Based in Glasgow, near George Cross
Custom ankle foot orthotics (AFOs)
Ankle foot orthotics (AFOs), also termed lower leg braces are prescribed to support the foot and ankle, and often also prescribed to support the knee and hip.
Ankle Foot Orthoses are supplied either off-the-shelf or custom manufactured from a cast of the leg from either plastic or carbon fibre.
Why are ankle foot orthosis prescribed?
Ankle Foot Orthoses are prescribed for a variety of reasons, the most simple bring to support an ankle sprain and the more complicated reason being to support a neurological condition or injury such as a cerebral palsy, multiple sclerosis or a stroke. In the clinic the most common reason we supply ankle foot orthosis are to support an ankle sprain or a drop foot.
The ankle foot orthosis (AFO) works to accommodate for muscles which are not working as they should be, usually because the nerve fails to innervate the muscle properly and results in a change in foot posture such as the “drop foot”. The ankle foot orthosis holds the foot upwards by holding the ankle in a desired alignment, thus allows a more normal gait preventing falls, loss of balance, hip and back pain and restores a better quality of life.
Who wears an Ankle Foot Orthosis?
An ankle-foot orthosis (AFO) is prescribed for individuals with diverse musculoskeletal and neurological impairments affecting lower limb stability and function. Indications include recurrent severe ankle sprains, advanced degenerative joint disease such as ankle arthritis, and complex neuromuscular conditions. Patients with cerebral palsy, stroke, multiple sclerosis, peripheral neuropathies, or other disorders that compromise motor control, gait, or joint alignment may benefit from its use. The orthosis provides structural support, enhances mobility, and assists in reducing the risk of further injury.
How do ankle foot orthosis work?
Marked muscle weakness can significantly alter joint alignment, and in severe cases, such as paralysis secondary to nerve injury, these changes may be so profound that walking becomes extremely difficult. Gait deviations may include foot drag, knee hyperextension, or impaired hip control. Orthotic intervention, such as an ankle-foot orthosis (AFO), assists in lifting the foot, optimizing foot and ankle alignment, and thereby improving knee and hip mechanics throughout gait.
The selection of orthotic support depends on the joints involved and the extent of muscular weakness. When weakness is confined below the knee, an AFO is generally appropriate. If proximal musculature is affected, a knee-ankle-foot orthosis (KAFO) may be required. Notably, proper ankle alignment often enhances knee and hip function.
While an AFO may be cosmetically preferable, clinical need should guide prescription. At the Body, Foot and Leg Clinic, we carefully discuss options with patients to achieve an effective, realistic balance.
Get in touch with us
We can assist in the diagnosis, assessment and treatment for most injuries, pains and conditions, and work with clients ranging from professional athletes to people simply suffering day to day pain. When you contact us we will advise on the best service for your injury and how much it will cost before booking.
Frequently asked questions
Here are some frequently asked questions about ankle foot orthosis.
What is an ankle-foot orthosis (AFO)?
An AFO is a brace that supports your foot and ankle. It helps you walk more safely and comfortably by keeping your foot in the right position and reducing the risk of tripping.
What is an ankle-foot orthosis (AFO)?
An AFO is a brace that supports your foot and ankle. It helps you walk more safely and comfortably by keeping your foot in the right position and reducing the risk of tripping.
How does an AFO help with walking?
An AFO lifts the foot so it doesn’t drag, keeps the ankle steady, and improves overall leg alignment. This makes walking smoother, less tiring, and safer by preventing falls or injuries.
Will an AFO be uncomfortable to wear?
At first, it may feel a little unusual, but most people adjust quickly. AFOs are designed to be lightweight and comfortable. With the right fit, it should feel supportive, not painful.