Custom orthotics, built from a full gait assessment
Key Takeaways
Custom foot orthotics are bespoke insoles made from a cast or 3D scan of your own feet.
They are prescribed by chartered physiotherapists (HCPC and CSP) from a full gait and biomechanical assessment.
Here they are part of a wider treatment plan that corrects the cause, not an insole handed over on its own.
From first appointment to fitted orthotics is typically 2 to 4 weeks, across three short visits.
No GP referral is needed, and most new patients are seen within 48 hours.
What custom orthotics involve
Custom orthotics are insoles made for your feet alone, prescribed to correct how you stand, walk and run. At Gav Noble Physiotherapy in Lisburn, our chartered physiotherapists prescribe custom foot orthotics from a full gait and biomechanical assessment, not an off-the-shelf guess.
Because we are a physiotherapy clinic, the orthotics are part of a wider treatment plan that also strengthens and corrects the cause of the problem. The result is not just a support under your foot. It is lasting relief from the foot, knee, hip or back pain that poor foot mechanics were driving. That is the honest difference between us and an insole shop: we treat the movement, then use the orthotic to hold the correction.
We prescribe several types depending on what your assessment shows: functional (corrective) orthotics, accommodative (cushioning) orthotics, sports and running orthotics, slimline orthotics for dress shoes, and bespoke custom-fit flip flops that carry your support into summer footwear. We treat plantar fasciitis, heel and arch pain, shin splints, flat feet and fallen arches, overpronation, metatarsalgia, Achilles pain, and the knee, hip or lower-back pain that starts in the feet.
Who it helps and what to expect
This service is for you if heel or arch pain such as plantar fasciitis keeps coming back, if you get shin splints or knee, hip or lower-back pain that started in your feet, if you have flat feet, high arches or feet that roll inward, if you are a runner or walker limited by recurring foot or leg pain, if you stand all day for work and ache by the evening, or if shop-bought insoles have not worked because they were never made for your feet. It suits runners and sports players, people on their feet all day in nursing, teaching, retail and trades, and active adults from their thirties into later life.
You start with a free 15-minute discovery visit, then a full gait and biomechanical assessment. We only recommend custom orthotics if they will genuinely help, and if supportive trainers would do the job we will tell you. When orthotics are right, we capture your foot shape, prescribe them, fit them in your own footwear, and review how you are walking. You leave with wear-in guidance, footwear advice and any supporting exercises.
Assessment tools and orthotic materials
Assessment uses video gait analysis on a treadmill or walkway, a hands-on biomechanical and foot-and-arch exam, range-of-motion testing and a footwear review. To capture your foot shape we use a foam impression box or a 3D foot scanner, and the prescription is manufactured to that shape. The orthotics themselves are built from materials matched to the job: EVA foam, cork, and carbon-fibre or polypropylene shells, with cushioning top covers and, where needed, posting and wedging, metatarsal domes or heel raises. Custom-fit flip flops are moulded from the same cast for warmer-weather support.

