what-when-how
In Depth Tutorials and Information
Figure 7.1
Stock therapeutic specialist footwear
to decide on the fitting of the footwear. Their choice may also be based
on the style of the footwear in relation to function, for example the addition
of rocker soles or extra padding. This footwear is generally supplied with
3 × 3 mm removable liners that can be replaced with orthotic devices.
Often these liners are made from a shock-absorbing material such as
memory foam.
Modular
This type of specialist footwear is essentially stock footwear that is modi-
ied to improve its overall it to accommodate minor deformity or provide
added stabilization. A trial fitting of the upper is often required before the
footwear is completed with the sole and heel unit.
Bespoke
Bespoke footwear (
Figures 7.2
and
7.3
) is an option when there is major
deformity, such as Charcot or advanced rheumatoid arthritis deformity,
or if there is a huge difference in symmetry, fixed equinus of more than
20 mm, or if the foot dimensions are outside the measurement range for
stock footwear. This footwear is made on a last specifically created
for the individual, and often requires a plaster cast to be taken so that
the footwear technician can visualize the problems and capture the
