Paediatric Treatment

Paediatric Conditions Treated at LOC

The London Orthotic Consultancy (LOC) has unrivalled expertise in treating children. In 2015, we started working with Elaine Owen, a world-renowned physiotherapist who has developed concepts adopted across the world as the gold standard in lower limb orthotic management of children with neurological conditions. Together we have built what we call the OSKAR clinic. We believe this is a unique example of orthotics being used to their absolute potential and helping children and their parents achieve the goals they set.

We saw their first Selective Dorsal Rhizotomy (SDR) case in 2016 and now regularly complete inpatient assessments as requested. We run monthly OSKAR clinics at our Kingston gait laboratory in conjunction with Elaine.

At LOC, we often work with children who present with rare, complex conditions and are able to produce effective treatments that aid rehabilitation and reduce pain due to the breadth and depth of our clinician’s expertise. Our bespoke orthoses are designed to enhance function and mobility, provide structural support and reduce the effects of contractures and deformities as children grow.

We understand that your children develop their motor patterns and gait characteristics from an early age. Correctly prescribed and well-designed orthoses can play a vital role in aiding this development into later life. We aim to design orthoses and provide adjustments where possible to maximise their durability as your child grows and develops.


Cerebral Palsy

Cerebral Palsy (CP) is the term used to describe a group of conditions that affect the movement of muscles and the posture of the body. The term comes from the area of the brain affected.


LOC has developed a reputation in the SDR community for its treatment and management of cerebral palsy patients who have undergone this ground-breaking SDR surgery.

Pes Planovalgus (flat feet)

Pes planus is the loss of the medial longitudinal arch of the foot. Infants typically have a minimal arch, however by the age of 10, children should have developed an anatomical arch structure. 


Hypermobility is the term used to describe the ability to move joints beyond the normal range of motion, more commonly known or referred to as double-jointed. Common in children and adolescents.

Sever's Disease

A musculoskeletal condition that affects children & adolescents as they grow. Also called calcaneal apophysitis, it is a painful inflammation of the growth plate or epiphyseal plate, in the heel bone.

Spina Bifida

Spina bifida is a birth defect of the neural tube - this later develops to form the spine & nervous system. If it doesn’t form correctly, damage to the spinal cord occurs, causing neurological dysfunctions.

Transverse Myelitis

Transverse myelitis (TM) is a rare neurological disorder, with around 300 new cases of the disease recorded in the UK every year. TM may occur in isolation or with another illness.

Paediatric Brain Injury

Brain injury occurs often after a traumatic event that disrupts the flow of blood and oxygen to the brain. At LOC, we offer a range of orthotic treatments for children with this condition such as bespoke AFOs. 

Scoliosis Orthoses

Scoliosis is a medical term that describes the abnormal twisting & curvature of the spine. It occurs most often during the growth spurt (before puberty) & affects around 3-4 children in every 1,000 in the UK.


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.