Rigid orthotics
Functionally supportive, but uncomfortable enough that patients quietly stop wearing them.
America's Orthotic Lab · Houston, TX
America's Premier Advanced Orthotic Lab
Custom orthotics, designed and made in the USA.
Clinician-designed, precision-manufactured, shipped to your clinic in 3-5 days.
Made in the USA · Built by a clinician. For clinicians.
- 3-5 days
- Scan to shipped
- ~2 min
- Phone scan
- Zero
- Chair time added
Why trust this lab
Built by a clinician. For clinicians.
Every product decision, every workflow choice, and every scan-quality check was designed to make this work effortless for your practice.
Who it's for
Built for clinicians who treat movement and soft tissue.
If your patients are on their feet and in your care, this fits your practice.
Physical therapy
Chiropractic
Sports medicine
PM&R (physical medicine & rehab)
Pain management
Orthopedic & podiatric clinics
And any practitioner who dispenses orthotics and wants a faster, simpler way to do it.
What you don't need
The shortest list in custom orthotics.
Most orthotics programs ask the clinic to take on equipment, inventory, and a learning curve. We took the other path.
Just a smartphone.
- No scanner to buy
- No foam boxes or casting
- No inventory
- No monthly subscription
- No training course
- No added chair time
The third way
Traditional devices do their job well, but they were built around a rigid, structural model of the foot.
We took a different approach, designed specifically for clinicians who treat movement and soft tissue, where comfort and compliance determine whether a device actually helps.
Drugstore insoles
Comfortable, accessible — and clinically ineffective for the patients you actually treat.
Precision Steps
Semi-rigid, multi-density, custom-built. Comfortable enough to wear. Functional enough to work.
How it works
A custom orthotics program in three steps.
No casting. No vacuum forming. No scanner to buy. No inventory to sit on. The workflow is intentionally simple.
Step 01
Scan with our app
Your staff captures the foot with a smartphone in about two minutes. We provide a short guided video — and every scan is reviewed by our team before fabrication. You literally cannot mess it up.
Step 02
We design your device
A clinician-led design team individually builds each device to your prescription — engineered with varied support and flexibility zones in a single integrated, semi-rigid structure, precision-manufactured to the millimeter.
Step 03
Shipped in 3-5 days
The finished device arrives at your clinic ready to dispense. Your patient walks out supported — and you keep your chair time.
Every scan is quality-checked by Precision Steps before we begin fabrication. If anything is off, we tell you before a device is ever built.
The app
A two-minute scan, guided end-to-end.
Your staff captures the foot with a smartphone in about two minutes. We provide a short guided video — and every scan is reviewed by our team before fabrication. You literally cannot mess it up.
- No scanner to buy — just the smartphone in your pocket
- Step-by-step in-app prompts walk anyone on staff through it
- Every capture quality-checked before we begin fabrication
Download on theApp StoreGet it onGoogle Play
Access is provisioned for partnered clinics during onboarding.
Available on iOS & Android
Why Precision Steps
Built by a clinician. For clinicians.
More revenue. Better outcomes. Zero added work. Every device is clinician-designed and precision-manufactured in the USA, in-house — no overseas outsourcing. We built every part of the program to remove the reasons clinics usually don't add orthotics.
Done-for-you fabrication
You scan. We do 100% of design and manufacturing. Zero learning curve for your team.
3-5 day turnaround
From scan to shipped device. Your patient isn't waiting weeks for relief.
Effortless guided scanning
A smartphone, a 2-minute scan, a short video, and our team checking every capture.
Free first device
Evaluate the quality on a real patient at zero cost — and zero commitment.
Comfort guarantee
If your patient isn't comfortable, we remake the device free. Promise them comfort with confidence.
No contracts, no minimums
Order per patient. No inventory, no dead stock, no subscription. Start when you have a foot to scan.
Compare
An honest, side-by-side look.
No competitor names, no swipes — just the factual differences between a traditional lab workflow and ours.
Traditional lab
Precision Steps
Capture method
Foam box / casting
Smartphone scan
Turnaround
Multiple weeks
3-5 days
Casting required
Yes
No
Equipment to buy
Often
None — just a phone
Workflow
Multi-step
~2-minute scan
Technology & vision
We are building the modern manufacturing layer for foot health.
Custom orthotics have looked the same for forty years. We rebuilt the process from the scan up — and we're building the technology and data foundation for what comes next in personalized foot health.
Built by a clinician. For clinicians.
Every device is individually designed by clinical hands to your prescription — a clinical answer to the real workflow of modern practices, precision-manufactured for consistency.
Clinician-led design, every device
Each device is individually designed by skilled clinical hands to the patient's prescription — not pulled from a shelf, not pattern-matched from a library.
Fully digital workflow
No plaster, no vacuum forming, no CNC. The path from scan to device is end-to-end digital — and repeatable to the millimeter.
Advanced materials
Durable medical-grade material lets us tune support and flexibility zone by zone, built as a single integrated structure rather than glued layers.
Lightweight and consistent
Modern fabrication makes each device noticeably lighter than traditional builds — and identical every time we produce it.
Made in the USA, in-house
Every device is designed and precision-manufactured domestically in our own lab — no overseas outsourcing, full in-house quality control on every order.
Products
A focused line. Every device built to your prescription.
One platform, five purpose-built devices. Each is fully custom — the line simply defines the build profile your patient needs.
Core 5
FlagshipStepCore 5
ViewFull-length, five density zones. Semi-rigid functional support.
Core Half
Half / 3/4StepCore Half
ViewHalf- or three-quarter-length build for shorter shoe volumes.
Slim
Low-profileStepSlim
ViewDesigned for dress shoes, cleats, and tight-fitting footwear.
Start
PediatricStepStart
ViewCorrective support in a softer, kid-appropriate build.
Soft
AccommodativeStepSoft
ViewDiabetic and sensitive feet. Multilayer protective cover.
Custom to your prescription
Every device — across the entire line — is built for one patient, one foot at a time. The product name simply selects the build profile.
For clinics
A new revenue line that doesn't ask for your chair time.
Most ways to add revenue trade clinician hours for income. Custom orthotics through Precision Steps don't. Your staff handles a short scan; we handle everything else; your patient leaves with a device that actually helps them.
Based in Houston, serving clinics nationwide.
- A new revenue line with no added chair time
- No inventory and no minimum orders
- Your pricing and margins stay private — we never publish device prices
- Patient-education materials provided
- Done-for-you onboarding and staff training
- Per-patient ordering — start with one
FAQ
Honest answers to the questions clinics ask first.
- Do we need any special equipment? +
- No. A smartphone is the only hardware required to capture a scan. We provide the app and a short guided video.
- What if our staff isn't good at scanning? +
- We designed the workflow assuming they aren't. The app is guided, we walk you through your first scan, and our team reviews every capture before we fabricate. If anything looks off, we tell you before a device is built.
- How long does it take? +
- 3-5 days from scan to shipped device, in standard cases.
- What does it cost, and are there minimums? +
- No contracts and no inventory commitments — you order per patient. We share per-device pricing with you directly so your costs and patient margins stay private.
- Is our pricing kept private? +
- Yes. We never publish device pricing anywhere. Your costs and the margin you charge your patient stay strictly between us.
- Who is this designed for? +
- Physical therapy, chiropractic, spine, and pain-management practices — and other dispensing practitioners who treat movement and soft tissue.
Free first device
Let us build your first device free.
Tell us about your practice. We'll set up your scan workflow, fabricate your first device free, and back it with our comfort guarantee. No contract.
- Free first custom device
- Comfort guarantee — remade free if not comfortable
- Done-for-you onboarding & staff training