Excessive rotational forces coming from the ground up are transmitted throughout the entire body can cause hip pain. The hip is a ball and socket joint designed to absorb strain in many planes of movement. If there is excessive motion in one plane (such as internal rotation) wear and tear (arthritis) may arise. Ligaments, cartilage and tendons can all degenerate with faulty biomechanics. Custom orthotics are designed to realign the body in its most efficient weight bearing posture minimizing and neutralizing the strain put on the lower limb. Orthotics are always coupled with manual therapy and an exercise program to correct imbalance in this area.