Prescription Foot Orthotics- More Information And Your Questions Answered

My name is Leslie Abrahams I’m, a leading UK physio and I’ve been recommending these type of Orthotics to my clients for more than 11 years now… and I’ve seen from first hand (and very close up) how such “foot orthotics” can really add HUGE value to any person’s quality of life and ability to maintain independence (and mobility) for much longer than would have been possible without!

What’s more, wearing them will, in many cases, especially if you’re aged 50+, will allow you to wear ANY shoes you want, safe in the comfort that joints are being protected whilst your favourite footwear is still being worn and you remaining active, safely.

Herein, I will provide a brief (and simple) introduction to Prescription Foot Orthotics.

Background, Q & A, Myths And Facts Of Prescription Orthotics

Okay, so what is a true custom orthotic? A true custom orthotic is one that matches your foot’s arch height (with modifications), width, and of course, length. The shell should be up to your metatarsal heads (3/4 length) with the heel cupped perfectly around.

True custom orthotics are made ONLY when a laboratory receives an impression of your foot – ideally from a 3-d laser scanner (I recommend a “Lab” in Ireland and Canada). Beware of orthotics that claim the foot “moulds” to the orthotic. Orthotics that are heat activated and “copy your foot”, are not as effective. Other problematic one’s are flexible orthotics that flattens out the moment you wear them.

It is true your foot needs to flex, but using very flexible materials does not give desired results.

The reason flexible material is used is because the client doesn’t think to complain because the orthotics causes no discomfort yet their original symptoms usually persist.

Orthotics should have some rigidity to them. Remember, the whole point is to provide support. Soft materials will just collapse.

In reality a custom orthotic changes the way your foot reacts during the walking cycle.

When first wearing orthotics, discomfort is usually felt because your foot is being forced into a more natural or “neutral” position. People who need orthotics usually have something wrong with their arch.

Eventually your feet adapt to the change and the discomfort goes away (including the original symptoms such as your knee, hip or back pain etc…).

One of the first questions I get when I recommend orthotics is:

“Why are custom orthotics more expensive than the ones you could go out and buy in somewhere like a pharmacy”.

Simply put, those “off the shelf” types are likely to be just plain old inserts and are generic. They’re made for “everyone and anything”. No thought, time or effort has gone in to the precision making and matching them up to an individuals needs and desires.

An orthotic, a corrective device worn inside a shoe, can help the muscles, tendons and bones of your feet and lower legs function without you suffering from pain and or stiffness. Custom-made orthotics are manufactured from a 3-D image of your foot (from a laser scanner) using raw materials.

When appropriately prescribed to treat a medical condition and custom-made (read: for you), orthotics can decrease pain, not only in your feet, but more commonly in other parts of the body, such as your knees, hips and lower back.

The term “orthotic” can refer to almost any device that is worn inside a shoe. Items called “orthotics” are readily available from Specialist Physios, podiatrists, chiropractors and other medical professionals.

Rarely however, are true custom orthotics available in many places, and most definitely not in shoe stores, in retail stores and even pharmacy’s.

There are three very different types of “orthotics” – custom, customized and off- the-shelf. There is a confusing amount of information available on orthotics and for many consumers making an informed decision is difficult.

So What Exactly Are Prescription/Custom Orthotics?

Prescription Foot Orthotics ARE the most accurate custom functional foot orthotics and are made from non-weight bearing moulds of your feet (but you don’t need a note from your doctor to have one).

They are designed to control alignment and function of your foot in order to treat or prevent injury-causing force on bones, joints, tendons and ligaments. Often they are used to limit motions such as excessive pronation (rolling-in) and excessive supination (rolling-out).

They also act to make activities such as running, walking – even standing – more efficient. What’s more, they can act to redistribute pressure on the bottom of the foot to relieve pain from excessive pressure or calluses.

How Do Custom Foot Orthotics Work?

This is a very detailed subject and too much to get in to here. But in general, most physical pain such as the back, ankle, hip or knee, is the result of a faulty relationship between the bones and muscles of the foot. Even the slightest misalignment can result in significant discomfort.

