Custom foot orthoses

Custom foot orthoses: assessment, design and fitting

Every patient has different foot anatomy, activities and needs. When orthoses are indicated, we combine biomechanical assessment with foot scan measurements to design an individual treatment that we fabricate, fit and review at MEDIPIE.

Clinical reasoning

Similar footprints do not mean identical treatment

Foot shape is just one part of the picture. We also consider symptoms, gait, mobility, footwear and your everyday activities.

We record the foot’s actual measurements with a scanner and interpret them alongside the clinical examination. We first identify the functional objective and decide whether orthoses may help or another approach is more appropriate.

  • Footprints inform
  • Function guides decisions
  • Footwear matters
Design work on foot orthoses in the MEDIPIE workshop
Design and fabrication remain connected to clinical assessment.
Our process

From assessment to orthoses you can actually wear

Personalisation lies in each decision, not merely in taking measurements.

  1. Assessment

    We examine foot support, movement, symptoms and activities to define a clinical objective.

  2. Design

    We choose geometry, stiffness, reinforcements and pressure-relief areas for that objective.

  3. In-house fabrication

    We select materials and make the orthosis in our own workshop.

  4. Fitting

    We check the fit to the foot and the space within your usual footwear.

  5. Follow-up

    We review comfort, use and response, making adjustments when necessary.

MEDIPIE's in-house custom foot orthoses workshop
Orthoses are made within MEDIPIE's clinical process.
Individual design

What makes each orthosis individual

Every patient has different anatomy, movement patterns and needs. When foot orthoses are indicated, we adapt the design and materials to the person and their clinical goal, not just to the shape of a footprint.

Foot shape and mobility
Foot shape, mobility and individual tolerance guide the geometry of support, flexibility and any additional reinforcement.
Age, activity and use
For children, we consider growth; for adults, daily activities; for athletes, the loads and movements of their sport; and for older adults, functional needs and comfort.
Materials and mechanical response
We select properties such as stiffness, elasticity and cushioning according to each patient's demands and response. Not everyone needs the same level of support.
Condition and clinical goal
When indicated, we consider targeted offloading, pressure redistribution or specific support based on the clinical assessment. Orthoses are not always the best option.

See how we make and fit each treatment

Clinical fitting of a foot orthosis on the foot
Checking the fit to the foot and footwear.
Clinical fitting

An orthosis is not finished when it leaves the workshop

When indicated, our direct adaptation technique allows us to shape the orthosis on the foot and check its fit during the clinical process.

We then check how it fits in footwear and explain how to begin using it. Follow-up helps us review progress and make adjustments if needed.

In-house fabrication lets us connect design, fitting and follow-up with each patient's clinical goal.

Appointments by phone

Would you like to assess whether an orthosis may make sense?

A member of the team will answer your call and help arrange the appropriate assessment. Indication is decided after studying the case.

Clinical content reviewed by Juan Bautista Calero Márquez, podiatrist registered no. 115 in the Region of Murcia.