Orthotics: assessment, fitting and review

Patient guide

Orthotics are inserts worn inside shoes. They may be part of a plan to manage pressure, discomfort or foot function. The first step is an assessment of your needs, rather than choosing a device before the cause of the problem is understood.

Bring to your assessment

• The shoes you wear most often and any work, sport or other shoes you want to use with orthotics.
• Your current orthotics or foot supports, even if they have not helped.
• Relevant referral information, reports and a medication list.
• Your questions and the activities you want to do more comfortably.

1. Understand the concern

Your podiatrist will discuss your symptoms, health history, footwear, daily activities and previous treatment. The assessment may include how your joints and muscles work and how you stand or walk, where appropriate for your mobility.

2. Discuss the options

The recommendation may include footwear changes, exercises, changes to activity, a prefabricated insert, a custom orthotic or another approach. Not everyone needs a custom device. Ask what the proposed treatment is intended to help, what alternatives are available and how progress will be reviewed.

3. Agree on the plan and costs

If custom orthotics are recommended and you choose to proceed, a 3D scan or cast may be used to guide manufacture. Before ordering, confirm the written quote and what it includes: assessment, manufacture, fitting, review and any adjustments. Ask about charges for extra visits or replacement devices.

If using funding or private health insurance, check the requirements before ordering. A recommendation does not guarantee a rebate or funding approval.

4. Have the fit checked

Bring the intended shoes to fitting. Your podiatrist will check how the orthotics sit in the shoes and how they feel during appropriate movement, then explain how to start using them. Follow the wearing-in advice provided for your circumstances.

5. Review how they are working

At review, explain what has changed in your everyday activities, comfort and shoe fit. Bring your orthotics and shoes. Your podiatrist can discuss whether the plan or device needs adjustment and when another check is appropriate. Review timing and outcomes vary between people.

Questions you can ask

• What is the aim of these orthotics for me?
• Could a different shoe, exercise plan or prefabricated option suit my needs?
• Which shoes will work with them?
• What is included in the quote and review arrangements?
• What should I do if they are uncomfortable?