MEDIPIE Method

Understand function before deciding on treatment

The MEDIPIE Method connects history, examination, loading and movement with an individual clinical decision. Only when there is a clear indication do we move on to design, fabrication, fitting and follow-up.

Since 2003Assess · Integrate · Decide · Treat when indicated.

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Juan Bautista Calero in the MEDIPIE biomechanics room

Starting point

We do not start with an orthosis. We start by understanding how each patient functions.

We listen to the reason for your visit and assess symptoms, mobility, loading and movement. The foot is part of a broader assessment: we do not assume it explains every knee, hip or back problem.

Footprints and technology provide data. What matters is interpreting those findings alongside the clinical examination and deciding whether there is a meaningful treatment goal.

Understanding the whole picture helps us decide whether to observe, advise, coordinate or treat.

From assessment to decision

A continuous process, with a decision before treatment

Six connected stages, from our first conversation to follow-up. Assessment may lead to advice, another clinical opinion or treatment; it does not always lead to an orthosis.

Clinical room used for a complete biomechanical assessment — 01Understand the problem

Patient during biomechanical movement analysis — 02Examine and observe

Equipment in the MEDIPIE biomechanics room — 03Integrate and decide

MEDIPIE's in-house foot orthosis workshop — 04Design when indicated

Direct fitting of a foot orthosis to the patient's foot — 05Fit directly

Personal care and follow-up at MEDIPIE — 06Review and adjust

We listen to what happens, when symptoms appear and how they affect activity. We review the history and goals before attributing the problem to the foot.
We assess mobility, loading and gait or the movement linked to symptoms. Video and measurements help, but do not replace clinical examination.
We bring symptoms and findings together to identify relevant factors. We decide whether to monitor, advise, coordinate another assessment or treat.
Only when indicated do we design an orthosis around foot shape, activity and the clinical goal. We select geometry, stiffness, support and materials within our own fabrication process.
With our Direct Fitting Technique, we shape the orthosis manually on the foot in the clinical position selected for that patient. We explain the technique in more detail below.
After delivery, we review fit, tolerance and functional progress. We adjust the orthosis when the patient's response indicates it is needed.

An individual decision

Assessment does not always lead to an orthosis

The next step depends on each patient's findings and needs.

Explain and monitor

We explain the findings and what to watch when intervention is not indicated.

Advise or coordinate

We may suggest changes to loading or activity, or assessment by another professional.

Treat when appropriate

We consider an orthosis only when there is an individual, assessable clinical goal.

In-house fabrication · Direct Fitting Technique

We shape the orthosis directly on your foot

We shape the orthosis itself directly on the foot, without an intermediate mould. The podiatrist selects the corrective position for each patient and shapes the orthosis by hand, without machinery forming it at this stage.

Examination and prior measurements —including scanning when appropriate— guide the design but do not replace this fitting process. We then check the fit and tolerance of the orthosis in relation to the patient's individual clinical goal.

MEDIPIE in-house foot orthosis workshop — In-house fabricationGeometry, resins, stiffness and materials defined around the patient's objective.

Manual shaping of a foot orthosis directly on the patient’s foot — Direct Fitting TechniqueManually shaped on the foot in the clinical position selected for each patient.

Professional experience since 2003

Clinical experience is part of the method

Since 2003, we have continued to refine how we assess, design, fit and review treatments. Keeping the clinical context throughout follow-up helps us evaluate each adjustment against a specific goal.

Juan Bautista Calero MárquezPodiatrist, registration no. 115 in the Region of Murcia · Clinical lead at MEDIPIE

Biomechanical assessment

The first step is understanding what you need

Tell us the reason for your visit, your limitations and any previous treatment. The assessment helps us decide what approach may make sense in your case.

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

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