Custom Made CadCam Orthoses

We provide a complimentary prescription training session for all new customers allowing for a simple, yet comprehensive lab introduction. With over 100 years of combined manufacturing experience, our team is here to help our customers understand our manufacture processes and improve their clinical outcomes.

Custom Made
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Custom Made CadCam Orthoses

CAD/CAM (12) is an acronym for computer-aided design/computer-aided manufacturing – computer systems used to design and manufacture products. The term CAD/CAM implies that an individual can use the system both for designing a product and for controlling manufacturing processes.

In order to design a custom foot orthosis, it is imperative to have a detailed and accurate prescription and cast.

Based on the findings of the full clinical assessment, biomechanical examination, and gait analysis, the foot care professional will create the prescription for the custom foot orthosis, which is actually the detailed instruction on how the orthosis is to be made. The prescription specifically outlines the parameters of design, materials, composition, and fabrication of the orthosis intended to treat the patient’s unique medical needs.

After choosing the best casting method to capture the patient’s foot, the next phase involves the preparation of the cast or scan to ensure the actual orthosis is shaped to support, correct, or accommodate the foot structure and provide comfort during use. Cast dressing or modifying refers to this preparation in addition to excavations and additions to accommodate deformities and prominences, a process that can be performed manually (13) using hand-carved plaster from a physical cast (plaster or sock slipper casting, foam box casting, wax), or digitally (14) where a technician manipulates a scan using a computer program (contact digitization, laser/optical scanning).

To satisfy the custom-manufactured criteria using digital design, each scan must be processed individually and not be subject to batch processing, library1, or best-fit systems (15). The final scan file must be unique to the individual throughout the entire process of manufacturing the orthosis.

Once the design phase is completed, the orthosis’s raw material is either vacuum-pressed (16) over a cast for manual design and manufacture, or the manipulated scan file is sent to a 3D milling machine (17) or a 3D printer (18).


About Us

Here at Charlestown Podiatry Clinic, we have the skills and experience to treat patients with all types of podiatry requirements. Our clients range from children to the elderly and everyone else in between. We treat athletes’ injuries from the elite to social levels and have developed quite a reputation amongst the sporting community.