Orthopaedic shoes are the recommended solution for conditions where foot orthotics are not indicated.
We use both traditional methods and new technology to measure feet. We are highly-experienced in making complex plaster casts and taking foot measurements for shoes and boots. In addition, as part of a continuous drive to use the latest technology to improve our service, we can take a 3D scan of your foot.
This enables us to capture and measure the exact shape and contours of the foot and ankle, resulting in more accurate lasts being made. The last itself is created via CADCAM technology, which is far more versatile than traditional methods. There are a number of key advantages derived from this technology:
higher degree of accuracy;
faster manufacturing times;
each client's individual measurements and lasts can be stored for repeat orders.
The London Orthotic Consultancy (LOC) is able to provide a complete range of footwear, from simple, extra volume high street styled shoes, to complex, bespoke orthopaedic and diabetic footwear. We understand that our clients want to have something that looks as stylish as possible while enabling them to walk in comfort.
We use a range of suppliers that offer a unique service in terms of quality and design. Our suppliers include some of the most experienced shoe manufacturers in the country, but we also source from new, innovative companies who are at the forefront of footwear design in Europe.
Patients have three options when deciding on the type of footwear that is suitable. The decision will primarily be based on your specific foot type or condition. The options are:
off the shelf – shoes with extra depth and width for use with foot orthotics. Only certain styles and colour ranges are available;
modular – shoes made on a standard last that is adjusted specifically to the measurements taken by your LOC clinician. Any style or colour available;
fully bespoke – footwear made from complex measurements, plaster casts, pictures and 3D scans of your feet. Any style – even a picture or old shoe can be copied, any colour possible.
Your orthotist will guide you in terms of what is possible, given your foot shape and condition. Once the shoe type has been chosen and measurements taken, we can give you an exact quote for the costs involved.
Footwear plays a key role in our day-to-day lives. When we develop foot problems it is essential to take great care with the type of shoe we wear and the way it fits and functions. Different medical conditions require different design characteristics:
Diabetes: fully-lined shoes with care taken to leave no rough edges - see below for more information about care for diabetic feet
Rheumatoid arthritis: extra volume and padded lining
Lymph odema: extra volume, padded lining and easy to access.
Forefoot deformities, hallux valgus, clawed toes: extra depth and width.
Orthotic users – split size shoes possible if wearing lower limb orthotics.
We are able to supply children's orthotic support footwear for a wide range of conditions such as:
- Cerebral palsy
- Club foot (CTEV)
- Down's syndrome
We understand that children have to have well-fitted footwear with up-to-date styling. We have access to many suppliers who manufacture shoes or boots, ranging from trainers to high-stability ankle boots.
LOC believes that sometimes paediatric footwear can be over-prescribed. We will often discuss the other options available that can offer improved biomechanical control. All of the shoes prescribed will be able to accommodate foot orthotics.
Diabetes can lead to foot problems caused by reduced sensation and poor circulation. This can be in conjunction with foot deformity, as a result of weakening musculature or the more serious condition of the Charcot foot. Poor fitting footwear and foot care can cause pressure and rubbing, leading to blisters, ulcers, infection and ultimately gangrene and amputation.
Wearing the correct footwear and foot orthotics are essential and can prevent these problems from occurring. Therefore, diabetic shoes have to have many different design characteristics, depending on how advanced the condition is. LOC works in conjunction with podiatrists to manage their clients’ diabetic feet. We understand this condition and that it evolves and changes with time. We are always available to review and adjust the foot orthotics as the condition requires us to.
Blisters and blister prevention
Walkers and runners and many sports players develop painful blisters that are not caused by any pre-existing medical condition. A repetitive activity - such as marathon running - causes friction to develop between the foot and the footwear, which, in turn, generates heat. It is the heat that breaks down skin tissue, resulting in lesions developing.
ENGO Blister Prevention Patches tackle the root cause of the problem, by reducing the level of friction between footwear and feet, so that blisters do not form. Uniquely the patches are applied direct to the footwear NOT to the skin, so they do not slip or wash off. They should last 300 miles of wear before they need replacing.
The Australian distributor of ENGO is Rebecca Rushton who is a podiatrist and knows a thing or two about feet. She recently compiled a comprehensive information resource about blister prevention. Read what she has to say about ENGO.