This abnormal function can result in problems such as bunions, hammertoes, arch and heel pain, corns, knee pain … even back pain.

The function of custom orthotics is much more than an arch support. Wearing the right orthotics realigns the structures of the foot and leg to prevent bone mal-alignment as well as muscle, tendon, and ligament fatigue. They are often used after surgery too, to help stop the recurrence of foot deformities.

As your foot rests on a properly constructed custom orthotic it is gently and consistently directed into the correct position (or at least a better position) for walking, running, and standing. Because your foot is now functioning properly, the pain of muscle strain and pressure points is relieved, and the progression of deformities is often stopped or slowed

So What Is Involved In Producing Custom Foot Orthotics?

The most important factor in designing foot orthotics that will provide optimum lifestyle prosperity (and health) is an orthotic prescription based on a thorough examination by an experienced and knowledgeable medical practitioner.

I cannot emphasise this enough. The “pre-fitting consultation” should include a complete bio-mechanical assessment and a look at how you walk and MUST include a comprehensive FULL BODY check.

“Because chances are it’s not your feet where you’ve got the pain. And so if you’re going to make changes down there (at your feet), the person doing it has to be sure how it’s going to effect everything else above it i.e. your knee, hip, back etc”.

What Shoes Do They Fit Inside?

All of, but not limited to these common types of Footwear:

How To Get Closer To Protecting Your Joints And Staying Active For Longer…

If you’d like to talk to an experienced Specialist Physiotherapist about the possibility of you wearing Prescription Orthotics and decide for your self if they will add value to your health, like it does so many other people, then please us in Bracknell ( 01344489398) or Windsor (01753866274) and request a FREE non committal, no obligation Telephone Consultation.

Alternatively, if you are confident that you wearing Prescription Foot Orthotics is the right move for you to make next, then you can also use this same number to arrange a “pre-orthotics fitting” consultation that will allow you to pick the perfect fitting orthotics… ones that are just right for you.

Fitting can take place at any of our locations and all of our Foot Orthotics are covered by a 100% Money Back, Life Time Guarantee. The top cover will need to replaced when it wears down with use, but the carbon fibre shell has a life time warranty.

Justin’s Story of HOPE (Severe *Neck* Pain)

The following is a true story and great feedback from a patient who came in for treatment not too long ago.

“Hi Leslie,

I just wanted to send a quick email to thank you and your team for helping me so my neck problem. I was in an immense amount of pain and had significant weakness in my arms when I first spoke to Olivia at your Bracknell Reception.

I had not slept properly for about 6 weeks and with our first baby due in a couple of days time and no sight of my first NHS physio appointment or any improvement, something had to be done.

Olivia managed to fit me in that same day in Bracknell and I had a somewhat uncomfortable intial session to start my recovery.

Immediately afterwards I felt better, still in pain but my neck felt a lot looser and my mood had perked up a lot once I knew what was wrong and that you could help me.

I have since had about 6 sessions. Some with Olly and another with Natasha and my neck pain is now gone. I am no longer taking any pain killers. I am however left with the weak arms thing probably due to a trapped nerve which I guess was the cause of all my problems. I expect that this will with some more Physio, and the strength work you guys have mentioned, hopefully mean no surgery or injections.

I am very impressed with the treatment I have received from your excellent Physio’s and the warm and pleasant atmosphere provided at your clinic. My only regret is not doing it sooner.

Incidentally my wife gave birth to a beautiful baby girl, on the 6th of April.

This occasion would have been a significantly less happy event for me had I not taken the plunge with your team.

I just hope that I can get this ‘rubber arms’ syndrome resolved ASAP so I can carry my new baby girl around without fear of collapsing in a heap.

I am also keen to get out running again, but I think that could be a long way off yet.

Kind regards and thanks”,

– Justin. 41, Ascot.

= = = =

What you’ve just read is a *pretty extreme* case of neck pain.

