Orthotics

Home Services Orthotics
custom orthotics melbourne

The Ultimate Guide to Custom Orthotics

 

orthoticsWhat if before you visited a Podiatrist you wanted to educate yourself on Orthotics first?

Well lucky for you, that’s exactly what I’m going to share with you in the post below with our ‘ultimate guide to custom orthotics‘.

In our guide you’ll learn what orthotics are, what conditions orthotics are used to treat and what is involved with a full podiatrist orthotics assessment.

 

Request an Initial Appointment at Pivotal Podiatry Clinic

 

 

Skip to a section:

What are Orthotics?

  • Orthotics are shoe inserts that are placed in your footwear to assist rehabilitation from an injury or reduce symptoms or progression of a chronic foot condition.

Functional foot orthotics are designed by your podiatrist to control the movement of your feet, shift the centre of pressure under the foot and redistribute the forces around the foot and lower leg.

By manipulating the forces, we aim to reduce the load on the injured or degenerated musculoskeletal structures of the foot, better allowing them to function within their optimal range and below their threshold for injury.

Click “play” on the video to the right to see how you can benefit from orthotics:

Would you like to book a foot assessment with a Podiatrist to see if you need Orthotics?

What conditions can Orthotics help with?

Orthotics are used by Podiatrists in the treatment and prevention of common foot problems such as:

How can Orthotics help your feet?

It is quite common for people to suffer from structural or alignment issues with their feet.
Over 80% of the global population have feet that tend to pronate.
Pronation happens when the foot rolls inwards and the arch of the foot flattens.
Pronation is a normal part of the gait cycle, that acts as a shock absorber for the body.

Having structural issues or feet that tend to pronate, doesn’t necessarily mean that you will have problems with your feet.

However, it’s when your feet experience excessive pronation, that people tend to have an increased rate of injury.

Problems caused by excessive pronation can include foot pain, knee pain, back pain, hip pain, inefficient gait, fatigued muscles, arthritis, and shoes wearing out quickly.

Orthotics can help your feet by increasing the shock absorption resources of the foot and provide relief to foot structures.

feet

Podiatrist Oliver Tate

Why see a Podiatrist for Orthotics?

  • Podiatrists are the primary health care specialists for ailments of the foot, lower leg and ankle.

They not only deal with the investigation and treatment but also consider prevention and rehabilitation of problems within these regions.

Podiatrists are very knowledgeable about the foot and its surrounding structures.

It’s this specialisation that allows them to understand the biomechanics of the foot and ankle. These areas are studied extensively by Podiatrists when qualifying at University.

Step by step Orthotics Assessment by a Podiatrist

Orthotic therapy is a very careful and thorough procedure, involving an injury and medical history, biomechanical assessment and Recommended Action Plan.

To ensure a safe and successful foot treatment, an extensive service is provided.

Below are the steps our Podiatrists take with your Orthotics Assessment.

1
2
3
4
1
2
3
4

Step 1 – Biomechanical Assessment

A full biomechanical assessment is provided before prescription of any orthotic device. Various measurements are taken during this assessment to provide information about the position of different joints and the angles your feet have naturally. This will allow your Podiatrist to determine if orthotics would be able to improve your natural alignment. During this step the Podiatrist will conduct gait assessment, to determine the motion of your feet during the ‘gait cycle’ . The biomechanics of your gait are assessed using technologies like the video camera, iPad and treadmill equipment.

Step 2 – Recommend Orthotic Type

If the biomechanical assessment indicates that you would benefit from orthotics, to help with your foot problems, your Podiatrist will recommend the appropriate type of orthotics for your foot type. Your Podiatrist can tailor an orthotic solution to fit in with your desired outcome and budget. When you are comparing the cost of orthotics, it is important to check what is included in the price. Some Podiatrists include initial and any follow-up appointments, whilst others do not. Below we have listed detailed information on the different Orthotic options available from our Clinic. If you have any further questions, please don’t hesitate to call the Clinic.

Step 3 – Orthotics Fitting Session

Once the selected orthotics have been returned from the orthotic laboratory, you will need to have a fitting session with your Podiatrist, to make sure that the orthotics fit correctly in your shoes and are providing the required amount of correction. If necessary, orthotics can be altered or modified to fit patient. Your Podiatrist will give you instructions on how to use the orthotics and provide advice on how to best ‘wear in’ your orthotics. For some people the correction provided by orthotics can be quite dramatic, so you will need to slowly start wearing the orthotics in your shoes.

Step 4 – Orthotics Review Consultation

Once you have been wearing your orthotics for a couple of weeks, your Podiatrist should get you back to monitor your progress with the orthotics. This is a chance to see how your body is adapting to the extra correction and make any minor changes where needed.

Different types of Orthotics & costs

Podiatrists are able to prescribe, alter and fit a variety of different orthotic devices including:

  • Custom;
  • Semi-Custom; or
  • Prefabricated.

The process and costs for the different types of orthotics is different, to see how it works for each orthotic type, please click the relevant tab below:

Custom Orthotic Process (total cost $690)

Custom Orthotics are our go to option when we require optimisation of some of the design features of the orthotic. Certain design features enable us to provide a more appropriate dosage of support and applied force to the foot. Design features can also be chosen to improve the fit of the orthotics in footwear or accommodate any lumps or bulges on the foot that can get irritated.

Biomechanical and 3D Scanning Appointment

Your podiatrist will perform a range of clinical biomechanical tests required for correct orthotic design. This includes static, dynamic and running/walking analysis.

For custom orthotics, a non-weight bearing 3D scan will be taken of your feet for accurate impression of your foot profile.

Your Podiatrist will take into account your history, injury, biomechanical results and 3D scan to write a prescription. This information is sent away to our orthotic laboratory for manufacturing.

