A prescription orthotic is a medical device used to control biomechanical instabilities of the foot and ankle. There are many different types of prescription orthotics that can be produced depending on the pathology present. It is important to have a complete biomechanical evaluation as well as gait analysis for a proper orthotic to be prescribed. Some of the newer materials used in prescription orthotics can be made in a more low profile fashion so we can fit them in variety of shoes. We have found the majority of foot and ankle conditions can be resolved with a successful prescription orthotic.