Orthotic Treatment Perth

Do you suffer from painful feet?
You must read what our podiatrists have to say…


Feet can be likened to the wheels on a car- if the alignment is not correct then excessive stress and pressure is placed on other parts of the body leading to incorrect or misuse and even wear and tear.

Orthoses are prescriptive medical shoe inserts that are utilized to lend assistance in realigning lower extremity joint malfunctions. In general, orthoses act to decrease the amount of abnormal stress and strain on the lower extremity, as well as structures above. The plastic body of the custom orthotic bhelps to re-align the foot by redirecting and reducing certain motion that takes place during the gait cycle.

It can reduce and eliminate painful lesions such as corns that build under the foot from pressure. Orthoses can also give significant relief of painful symptoms associated with tired feet or arches. Not only can pain present in the feet as a result of poor foot function, but many people often report pain in the legs, knees, hips and lower back secondary to poor foot biomechanics. By improving and correcting foot function, often such pain can be relieved or prevented altogether.

Common conditions treated with therapy:

  • Localized foot pain
  • Morton’s neuroma
  • Bunions, hammer toes
  • Arch
  • Leg/knee pain
  • Hip or back pain – even neck pain

Types of orthotic available in this clinic:

There are several different types of orthotic available, with numerous variations in materials possible. Your Podiatrist will complete a thorough biomechanical assessment to determine the alignment and function of your feet and their relation to the rest of your body. After the thorough assessment, your podiatrist can discuss that will best suit your needs, taking into consideration your preferred footwear type, the activity you want to do and the symptoms that you have.


These are generic style over-the-counter devices which are not customized to the individuals’ foot type or specific needs. They can be a good starting point to trialing therapy, however these devices are a more short-term solution.



Gaitscan orthotics:

The TOG GaitScan is a digital casting device that allows practitioners to analyze patient biomechanics and order custom products. The Gaitscan device is an in-depth method of assessing your gait cycle with a dynamic scan that offers biomechanical information that may not be obtained with the naked eye. Over a million points of data are recorded, tracking minor flaws in your biomechanics. The images are sent to an lab in Northern Canada where devices are made in relation to the specific shoe and type of activity they are required for. The constructed orthotic are then sent back within two to three weeks after ordering time.

Cast molded orthotics:

A customized plaster mould is taken of both feet and a prescription is made up by the Podiatrist according to your foot type and specific requirements in order to assist in realigning your feet. The devices are then accurately constructed at a local laboratory in Perth, with a turnaround time of approximately one week. These devices are the most customized and specific devices available. The literature indicates the best evidence for successful results with casted orthotic.

Codes for custom orthotics in relation to your private health fund:

F111 – Muscle test
F114 – R.O.M study
F117 –  Gait analysis
F221 – Cast plus orthotics (general health funds)
F350 – Cast plus orthotics (HBF specific code)

Fitting the orthotic:

These are placed in your orthotics shoes and worn as much as possible in order to assist in correcting your foot function. A properly prescribed and manufactured orthosis requires an appropriate shoe type and size in terms of length, width and style, to effectively accommodate the device. Once the devices are received, the Podiatrist will check the fit and assist you in adapting them appropriately into your desired footwear. When first introduced, it is essential that you wear them in progressively to allow the muscles and joints of the body time to adapt to a new posture. Our Podiatrist will give you clear instructions for the best way to wear into your orthotics in Perth.