F010 Brief Service $55

F118 Biomechanical Assessment $110

F304 Non-Weight Bearing 3D Scan $65

Total $230

Orthotic Collect and Fitting

Your orthotics will be trimmed and fitted to your footwear by your podiatrist. Please bring a range of shoes that you wear most regularly ie. Work shoes, runners, regular casual footwear.

They will conduct a static and dynamic assessment to check the fit and comfort of your orthotics and provide you with a gradual wear in diary to keep track of use.

F012 Consultation of fitting orthotics and gait analysis $60

F221 Custom Made Functional Foot Orthosis $400

Total $460

Free Orthotic Review

A review is scheduled 4 weeks after fitting to modify and adjust the orthotics. We continue these reviews for the first 2 months of use until we are comfortable and happy with the devices.

Semi-Custom Orthotic Process ($400)

Semi-custom orthotics are our go to option for children as their design is often suited to the common injury complaints we see in kids such as Sever’s Syndrome or ankle instability. They can also be a great option for adults and really depends on if we think the semi-custom device will provide the correct dosage of support for your feet and design features to provide a therapeutic effect for your injury.

Biomechanical Assessment and Tracing

Your podiatrist will perform a range of clinical biomechanical tests required for correct orthotic design. This includes static, dynamic and running/walking analysis.

For semi-custom orthotics, a tracing of the foot is taken on template with particular areas of the foot marked and measured.

Your Podiatrist will take into account your history, injury and biomechanical results to choose one of the available semi-custom orthotic designs that is going to be most suitable. This information is sent away to our orthotic laboratory for manufacturing.

F010 Brief Service $55

F118 Biomechanical Assessment $110

Total $165

Orthotic Collect and Fitting

Your orthotics will be trimmed and fitted to your footwear by your podiatrist. Please bring a range of shoes that you wear most regularly ie. Work shoes, runners, regular casual footwear.

They will conduct a static and dynamic assessment to check the fit and comfort of your orthotics and provide you with a gradual wear in diary to keep track of use.

F012 Consultation of fitting orthotics and gait analysis $60

F263 Pre-Cast Foot Orthosis $175

Total $235

Free Orthotic Review

A review is scheduled 4 weeks after fitting to modify and adjust the orthotics. We continue these reviews for the first 2 months of use until we are comfortable and happy with the devices.

Prefabricated Orthotic Process($228)

These are of great benefit for some acute injuries where a short duration of offloading is required. Their main upside is that they can be dispensed and adjusted on the day of the initial appointment and get straight to work. We use them when their design features are suited to your foot type and we believe they will provide a suitable amount of force to assist with your injury or condition.

Biomechanical Assessment, Prefabricated Orthotic Selection and Fitting

Your podiatrist will perform a range of clinical biomechanical tests required for correct orthotic design. This includes static, dynamic and running/walking analysis.

We have a range of prefabricated orthotics with different design features, and have the ability to adjust these with supports and padding if required.

Your Podiatrist will take into account your history, injury and biomechanical results to choose one of the available pre-fabricated orthotic designs that is going to be most suitable. We then adjust, trim and fit the orthotics into your current footwear.

F012 Standard Service $78

F240 Preformed Orthosis $62

Total $140

Orthotic Review and Footwear Troubleshooting

We like to review your prefabricated orthotics in conjunction with your Recommended Action Plan and injury. Typically this is 1 to 4 weeks after your initial fitting. The downside for prefabricated orthotics is often their size and bulk, taking up a bit more room and not fitting into all styles of footwear. This review allows us to troubleshoot and adjust the orthotics if you have found them difficult to fit into some footwear.

F012 Standard Consultation $78

Total $78

How long will my orthotics last and what maintenance is required?

Lifespan of your orthotics is dependent upon a number of factors such as weight, duration of use, activity of use, environment, upkeep and the type of device.

Custom and semi-custom orthotics are made of durable materials and you should expect them to last 4-7 years. To prolong their lifespan, it is important to keep them dry as the top cover is prone to deteriorating if they remain wet for too long. Often a new top cover is required after approximately 2 years of use.

It is good to review your custom or semi-custom orthotics every 12 months to determine if you still need them, develop an orthotic reduction strategy if you don’t or re-furbish them if you do.

A pre-fabricated orthotic typically doesn’t last as long, with most providing benefit for 6-18 months. They are generally an EVA foam device which depreciates much like a runner and sometimes require additional modifications and supports applied to them.

These are often a great option for acute injury recovery when you may only need the orthotic for a short period, and would be reviewed every 6-12 months, or in line with your Recommended Action Plan.

What footwear is most suitable for orthotics?

Orthotics require an even, stable platform with a strong heel counter and relatively enclosed upper.

This ensures the orthotics are fixed under foot and not sliding around in your footwear.

Good fixation via a lace, Velcro or buckle strap is preferred.

I think I need Orthotics – what do I do now?

If you would like an assessment by a Podiatrist, to determine if you could benefit from custom orthotics, please book online or call (03) 9939 3339 to make an appointment at a time that suits you!

If you have any further questions about custom orthotics, please don’t hesitate to call one of our Podiatrists on (03) 9939 3339.

Are you looking for Custom Orthotics in Melbourne?

 

At the Pivotal Podiatry Clinic, we appreciate that Orthotics can be expensive and we won’t pressure you into getting custom orthotics.

Instead, our qualified Podiatrists will provide you with a full Orthotics assessment and advise a suitable treatment plan for your unique foot problems.

Unlike other Podiatry Clinics in Melbourne, we will NEVER prescribe you custom orthotics if they’re not needed!

Click on the button below to book a comprehensive orthotics assessment online: