A custom-made foot orthotic is made specifically for the patient following an assessment of their feet and legs. A custom-made foot orthotic is made from a three-dimensional casting of the patient’s foot and is fabricated from raw materials. It is designed to meet the patient’s unique and specific needs. A custom-made foot orthotic can be functional or accommodative. Accommodative devices re-direct pressure away from painful points, wounds, or calluses. Functional devices are primarily designed to control lower limb biomechanics.