Custom Foot Orthotics &
Compression Socks

Proper Support From The Ground Up

Custom Foot Orthotics

Dr. Badyal has received advanced training in the assessment and prescription of custom foot orthotics.  At our office a state of the art 5-step process in the proper assessment and prescription of orthotic devices.  This process ensures that the fine balance between biomechanical foot correction, shock absorption and of course patient comfort is achieved making not only your feet feel better but also your whole body. Our office also works closely with extended health care companies to ensure that our patient’s are covered for their custom foot orthotics. 

Our Custom Foot Orthotics Process


Step 1 - The History

A clinical history of the patient is conducted to take into account all health and lifestyle factors that may be contributing to the complaint. The history is designed to gain an understanding of the patient/the patients’ condition and is an essential prelude in guiding a comprehensive examination. In addition the practitioner should also investigate and take into account patient body type, patient activity and patient shoe type.

Step 2 – Non Weight-Bearing Examination

The initial foot examination first in a non- weight bearing position will allow the practitioner to assess: the overall condition of the superficial areas of the feet (ie. caluses, bunions, plantar warts etc.), the integrity of the arches of the foot in the non weight-bearing position, and the non weight bearing ranges of motion of the joints of the foot and ankle.


Step 3 – Weight Bearing

This part of the exam allows the practitioner to assess the patient while standing and while in the different phases of the gait (walking) cycle. Foot and body biomechanics are assessed as they pertain to the patient’s complaint. It is during this part of the examination that the practitioner is able to observe the biomechanical patterns that develop while the patient is on their feet and correlate them to how they are contributing to the patient’s complaint.


Step 4- Digital Gait Scan & Foot Casting

A casting of the patient’s foot in a neutral, non weight-bearing position supported by 3 D digital scan of the foot while in its normal gait (walking) phase will be taken. This will allow Dr. B to leverage technology and old-fashioned hands-on skill to build your best possible foot orthotic. The impression is used to craft the final orthotic for the ultimate custom foot support.

Step 5 – Integration

The findings in the first 4 phases of the Process are integrated by the practitioner and sent to the lab to produce a custom foot orthotic to the individual specifications of the patient. Once produced the patient is fitted and reassessed with the foot orthotics Patient education as to the proper use of the devices and any other pertinent body/foot home care advice is explained to the patient to achieve the best results in the treatment of their condition.

Your Feet and The Rest Of Your Body

It’s important to understand your  feet have direct impact on the rest of your body and support you with each step.  A small abnormality in foot function can have a large impact on joints higher up in the body, causing pain and discomfort.

When you are running, the pressure on your feet can be three or four times your body weight. Even walking can produce more pressure than the sum of your body weight. The American Podiatric Medical Association says that the average person takes 8,000 to 10,000 steps a day. That adds up to about 115,000 miles in a lifetime or more than four times the circumference of the globe. That is a lot of walking with ill-fitting shoes or painful feet!!

In some cases foot ailments can be an early signal of more serious medical problems like arthritis or diabetes.  Women have four times as many foot problems as men because they have a long history of wearing high heels and/or pointy toe shoes.  Orthotics and proper shoe fit are very important aspects of foot health.  Remember if you are experiencing pain or discomfort in your ankles, knees or hip joints ….the direct cause may be the function of your feet or ill-fitting shoes.

Foot Orthotic FAQ – Asked, and Answered

Dr. Raminder Badyal at the Downtown Wellness Centre is happy to answer any questions you may have regarding the custom foot orthotic services provided at his office. The most common questions have been listed here. If you have a question that has not been answered, please feel free to get in touch by calling or emailing our office.

Custom Foot Orthotics Testimonials

“It’s been my experience at other ‘wellness/health’ facilities or businesses that I receive more file time and less face time. What constantly brings me back to The Downtown Wellness Centre is my experience of being acknowledged. This group of professionals really know the importance of acknowledgment. It is that, along with the extraordinary level of care, that keeps me coming back.” 

– Thomas Kevin Dolan.

Custom Foot Orthotics Testimonials

“Dr. Badyal‘s acute knowledge of kinesiology made it possible for me to continue my recreational and competitive pursuits in weightlifting.” 

– Terry C.

Custom Foot Orthotics Testimonials

“Amazing Experience! Dr Badyal and his staff are amazing….they make you fell like you have known them for years. I just recently came to Dr Badyal with some problems with my lower back. His treatments are great, as you get a mini massage from this amazing machine for about 20 minutes before he treats you, which really helps in relaxing you, so you can respond better to your treatment. My lower back has never felt this good. I highly recommend him as there is no sales pitch or expectations here, just an office and Doctor that cares for your well being.” 

– Daron B.

Custom Foot Orthotics Testimonials

“I was fortunate to have Dr. Badyal in Vancouver BC recommended to me by a colleague several years ago. Since then he has ensured I have the tools to take care of my back pain; from treatments to stretches to the proper techniques to perform exercises. His thoroughness and genuine concern are most appreciated. I am delighted I have had the opportunity to recommend him to both my personal and professional acquaintances.” 

– Matthew.

Custom Foot Orthotics Testimonials

“Very friendly and welcoming staff. Excellently professional environment and very warm. Great decor and real people. Five stars for Bruce, the receptionist who is always warm, welcoming and helpful. Dr. Badyal is very professional, efficient in his work and proactive in setting up long term plans for health and recovery with solid follow up. An excellent place for wellness!” 

