What is an orthotic?

An orthotic is an insole designed for the inside of a shoe in an attempt to:

1) improve foot and lower limb function,
2) improve shock absorption
3) and relieve symptoms.

There are many different types of orthotics available today.

Katriona has nearly 20 years of clinical experience in prescribing prefabricated, semi-bespoke and bespoke orthotics.

A bespoke/custom-made orthotic is individually-made for your foot. Katriona takes a plaster-of-Paris impression of the foot, and along with the measurements taken during the hands-on assessment, writes a specific personalised prescription. This device is then custom-made for your feet and biomechanics.  The style can vary, and you may require a sports-specific pair of orthotics.

Types of Orthotics

The custom-made orthotic, therefore, caters to your needs allowing for differences in size, shape, material, padding, and even the colour that is required, but most importantly the control within the device is bespoke to your individual requirements/injury. A custom-made orthotic costs more than the prefabricated devices due to the increased time and clinical skill it takes to make these devices. There is a separate charge for the casting appointment which is required for a custom-made orthotic.

Health insurance will often cover neither biomechanical assessments nor orthotics. 

Alternatively, over-the-counter orthotics can be provided. These offer generic, minimal support and are often sufficient to resolve simple conditions. Often Vasyli devices are used for adults. Katriona can also adapt prefabricated orthotics making them semi-bespoke, increasing or decreasing control on either or both feet.

How long does it take to get a pair of custom-made orthotics?

Once the cast and measurements have been taken, the casts and the prescription are sent to an external laboratory where the device is manufactured specifically for you. The whole process normally takes about 4 weeks.

How long should my custom-made orthotics last?

Most orthotic shells are extremely durable and are made from a high-density plastic (polypropylene).  The top-covers and padding generally need to be replaced every 2 years but it is usage specific e.g. if you wear them every day all day, the top-covers may need to be replaced earlier. The shell itself should last a minimum of 2 years but can last up to 10 years.  Your biomechanics tend to change more quickly than the device.

Please note, insurers will not pay for orthotic devices, and payment is required on the day of your appointment.