Custom-Made Foot Orthotics for People with Lower Limb Conditions

Details

Files
Project Status:
Completed
Project Line:
Health Technology Review
Project Sub Line:
Rapid Review
Project Number:
RC1410-000

Question

  1. What is the clinical effectiveness of custom-made foot orthotics for the treatment of people with lower limb conditions?
  2. What is the cost-effectiveness of custom-made foot orthotics for the treatment of people with lower limb conditions?
  3. What are the evidence-based guidelines regarding the use of custom-made foot orthotics for the treatment of people with lower limb conditions?

Key Message

There were no statistically significant differences between custom-made foot orthotics and prefabricated foot orthotics for plantar heal pain in adults.

There is limited evidence for short-term pain relief and improved quality of life with custom-made orthotics compared to placebo or no intervention in adults with plantar fasciitis.

Custom-made foot orthotics are less cost-effective than other interventions (placebo, prefabricated orthotics, usual care) in the short and medium term.

Two evidence-based guidelines recommended the use of custom-made foot orthotics in patients with diabetes for prevention and treatment of foot ulceration.