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Adult Orthotics

The London Orthotic Consultancy (LOC) has considerable experience in providing Bespoke Orthoses for many different types of adult neurological and orthopaedic conditions.


Drop Foot

Drop Foot refers to a weakening of those muscles that allow the ankle and toes to flex, causing difficulty in moving the ankle and toes upwards (dorsiflexion).


Stroke or CVA

There are over 150,000 Strokes or Cerebrovascular Accidents (CVA) reported in the UK every year. They happen when the blood supply to an area of brain is interrupted and the brain cells in that region are damaged or even die.


Multiple Sclerosis

Multiple Sclerosis is the most common neurological condition affecting young adults


Polio & Post Polio Syndrome

Poliomyelitis, better known as polio, is an infectious disease which was prevalent in the UK until a vaccine was discovered in 1950.


Cerebral Palsy

Cerebral palsy (CP) is classified as a non progressive type of impairment to the immature brain. This causes an inability to control muscles, movement and posture. The severity of the condition can be very mild or extremity debilitating.


Brain Injury

Brain injury can be caused by a traumatic event or acquired due to a stroke or infection.


Spinal Injury

A spinal cord injury (SCI) is damage to any part of the spinal cord or nerves at the end of the spinal canal. This causes temporary or more often permanent changes in strength, sensation and other body functions below the site of the injury.



Osteoarthritis (OA) is also known as degenerative joint disease. It is the most common type of arthritis.


Charcot Marie Tooth

Charcot-Marie-Tooth(CMT) disease is one of the most common inherited neurological disorders and affects approximately 1 in 2,500 people in the UK.



LOC receives a large number of referrals from health professionals, reflecting our reputation and experience in the field of rehabilitation. We have a particularly close relationship with Dr Richard Greenwood, founder member and clinical lead for the acute brain injury unit at the National Hospital for Neurology and Neurosurgery; Dr Robert Hadden, who runs the specialist peripheral nerve service at Kings College Hospital; Mr David Harrison, who is honorary consultant at the Royal National Orthopaedic Hospital, Stanmore; and Mr Alex Gibson who is consultant spinal surgeon at Royal National Orthopaedic Hospital.

We understand that in many cases the orthosis we provide will enable the patient to be more mobile and independent. Their long-term use requires each orthosis to be as comfortable and as functional as possible. Our clinic in Kingston has an onsite manufacturing facility so that fine tuning adjustments can be made quickly and easily.

Manufacturing onsite enables us to have far more control over the design process. More control leads to better design, faster delivery and more reliable quality. We are also able to repair and renovate old or well used orthotics.

There are many other different medical conditions that can benefit from orthotic treatment, including Guillain-Barré syndrome, peripheral neuropathy, Charcot-Marie-Tooth disease, motor neurone disease and transverse myelitis. Because of the breadth and depth of our clinical experience we are ideally suited to help.


The Consultation

During the consultation, we will go through a thorough examination, including range of movement, muscle strength, hyper-mobility, spasticity and neuropathy. We will also want to understand what your goals and expectations are from treatment. For example, do you want to sit up without pain or sail your yacht?

We will set out a plan for treatment and discuss what we think is achievable with our orthotics and your therapy programme. We are happy to discuss any of these with your referring therapist to ensure all members of your team are working towards the same goal. We use the latest technology and materials to create innovative orthotics. We are happy to spend time with you designing the orthoses to your exact requirements.

Once we have a clear treatment programme and orthotic prescription we will give you a full and exact quote for the entire treatment.

The Fitting

The fitting process can take up to one or two hours, depending on the complexity. Sometimes, more than one fitting is required for an orthosis to be fully finished. We have facilities in every one of our satellite clinics to adjust and fine tune your orthoses.

The Review

We want you to be happy with your orthosis. We want you to use it daily and feel like it is performing as we had intended. Therefore, we offer a free six-month review service for adult patients. This means that if you have any problems that are not normal wear and tear, we will review them and correct the orthosis for free.


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