Sports Medicine & Custom Orthotics in Fairfax, VA
Treatment of athletic injuries, sprains, and custom prescription orthotics using digital 3D scanning technology.
Whether you run trails, play pickleball, or are on your feet all day, a foot or ankle injury can take you out of what you love. Our goal is to get you back quickly and keep you there, treating both the injury and the mechanics that caused it. We treat runners, hikers, court-sport players, and people on their feet all day from across Northern Virginia.
Sports-related injuries are a clinical focus for Dr. Falco, and Dr. Rafii's residency at MedStar Georgetown included extensive sports medicine training. When orthotics are part of the plan, we capture your foot with a digital 3D scan rather than a plaster mold. The result is a precise, prescription device built for your foot, your shoes, and your sport.
Who it's for
- Ankle sprains and chronic ankle instability
- Plantar fasciitis and heel pain
- Achilles tendinopathy
- Stress fractures and bone stress injuries
- Turf toe, sesamoiditis, and forefoot pain
- Shin splints and overuse injuries
- Flat feet, high arches, and alignment problems
See all the sports injuries we treat.
What to expect
- Injury and activity history. We ask how it happened, what your training looks like, and your return-to-sport goals.
- Biomechanical exam. We assess alignment, flexibility, and strength, with gait analysis.
- Diagnosis and imaging. X-ray, ultrasound, or MRI as needed.
- Treatment plan. Bracing, rehab, footwear changes, injections, or orthotics, with a clear return-to-activity timeline.
- 3D scan for orthotics. If orthotics are prescribed, a quick, mess-free digital scan captures your foot.
- Fitting and follow-up. We check the fit, break-in, and comfort, and adjust as needed.
Custom vs. over-the-counter orthotics
- Made from: a 3D scan of your foot, versus generic sizes off the shelf.
- Correction: prescribed for your diagnosis and mechanics, versus general cushioning or arch support.
- Materials: chosen for your sport and shoes, versus one-size materials.
- Lifespan: typically several years with refurbishing, versus months.
Treatment options
- Ankle bracing, taping, and functional rehab
- Custom prescription orthotics from digital 3D scans
- Footwear and training-load guidance
- Regenerative injections for stubborn tendon injuries
- Physical therapy coordination
- Surgical repair for ligament and tendon injuries when needed
Your physicians
Sports-related injuries are a core clinical focus for Dr. Andrew Falco, whose goal is helping patients return confidently to the activities that matter to them. Dr. Shyaun Rafii's residency included extensive sports medicine training, and he builds each plan around a patient's activity goals and functional needs.
Frequently asked questions
Do I need to stop training?
Not always. We'll often modify your training rather than stop it entirely, so you keep fitness while the injury heals.
How long do custom orthotics last?
It depends on the materials, your body weight, and your activity. Top covers can be replaced to extend their life.
Can I use one pair of orthotics in all my shoes?
Often, yes, if your shoes have removable insoles and a similar fit.