And often occurs due to “procrastination” (putting off going to see the right people…).

Chances are that your neck pain and restrictions in life are no where near as bad as Justin’s (yet) – and your transformation will be even easier for us to achieve for you, and will happen much sooner.

That Physio works for helping people with neck pain, is not for doubting…

I’ve witnessed stories like this first hand for more than 20 years now and this is not an unfamiliar one, nor is the “joy” at finally beginning to live life without neck pain, lost on me.

That me and my team will welcome you with open arms and offer YOU the very same “warm and welcome atmosphere” that Justin mentioned is also GUARANTEED.

Last thing from me: When are we going to get the chance to help you out like this, too?

Here at Apple Physio, all of our team have vast experience dealing with Neck and Shoulder Pain so if you need any advice please don’t hesitate to contact us.

If you’d like more info on this, and some easy, actionable tips you can use now to start easing your neck and shoulder. We have a free neck and shoulder pain guide that we can send you. Connect with us on 01344 489398 (Bracknell) , 01753 866274 (Windsor) or email us on windsor@applephysio.com and tell us what’s going on. A member of the team can take your details and we can email or post you a copy.

About the Author: Leslie Abrahams and the Apple Physio team


fullsizeoutput_39a3

Leslie is a Physio, Pilates Educator and Rehab Specialist who has a special interest in Spinal Treatments, lower limb injuries, and has vast experience dealing with patients post injury or surgery. Every week, for over 20 years, 100’s of people aged 30-64+ have consulted the Apple Physio team looking for answers to concerning questions about, and for, a fast end to their health worries and physical pains and stiffness.

 Leslie is a Master Trainer for the world renowned Australian Physiotherapy and Pilates Institute(APPI). He is regular key note speaker at conferences and travels internationally to present on modified exercise for rehabilitation. Leslie is the Director of Apple Physio Clinics situated in Bracknell and Windsor. Berkshire’s Specialist Private Physiotherapy Practice for People in their 30’s. 40’s, 50’s and 60’s, who want to keep healthy and active.

How To STOP thinking about NECK pain, *late at night*

This email came in from another subscriber with neck and shoulder pain, earlier today:

= = = =

“Dear Leslie,

Another late night thinking about my neck problem again, so thought I’d share with you how I really feel:

Initially, I thought this little niggle would go away on its own and that I wasn’t so much affected. I thought to myself, this will pass, I’ve pulled my neck before, that it was OK with some rest last time, and I’m not going to rush into paying for something like physio, if it’s just going to go away on its own.

A few days of this I could handle.

But now I’m resigned to asking you a big question: Does physio offer the kind of real help that means my problem getting sorted is a certainty? Or is it just a FAD?

Whether physio is as good as you say it is, I’m not sure (admittedly that is starting not to matter), but it does sound interesting and I’m beginning to agree with a good friend of mine who said it really is the best option for someone like me, with this type of pain.

Last night I came up on the realisation that despite my early scepticism, I’m attracted to the confidence in which you and my friend have for Physio:

And strangely, despite my early cynicism about trying Physio…here I am…interacting with you about it…a feat.

The raw truth about Physio I’m not sure. But seems I’m going to have to find out for myself, so please bare with me as I courageously make my tentative way to coming in to see you.

In anticipation of your time, Much Thanks”.

– Susan J. 58, Ascot

= = = =

For some reason, this is a very familiar story that is not lost on me.

“I know I need to do something, I’m just a bit scared and nervous about getting it wrong, so I’ll wait a bit longer and see what happens”…

That’s kinda’ the message from Susan here.

And seriously though…

“It’s NOT needed”.

And she is right, I AM confident about Physiotherapy.

Because when it’s done right, it can be hugely effective and able to really help people with neck and shoulder pain – particularly those that have been putting up with it for a LONG while.

I’ve seen it work first hand, “1001 times” (if not more) over the last 20 years.

And, here’s the main reason why:

If your neck or shoulder is stiff or stuck, and you’re not moving it properly, *it’s slowly getting weaker*.

