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Orthotics Selection

There are 3 factors that must be taken into consideration, when selecting the right orthotic for your patient:

  1. Orthotic Density
  2. Orthotic Style
  3. Orthotic Size

1. Choosing the Orthotic Density

Factors such as the amount of pronation, the patient's weight and other existing medical conditions (such as diabetes) must be considered when selecting the appropriate density for each patient. Below is a general guide:

2. Selecting the Orthotic Style

The style of footwear which the orthotic will be worn in is also an important consideration.


ICB 2/3 Length Orthotics are best used in regular walking shoes and most men's dress shoes.

ICB Full Length Orthotics are best suited to sports shoes and workboots.

ICB Dress Style Orthotics can be used for patient with very wide feet, as the lateral skive will allow the foot to splay naturally. It is also good for narrow fitting shoes.

ICB's High Heel Orthotic is ideal for use in ladies low to high heel court shoes. It is extra thin and can also be fitted to flat shoes with a shallow heel cup or narrow shank.

3. Orthotic Size

ICB Dual Density Heat Moulding Orthotics are available in an extensive range of sizes: starting from a Infant size, up to an adult's XX Large. Use the sizing chart below as a guide to estimate the required orthotic size, based on the patient's shoe size.

For greater accuracy place the orthotic under the foot - if the distal edge of the orthotic finishes 5-10mm behind the bisection of the 1st Metatarso phalangeal joint, it is the correct size.

Patient Compliance: Patients should wear the orthotics for 1 hour on the 1st day (or until discomfort occurs), 2 hours on the second day - gradually building up to wearing them full time.