The TLM Difference
At TLM Foot-Knee-Back-Arm Orthotic Center, custom-made orthotic insoles form the bedrock of treatment. They not only provide cushioning to relief pain, but also correct and restore to normal the body's biomechanical alignment. They do this by channeling ground reaction force (the force exerted by the ground on a body in contact with it) to act on the feet and lower body, initiating a healing/self-correcting process as the body responds to the force.
Each pair of orthotic insoles are individually designed and crafted specifically for their wearer by our orthotist. They are clinically proven to reduce various musculoskeletal pain and deformities when paired with the centre's orthotic shoes and exercise.
Fig 1. Various deformities of the feet corrected as seen from foot casts of patient's foot before and after treatment.
Fig 2. Bunion and other deformities of the feet corrected as seen from foot casts of patient's foot before and after treatment.
Fig 3. Deformity of the heel corrected as seen from foot casts of patient's foot before and after treatment.
Physical Examination & Grading
Before you take up treatment with the centre, you have to be examined by our orthotist to determine the severity of your condition. You will be placed in 1 of 4 grades depending on how many degrees the affected joint(s) deviates from the ideal position/alignment.
Precise measurements govern the grading of the patient's condition. As such, our orthotist will exercise sole discretion in determining the patient's severity grade during consultation.
Bunion - Early Stage
Knee Pain -
Big toe - Hammertoe
Achilles Tendon Pain
Back Pain -
Fig 4. Conditions which fall under Grade I. This list may not be exhaustive.
Bunion - Mid Stage
After knee surgery
Fig 5. Conditions which fall under Grade II. This list may not be exhaustive.
Bunion - Late Stage
Back pain - Pronounced
After hip replacement surgery
Fig 6. Conditions which fall under Grade III. This list may not be exhaustive.
Bunion w Overlapping toes - Severe
Polio (Leg of same length)
Back pain - Pronounced S-curve
Bunion w Overlapping toes - Severe
Uneven leg length
Possible for correction
After spine surgery (Internal fixation)
Bunion w Hammertoes - Severe
Genu varum - Severe
Full body structure change
Fig 7. Conditions which fall under Grade IV. This list may not be exhaustive.
Placing An Order
You may place an order with the centre following examination by our orthotist. Usually 2-4 pairs of insoles are required over the entire treatment process. This is because they have to be redesigned following changes to the structure of your feet and the biomechanical alignment of your body, each redesign bringing your body closer to its ideal alignment.
A 65% deposit will be collected when you place an order. Usually, your insoles will be ready for collection in 10-15 working days.* This is because most of the work is carried out manually.
* You may make alternate arrangements with our orthotist should you require your insoles urgently. Additional charges may apply.
New Patient Guarantee
Because we are convinced of the effectiveness of our orthotic treatments in musculoskeletal conditions and we are sure you will like your orthotic shoes and insoles after trying them on, we offer all new patients a new patient guarantee.
When you come to collect your first pair of orthotic shoes and insoles, you would be able to test/walk in them for a couple of hours. Should you find them unable to provide relief for your condition or otherwise unsatisfactory, you may choose to:
1. Return another day to try them again.
2. Request for alterations are made to the shoes at no additional cost.
3. Request for a full-refund of the deposit you paid.* **
* You may still request for a refund of your deposit should you decide to try your orthotic shoes and insoles a second time.
** However, should the patient decide to bring the product(s) home, it will be assumed to be satisfactory, and the option for refund will be withdrawn.
Discounts & Additional Charges
Pioneer Generation Card holders are entitled to 3% discount off total bill.
Merdeka Generation Card holders are entitled to 2% discount off total bill.
Blue CHAS Card holders are entitled to 3% discount off total bill.
Orange CHAS Card holders are entitled to 2% discount off total bill.
Children below the age of 10 are entitled to 2% discount off total bill.
Children between the age of 11 and 14 have to pay an additional fee of 2% of total bill because they are undergoing growth spurt.