(And that’s what is likely causing your pain to get worse…)

So what we do for you from a Physio perspective is just give your body a little “push”.

It’s a simple case of getting your body moving again and getting all that is stuck, “unstuck”.

The science behind physio is really simple:

If something in your neck is stuck, we get it moving.

If a muscle is weak, we work out how to make it strong by showing you the right exercises.

If a muscle is tight, we relax it by releasing it.

If you’re worried or concerned about something, ask us the question and we’ll answer it. (Honestly and directly.)

Not much more to it to be honest.

And it really isn’t that difficult for us to help you.

But honestly, *I do get it*…That the biggest problem most people with shoulder and or even neck pain have, is that they just don’t know where to start.

If you confused. In a lot of pain and just need a no BS approach, getting the right facts and the appropriate treatment then we are here to help.

Here at Apple Physio all of our team have vast experience dealing with Neck and Shoulder Pain so if you need any advice please don’t hesitate to contact us.

If you’d like more info on this, and some easy, actionable tips you can use now to start easing your neck and shoulder. We have a free neck and shoulder pain guide that we can send you. Connect with us on 01344 489398 (Bracknell) , 01753 866274 (Windsor) or email us on windsor@applephysio.com and tell us what’s going on. A member of the team can take your details and we can email you a copy.

About the Author: Leslie Abrahams and the Apple Physio team


fullsizeoutput_39a3

Leslie is a Physio, Pilates Educator and Rehab Specialist who has a special interest in Spinal Treatments, lower limb injuries, and has vast experience dealing with patients post injury or surgery. Every week, for over 20 years, 100’s of people aged 30-64+ have consulted the Apple Physio team looking for answers to concerning questions about, and for, a fast end to their health worries and physical pains and stiffness.

 Leslie is a Master Trainer for the world renowned Australian Physiotherapy and Pilates Institute(APPI). He is regular key note speaker at conferences and travels internationally to present on modified exercise for rehabilitation. Leslie is the Director of Apple Physio Clinics situated in Bracknell and Windsor. Berkshire’s Specialist Private Physiotherapy Practice for People in their 30’s. 40’s, 50’s and 60’s, who want to keep healthy and active.

Neck/Shoulder Pain: The Problem With “Reading Before Bed” And Why It’s Likely To Be A Source Of Tension And Pain, NOT Pleasure.


One of the greatest mysteries of being 40+, is the sudden onset of neck pain and stiffness. It often creeps up on people with zero warning and usually offers NO explanation as to why you might all of a sudden wake up with neck pain that can torment the life out of you and make your enjoyment of life, very difficult!

Clients of mine suffering with neck or shoulder pain are often the most “confused” and will often find it difficult to remember anything that they’ve done, which has brought it on.

But asking a few simple questions usually gets to the root cause of the issue.

And what I nearly always find is that neck and shoulder happens due to an accumulation of things:

Like, sleeping with the incorrect number of pillows… or reading or watching TV right before bed, spending all day looking at a desk or computer screen, cleaning the house, ironing, preparing family meals and even reading the newspaper first thing on a morning are all on the face of it, simple activities and unlikely to cause any major problems.

Or so you might think……

Done on their own, and done once, any of these activities which I’ve just described are not going to cause a problem like neck and shoulder pain or stiffness. Do them all multiple times per day, every day, for 40+ years, and they are a problem.

Let’s look at reading before bed.

Who doesn’t love to read before they go to bed? It’s likely to be a habit that you’ve had since your Mother or Father started to read to you before bed when you were a child. And something no doubt you’ve done for your own children and will continue to do for any grandchildren you may or may not have. But think about the position that your head is in when you’re reading. It’s likely to be looking DOWN.

Now, what most people don’t know about their head is that it’s designed to be in a position where your “ears are level” with your shoulders. So, as soon as you begin to look down, as in when you’re reading a book, those ears are now not in line any more. Again, that’s okay if you only do it once. But if you’re doing it all the time, it is going to cause you a problem and your head will, after a few years, end up in a position that sees it put off “sync”. Then if that habit continues when you’re driving, watching TV, sat at a desk at work or in the kitchen and looking down to do the ironing or make tea, it’s easy to see why your ears may not now be level with your shoulders.

