• Research suggests orthotic management can effectively restore function and reduce pressure following toe amputation at the MTPJ, though high-quality evidence is limited.

• Common interventions include footwear modification, toe fillers, custom insoles, and occasionally carbon fibre plates, with generally good functional outcomes.

• It seems likely that restoring forefoot stability and maintaining foot shape are key priorities, although optimal treatment varies by level of amputation, particularly with hallux loss.

Plantar fasciitis is a leading cause of heel pain, affecting up to 10% of the population at some point in their lives. It typically presents with focal tenderness at the medial calcaneal tubercle and pain on first steps after rest. Though often self-limiting, chronic cases require a structured and evidence-informed approach.

Research suggests orthotics can improve mobility and comfort after transmetatarsal amputation, but evidence is mixed. Common options include shoe modifications, toe fillers, and ankle-foot orthoses (AFOs), with varying effectiveness. Proper fitting and patient education are crucial for success.

In the realm of orthotics, materials play a pivotal role in defining the comfort, functionality, and efficacy of these transformative devices. Over time, the evolution of materials used in orthotics has been a testament to innovation, paving the way for enhanced performance, durability, and patient satisfaction.

In the realm of healthcare, orthotics stands as an unsung hero, wielding the power to enhance mobility, restore functionality, and transform lives. These often-understated devices play a pivotal role in addressing a myriad of musculoskeletal conditions, ushering in a new era of personalised care and mobility support.

In 2023, the UK's orthotic industry demonstrates resilience and adaptability, embracing digital technologies for precision and personalisation.

Digital advancements, like 3D scanning and computer-aided design (CAD), have streamlined production, creating bespoke orthotic devices tailored to individual anatomies. This shift towards digitalisation ensures enhanced accuracy and comfort for patients.

An emerging focus on sustainability sees the industry exploring eco-friendly

Plantar heel pain is one of the most common foot conditions seen in clinic with plantar fasciitis being a regular diagnosis. Night splints are often cited amongst the regular treatment options for plantar fasciitis in both the medical literature and in patient focussed online articles and blogs. This systematic review aims to evaluate the effectiveness of this conservative treatment in the available literature.

I think adherence to the Root model of foot assessment/function has naturally waned amongst the Orthotists that I know but I do seem to note a more hardcore element amongst Podiatrists. I'd implore all to read the full paper, a link to which is below

Today we completed a carbon fibre arm brace for one of our Brachial Plexus clients. We integrated a safe yet versatile ball and socket component for handle bar attachment...

It's been a sporting week in clinic. An aspiring Discus athlete took delivery of a carbon spring blade AFO. This is a unique design, adapted from the IDEO concept but produced for a 1/3rd of the cost. Designed by me and manufactured by carbon specialists Osic

Ankle kinematics prospectively predict injury risk in collegiate cross country runners, according to prospective research from the University of Memphis in Tennessee.