Treatment room at Steps Podiatry and Gait
Custom orthotics · Rehabilitation · Inverness

Custom Orthotics & Rehabilitation

Custom orthotics are only prescribed after functional 3D gait assessment, because static assessment alone is not enough to understand how your foot and lower limb are working.

Assessment firstStart with orthotic review
Custom orthoticsAfter 3D gait assessment
Rehabilitation advice3D scan and lab-made
More than insoles

Custom orthotics should be prescribed from movement, not guesswork

A static foot assessment is not enough to prescribe high-quality custom orthotics. We use functional 3D gait assessment to understand how your foot and lower limb move during walking or running, then prescribe custom orthotics only where clinically required.

Heel and arch pain

A gait-based prescription can help target painful loading in selected heel and arch pain cases.

Forefoot pressure

Orthotics may be prescribed to redistribute pressure where gait assessment shows forefoot loading is part of the problem.

Activity-related symptoms

Activity-related pain needs movement, footwear, strength and support considered together.

Assessment first

Custom orthotics follow functional 3D gait assessment

Every custom orthotic prescription starts with understanding how you move. Static foot posture can be useful background information, but it does not show how your foot loads during walking or running.

  • Review of symptoms, activity and previous treatment
  • Footwear and work or sport loading review
  • Assessment of foot posture, joint movement and pressure areas
  • Strength, flexibility and lower-limb function checks where relevant
  • Clear recommendation on whether custom orthotics are clinically required
Foot and ankle assessment at Steps Podiatry and Gait
Treatment pathway

Your treatment plan follows a clear pathway

The process starts with an initial orthotic assessment, followed by functional 3D gait assessment. Custom orthotics are then prescribed only where clinically required.

1

Initial assessment

Initial orthotic assessment to review symptoms, footwear and treatment goals.

2

3D gait assessment

Functional 3D gait assessment to see how your foot and lower limb move.

3

Prescription

Custom orthotic prescribed where clinically required.

4

3D scan and lab

3D scan taken, then the orthotic is produced by the lab.

Custom orthotics should have a clear clinical reason. We explain what the orthotic is designed to change, why it is being prescribed, and how it fits alongside footwear and rehabilitation advice.
3D gait assessment and movement review
Wider biomechanical picture

Your walking and/or running gait may need a closer look

A functional 3D gait assessment is central to the prescription process. It helps us understand how your foot loads, how your lower limb moves and whether an orthotic is likely to add value.

  • Walking or running mechanics
  • Lower-limb movement and loading patterns
  • Calf, hip and lower-limb capacity considerations
  • Footwear, activity and sport demands
  • Whether custom orthotics are clinically required
Choose the right pathway

Book the appointment that fits your problem

Custom orthotics are prescribed only after functional 3D gait assessment. Some patients may be better suited to a heel pain assessment or a wider 3D gait assessment pathway first.

Orthotics Review

For patients considering custom orthotics or needing review of existing orthotics.

Heel Pain Assessment

For pain under the heel, first-step morning pain or suspected plantar fasciitis.

Functional 3D Gait Assessment

For persistent, long-term or activity-related symptoms where movement needs deeper review.

Pegasus custom orthotics example
Frequently asked questions

Questions about custom orthotics

Will I definitely be prescribed custom orthotics?

No. Custom orthotics are prescribed only where clinically required after functional 3D gait assessment. Some problems are better managed with footwear advice, rehabilitation or another treatment pathway.

Can you review my existing orthotics?

Yes. Bring your existing orthotics and the shoes you commonly use them in. We can assess comfort, fit and whether they still match your current symptoms, footwear and gait findings.

Are orthotics a permanent fix?

Not usually on their own. Orthotics are a tool to help change loading or improve comfort. Long-term improvement often also involves footwear, strength, mobility and activity advice.

Are orthotics useful for plantar fasciitis?

They can be useful in selected heel pain and plantar fascia cases, but they should be prescribed from gait findings rather than static foot posture alone. Heel pain may also need shockwave or rehabilitation.

When should I choose 3D gait instead?

3D gait assessment is part of the custom orthotic prescription pathway and is especially important when symptoms are persistent, activity-related, running-related or linked to wider lower-limb function.

Book an orthotics review and start the correct pathway

We will review your symptoms and explain whether functional 3D gait assessment and custom orthotic prescription are appropriate.