In-house fabrication

How we personalise each orthosis at MEDIPIE

In our workshop, we turn foot scan measurements and clinical findings into an individual design. We select the materials, fabricate the orthosis and shape it by hand directly on the foot in the clinical position selected for each patient.

Custom foot orthoses fabricated at MEDIPIE
From assessment to treatment

Two similar feet can require different decisions

A footprint or foot shape does not determine treatment by itself. Symptoms, mobility, gait, activity, footwear, tolerance and clinical objective can all change the decision.

At MEDIPIE an orthosis is therefore considered only when indicated and designed around a specific function, such as unloading an area, improving stability or supporting a functional adaptation according to the case.

How we perform a biomechanical assessment

Our workshop

What we control during fabrication

An individual orthosis is not made by choosing a standard model and changing its size. We translate the clinical goal into specific design and material decisions.

Geometry and support

We design areas of contact, support and offloading according to each person's foot shape, mobility and functional needs.

Materials and response

We select combinations of stiffness, elasticity and cushioning based on the clinical goal, activity and individual tolerance.

Finishing and adjustment

We check shaping and contact areas, changing specific elements when necessary before considering the fabrication complete.

Direct Fitting Technique

Manually shaped directly on the patient's foot

The scanner records the foot’s actual measurements. We interpret these alongside the clinical examination to guide the design and materials. With the Direct Fitting Technique, the podiatrist positions the foot in the selected corrective position and shapes the orthosis manually and directly on it at the time of fitting. We then check individual fit and tolerance.

This continuity between assessment, fabrication and fitting allows each decision to reflect the patient's clinical goal. Indication depends on the individual case and available clinical evidence.

Explore the complete MEDIPIE Method

Clinical fitting of a custom foot orthosis at MEDIPIE
Individual assessment

First we study the case. Then we decide whether an orthosis makes sense.

A member of the team answers the call, provides brief practical guidance and helps arrange the appropriate visit.

Clinical content reviewed by Juan Bautista Calero Márquez · Last clinical review: 21 August 2026.