Richmond TW9 2SF  ·  Kensington W8 4LY
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The Functional Podiatrist
Helping you stay active & pain-free
Custom orthotics at The Functional Podiatrist
Richmond & Kensington, London
Custom Orthotics & Insoles
Expert biomechanical assessment and gait analysis to help treat foot pain, knee pain and lower limb injuries. Bespoke orthotics tailored to your feet and lifestyle.
HCPC Registered Insurance Accepted No Referral Needed Richmond & Kensington
Overview
What Are Orthotics?

Orthotics are specialist insoles designed to influence how forces move through the foot and lower limb during walking and running.

Rather than simply supporting the arch, orthotics work by subtly altering the mechanical environment of the foot so that overloaded tissues can settle and movement becomes more efficient.

The foot functions like a dynamic spring during gait. Muscles and tendons work in coordinated pairs around joints and axes of motion to store and release energy as we move. If the timing of this system becomes inefficient, certain tissues may begin to experience excessive load.

Orthotics can help modify these loading patterns. By adjusting how forces travel through the foot, they can help redistribute stress away from irritated structures and encourage more efficient motion through the foot spring.

In many cases orthotics are used to temporarily reduce strain on painful tissues while we address the underlying causes of the problem through rehabilitation exercises, gait advice and footwear changes.

Our aim is not simply to prescribe insoles, but to understand why a structure has become overloaded and guide the foot and lower limb back towards more efficient movement.

Assessment
Do I Need Orthotics?

Not everyone with foot pain needs orthotics. In some cases symptoms improve with strengthening, load management, footwear advice or a rehabilitation plan alone.

During your assessment we determine whether orthotics are likely to help, or whether another treatment approach would be more appropriate. Our aim is to provide the right treatment plan rather than simply prescribing insoles unnecessarily.

Conditions
Conditions Orthotics May Help

Orthotics can be helpful for a range of foot, ankle and lower limb conditions where load distribution, foot mechanics or joint stability are contributing factors.

Heel Pain & Plantar Fasciitis
One of the most common conditions we treat with orthotics and rehabilitation.
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Bunions
Orthotics can help offload pressure and slow progression in some cases.
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Knee Pain
Changes in foot mechanics can influence how forces travel through the lower limb.
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Morton's Neuroma
Metatarsal padding and orthotic modifications can reduce nerve compression.
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Achilles Tendinopathy
Heel raises and orthotic support can reduce load through the Achilles tendon.
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Posterior Tibial Tendon Pain
Medial arch support is often central to managing this condition.
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Ankle Sprains & Instability
Orthotics can help support the ankle and improve proprioceptive control.
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Flat Feet, Hypermobility & More
Browse all conditions treated at our Richmond and Kensington clinics.
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Options
Types of Orthotics We Provide
Option 01
Prefabricated Insoles
A good option for cushioning, pressure relief and immediate support. These can work well for some patients but are not shaped specifically to each individual foot, so they are not ideal for everyone.
Option 02
Semi-Bespoke Orthotics
Customised in clinic using high-quality prefabricated shells with modifications tailored to your foot mechanics, symptoms, footwear and activity demands.
Option 03
Fully Custom Orthotics
Made to the individual shape and functional needs of your feet. Allows us to tailor the device precisely to your biomechanics, symptoms and footwear requirements.
See Them in Action
How Our Orthotics Work

We design insoles to work with different footwear needs, whether that is dress shoes, work shoes, trainers or sports footwear.

Patient case studies
Before & After Gait Analysis
Full-length custom orthotics
Dress shoe orthotics — fits all shoe types
Treatment approach
Orthotics Work Best Alongside Rehabilitation

Orthotics are often most effective when used as part of a wider treatment plan rather than in isolation. They can help reduce pain and improve comfort while you address the underlying causes of the problem. This is particularly important for conditions such as plantar fasciitis, bunions, knee pain and hypermobility-related foot pain.

Our clinics
Custom Orthotics in London

Many patients visit our clinic for custom orthotics to help manage foot pain, knee pain, bunions and running injuries. Orthotics help redistribute load through the feet and lower limbs and may form part of a wider treatment plan including rehabilitation exercises, footwear advice and gait analysis.

Orthotics appointments are available at our Richmond clinic and our Kensington clinic in London.

FAQs
Frequently Asked Questions
Do orthotics weaken the feet?
No. Orthotics do not weaken the feet when used appropriately. They are often combined with strengthening exercises to address the underlying cause of the problem.
Will I need custom orthotics?
Not always. Some patients do well with prefabricated or semi-bespoke devices depending on the condition, while others benefit from a more personalised device. We'll advise which is right for you after assessment.
Can orthotics help knee pain?
Yes. Changes in foot mechanics can influence the way forces travel through the lower limb, including the knee. A biomechanical assessment will determine whether orthotics are appropriate for your presentation.
How long do orthotics last?
This depends on the type of device, how often they are used and the footwear or activities they are being used for. We'll give you specific guidance at your appointment.
Are orthotics covered by health insurance?
Orthotics are generally only covered by international health insurance plans. UK domestic health insurance policies do not typically cover orthotics. Always check your individual plan before booking.
Ready to book your orthotics assessment? Richmond and Kensington clinics available. No referral needed — book online in seconds.
Patient reviews
★★★★★ 5.0 on Google
“I have had drop foot for 7 years following spinal surgery. William discovered issues with my feet and recommended custom orthotic insoles — after wearing these for the past month I have felt great improvements. William is very knowledgeable and recommended exercises and techniques that have really helped my pain management.”
Joseph
Google Review · Orthotics