Custom Orthotics

Your Biomechanical Assessment

Your orthotic journey begins with a comprehensive biomechanical assessment at Sport Dimensions. Your clinician will evaluate your gait pattern, foot structure, joint alignment, and muscle function through a series of static and dynamic tests. This includes observing how you stand, walk, and — if relevant — run, to identify abnormalities in alignment, pressure distribution, and movement patterns.

Pressure plate analysis may be used to map the load distribution across your feet during standing and walking, providing objective data to inform orthotic design. Your clinician will also review your injury history, footwear habits, and activity levels to understand how biomechanical factors may be contributing to your condition.

How Custom Orthotics Are Made

Based on the findings of your biomechanical assessment, your clinician will take precise measurements or moulds of your feet. These are used to manufacture orthotics tailored to your specific foot shape, arch profile, and correction requirements.

Custom orthotics differ from off-the-shelf insoles by addressing the root cause of your injury rather than simply providing cushioning. They are designed to correct alignment issues, redistribute pressure away from overloaded areas, and support the foot in a biomechanically optimal position. Materials are selected based on your activity level, body weight, and the type of correction required.

Fitting and Adjustment

When your orthotics are ready, your clinician will fit them to your footwear and ensure they provide the intended correction. You will be given guidance on a gradual wear-in period to allow your feet, ankles, and lower limbs to adapt to the new alignment.

Follow-up appointments allow your clinician to assess your response and make any necessary adjustments. Most patients notice improvement in comfort and symptoms within the first few weeks of regular use, with full adaptation typically occurring over 4–6 weeks.

Frequently Asked Questions

What conditions do custom orthotics treat?

Custom orthotics are effective for a range of lower limb and biomechanical conditions including plantar fasciitis, runner's knee (patellofemoral pain), shin splints (medial tibial stress syndrome), and lower back pain related to poor foot mechanics. They are also used to manage overpronation, supination, leg length discrepancies, and recurrent stress injuries in runners and athletes.

How are custom orthotics different from shop-bought insoles?

Shop-bought insoles provide generic cushioning and arch support but do not address individual biomechanical issues. Custom orthotics are prescribed following a clinical biomechanical assessment and are manufactured to correct the specific alignment, pressure, and movement abnormalities identified in your feet and lower limbs. This targeted approach addresses the root cause of injury rather than masking symptoms.

How long do custom orthotics last?

With regular use, custom orthotics typically last 2–5 years depending on your activity level, body weight, and the materials used. Runners and athletes who use orthotics daily may require replacement sooner. Your clinician can assess wear and function during follow-up appointments and advise when a new pair is needed.

Can I use orthotics in different shoes?

Orthotics are designed to fit specific footwear types, so transferring them between very different shoe styles may reduce their effectiveness. However, many patients have orthotics made for multiple pairs — such as one set for running shoes and another for work shoes. Your clinician will advise on footwear compatibility during fitting.

Do I need to wear orthotics forever?

This depends on the underlying condition. Some patients use orthotics as a long-term management tool for structural issues, while others use them during a recovery period before transitioning back to unsupported footwear. Your clinician will discuss the expected duration of use based on your specific condition and goals.

Are custom orthotics suitable for children?

Custom orthotics can be prescribed for children with identified biomechanical issues affecting gait or development. However, children's feet are still growing, so orthotics may need to be replaced more frequently. A clinical assessment will determine whether orthotics are appropriate or whether other interventions are more suitable.

Caring for Your Orthotics

• Gradual introduction — Wear your new orthotics for 1–2 hours on the first day, increasing by an hour each day until you are comfortable wearing them full-time.
• Appropriate footwear — Use shoes with a removable insole that provides enough depth and width to accommodate the orthotic without compression.
• Keep them clean — Wipe orthotics with a damp cloth and allow them to air dry. Do not expose them to direct heat such as radiators or hairdryers.
• Attend follow-ups — Return for your scheduled review appointments so your clinician can check the fit, assess your progress, and make any necessary adjustments.
• Report changes — If you notice new discomfort, changes in your gait, or wear patterns on your shoes that concern you, contact the clinic before your next scheduled appointment.