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Hypermobility refers to excessive joint movement due to lax connective tissue. It can be a benign trait or linked to conditions like hypermobility spectrum disorder (HSD) or Ehlers-Danlos syndrome (hEDS)
While some individuals remain symptom-free, others experience pain, instability, fatigue, and recurrent joint subluxations, particularly in weight-bearing joints.
When might orthotics be needed?
Orthotic intervention may be beneficial when hypermobility leads to:
- joint instability: recurrent subluxations or poor control at the knee, ankle, hip, or shoulder
- knee pain and excessive movement: due to poor lower limb control
- foot and ankle discomfort: from excessive strain on soft tissues, leading to pain or fatigue
- difficulty with prolonged standing or walking: due to inefficient biomechanics
How orthotics can help hypermobility symptoms
Bespoke orthotics are an effective way to manage hypermobility, allowing for maximum function while stabilising the joint.
In the short-term, bespoke orthotics and insoles can:
- protect and stabilise the joints
- improve mobility
- reduce pain and aches
- help with fatigue
In the long-term, they can:
- prevent postural issues from developing
- prevent damage to the joint
For children, bespoke orthotics provide crucial support for muscles and joints while they are still growing, ensuring that their walking pattern develops correctly.
Bespoke AFOs help Gus with his severe hypermobility
Gus was born with severe hypermobility, which left him unable to walk.
Due to the covid pandemic, his early care was delayed, and his condition went undiagnosed until an osteopath noticed his symptoms and recommended specialist orthotic treatment. At nearly two years old, he was assessed by Connor Mumford at the London Orthotic Consultancy’s Cambridge clinic, where he was prescribed bespoke ankle-foot orthoses (AFOs) for support.
Within weeks, Gus’s mum noticed a huge transformation. His ongoing treatment will help his muscles strengthen naturally, with the goal of eventually transitioning to just using insoles.
“There is no stopping him now. He’s even able to play football, which is really difficult to believe, the improvement has been so rapid.”
The importance of a detailed orthotic assessment
Hypermobility presents in a broad spectrum, and no single orthotic solution fits all. A detailed assessment with an experienced orthotist is essential to determine the most appropriate intervention, tailored to each individual’s unique circumstances, goals, and functional needs.
A personalised approach ensures optimal support, addressing specific challenges while promoting mobility, comfort, and long-term joint health.
Orthotic types
Below, you’ll find some of the more common types of orthotics we make and fit for hypermobility.
- bespoke insoles with arch support: can improve foot posture, reduce strain, and enhance stability
- Ankle Foot Orthoses (AFOs): can help with severe ankle instability or muscle weakness
- supportive footwear: reinforced heel counters and structured soles can offer better control
- Knee braces: provide stability in cases of recurrent subluxation
The best way to find out which orthosis is right for you or your child is to book an appointment with one of our experienced clinicians.
Bespoke orthotic insoles
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.
Ankle Foot Orthosis (AFO)
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.
Custom orthotic footwear
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.