Adult Treatment

The Consultation

One of the ways in which we believe LOC is different is the breadth and depth of our first consultations with new patients. 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.


Drop Foot

Drop foot (also known as dropped foot, foot drop or floppy 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 | CVA

There are more than 150,000 strokes or cerebrovascular accidents (CVA) reported in the UK every year. Ischaemic strokes occur when a blood clot blocks the flow of blood and oxygen to the brain. 

Polio & Post-Polio Syndrome

Poliomyelitis, better known as polio, is an infectious disease that was prevalent until a vaccine was discovered in 1950. Post-polio syndrome sufferers will have muscle weakness and decreased mobility.

Multiple Sclerosis

Multiple sclerosis (MS) is an auto-immune condition most commonly affecting young adults. Around 100,000 people in the UK have MS and it is twice as common in women as men.

Adult 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 in a range of varying severity.

Adult Brain Injury

A brain injury can be caused by a traumatic event, such as a road traffic accident, fall or assault or acquired due to a stroke or infection. The range of injuries and degree of recovery varies widely.

Spinal Injury

There are two kinds of spinal cord injury - complete/incomplete. In a complete injury, a person loses all sensory & motor function. In an incomplete injury, there is some functioning below the level of the injury.


Osteoarthritis (OA) is also known as degenerative joint disease. It is the most common type of arthritis. It occurs when the cartilage at the joint surface breaks down, damaging the underlying bone.

Charcot Marie Tooth disease

Named after the three physicians who first identified it in 1886 – Jean-Martin Charcot. Pierre Marie and Howard Henry Tooth. CMT disease comprises a group of disorders that affect peripheral nerves. 


Bespoke Orthotics

Orthotic design is continuously improving aided by the introduction of lighter materials, like carbon fibre.

Functionality, comfort and fit are way ahead of where they were 5 years ago thanks to newer technologies.

LOC is committed to providing its patients with the most up-to-date Orthoses available; we are always assessing new and innovative products.

Neuro Swing System

The Neuro Swing AFO has a unilateral ankle joint that is designed to be held within a carbon fibre construction.

The joint has two springs, posterior and anterior. The springs can be altered in three ways.

Resistance in the springs can be reduced or increased and range of movement can be altered as can the alignment of the ankle.

Carbon Fibre

The advent of carbon fibre has allowed the creation of a new range of specialised orthoses.

These are not only lighter and less bulky, but also more comfortable and much stronger than traditional, plastic types.

Weight reduction has an immediate positive clinical impact, particularly for patients with polio or post-polio syndrome.