Orthotic Therapy

Orthotics / Foot Orthoses; Uses, Types, Manufacture, and Costs

Foot orthoses (corrective insoles) are a form of orthotic treatment used by podiatrists for people with foot, ankle and lower leg injuries or complaints.  Orthoses aims to correct things like leg length differences, flat feet, heel pain or to help joints function more smoothly helping in the management of pain associated with arthritis.

Talk to us about a treatment plan. We offer over-the-counter orthotic inserts/devices, or we can custom manufacture Orthotics specifically moulded to fit your foot. The treatment we recommend depends on your condition. See below for more information about prescribing Orthoses.

Listed below are examples of complaints that can be helped by orthoses/orthotics.


There are three stages to producing your casted foot orthotic.


Writing a prescription for your orthoses follows an examination of your gait, stance and in chair movements. This is what we send to the lab, which is then used with the cast to make your orthotic.

2. Manufacture

Pouring orthotic casts

Your cast is poured by hand

Making Orthotics for shoes

and then modified and reshaped by the foot orthotist to achieve the correction requested by the podiatrist.

Moulding orthotics to fit your feet

Plastic is then heated

cusotm made orthotics to fit your feet

and moulded

Creating orthotic insoles

Then shell is then shaped to its near final form

3. Fitting Orthotics

The insole is then fitted to your foot.

Custom Orthotics vs Temporary, Over-the-counter (OTC) orthoses

What is best for me?

Not all people require prescription casted foot orthotics. They are for some, an expensive modality. However, for many people they are life changing devices, much like having prescription glasses made where improvements to your reading is measurably better. Using orthoses can make exercise enjoyable again, and prolong your ability to function at the level you desire.

I have a simple rule when prescribing orthoses which helps guide patients.

Chronic condition=Casted orthotics

Acute condition = OTC (over the counter) device

If you have a chronic (long term) issue, then you are better having casted orthoses. They last longer, hold their shape longer, and will provide you with long term improvements. The shell of a casted orthotic should last anywhere between 5-10 years.

Acute conditions are likely to be just as easily treated using a modified OTC device. The acute condition often has a natural life span which needs short term assistance to speed recovery. These devices are more cost effective, and are probably just as effective in managing acute conditions, as casted orthoses.

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