Consumer Alert: Overseas Production
Before You Order From
Upstep...
Upstep outsources their manufacturing overseas, whereas Bilt Labs CNC-mills your true medical orthotic right here in our USA laboratory.
"As a Chief Medical Officer, I cannot recommend custom medical devices manufactured overseas. When your foot molds are shipped across the globe, the delay and lack of direct medical supervision compromises your recovery. Consistency, premium USA-milled materials, and direct lab oversight matter for your long-term foot health."
Dr. William Naughton, DPM
Board Certified Podiatric Surgeon
View Medical Credentials
Dr. William Naughton
Chief Medical Officer
Status: Verified Active
NPI Number: 1245247089
License: DPM00321
View Full Profile- Upstep: Made Overseas. While Bilt Labs mills in the USA, Upstep outsources production abroad, which can lead to longer wait times and complex returns.
- Upstep: No U.S. Doctor Oversight. Unlike Bilt Labs’ Chief Medical Officer, Upstep lacks direct US medical supervision during the manufacturing of your device.
Get 100% custom-molded orthotics for 80% less.
Bilt Labs vs. Upstep
USA Medical Quality vs. Overseas Outsourcing. See how we compare.
Gold Standard
The Medical Choice
|
Upstep (Outsourced) | |
|---|---|---|
| Manufacturing Origin Consistency & Oversight | 100% Made in USA (Single Medical Lab) | Owned, Operated & Made Overseas (Israel) |
| Medical Oversight | Chief Medical Officer Doctor of Podiatric Medicine | Non-US Licensed Podiatrist (Medical advisors based overseas) |
| Trust & Accreditation | A+ BBB Rated | Not Accredited |
| Core Material | Medical-Grade Polypropylene (Structural Correction) | Changes Often / Mixed Plastics |
| Price Point | $249 or less Shop Now | $239+ |
| Refund Policy | Money Back Guarantee 180 Days | Varies (Often has return fees) |
"As a surgeon, I prioritize consistency. When medical devices are made overseas, quality control suffers. Bilt Labs orthotics are 100% Made in the USA for strict quality control."
Overseas Production vs. USA Medical Grade
Why wait for outsourced products when you can get direct-lab processing here in the USA?
The Overseas Waiting Game
Brands like Upstep manufacture their custom orthotics in Israel. This means your physical foot molds must cross international borders twice. This geographic disconnect leads to agonizing wait times when you need pain relief the most.
Inside our USA Lab: We don't pull from a shelf. Every pair is 100% custom built based on your foot.
Custom Laser Milling (USA)
We scan your impression kit and CNC mill your orthotics from medical-grade polypropylene to your exact arch contours right here in our Texas laboratory.
Medical Expertise
Elevate your foot health with Bilt Labs today.
Experience clinic-level foot support designed to eliminate daily pain and realign your body—directly from home.
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Board Certified Oversight
Every pair is reviewed by experts, ensuring clinical accuracy.
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30+ Years Experience
Dr. William Naughton, DPM brings decades of orthotics expertise.
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Medical-Grade Materials
We use the same high-performance polymers as top podiatry clinics.
Verified Credential
License: DPM00321
NPI: 1245247089
Chief Medical Officer
Dr. William Naughton
Board Certified Podiatrist
Patients Who Made The Switch
See the difference between overseas delays and domestic medical quality.
"Restocking fees & unresponsive support"
"Not the risk-free trial I was promised."
"I waited nearly a month for them to arrive from Israel. When they didn't fit, I couldn't get a live person on the phone, just endless voicemails. To make matters worse, when I finally returned them, they penalized me with a hidden restocking fee. Avoid at all costs."
"Made in USA matters"
"Finally, real clinical relief."
"I tried the overseas brands, but Bilt Labs feels like a real medical device. Knowing these are CNC-milled in a Texas lab gave me confidence. They arrived incredibly fast, and their USA-based support team answered the phone on the first ring. The 100% money-back guarantee meant I had zero risk."
Foot Pain Relief from Home
Medical-grade orthotic insoles without the doctor's visit. Here is how we do it:
Take Quiz & Order
Start with our quick foot analysis, then order your at-home impression kit.
Step Into the Box
Step into our bio-foam box. It captures your unique arch and foot shape in seconds.
We Build & Ship
Our US Lab creates your custom orthotics and ships them directly to you.
Select Your Pain Select Your Pain or Condition
Medically Engineered to treat the following:
Analyzing Symptoms
(Select all that apply)
Quick Reference Guide for Common Foot Pain Conditions ▼
Heel & Fascia (Plantar Fasciitis)
Cause: Excessive strain on the Plantar Fascia ligament due to lack of arch support.
Solution: View Plantar Fasciitis Custom Orthotics.
Forefoot (Metatarsalgia)
Cause: Increased pressure on the metatarsal heads due to a collapsed transverse arch.
Solution: View Metatarsalgia Custom Orthotics.
Flat Feet / Fallen Arches
Cause: Arch collapses upon weight bearing, leading to excessive pronation and strain.
Solution: View Flat Feet Custom Orthotics.
High Arches / Supination
Cause: Rigid arches poor at absorbing shock, leading to supination and instability.
Solution: View High Arches Custom Orthotics.
Nerve Health (Morton's Neuroma)
Cause: Compression of nerves between the metatarsal bones.
Solution: View Morton's Neuroma Custom Orthotics.
Overpronation / Inward Roll
Cause: Foot rolls inward excessively, causing misalignment up the leg.
Solution: View Overpronation Custom Orthotics.
Supination / Outward Roll
Cause: Outward rolling of the foot, failing to absorb shock.
Solution: View Supination Custom Orthotics.
Achilles Tendonitis
Cause: Excessive strain and tightness in the tendon connecting the heel to the calf muscles.
Solution: View Achilles Tendonitis Custom Orthotics.
Big Toe Joint (Bunions)
Cause: Instability in the big toe joint, leading to a bony bump and deviation.
Solution: View Bunions Custom Orthotics.
Multi-Condition
Cause: Biomechanical misalignment affecting the entire kinetic chain.
Solution: View Multi-Condition Custom Orthotics.
Common Questions from Patients
How does Bilt Labs compare to Upstep?
How much faster is Bilt Labs shipping compared to overseas competitors?
Is there an Upstep discount code or alternative?
Are these actual custom orthotics or just premium insoles?
Can I use my FSA or HSA card?
What if they don't work for me?
Stop Settling for Outsourced.
Get premium, custom-molded orthotic insoles from our Texas lab delivered directly to your door. Avoid overseas and hidden return fees.