Custom orthotics

Custom foot orthoses are inserts designed for your feet to change how load moves through your feet and legs. They can be a helpful part of managing many foot, ankle and leg problems. They aren’t right for everyone, so we only recommend them when your assessment shows they are appropriate for you.

Who orthotics may help

• Heel pain, including plantar fasciitis
• Achilles and other tendon pain
• Forefoot pain, including neuromas, bursitis and plantar plate tears
• Bunions and arthritis in the feet
• Mild ankle instability
• Very flexible (hypermobile) feet and muscle weakness
• Knee, shin or hip pain linked to how your feet move
• Long-standing foot or leg pain
• Kids with foot or leg concerns

More than just an orthotic

An orthotic on its own is rarely the whole answer. Every orthotic plan at The Foot Studio also looks at:

• Footwear: the right shoes for your feet and your orthoses, so they can do their job.
• Exercises: strength, balance and mobility exercises where they’re relevant and appropriate for you.
• Education: what is going on, what to expect and how to look after your feet.

Some people notice a difference straight away, but the full benefits of orthoses can take some time. Wearing them consistently and following your plan makes a big difference.

What to expect

1. 1

   Initial assessment

   A thorough history and assessment so we can work out what’s going on and whether orthotics are appropriate for you.

2. 2

   Biomechanical assessment and 3D scan

   Strength, range of motion, footwear and video gait analysis on our Zebris pressure plate treadmill, then a 3D scan of your feet.

3. 3

   Fitting

   About 2 weeks later we fit your orthoses to your shoes and give you a plan for wearing them in.

4. 4

   Review and re-exam

   An orthotic review 4 weeks after fitting, then a re-exam about 4 weeks after that.

5. 5

   Ongoing reviews

   Every 8 to 12 months for adults and every 6 to 12 months for kids, as feet change and children grow.

Wearing in your orthoses

It usually takes 2 to 4 weeks to get used to new orthoses. Some temporary aches, stiffness or changes in balance are common at first, so we recommend going gradually:

• Start with 15 to 20 minutes a day
• Add about an hour each day, as comfort allows
• Hold off on exercise and running in them until you can wear them comfortably all day

Getting the most from them

• Wear them most of the time. We recommend around 80% of the time you’re on your feet.
• Wear them in orthotic-friendly shoes. We’ll help you choose these.
• A second pair can make life easier, so you don’t have to move them between shoes, and can be designed for different footwear.
• Most orthoses last up to 3 years, depending on your feet, activity and growth. After that we recommend a new scan if you still need them.

Custom or off the shelf?

Custom orthoses aren’t always needed. We also fit prefabricated orthoses for adults and kids, including Vasyli and Gecko, and talk through other options such as footwear changes, strengthening and taping.

More support than an orthotic

Some feet and ankles need more support than an orthotic can give. The Richie Brace can help with problems such as foot drop, moderate to severe ankle instability and tendon problems. EXO-L is a custom ankle brace for sport, and EXO-L Up is a brace for active people with foot drop. These can be used on their own or alongside custom orthoses.

Sometimes advice is all you need

Not everyone needs treatment. Sometimes the most helpful thing is a clear explanation of what’s going on, practical advice and a plan you can manage yourself. We’ll always talk you through every option, including no treatment, so you can decide what’s right for you.

Frequently asked questions