The orthotics service delivers assessment and treatment including the fitting of orthotic devices; an external device which will apply loads to influence, modify or manage the musculoskeletal functions of the human body.

The application of such devices can be used in a wide range of applications including issues associated with the management of the feet, lower limbs, upper limbs and spine. The goal of such treatment will be assessed and collaboratively agreed with the Orthotist and the patient, however, common goals of treatment include:

• Management of pain due to excessive abnormal loading
• Management of muscle dysfunction
• Accommodation of gross malalignment/oedema
• Management of range of movement, such as limiting range whilst healing occurs

The role of the Orthotist is to identify through assessment the presenting issues/risk, identify if there is an ‘orthotic’ need, assess a person’s physiology and develop and prescribe a treatment plan as required, that may involve provision of an orthosis. The orthotist will work collaboratively with the patient to agree the goals for treatment. Where orthotic provision has been delivered, it may be necessary to schedule a review, or you will be advised to re-access the service on a ‘need’ basis.

This list in not fully comprehensive, however as a general guide the types of orthotic devices provided may include:

• Insoles
• Prescription footwear
• Stock/custom AFO’s (for management of neurological issues)
• Knee braces / KAFO’s (full leg devices)
• Hip brace (dislocation management)
• Spinal bracing (fracture management)
• Shoulder and upper limb devices (management of position)
• Basic head protection (paediatric self-harm / falls)
• Self-management advice – guidance and sign-posting may be offered as required