Foot orthotics for growing feet (kids).

Walker Street Sports Podiatry

We provide an evidence based framework around orthotic prescription for kids.  

Once deemed beneficial for a child to have foot orthotics as part of their management, in most cases, a suitably selected medical grade prefabricated orthotic will work just as well as a custom orthotic. So in essence, many kids get good outcomes with inexpensive prefabricated orthotics that have been carefully selected, and in many cases slightly modified, by the treating podiatrist. For many conditions, the use of prefabricated orthotics is supported by current literature and is in line with best practice. At our clinic, we have carefully selected a range of kids prefabricated orthotics that can be modified and dispensed on the same day as the consultation.


The use of custom orthotics is preferred in some cases and are recommended when the use of prefabricated orthotics are unlikely to provide an adequate solution. Prefabricated orthotics do have some limitations, so when a child presents with a condition where a custom orthotic may provide a better solution, we will discuss this with the child and parent.


When would a child benefit from a prefabricated orthotic:

  • when only needing the orthotic as a short to medium term offloading tool to manage an injury or growth plate condition.

  • When the design of a prefabricated orthotic matches the needs of the child

When would a child benefit from a fully custom orthotic:

  • When a prefabricated orthotic does not have the design features to match the anatomy and function of the child’s foot.

  • Juvenile arthritis

  • When a child needs a more durable device for long term use or due to biomechanical abnormality that can’t be managed optimally with a prefabricated orthotic.



  • Growth plate disorders of the foot, ankle and lower limb such as Severs disease, Osgood Schlatter Syndrome, kohler Disease etc.

  • Balance issues and awkward gait.

  • Growing pains and complaints of not wanting to walk/exercise due to lower limb fatigue or ‘tired legs’.

  • Sports/activity related foot and ankle injuries.



At Walker Street Sports Podiatry, we always have our finger on the pulse. We don't simply buy into gimmicks, but adopt new technology when there will be a real benifit to the patient. We keep up to date with the latest industry standards for producing the best custom orthotics. We've just started producing 3D printed Orthotics in Sydney which provide some unique benefits compared to traditional methods.


To make our custom orthotics, we use specialised light emitting cameras - digital scanning has now surpassed the traditional methods we once used, such as plaster casting. Once the scans have been taken, your podiatrist writes an orthotic prescription based on your biomechanical assessment, footwear/activity requirements and injury history. The outcome is a highly individualised activity & injury specific flat foot orthotics, designed to alter the stresses traveling through the foot & lower extremity.


The prescription is tailored to reduce the load on the injured tissue/s enough to allow pain-free activities. The goal is to reduce the stress to a more optimal level (within a normal physiological range of stress). If this is done correctly, you can expect a reduction in symptoms & an INCREASE in the strength of the previously overloaded muscle, tendon, bone or other structure within the foot or lower extremity. 

1. Initial Assessment

Before we recommend flat foot orthotics, we start with a biomechanical assessment. The purpose of this assessment is to determine if you are a suitable candidate for orthotics.


Your podiatrist at Walker Street Sports Podiatry will conduct a gait assessment to determine the movement of your feet during the gait cycle. We use the latest technology to ensure a comprehensive and accurate review.

2. Recommendation

If the initial assessment indicates that you would benefit from custom flat foot orthotics, then we will recommend the best orthotics for your foot type and intended purpose. Recommendations are based on intended use 


We will only recommend flat foot orthotics if we believe that they can reduce pain or mitigate future injuries stemming from foot or lower leg issues.

3. Orthotic Fitting

Once we have created custom flat foot orthotics based on an initial consultation and recommendation, we then fit your custom orthotics.


We use this step to ensure that your custom foot orthotics fit with your shoes and will make any necessary adjustments. We will also provide you with instructions on how to use your orthotics and provide you with recommendations on the best way to get used to your custom orthotics.

4. Review

The final step in fitting your custom flat foot orthotics is the review. In this step, we will follow up with you within a couple of weeks of your fitting to track your progress.


This is a chance for us to see how your foot and lower leg is adapting to the extra correction of your custom orthotics. The review also gives us an opportunity to make any necessary adjustments.