– Britt A.

Custom Foot Orthotics Testimonials

“I have suffered from digestion issues for the past decade. Eating most foods would instantly hurt my stomach and often send me running to the restroom. Because I was not properly digesting food and absorbing nutrients, I had very low energy. On top of it all, my stomach issues caused me severe anxiety because I knew it could act up at any time. I went to several doctors in hopes of finding a cure. They prescribed me with medication and put me on several cleanses and diets, but none of these attempts were successful. I was also referred to a few gastroenterologists who conducted various tests and examinations on my intestinal tract and stomach. Unfortunately, they all came back with the same verdict: nothing is wrong. They said I just had irritable bowel syndrome and there was no cure for it; I would have to live with this forever. Last year I was introduced to the Downtown Wellness Centre and I can finally say that I am in control of my stomach issues. She was very caring, listened to me, and was always willing to go out of her way to help me. As it turns out, I had a food sensitivity that for years was wearing away at my stomach and digestive tract. With her guidance and treatment, I have made great strides with my stomach and overall heath. It’s been an amazing turn around for me and I am very thankful for visiting the Downtown Wellness Centre.” 

– JJ.

Need Custom Foot Orthotics?


Ask Dr. Badyal

Educating patients about foot care is an important part of our business. After all, your feet are at the very base of your physical structure. When people have questions about their health, they generally turn to their Dr. for answers. If you have any questions with respect to any service at the Downtown Wellness Centre including Foot Orthotics, please email Dr. Badyal ( or you can reach him by telephone at 604.687.5712 extension 1.


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Compression Socks

Vancouver’s Source For Compression Socks and Hosiery. Compression socks can improve blood flow, which helps with swelling and leg fatigue among other potential problems. They can also give you more energy and better performance as you are active throughout the day.

Medical gradient compression socks and stockings improve venous and lymphatic blood flow. THERAFIRM stockings are designed to deliver a controlled amount of pressure which is greatest at the ankle of the garment and gradually decreases towards the top of the stocking. This gradient promotes better venous blood flow which in turn helps to relieve and control edema (swelling), varicose veins, leg fatigue and other problematic leg conditions.  The other benefits of true gradient compression are more energy for endurance, better performance, reduced muscle fatigue, and shorter recovery time after long periods of being active on your feet.

Lower Leg Circulation Problems:
Are You At Risk?

If you are at risk for venous problems, you are a candidate for compression socks or stocking therapy and vascular disease prevention. You may be at risk if you can answer “yes” to two or more of the following questions/statements:

  • Age over 40
  • Family History
  • Pregnancy / Hormonal Therapy
  • Excess Weight / Obesity
  • Inactivity / Sedentary Lifestyle
  • Smoking
  • Diabetes
  • Limb Trauma
  • Long Distance Travel
  • Sclerotherapy

Healthy Leg Questionnaire

  • I sit or stand for prolonged periods of time.
  • I have spider veins on my legs
  • I am over 40 years of age
  • I have an excess of weight
  • Varicose veins runs in my family
  • I take hormonal treatment (birth control, menopause)
  • I am pregnant
  • My ankles are swollen during the day and in the evening
  • I have alterations and some discoloration on the skin of my legs
  • I have varicose veins
  • I have had a leg ulcer
  • I have had a blood clot (DVT – Deep Vein Thrombosis)
  • I have had a thrombophlebitis (vein inflammation)
  • I am an avid runner/jogger that is looking to improve leg soreness and recovery

Pregnancy and Compression Socks and Stockings


Pregnancy is a special time but there are bodily changes, changes which may affect your veins. These normal hormonal changes that occur with pregnancy affect the walls of your veins causing the vein walls to relax or dilate.

During the first trimester of pregnancy relaxation of the veins occur. Your total blood volume may increase as much as 45% in comparison to your non-pregnant level. The relaxation of the vein walls, in areas of venous valves may cause the valve to become incompetent – therefore allowing backward flow of the venous blood. The reduced flow results in venous congestion, which in turn causes swelling and leg discomfort. Ankle swelling occurs most commonly in pregnant women.

During the third trimester of pregnancy the weight of the baby and the uterus may impede return of blood through the veins of your legs. Gradient compression socks and stockings reduce venous congestion, support the superficial veins of your legs, manage the increased blood volume and relaxed vein walls; reducing the amount of swelling and the severity of varicose veins.

Compression Socks and The Athlete

Why could compression socks improve athletic performance and recovery post run/race or activity?

1. Blood Flow

The Blood flow hypothesis basically states that the compression of the lower leg increases the blood flow. Partially due to gravity, blood can tend to pool in the lower legs. This can occur both during exercise or when at rest. In terms of improving performance during a race, the idea is that if increased venous blood flow from the lower legs and feet can occur, the better metabolic by-products that are transported by the blood can be flushed out and cleared more efficiently. In terms of recovery after a race, the idea is similar. If we can increase venous blood return, you’re going to get back to homeostasis much quickly and thus enhanced recovery time.

2. Muscle Vibration

When we run and strike the ground during the gait cycle, those ground reactive impact forces cause the muscles and tendons of the lower leg to vibrate. It’s thought that this vibration could be one cause of the delayed muscle soreness that we’ve all experienced. Compression of the lower extremity’s soft tissues protects them from muscle vibration and forces that lead to micro-trauma during impact activity.

Frequently Asked Questions About Compression Socks or Stockings

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