INSOLES & ORTHOTICS

Industry leading knowledge in prefabricated and custom

foot insoles and orthotics for a range of conditions

Industry leading knowledge in prefabricated and custom foot insoles and orthotics for a range of conditions

INSOLES & ORTHOTICS

Foot orthoses (also known as orthotics, insoles and footbeds) are inserts that sit within your shoes. These devices are designed to alter stress and force through specific joints and soft tissues (muscles, tendons, ligaments and skin) in order to relieve pain and improve joint function. Although they may physically alter the way in which you stand (kinematics), orthoses main function is to alter the forces (kinetics) that are applied through your feet whilst walking. A biomechanical assessment will be undertaken before discussing the best treatment options for you. 

What is an Orthotic?

Orthoses are a common treatment modality for: corns, capsulitis, achilles tendinopathy, morton’s neuroma, peroneal tendinopathy, plantar fasciitis, leg length discrepancy and many more conditions.

Types of Orthotics

There are many different types of orthoses and different prescriptions dependant on the condition they aim to treat. There is a large difference between a shop bought orthotic and a prescribed orthotic, similar to comparing sunglasses to prescription glasses. When discussing orthoses, it is important to understand the three main sections of construction:
1. The Shell – this is the hardened material on the underside of the orthotic, it will usually cover the back half of the foot and gives the orthotic rigidity
2. The Components – these are wedges and raised pads added to the orthotic device
3. The Cover – this is the material on top of the orthotic that makes direct contact with your foot

Your Podiatrist will advise on which orthoses will best suite your needs. The main types of foot orthoses are:

Cushioned
As the aging process takes place, it is common for the foot’s natural cushioning to degrade, leaving the bones of the feet more prominent on the sole of your foot. These prominent bones may become tender or painful. Pressure to these locations may also increase or cause the formation of corns and calluses. Cushioning insoles aid in shock absorption and can be modified to redistribute pressure away from painful locations. These are commonly used in the treatment of ulceration, corns and calluses or for patients with at risk feet.

Prefabricated
Prefabricated orthotics have a pre-made section known as a shell; the hardened layer on the underside of orthotic. Varying brands and types of prefabricated orthoses offer different shapes and material properties. Although the shell cannot be shaped in the way that semi-casted orthotics or 3D casted orthotics can be, these can be modified and components added to redistribute pressure and improve joint function.

Bespoke Modular Insoles
Bespoke modular insoles are fully customised insoles designed to fit into shoes. 2D Imprints are taken of the underside of your feet to review points of high pressure. All aspects of these devices are customisable and they can be made low profile or thicker to aid in shock absorption. These devices are not made with plastic; varying densities of EVA and cushioned materials are used to create components that are embedded within the insoles.

Semi-Casted Orthotics
Similar to prefabricated orthotics, semi-casted orthotics have a pre-made section known as a shell, however, the shell of semi-casted orthotics can be heat moulded to better match your foot profile. The material properties and height of the shell cannot be adjusted in the way that 3D casted orthotics can be, but this is not always necessary. Components and modifications can be made to these orthotics in order to provide a wide ranging solution.

3D Casted Orthotics
3D casted orthotics are fully customisable in all three construction layers of the orthotic; the shell (hard layer on the underside), components (wedges and raises) and cover (layer that contacts the foot). Unlike other types of orthotics, the shell’s material properties, height and shape are all customisable. In order to achieve an accurate fit; a 3D impression is taken of the foot whilst held in a specific position. This can be undertaken either with a 3D scanner, silicone impression unit, plaster-of-paris or foam impression box. A prescription is then written whereby careful alterations are made to the shell and the required components. Finally an appropriate cover is selected.

Footwear

Your Podiatrists will assess your footwear and make recommendations where required. For maximum benefit it is best to bring several pairs of your shoes to your appointment. Dependant on the type of orthotic necessary, new footwear may need to be purchased in order to aid in your treatment.

Video https://www.youtube.com/watch?v=wKlnK7_CwOs

Whether you are a new patient or a regular, you will be advised of our prices and no treatment will be undertaken without your prior consent.

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