Orthoses

Orthotics (or orthoses) are shoe inserts that can help offload structures in the foot and lower limb to manage symptoms experienced when standing or walking. There are a number of different types of orthoses, with varying degrees of control. Orthoses are suitable for all age ranges, from children to the elderly. With some conditions, orthoses required be used to cushion areas of the foot rather than correct structural problems. Orthoses can be made specifically for a person's foot (casted orthoses) or off the shelf (non-casted). A podiatrist can advise on the most suitable type of orthoses for your problem after performing gait analysis.

Types of Orthoses

There are two main types of orthoses, these are:

• Casted orthoses
• Non - casted orthoses

Casted Orthoses

Podiatrists at Manchester Podiatry can provide casted orthoses. These are made bespoke to fit the feet and meet the patients’ requirements. An impression of the foot is taken by a podiatrist which is then sent to a manufacturer to design and make the orthotic. The podiatrist provides the manufacturer with a prescription that includes details as to the requirements of the orthotic, for example; materials, raises, support.

There are various types of materials that can be used to make orthotics, including plastics and carbon fibre. The material used is determined by the patient requirements, for example, some people need a very firm insole if they are wearing it for high impact sports, whereas an elderly person with arthritis may require something softer. Podiatrists will decide on what the patient requires after a full assessment of their symptoms, condition and needs.