints) for all body parts.  The designs are made specifically for each individual with consideration of many factors including medical requirements, lifestyle and use.  The custom made orthoses are made to fit and function for the individual. 

Some examples are shown below:

Lower Extremity:           

  • Foot Orthoses (arch supports)
  • Knee Orthoses
  • Ankle Foot Orthoses (Foot Drop splints)
  • Knee, Ankle Foot Orthoses (long leg braces)
  • WalkAide


  • Corset
  • Harris Brace
  • Scoliosis Brace
  • Cervical Collar
  • SpineCor

Upper Extremity:           

  • Fingers - Boutonniere/Swan Neck Splint
  • Thumb Post
  • Wrist Hand Orthoses
  • Elbow Orthoses


In general, for Lower Extremity Orthoses the name of the device describes the body segment that it supports, see below.  Please click on the title of the brace to link to the specific page about that type of bracing treatment.

FO - Foot Orthosis Commonly known as foot orthotics or insoles, FO's are used to help support, align or correct the feet.  They may be made of soft materials to accomodate deformities such as claw toes with people who may have Rheumatoid Arthritis or Diabetes.  They may also be made of former materials for people who need more control of excess foot motion.  There are many combinations that are dependent on the individual needs of the person including medical conditions, activities and footwear.

AFO - Ankle Foot Orthosis is an type of brace that is used to help support, align or correct the foot and ankle.  It is often used for people who have weakness or instability around the ankle or knee that may be due to injury, stroke, MS.

KO - Knee Orthosis There are many types of knee braces for the many different injuries or diseases that can affect the knee and the many ranges of needs.  Knee orthoses may be as simple as a prefabricated slip on sleeve or a custom made plastic brace with metal joints.  The type or style of brace will depend on exactly what you need.

KAFO - Knee Ankle Foot Orthosis The KAFO is used for people who need support, control or protection of the leg from the hip to the foot.  The KAFO is often used for people who have had poliomyletis and need control for the knee and ankle joints.


In general, for Upper Extremity Orthoses the name of the device describes the body segment that it supports, see below:

WHO - Wrist Hand Orthosis This device can be used for various pathologies, including, Carpal Tunnel Syndrome, Rheumatoid & Osteoarthritis of the wrist and ligament instabilities of the wrist. The WHO is made of either leather or plastic with Velcro straps for attachment.

WHO + Thumb or long opponens, is similar to the WHO but has the addition of a thumb spica to immobilize the thumb or first CMCJ and MCPJ. The long opponens splint is often prescribed for DeQuervain's Tenosynovitis, or for Osteoarthritis of the wrist and thumb.

HO - Hand Orthosis or short opponens, is a short thumb spica that does not extend beyond the wrist. This support is ideal for immobilizing the thumb in cases of Osteoarthritis of the first CMCJ, or MCPJ.

WHFO - Wrist Hand Finger Orthosis or resting splint is a plastic design used most often with contracture of the fingers and wrist after a stroke or with Cerebral Palsy.

EO - Elbow Orthosis: There are a variety of elbow orthoses that are used for many different reasons. A hinged design can be used for medial-lateral stability or to limit or increase Range of Motion of the elbow joint. Off-the-shelf elbow supports such as counterforce straps can be used for Tennis Elbow and Golfer's Elbow. Soft elbow sleeves or pads can be used for protection of a sensitive elbow.

Shoulder Orthosis: Different slings or immobilizers can be used for rotator cuff tears or post-surgery, or with shoulder subluxations and dislocations.


I just wanted to let you know - for the first time in months and months - I am able to go for a long, long walk - because my feet are not killing me anymore!!! I am not limping at work any more either!!! Thanks so much - I feel great! Even walking 8 blocks back to the car after the last appointment with them in my shoes - I could have done a tap dance all the way - the change was so drastic!
- . -
When I saw Jim, it was for two appointments for braces he put in my shoes (that he had made recommendations about). I could walk and keep shoes on all day and I was not walking off balance. He was amazing. He took time to talk to me and explain things. My husband had gone to Jim for years for foot orthotics . I would recommend Jim to anyone.
- Ms L.M. -
I am so greatful that the heel lift for my right shoe has been so helpful. I am in less pain when I walk, I can now stand straighter, on both legs at the same time when I stand still. I should have done it a lot sooner!
- Ms. D.T -
I am a person with polio in my left leg. I 've been using Custom Orthotic Design Group Ltd. for many years. Their service is great and friendly, they know what they are doing. I am really happy with their services.
- Mr. K.N. -
Custom Orthotics has always stood behind their product. They have always treated me with kindness and dignity. Whenever there is an issue, they have repaired it right away. Friendliness is their top priority. The product is 10/10. I can't say enough and I find there is never any negative comments. I have been with Custom Orthotics since 1998.
- Mr. F.H. -
The whole process was very positive, Custom Orthotic Design Group answered all of my questions and responded to my concerns in a professional pleasant manner. I highly recommend that anyone requiring any form of custom made orthotic from a simple shoe insert to a sophisticated support such as my CROW walker consider Custom Orthotic Design Group.
- Mr. MB -
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