Bespoke orthotics

An Ankle Foot Orthosis (AFO) is a brace designed to support and control the position and movement of the ankle and foot. AFOs can also immobilise the ankle and lower leg to aid in rehabilitation and correct specific issues. They are the most well-known and frequently prescribed orthotic devices due to their versatility and effectiveness.

What sets our AFOs apart is the level of precision and customisation we bring to their design and tuning. Each orthosis we make is 100% bespoke. Depending on the patient’s needs, we can create AFOs with a fixed ankle for greater control of gait mechanics or incorporate a hinged design to allow controlled movement in a single plane.

A critical part of our process is the fine-tuning of each bespoke orthotic to ensure optimal alignment and comfort. We use state-of-the-art gait analysis technology as standard to help us assess, prescribe and fine-tune all our orthotics.

By prioritising this approach, we deliver AFOs that not only meet, but exceed, expectations for functionality and comfort.

Read more about our Ankle Foot Orthoses (AFOs)

The Neuro Swing system is an adjustable, dynamic ankle joint system designed to improve gait, stability, and rehabilitation. We commonly integrate them into carbon fibre Ankle Foot Orthoses (AFOs).

Unlike traditional fixed AFOs, this system allows some natural movement if the patient retains some muscle activity. The system allows tweaks and adjustments for different ankle alignments, allowing us to optimise for comfort and individualise adjustments based on your specific needs.

All this allows a more natural gait pattern, protecting bones and joints from abnormal stress. Not only does this benefit your ability to walk in the short-term, it also protects the bones and joints and encourage your muscles to work correctly.

Read more about the Neuro Swing AFO

A Dynamic Ankle Foot Orthosis (DAFO) is a custom-made brace that supports the ankle and foot. Unlike rigid orthotics, a DAFO is thin and flexible enough to help with balance and stability while allowing the foot to move more freely.

It wraps around the patient’s entire foot to improve stability and gives excellent proprioceptive feedback from the ground using its dynamic footplate, so the brain is more aware of the position and movement of the foot.

This can be particularly beneficial for those with neurological disorders like cerebral palsy and spina bifida.

Sometimes called a Floor Reaction AFO, the GRAFO is used to control instabilities in the lower limb by maintaining proper alignment of limbs and controlling their motion. It’s often used to try and maintain the length of the hamstring and prevent crouch gait, one of the most common movement disorders among children with cerebral palsy.

Crouch gait is characterised by excessive knee flexion during stance, which increases the energy needed to walk and, if not corrected, can lead to chronic knee pain and joint degeneration.

The GRAFO is complex to manufacture and in larger patients, often requires carbon fibre reinforcement.

A SAFO is designed to support the front of the leg down to the top of the foot and helps the patient lift their foot during the leg swing phase while walking. It improves balance, stops trips and as a result improves patient confidence.

Our patients find them cosmetically pleasing as they can be produced in many different colours, either matching skin tone or just a favourite colour. They can also be worn easily under a sock. It can be a long-term solution to drop foot by preventing the foot from dropping during walking.

A Knee Ankle Foot Orthosis (KAFO) is a custom-made brace that supports the entire leg, spanning the knee, ankle, and foot. KAFOs are primarily prescribed for individuals with muscle-weakening conditions or paralysis caused by conditions like post-polio syndrome, muscular dystrophy, multiple sclerosis, Acquired Brain Injury (ABI), stroke and spinal cord injury.

KAFOs help by:

• preventing excessive joint movement
• reducing joint pain
• controlling unstable joints
• improving alignment

Our bespoke KAFO service ensures every device is tailored to your specific needs and preferences, guided by our team’s expertise and the latest orthotic advancements.

We offer cutting-edge options that go beyond traditional fixed KAFOs with locking knee joints. While fixed systems provide stability, they can contribute to muscle atrophy, increased energy expenditure, and an unnatural gait.

To address these challenges, we provide modern, innovative solutions. For example, KAFOs that automatically lock and unlock at the appropriate points in the gait cycle, promoting a more natural and energy-efficient walk.

