Fit, review and prevention
Treatment pathway
Custom Orthotics
Individual insole and pressure-redistribution planning for pain, altered foot mechanics, recurring pressure areas and selected diabetic-foot risks.
Orthotics need to be matched to your symptoms, footwear, foot shape, balance and skin health. An unsuitable device can create new pressure points.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
Individual insole and pressure-redistribution planning for pain, altered foot mechanics, recurring pressure areas and selected diabetic-foot risks. Assessment may include foot posture, gait, footwear, pressure areas and symptom patterns. The aim is not simply to add an insole, but to reduce strain or pressure in the areas that need support.
Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
Orthotics need to be matched to your symptoms, footwear, foot shape, balance and skin health. An unsuitable device can create new pressure points.
01How an orthotic plan is created
02Fit, review and prevention
How the pathway works
Understand the care before it begins.
Assessment may include foot posture, gait, footwear, pressure areas and symptom patterns. The aim is not simply to add an insole, but to reduce strain or pressure in the areas that need support.
What to expect
Treatment is reviewed as needs change.
Assess
Comfort and follow-up matter. Orthotic advice may be adjusted as symptoms, footwear or foot shape change—especially where diabetes, neuropathy or fragile skin increases foot risk.
Plan
The clinician explains the next step in the context of your findings.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
Fit, review and prevention: Comfort and follow-up matter. Orthotic advice may be adjusted as symptoms, footwear or foot shape change—especially where diabetes, neuropathy or fragile skin increases foot risk.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for custom orthotics.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.
Specialist assessmentClear next stepsIndividual care planning
Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.