If a patient has a prescription for custom shoes, what is an essential first step for the fitter?

The essential first step for the fitter when a patient has a prescription for custom shoes is to measure their foot dimensions. Accurate measurements are crucial because they provide a foundation for creating custom footwear that fits properly. Each individual's foot can have unique characteristics in terms of length, width, arch height, and volume, all of which must be factored into the design of the custom shoe.

By taking precise measurements, the fitter can ensure that the shoes will accommodate any specific medical conditions or deformities the patient may have. This step is vital for preventing issues such as pressure points, blisters, or other complications that can arise from poorly fitting shoes. Moreover, careful measurement helps to ensure adequate support and align the shoes with the patient's unique anatomical structure, contributing to their overall comfort and mobility.

While other factors, such as the patient's current shoe wear pattern or considering ready-made options, may play a role later in the process, accurate foot measurement is the foundational step that informs all subsequent decisions in fittings and adjustments for custom shoes.