Read more about our Knee Ankle Foot Orthoses (KAFO)

The Neuro HiTronic System Knee Joint KAFO is an advanced electro-hydraulic knee joint designed by Fior & Gentz for use in a Knee-Ankle-Foot Orthosis (KAFO). This state-of-the-art technology enhances stability and mobility by using movement sensors to detect lower leg motion, allowing automatic locking and unlocking of the knee joint.

By providing smooth transitions and dynamic adaptability, the Neuro HiTronic KAFO significantly improves mobility, safety, and quality of life for individuals with complex mobility challenges.

Learn more about our Neuro HiTronic KAFO

An SMO supports the ankle and foot just above the ankle bone or malleoli. Unlike more rigid braces, SMOs are made with lightweight, flexible materials to allow for a more natural range of movement while still offering support. 

Typically, they are shorter than ankle foot orthoses (AFOs) and do not come as far up the calf. Unlike more rigid braces, SMOs are made with lightweight, flexible materials to allow for a more natural range of movement while offering support.

Bespoke carbon fibre orthotics represent a groundbreaking advancement in mobility solutions and offer several advantages over traditional plastic orthotics, making them a superior choice for many patients, particularly adults. Carbon fibre offers unparalleled strength and durability, while remaining incredibly lightweight.

By reducing bulk and energy expenditure, users can walk further, faster, and with greater comfort. They’re also slimmer than traditional plastic orthotics, making them easier to fit inside regular shoes.

Plus, carbon fibre offers excellent energy return, helping with push-off during walking, improving efficiency and reducing effort. This can help patients walk faster and with less fatigue, especially beneficial for active users.

Read more about our carbon fibre orthotics

Custom footwear is tailored to accommodate unique foot shapes and alignments. They offer better comfort, support, durability and are often used alongside other lower-limb orthotic devices like AFOs or SMOs.

At LOC, we’re committed to delivering high-quality footwear that meets both your clinical and aesthetic needs. We can provide a complete range of footwear, from simple, extra volume high street style shoes, to complex, bespoke orthopaedic and diabetic footwear.

Whether you need extra-depth shoes, modular modifications, or fully bespoke orthotics, our team will guide you through the process to find the best solution for you.

Learn more about our custom footwear

Bespoke insoles are custom-designed orthotic devices tailored specifically to your feet to address individual foot shape, biomechanics, and any existing conditions. 

Unlike over-the-counter insoles, bespoke insoles are created after a thorough biomechanics assessment using accurate scanning technology and clinical evaluation. This ensures you get a precise fit and effective treatment tailored to your specific goals. They provide a non-invasive solution for a range of foot and posture-related issues, offering comfort, support, and improved mobility.

Learn more about our bespoke insoles

The Agilik™ smart orthosis from Bionic Power is a state-of-the-art lightweight device designed to enhance walking by working with the user’s natural movement. Unlike exoskeletons, which support a patient’s body and move for them, the Agilik™ provides dynamic assistance and resistance during walking. This helps users stand straighter, walk more easily, walk for longer and build strength.

The London Orthotic Consultancy has been appointed the paediatric specialist centre for the Agilik™ smart orthosis in the UK.

Learn more about the Agilik™ smart orthosis

A Reciprocating Gait Orthosis (RGO) is designed to assist individuals in walking by supporting a natural, reciprocal gait pattern. This device typically features jointed metal frames, straps, and components that attach to the user’s legs and torso. Its main function is to mimic the natural walking motion by coordinating the movement of the legs. So when one leg moves forward, the other moves backward, allowing for a smoother, more efficient walking pattern.

RGOs are equipped with hinges at the hip and knee joints, enabling dynamic movement and coordination. A locking mechanism provides added stability during standing or resting phases. The user initiates movement through weight shifting or by using assistive devices, with the RGO converting this motion into a coordinated walking pattern.

