Dr. Abbie Clinics

Custom Orthotics

Prescribed devices that change how your foot meets the ground. Manufactured on site at our Kirrawee head office.

  • Made on site
  • Prescribed, not off the shelf
  • Usually 7 to 10 days
  • Assessment first, always

Trusted by patients from Sydney to Narrabri

Podiatry NSW/ACT American Academy of Podiatric Sports Medicine (AAPSM) Sports Medicine Australia AHPRA — Australian Health Practitioner Regulation Agency
What it is

Custom Orthoticsexplained

A custom orthotic is made to your prescription, not picked off a shelf. It is designed to change the way load passes through the foot and up the leg, based on what the biomechanical assessment found.

People whose assessment shows the way they load the foot is driving their pain — commonly heel pain, arch pain, forefoot pain or knee pain that traces back to the foot.

A custom orthotic device held against a patient’s foot
In detail

Understandingcustom orthotics

An orthotic is a device that changes the ground to suit the individual needs of the person, child or adult.

Different styles of orthotic for different shoes

Three levels of orthotic

Minimal correction

Off the shelf

A generic pre-made insole. It offers little correction, does not last long and does not correct the forefoot.

Customised pre-made

Heat-moulded

Moulded with heat to your ideal foot position, in soft, medium or firm densities.

Made from a cast

Custom-made

Made to a cast of your feet in the ideal position. Casts are taken standing, as they have been in our clinics since 1990.

Matched to your foot and weight

How firm the orthotic needs to be depends on how far your foot rolls in and on your body weight. The higher of the two decides.

Like glasses

You might have one pair of glasses for driving and another for reading. Running shoes, work shoes and flats may each need a different style of orthotic.

Two quick checks

The arch should not flatten like a pancake under thumb pressure, and the orthotic should sit stable on a flat surface. If it rocks, it needs balancing.

Orthotics are not the whole plan

Tight muscles work like a kink in a hose, blocking the correction. Plans often add dry needling, massage, stretches, mobilisation or shockwave, sometimes for a few weeks before orthotics are made.

How it works here

Assessment first,then treatment

Custom Orthotics is prescribed against a diagnosis, never against a symptom. That is what the Najjarine Biomechanical Assessment is for.

Dr Abbie Najjarine assessing a patient’s gait on a treadmill
01

Assess

The assessment establishes what your foot is doing under load and why it is causing pain where it does.

02

Treat

We take the prescription and the device is manufactured at our Kirrawee head office rather than sent away.

03

Address the cause

You come back for fitting and adjustment. Orthotics are normally paired with footwear advice so the device is not working against your shoes.

Dr Abbie Najjarine demonstrating a lower limb assessment, with alignment marked on the leg and practitioners observing
Start here

Book an assessment

Find out whether custom orthotics is the right call for your pain.

Questions

Custom Orthoticsquestions

Usually 7 to 10 days. They are manufactured at our Kirrawee head office rather than sent to an external lab.

That is part of the prescription. Bring the shoes you wear most to your appointment so the device is made for them.

An off-the-shelf insole is a generic shape. A custom orthotic is made to a prescription from your own assessment, to change a specific problem the assessment identified.

There is usually a break-in period. Your podiatrist will tell you how to introduce them and will adjust the device if needed.

Yes, under most extras policies. We have HICAPS, so the rebate comes off at reception. Check your own limits with your fund.

Patient feedback

What patients sayabout custom orthotics

Google 4.9 Based on 286 Google reviews across our clinics
Helen W. Dr. Abbie Clinics · 3 weeks ago Google

Made on site and fitted the same week. Adjusted them once and they have been comfortable since.

Danny R. Dr. Abbie Clinics · 1 month ago Google

I had chemist insoles for two years doing nothing. These were made for my actual foot and the difference was obvious.

Sofia T. Dr. Abbie Clinics · 2 months ago Google

They asked to see the shoes I actually wear, which nobody had done before. Makes sense in hindsight.

Treating lower limb pain since 1990

Book yourassessment

Choose your clinic and book straight into its diary, or call and we will point you to the right practitioner.