Systems and methods for measuring feet and designing and creating orthopedic inserts are described. The method can include measuring a pressure the foot exerts during a stride at a plurality of points over a period of time, analyzing a pressure at the plurality of points over the period of time and designing the orthopedic insert based on the analysis. The system can include a device that measures a pressure exerted by a foot at a plurality of times at each of a plurality of points and a computer connected to the device, the computer having memory that stores the measured pressures and a program operable to analyze the measured pressures to create a design of an orthopedic insert.