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Orthotic and Orthotic Prescription

Q: What types of orthotics are available?

We offer custom-made orthotics (fully personalised), semi-custom orthotics (modified pre-fabricated devices), sports-specific orthotics, and diabetic and accommodative orthotics.

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Orthotics are custom-designed or pre-fabricated medical devices inserted into your footwear to correct abnormal foot biomechanics and relieve pain during standing, walking, or running. These devices are commonly used to treat a wide range of musculoskeletal and biomechanical conditions affecting the feet, ankles, knees, hips, and lower back.

Made from various materials—such as EVA, carbon fibre, polypropylene, or soft cushioning foams—orthotics are tailored to suit individual needs. Each material plays a specific role: for example, firmer materials offer structural correction and durability, while softer layers provide cushioning and shock absorption.

Modifications such as medial heel skives, inverted devices, arch fill, and forefoot postings are applied depending on your gait and pathology. These adjustments influence force dispersion, offloading specific areas to reduce pain, and improve alignment across the kinetic chain.

If you would like to learn more, book a consultation for orthotics at our Moonee Ponds clinic today.

Common Signs and Symptoms

Orthotic intervention is commonly prescribed for patients experiencing:

Heel pain (e.g., plantar fasciitis)
Ankle instability or pain
Arch collapse or discomfort
First toe joint pain
Pressure-related pain or calluses
Hip, knee, or lower back pain
Leg length discrepancies
Recurrent corns or foot ulcerations (especially in diabetic patients)

Causes / Why It Happens

Abnormal gait patterns, poor footwear, repetitive stress, or structural abnormalities can lead to biomechanical dysfunction. Orthotics aim to:

Offload high-pressure areas
Redistribute forces during movement
Support natural foot posture
Correct alignment issues (e.g., overpronation, supination)
Reduce muscle and tendon strain
Improve overall limb function and joint mechanics

For instance, offloading the plantar fascia with orthotics can relieve tension, reduce inflammation, and facilitate healing in cases of plantar fasciitis. Similarly, addressing leg length discrepancies can alleviate compensatory hip and back pain.

Expert-led biomechanical assessments

Advanced 3D foot scanning technology

High-precision custom orthotic fabrication

Close collaboration with physiotherapists for full lower limb rehabilitation

Modifications performed in-house to ensure exact fit and function

We don’t just prescribe orthotics—we fine-tune every detail, including grinding edges, adjusting depths, and reshaping devices to ensure comfort and precision.

How We Treat It

Our Orthotic Treatment Process

Initial Appointment
A full biomechanical assessment is conducted, including a detailed history, gait analysis, joint mobility testing, and a 3D foot scan.
Orthotic Design & Fabrication
Your scan and clinical notes are sent to Footwork, one of Australia’s leading orthotic labs. Custom orthotics are designed with the required modifications based on your pathology and gait findings.
Fitting Appointment
Once received, we ensure the orthotic fits your footwear and foot perfectly. We make any necessary adjustments in-clinic to remove pressure points, add comfort, and ensure function.
Review & Follow-up
Follow-up appointments are essential to monitor progress, make further refinements, and ensure your orthotic continues to support your rehabilitation goals. These may be in conjunction with your physiotherapist or GP.

What to Expect in Your Appointment

During your first consultation, you can expect:

A full biomechanical and gait analysis
Footwear assessment and advice
3D scanning of your feet
Discussion of treatment goals and expected outcomes

Subsequent appointments include the fitting and fine-tuning of your orthotics to ensure optimal performance, comfort, and support. Ongoing reviews—typically every three months—allow us to assess your progress, address any changes in symptoms or activity levels, and make any necessary adjustments to enhance the effectiveness of your orthotics.

Frequently Asked Questions

Do podiatrists recommend orthotics?

Yes. Podiatrists are trained to assess foot function and biomechanics, and frequently prescribe orthotics to manage a variety of conditions related to foot and lower limb alignment.

Are orthotics covered by Medicare in Australia?

Medicare does not currently cover the cost of orthotics. However, rebates may be available through private health insurance depending on your level of extras cover.

How much do orthotics cost from a podiatrist?

Custom orthotics typically range from $400–$600, including assessment, design, fitting, and review appointments. Pre-fabricated orthotics are a lower-cost alternative and may be appropriate in some cases.

What types of orthotics are available?

We offer:

Custom-made orthotics (fully personalised)
Semi-custom orthotics (modified pre-fabricated devices)
Sports-specific orthotics
Diabetic and accommodative orthotics

Do orthotics weaken foot muscles?

No. Orthotics support natural function and relieve stress on overworked muscles and joints. They work in conjunction with rehabilitation exercises to improve strength and balance.

Do orthotics change my foot shape permanently?

Orthotics influence posture and movement patterns but do not permanently alter the shape of your feet. However, long-term use can improve your overall alignment and reduce compensatory strain.