Fitting custom molded shoes is a very detailed process. In addition, patients can often be emotionally sensitive. In order to minimize the potential for problems, the following are some tips to help ensure that you consistently obtain the desired results.

Taking a good cast is the single most important step in making a shoe.
 

Do not rush this step.

Make sure the cast represents the true size and shape of the
  weight bearing foot.This includes allowing for edema (more prevalent
later in the day), raised toes, bunions, toe extensions,...
Tell the patient not to contract their feet during casting; that you
  are trying to capture the true width and length.
If you are using fiberglass splints, be aware that this is the least
  accurate casting method. Be careful not to over tighten
  the wrap at the ball of the foot or the toes.
Take tracings of the weight bearing feet on separate sheets of paper.
  If the patient has existing well fitting shoes, trace the outline of these
insoles also.
If possible take photographs of their exisitng shoes.
Choose the shoe (Low top/Chukka/High top) based on the patient’s
  pedorthic needs. See what they currently wear and whether or not
  it is working for them.
Low top shoes will look lighter, dressier and less orthopedic. Chukkas
  and High tops will provide more control and stability. Sandals, clogs,…
  are seldom used.
Molded shoe features such as extra depth insoles, wedge soles,
  surgical openings,… will be more comfortable and functional for the
  patient to wear, but they do not look sleek.
Patient management is of the utmost importance. They need to know
  that you are designing the shoes to resolve a specific condition
  (not enhance their wardrobe!).
Be careful to not oversell the shoes in terms of function or cosmetics.
  Patients can build up unrealistic expectations. It is good to show them
some pictures of molded shoes beforehand.
Explain to the patient how the shoe will look and why before you
  cast, and as you are fitting the shoe.
Be confident when dispensing the shoe. If the shoe appears to be
  too tight or too loose on the first fitting, there should be no cause for
  concern. Our shoes are designed to be easily modified if required.
Custom molded shoes are intended for that segment of the population
that cannot get proper fit or function from extra depth shoes. If you have any
questions, please do not hesitate to call us. Our goal is to provide you with
trouble free patient care solutions.