We specialise in the design and manufacture of bespoke RGOs particularly for spinal injury patients. Enhancing mobility and promoting greater independence in walking.

Learn more about the Reciprocating Gait Orthosis (RGO)

The CTi knee brace is one of the most trusted and widely used knee braces worldwide, providing superior support for injury prevention and recovery. Constructed from high-strength carbon fibre, the CTi brace is exceptionally lightweight, ensuring both comfort and durability. Designed to protect the knee joint while allowing freedom of movement, this brace is a go-to solution for professional and amateur athletes alike.

The LOC Scoliosis Brace is the most corrective scoliosis brace in the UK, offering excellent results with an average in-brace correction of 85%. This is significantly higher than other braces on the market.

Its hypercorrective design allows for advanced, three-dimensional correction, often leading to shorter treatment times. The brace is lightweight, low-profile, and designed to be worn with minimal restriction, letting patients continue with their daily activities. It also features a unique front strap system for easy self-application.

Backed by clinical research and offering sensors to track wear time, it’s a highly effective, non-surgical option to manage scoliosis and prevent curve progression.

Learn more about our LOC Scoliosis Brace

Treatment for pars fracture (spondylolysis) usually involves rest and bracing to stabilise the spine.

A bespoke pars fracture spinal brace can immobilise the spine to help the stress fracture in the lower spine recover more quickly, as well as help with symptoms of pain.

Early diagnosis and prompt bracing can significantly shorten recovery time from the normal six months to as little as three months.

Read more about our pars fracture brace

A comfortable and effective solution for correcting your baby’s head shape. The LOCband Lite is the only 3D-printed helmet for treating babies with flat head syndrome made in the UK.

Developed using the latest 3D printing technology, it’s lighter and more breathable than traditional cranial bands, with the same corrective power.

The LOCband Lite weighs approximately 40% less than the original LOCband, making it more comfortable to wear, especially for babies with torticollis.

Read more about the LOCband Lite helmet

The LOC Cranioband Lite is an advanced cranial remoulding helmet for the follow-up treatment of craniosynostosis after surgery, developed using the latest 3D printing technology.

It’s lighter and more breathable than traditional plastic cranial bands, with the same corrective power.

Read more about our treatment with the LOC Cranioband Lite

Our new dynamic chest compressor is one of the slimmest pectus braces available and a proven, evidence-based solution for treating pectus carinatum, designed to reshape the chest without the need for invasive surgery. Compared to more traditional braces, ours is slimline, lightweight, and less visible under clothing.

This discreet brace is custom-made to gently guide the breastbone back into a more typical position over time. Easy to wear and simple to adjust, it fits comfortably under clothing and can be taken on and off independently.

Designed with removable foam pads and a streamlined fastening system, the brace adapts as your chest responds to treatment, helping you achieve a flatter, more even chest shape with confidence.

Learn more about our chest bracing treatment for pectus carinatum

Our rib flaring brace is a non-surgical, custom-made solution designed to gently guide flared ribs back into a more natural position over time. Worn alongside the dynamic chest compressor or vacuum bell device, this slimline, lightweight brace uses specially designed foam pads that apply gentle, targeted pressure to the lower ribs, tailored precisely to your body.

Discreet under clothing and easy to put on or take off yourself, it fits seamlessly into daily life. It’s slimline, lightweight and less visible under clothing compared to traditional bracing. The adjustable straps and removable pads mean your brace can be fine-tuned as your chest shape improves, helping you achieve a smoother, more even chest shape with confidence.

Read more about our rib flaring brace

The Cunningham Club Foot Brace is the first of its kind for treating babies with club foot.

An effective and more comfortable alternative to the boots and bar, the Cunningham brace, Also known as the Dynamic Torsional KAFO or DTKAFO, is a flexible brace that is only fitted to the affected leg. Unlike with the boots and bar where both feet are attached.

It’s a flexible brace that allows better movement for all normal activities, such as crawling and standing.

Read more about the Cunningham club foot brace