Foot Pain

Foot pain is one of the major reasons people limit the activities they enjoy.

At Out and Back Winnipeg Sport Orthotic it is our priority to listen to your story and help you get Out there and Back on your feet again.

Out and Back Winnipeg Sport Orthotic provides specialized, professional advice regarding footwear, over the counter insoles, and custom foot orthotics.

Owned and operated by Kirk Cook, a Certified Pedorthist (Canada), CSEP-Certified Personal Trainer with a Diploma in Pedorthics and a Bachelor of Kinesiology. Kirk is an avid runner participating in a variety of marathons from Melbourne to Boston and enjoys cross country skiing and cycling.

All custom foot orthotics are fabricated at the lab located in Winnipeg with clinical assessments and orthotic modifications performed at the Sport Medicine Centre at the Sport Manitoba building on 145 Pacific Avenue 2nd Floor.




Is performed to determine your footwear and/or insole needs, and provide a professional opinion on your particular situation to give you with the information you need.

An assessment involves:

    • Discussing the history of your foot pain
    • Discussing any potentially related medical issues
    • Determining range of motion
    • Inspection of your feet
    • Footwear analysis
    • Gait assessment
    • Strength tests
    • Casting for custom foot orthotics and at times a foot impression is also taken
    • Recommendations regarding footwear for your particular foot problem and desired activity level

Shoe Inserts:

At your assessment, it may be determined a small insert into a shoe may only be needed to resolve your foot problem.  Inserts vary from a metatarsal pad to heel wedges or lifts. This is a service in addition to your assessment.

Refurbish/Recover Orthotics:

Old orthotics may have their shells recovered when their padding or top cover wears out.

Custom Foot Orthotic:

When proper footwear, over the counter inserts do not resolve your problem custom foot orthotics may be necessary.

Custom Foot Orthotics are made from the original plaster casted created during the assessment process.  A mould is produced from the plaster cast that will then be used to fabricate the orthotic.

The Custom Foot Orthotics are made in house at the Lab at Henderson Highway from a variety of materials to meet your requirements.

Prior to the dispensing of the orthotic I will be requesting a pair of your footwear to custom fit the orthotic into your shoes.

If within six months you decide you would like a second pair of orthotics using the original mould cast from your first pair of orthotics the cost is reduced to $375.00

Insurance companies may provide coverage for custom foot orthotics.  Please check with your insurer to confirm coverage as it is the insured’s responsibility to ensure what your insurance policy coverage is.  Out and Back cannot confirm your coverage as all insurance policies are unique.

A prescription from your Physician is required to dispense any orthotics at Out and Back.

Out and Back Winnipeg Sport Orthotic welcomes third party payers.



  • One Hour

Shoe Inserts


  • In addition to assessment



  • Metatarsal Pads/Bars $25.00



  • Second Pair $390

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Common Conditions Treated

Tibialis Posterior Tendinopathy

Tibialis posterior tendinopathy is a condition where there is damage to the tendon behind the medial malleous (inner part of the ankle) with subsequent degeneration and sometimes swelling. This may occur traumatically due to a high force going through the tendon beyond what it can withstand, or more commonly due to gradual wear and tear associated with overuse.

A custom foot orthotic can support the medial longitudinal arch, and reducing the pain and deformity, and slow the progression of the condition.


Metatarsalgia is a term used to describe a group of forefoot conditions that cause pain, burning or discomfort under the ball of the foot or in the metatarsal bones.

A custom foot orthotic can be manufactured to support the transverse arch (under the ball of the foot) and relieve the pressure on the metatarsal heads.

Plantar Fasciitis

Plantar Fasciitis is a painful condition affecting the plantar fascia.  Plantar Fascia is a thick connective tissue that originates from bottom of the heel and runs along the sole of the foot to the toes.

Stretching and strengthening exercises for the plantar fascia is recommended and an over the counter insole or custom foot orthotic can aid in the treatment of plantar fasciitis.

Osteoarthritis of the 1st Metatarsal Phalangeal Joint (Great Toe)

Osteoarthritis is commonly found in the joint of the big toe and results in pan when walking or running.

The use of custom foot orthotic can relieve the painful symptoms of osteoarthritis of the 1st metatarsal phalangeal joint.  An orthotic can support the area under the 1st MTP to decrease the pain associated with the arthritis.

Shin Splints (Medial Tibial Stress Syndrome)

Shin splints are a common condition that effect athletes in running sports or high impact sports such as basketball and soccer.  Shin splints are characterized by pain in the lower part of the leg between the knee and ankle.

An orthoses can help by supporting the medial longitudinal arch and correcting over pronation, thereby reduces the strain of the lower leg muscles.



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Contact Info


Winnipeg, Manitoba