Orthotics and footwear

Treatment pathway
Flat Foot & Orthotic Care
Assessment and support for flat-foot posture, pain, pressure areas and footwear needs.
New pain, one-sided change in foot shape, swelling or reduced walking ability should be assessed rather than managed with off-the-shelf inserts alone.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
Assessment and support for flat-foot posture, pain, pressure areas and footwear needs. Flat feet are common and not always a problem. Assessment considers symptoms, movement, strength, footwear, pressure areas and any relevant health conditions before recommending care.

Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
New pain, one-sided change in foot shape, swelling or reduced walking ability should be assessed rather than managed with off-the-shelf inserts alone.
01A personalised assessment
02Orthotics and footwear
How the pathway works
Understand the care before it begins.
Flat feet are common and not always a problem. Assessment considers symptoms, movement, strength, footwear, pressure areas and any relevant health conditions before recommending care.
What to expect
Treatment is reviewed as needs change.
Assess
Where appropriate, orthotic or footwear guidance may help support comfort and loading. Fit, follow-up and safety matter, particularly for people with diabetes or reduced sensation.
Plan
The clinician explains the next step in the context of your findings.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
Orthotics and footwear: Where appropriate, orthotic or footwear guidance may help support comfort and loading. Fit, follow-up and safety matter, particularly for people with diabetes or reduced sensation.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for flat foot & orthotic care.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.


