London - Podiatry
consultation (biomechanical assessment) - £50
1st pair of bespoke orthotics - £185
further pairs of identical orthotics - £160
fitting and follow up appointments - no charge
These are some of the comments
left by people on public sites after coming to the clinic:
custom othortics (sic) from Optimotion
were nearly half the price of my previous pair!"
- Colin google
"Really good value orthotics"
- Barry google
"Got me back on my feet in no
time" - Andre google
".. can only highly
recommend Optimotion in Camden. I've had a problem with
my right foot for a number of years... diagnosed almost
immediately... I have had the spring returned to my
step" - Enrique qype
Thank you for my new #feet highly recommended #happyfeet
#skippingdownthestreet :-)" Tina T twitter
"Thanks for the honest
advice!" - Sao google
"Custom" orthotics are either Modular, or Bespoke. Modular systems, such as TOG or other systems which use a foot scanning technique to diagnose and direct the practitioner to piece together a device from pre manufactured components are popular because of price - historically a completely bespoke pair has cost a few hundred pounds - this is because a lab can charge the practitioner nearly 250 pounds just to make the orthotic from the physical cast.
CAD/CAM technology achieves the
same level of customisation, but without involving the
lab... And so allows for completely bespoke orthotics
for a price which is comparable to the inexact modular
The traditional method of
preparing a bespoke orthotic is to take a cast of the foot
in its neutral position, covering it in plaster of paris,
which hardens over a few minutes until it can be teased
off. A positive mould of the cast is taken in a lab
and then this is used to produce the rigid moulded
The finished orthotic has the
same contours as the foot in its neutral position, but
clearly this process is very inefficient - taking days or
weeks to complete because of the involvement of a
specialist lab, and leaving very little ability to
alter or correct
As you can see from the comments to the youtube video, the laborious and expensive nature of casting has led some Podiatrists to use a foam impression system - where the foot is pushed into a box of maleable foam which is then posted to the lab.
There is a strong consensus among the best practitioners and researchers that this method, although much easier and faster than casting, is simply not able to capture the foot in a non weight bearing position - as the impression is made by pushing in to the foam...
The AMFIT 3D CAD/CAM System
At Optimotion Camden we use a system in which a bed of tiny plastic pegs move up, driven by compressed air and a digital record of the position of the pins is taken by the device - producing a 3D digital image of the plantar surface of the foot in its neutral non weight bearing position.
A finished moulded pair of orthotics is produced from this digital model and is ready to be put into shoes the next day. The model is retained in our database, so an exact copy of the original orthotic can be made from the original scan at any time - and if you return for a check up we can scan the foot again and compare the 3D image with a previous scan to see if there have been any changes.
The AMFIT system is renowned in
the US as the most effective foot shape modelling system
available. There is a video available to watch on youtube
showing how the
We have the latest version of the
CAD/CAM system and the 'correct and confirm' software
which allows us to model tiny changes to the orthotic on
screen before milling the finished product from a choice
of materials. This is to account for the nature of their
use.. for example an individual who needs a pair of
orthotics which can be used for tennis or running may
require an EVA formulation with more air in the material.
To ensure a pair of orthotics is exactly right for you, and your shoes, they often need one or more minor adjustments by the podiatrist in our on-site orthotics lab. If you have existing orthotics that you think might just need adjustment, this can be done as well - phone for details.
Allow one hour for a full
biomechanical assessment; and please wear either a skirt
or trousers that can be rolled up past the knee, or bring
shorts to change into.
The entire process from assessing the gait, with
the aid of digital stop frame photography when necessary,
and scanning the contours of the foot to producing a final
pair of orthotics that the client and podiatrist are both
happy with will require at least three visits.
Sometimes more than one return visit after fitting is needed, as the effect of any minor alterations only become apparent after walking or running a significant distance.
To book an appointment- please
phone us, or leave your name and phone number on the form
at the bottom of the 'Contact
Us' page and the Podiatrist will call you back.
If noone is able to answer the phone, which often happens as this is a small clinic, and to keep costs down for you there is noone employed just to pick up the phone - please use the feedback form here - this is the easiest way to get in touch as your message will be sent to the Podiatrist's phone and you'll get a call or email as soon as possible.