Orthotics FAQs

Q: How do I know that you can treat my problem?
A: Most foot and ankle problems can be treated but there are some cases where it is not possible. To allow for this, we offer a Suitability Appointment. This is a simple 10-15 minute appointment where you may have a brief examination. At the end of this appointment, we should know whether you would benefit from a full assessment. This appointment costs £30 and carries no obligation. Our trained receptionists should be able to guide you as to the likelihood of being suitable for a full assessment or whether a Suitability Appointment is necessary.

Q: If I have an Initial Consultation, and nothing can be done, will I still have to pay?
A: If you are found to be unsuitable for treatment, this will usually be fairly obvious quickly. The appointment will be cut short and charged pro rata and you will not be charged the full amount.

Q: What are foot orthoses?
A: They are insoles that go inside your shoe to apply force in a particular way in order to resolve a biomechanical deficiency. They can be anything from a thin piece of soft material to a hard CADCAM designed and milled piece of plastic. With the emergence of new materials, we make orthotics from silicone, carbon fibre, glass fibre, polyurethane, graphite and EVA.

Q: How much do orthotics insoles cost?
A: The cost varies greatly depending on the type of orthosis we use. This is based solely upon the requirements of the patient and their problem. As the cost can vary enormously, we have a simple pricing structure with 3 basic tiers. (There are some exceptions where the cost is lower/higher than the 3 tiers but they are rarely used.)
· Simple Insoles/Stock Foot Orthoses – £45
· Modified Prefabricated Orthoses – £70
· Custom Made Orthoses – £200 per pair (£100 per single orthosis)

Q: Are Custom Made Orthoses better than the others?
A: In 90% of cases, a custom foot orthosis is the most likely to give the best symptom relief. However, in many cases, a modified prefabricated foot orthosis might give the same result but be slightly less durable. In 10% of cases, a stock or modified prefabricated orthosis will be a better option. This will mainly be to do with the amount of available space in the footwear.

Q: What if I find my orthotic insoles uncomfortable or they make the pain worse?
A: If, after a reasonable period of “breaking in” of the insoles, you are still not able to tolerate them, we will want you to attend for a review appointment. Assuming it is within a reasonable time frame, this will be free of charge as it is our duty and desire to make sure that you are fully satisfied with our service.

Q: Will the treatment/orthotics definitely help my problems?
A: We will endeavour to do everything we can improve your problems. However, like all medical treatment, we cannot guarantee success. We aim to minimise these instances by following solid, scientific, evidence based principles.

Q: Who will be doing my biomechanical assessment?
A: Our Orthotist is Robin Perrie. He is an HPC registered Orthotist but is dual qualified in Prosthetics. He is the only Orthotist on the Isle of Man and is currently the Orthotist providing all of the Orthotic Service at Nobles Hospital. Robin worked for 8 years at the RJAH Orthopaedic Hospital in Shropshire before moving to the Isle of Man. It was a centre of Excellence in Spinal Injuries and Robin also worked as part of ORLAU (Orthotic Research and Locomotor Assessment Unit). He has developed a specialist in interest in foot and ankle biomechanics and the treatment of related musculo skeletal problems. As such, he takes part in many orthotic focus groups for product development and lectures on orthotics and biomechanics regularly. Robin has close ties with some of the best Foot and Ankle Specialists in the UK and uses these as his base for onward referral and investigations.