Custom orthoses are made for an individual prescription. They include insoles and braces for the limbs or spine. Their purpose may be to support movement, accommodate a particular shape or provide a level of control that a ready-made device cannot adequately offer.
When is custom manufacture appropriate?
We assess your symptoms, movement, support needs, skin and daily activities before recommending a design. Ready-made options can be appropriate for some patients. Custom manufacture is considered when the assessment identifies a reason for an individual construction.
How the device is made
Depending on the prescription, we use measurements, casts or scans to define its shape. Materials may include foam, thermoplastic, carbon-fibre composites or specialist fabrics. Digitally designed and 3D-printed components are among the options we provide.
If casting is required, we carry it out on the day of assessment for an additional £99. Manufacture begins after you accept the quotation. We explain the expected timescale and arrange a separate fitting appointment when the device is ready.
Costs and your options
Our London assessment costs £199 and fitting costs £99. Devices are quoted separately. You receive a report and itemised quotation before deciding whether to proceed.
NHS orthotic services also provide custom-made devices where appropriate. Ask your GP or local service about referral arrangements. Read an NHS service example.
See our fees and review arrangements.
Information reviewed October 2026.