PTTD Type I & II
Medial arch support with deep heel cup, rearfoot posting and medial heel skive to compensate for reduced tibialis posterior strength and control pronation.
Medial Support Shell
DMICS / Midfoot Osteoarthritis
Semi-rigid shell with metatarsal bar to offload prominent metatarsal heads and reduce painful midfoot movement, with soft cushioning for shock absorption.
Classic Shell
Anterior Knee Pain
Medial rearfoot posting with firm arch support to reduce internal tibial rotation, lowering the Q-angle and improving patellar tracking in the patellofemoral groove.
Classic Shell
Hallux Limitus / Rigidus
Firm arch support with Morton's extension to limit painful 1st MTP dorsiflexion and reduce joint compression at toe-off.
Hallux Shell
Plantar Plate / Metatarsalgia
Metatarsal dome pad placed proximal to the affected met heads to offload the plantar plate and redistribute peak forefoot pressure into the arch.
Classic Shell
Shin Splints
Medial arch support with medial heel wedging to reduce pronatory forces on the tibia. Full length shock absorbing cover to attenuate ground reaction forces.
Classic Shell
Achilles Tendinopathy
5–10mm heel raise fitted bilaterally to reduce tendon strain, with medial or lateral rearfoot posting to address underlying pronation or supination.
Classic Shell
Morton's Neuroma
Low profile shell with metatarsal dome placed proximal to the affected interspace to reduce transverse plane compression and spread the metatarsal heads.
Classic Shell
Plantar Fasciosis / Heel Spur
Close-contour medial arch support with plantar fascia groove, cushioned heel and 1st met cut-out to reduce tension at the fascial origin.
Groove Shell
Peroneal Tendinopathy
Lateral forefoot posting with lowered medial arch and 1st ray cut-out to reduce supinatory loading on the peroneal tendons.
Lateral Support Shell
Cavus / Lateral Ankle Instability
Lateral forefoot post positioned at the forefoot (aligned to the oblique subtalar axis) with lowered medial arch and 1st ray cut-out to elevate the lateral column and counteract supination.
Lateral Support Shell
Excessive Pronation
Rearfoot posting with firm medial arch support to resist abnormal subtalar eversion. Medial heel skive or flange added for additional rearfoot control where required.
Classic Shell
Hallux Valgus
Medial arch support with plantar fascia groove to facilitate 1st MTP dorsiflexion via the reverse windlass effect. Reverse Morton's extension can be added to further encourage joint mobility.
Groove Shell
Tarsal Tunnel Syndrome
Medial arch support with heel skive and deep heel cup to support the longitudinal arches and reduce compressive load on the tarsal tunnel.
Medial Support Shell