Orthotics

This page explains what orthotics are, what typically happens at a CDNT orthotics clinic, and how you can care for your child's orthotics.

What are orthotics?

Orthotics help support, correct, or improve the function of the foot and leg. Orthotics can be helpful for children with certain hip, knee or foot conditions, standing or walking differences.

There is a normal variation in walking patterns, especially in children. Most children grow out of this, but a small number of children may require additional support, and this may include orthotics.

How orthotics can help

Orthotics can help by:

  • improving a child’s walking pattern
  • supporting the foot in a more functional and desirable position
  • increasing support and stability for the child
  • protecting the structures of the foot
  • reducing falls.

Source: Orthotics

What if I think my child needs orthotics?

The first step is to talk to your CDNT physiotherapist. They will assess your child and discuss with you the best options for them.

If your physiotherapist finds your child may need an orthotic, they will schedule them to be seen in an orthotics clinic.

Some children need orthotics long term but other children only need orthotics for a period of time. Your physiotherapist is the best person to advise you on whether your child still needs an orthotic. If your child had orthotics in the past and you are unsure if they still need them – contact your CDNT physiotherapist.

CDNT orthotics clinic

The CDNT orthotic clinic is run by the CDNT physiotherapist/s in partnership with an orthotist. An orthotist is a health professional who assesses patients and supplies orthotics. They often work closely with physiotherapists and other health professionals (source: Orthotics one minute guide - Leeds Community Healthcare). 

The physiotherapist and orthotist complete a joint assessment with your child. They will discuss your child’s current goals, difficulties they may be having, and how orthotics might support these.

Your child’s orthotic is funded by the HSE. Your child’s physiotherapist will need a long term illness (LTI) or medical card number for your child to apply for funding.

Once funding is received, you may need to attend a further clinic appointment for custom measurement for your child’s orthotics. This may involve taking a cast of your child’s foot using plaster of Paris.

This is usually followed by a further fitting appointment where they will receive their orthotic.

Once your child has received their orthotics, a review date will be decided. Outside of the clinic, your CDNT physiotherapist can provide guidance and support with your child’s orthotics.

How are orthotics made?

Orthotics are made from materials such as foam and plastic. They are ordered to size or custom-made using a plaster of Paris or foam cast to fit your child.

What type of orthotics are there?

In CDNT Orthotics Clinics, children may be prescribed specialised footwear, insoles or AFOs (Ankle Foot Orthoses - also known as splints). Most orthotics are worn during the daytime active hours. Some orthotics are worn at night. Your physiotherapist will discuss with you which applies to your child

Tips for caring for your child’s orthotics

  • Clean them regularly – follow the orthotist’s advice on how to clean them. Allow them to air dry completely before wearing them again. Never tumble dry.
  • Monitor your child’s orthotics for wear and tear and inform your CDNT physiotherapist if you have any concerns. It’s important to replace them as recommended by your physiotherapist/orthotist.
  • Monitor the fit of your child’s orthotics as advised by your physiotherapist – children can quickly grow out of their orthotics and it is important you tell your physiotherapist if you think your child’s orthotics are getting too small.
  • Wear them consistently as directed by the physiotherapist/orthotist.