But there’s another problem with reading before bed and this is why lots of people end up with tight shoulder muscles and a neck that is very stiff and even suffer from tension type headaches throughout the night and first thing on a morning. When you are reading that book, you are having to hold it. And that means you’re adding tension to muscles and holing the book in place is going to put your neck into a locked and rigid position. Again, it’s not too bad at first, but doing it night after night isn’t helpful. My tip: if you do enjoy reading before bed, try not to do it any longer than for 20 minutes.

And here’s one more thing about neck and shoulder pain and bed times.. The number of pillows that you sleep with can also affect the position of your head. Think about it for a minute. If your sleep with two “thick” pillows it is going to push your head forwards meaning those ears are not in line with your shoulders. The same applies if the pillow is too low!

Not a problem at first, 10 years later and after spending 8 hours per night sleeping like that, it’s guaranteed to leave you with a less than healthy posture. And I know that these are “tiny little” changes that I’m offering up to you. But believe me, in the same way that lots of tiny little things add up to cause problems in your 30’s, 40’s, 50’s and 60’s, it’s lots of time little improvements or alterations that will also collide and see you feeling less stiff, less tense and living with more energy and freedom than anyone else you know.

Here at Apple Physio, all of our team have vast experience dealing with Neck and Shoulder Pain so if you need any advice please don’t hesitate to contact us.

If you’d like more info on this, and some easy, actionable tips you can use now to start easing your neck and shoulder. We have a free neck and shoulder pain guide that we can send you. Connect with us on 01344 489398 (Bracknell) , 01753 866274 (Windsor) or email us on windsor@applephysio.com and tell us what’s going on. A member of the team can take your details and we can email you a copy.

About the Author: Leslie Abrahams and the Apple Physio team


fullsizeoutput_39a3

Leslie is a Physio, Pilates Educator and Rehab Specialist who has a special interest in Spinal Treatments, lower limb injuries, and has vast experience dealing with patients post injury or surgery. Every week, for over 20 years, 100’s of people aged 30-64+ have consulted the Apple Physio team looking for answers to concerning questions about, and for, a fast end to their health worries and physical pains and stiffness.

 Leslie is a Master Trainer for the world renowned Australian Physiotherapy and Pilates Institute(APPI). He is regular key note speaker at conferences and travels internationally to present on modified exercise for rehabilitation. Leslie is the Director of Apple Physio Clinics situated in Bracknell and Windsor. Berkshire’s Specialist Private Physiotherapy Practice for People in their 30’s. 40’s, 50’s and 60’s, who want to keep healthy and active.


We’re Hiring!

Apple Physiotherapy is seeking an enthusiastic and highly motivated Physiotherapist who is an excellent team player to work at our Clinics in Windsor and Bracknell.

Here at Apple Physiotherapy we promote a healthy and friendly working environment. We value each member of our team equally and under the guidance of our director Leslie Abrahams we pride ourselves on providing expert assessment and diagnosis followed by effective treatment and management

Working across many disciplines including, Physiotherapy, Gait Analysis, Massage, Acupuncture, and Pilates our therapists have a broad knowledge base, which is continually shared across the practice.

We are dedicated to promoting wellness of both the body and mind and work with a large range of clients from top performance athletes to sedentary office workers.

Qualifications in Needling, Taping and Pilates (Mat and Equipment) would be advantageous, although training will be provided for exceptional candidate’s dependent on your experience. Membership to the CSP and HCPC are essential.

This is a Full Time Position. Employed and self-employed applications will be considered. Candidates with 1-5 years experience and beyond feel free to apply. Remuneration will be based on experience.

Applicants are required to work at least one evening and Saturdays.

Please note that we will only be able to contact those who are shortlisted to progress to the interview stage.

Please send your CV to: – olivia.hind@applephysio.com