
Custom Orthotics
Pain and discomfort often start from the ground up. If your feet aren’t properly supported, it can affect your posture, balance, and alignment — leading to pain in the knees, hips, or back. At Palatine Family Chiropractic, we offer custom orthotics designed to support your body’s unique structure and help you move more comfortably.
Support Your Foundation and Improve How You Move
Custom orthotics are medical-grade shoe inserts specifically designed to support the arches and biomechanics of your feet. Unlike store-bought insoles, custom orthotics are made from a mold or scan of your feet and tailored to address your individual needs.
They help redistribute pressure, correct alignment, and provide support where your feet and body need it most.

How It Works
We begin with a full evaluation of your posture, gait, and foot mechanics. From there, we use advanced scanning technology to capture the shape and structure of your feet. Based on this information, we create a pair of orthotics that match your unique needs — whether you’re on your feet all day, dealing with pain, or looking to improve stability and performance.
Why It’s Effective
Your feet are the foundation of your body. If they’re not aligned properly, it can lead to pain or compensation in other areas — like your knees, hips, or lower back. Custom orthotics help correct these imbalances, reduce joint stress, and support healthier movement patterns from the ground up.

Meet Dr. David Fish
You're In Good Hands
Doctor of Chiropractic
Dr. David Fish brings over a decade of hands-on experience helping patients of all ages move and feel better. He specializes in spinal biomechanics and structural chiropractic care, combining precision with a personalized approach. His goal is to support your health with focused care that enhances movement, energy, and overall wellness.

Good for Supporting:
- Flat feet or fallen arches
Plantar fasciitis
Plantar fasciitisHeel pain
Heel painKnee, hip, or low back pain
Knee, hip, or low back painPostural imbalances
Postural imbalancesFoot fatigue from standing or walking
Foot fatigue from standing or walkingAlignment during exercise or athletic activity
Alignment during exercise or athletic activity
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Frequently Asked Questions
How are custom orthotics different from store-bought insoles?
Custom orthotics are designed specifically for your foot shape and biomechanics. They provide targeted support and alignment that over-the-counter products can’t match.
How long do custom orthotics last?
Most pairs last between one and two years, depending on how often you wear them and your activity level. We’ll guide you on when they may need to be replaced.
Do I need to wear them all the time?
We typically recommend wearing them during most of your daily activities — especially if you’re walking, working, or exercising.
Can they help with back or knee pain?
Yes. Because poor foot alignment can cause issues further up the body, orthotics often help relieve pain in the knees, hips, and lower back.

Dr. David Fish grew up in Niles, Michigan, and earned his undergraduate degree in biology from the University of Detroit Mercy. He went on to receive his Doctor of Chiropractic from the National University of Health Sciences in Lombard, Illinois.
He spent ten years with The Joint Chiropractic, where he refined his clinical and adjusting skills while treating patients of all ages. In late 2025, Dr. Fish joined Palatine Family Chiropractic, where he continued to expand his expertise under the mentorship of Dr. Adam Hutton. His clinical focus now includes spinal biomechanical engineering and advanced structural care.
Dr. Fish is an active member of the American Chiropractic Association and the Illinois Chiropractic Society. He lives in Wheeling, IL, with his wife and two cats, and enjoys traveling, gardening, staying active, and playing board games.




