What makes an orthotic modular?
A modular orthotic uses a standardised base unit together with optional components that can be added to change the support or correction.
The base provides the underlying heel and arch profile, while the components allow targeted modification.
What components can a modular system include?
- rearfoot posts;
- forefoot posts;
- medial or lateral wedges;
- heel raises;
- pressure-relief pads;
- other system-specific additions.
How is this different from a fixed insole?
A fixed insole has its support characteristics built in and offers little or no adjustment beyond size or trimming.
A modular device can be altered without manufacturing a completely new orthosis.
How is it different from a custom-made orthotic?
A custom orthotic is manufactured from an individual prescription and foot model or scan.
A modular device begins with a prefabricated base but can still provide substantial scope for professional adjustment.
Why might a clinician choose a modular system?
It allows support to be changed in stages, components to be trialled and the prescription to be refined while retaining the same base device.
Can modular orthotics be used without extra components?
Some systems can be worn as a neutral supportive base, depending on the product design.
Others are intended specifically for clinical modification.
Can users reposition the components themselves?
Where a component is being used as part of a clinical correction, changing its location or angle can change the effect of the device.
Follow the supplied prescription or professional guidance.
How should a modular orthotic fit?
All components should remain flat and secure, with no exposed edge creating pressure beneath the foot.
The shoe also needs enough internal depth for the completed device.
When is review needed?
Review is appropriate if the wearer develops new pressure, the components move, symptoms worsen or the intended correction no longer feels stable.

