Orthotic Treatment Process

Telephone Consultation

Before you come to the centre for consultation, you should call us to schedule an appointment with our friendly receptionist.

We will ask about your condition to determine if you should come to us for treatment. We will schedule an appointment for you if we can treat your condition. Otherwise, we will recommend you go to other specialists instead.

Consultation fee for 1st Consultation and 2nd Consultation start at $25 every 15 mins on weekdays and $38 every 15 min on weekends. Telephone consultation is free of charge.

Treatment fee is determined according to the severity of the patient's condition as determined by our orthotist. Refer to here for more information on the pricing of orthotic shoes and here for more information on the pricing of orthotic insoles.

Example Treatment process for Knee Osteoarthritis (Grade IV)

Stage 1: Diagnosis

 

Patient arrives at centre for treatment because he feels pain in his knees, back, and shoulders when he walks; he also constantly feels as if he will fall. He finds it increasingly difficult to go about his everyday life because of his limited mobility.

After examination, including review of medical history, visual examination, physical examination, review of X-rays and MRI scans, our orthotist determines the underlying condition to be knee osteoarthritis.

The outward bend and rotation of the knees due to the inability of muscles surrounding the knee joint to hold it in place. The displaced joints in turn prevent the lymphatic drainage system from properly functioning, leading to swelling in the feet, ankles, and legs; a symptom of water retention. 

Our orthotist recommends the patient take up a massage session with us to remove excess fluid in his legs. Feeling significantly lighter in his legs, the patient decides to take up orthotic treatment with the center.

3 - 4 weeks later

(Making of orthotic shoes and Insoles)

Stage 2: Collection

 

The patient is back after 3 weeks to collect his orthotic
shoes and insoles. He puts them on and carries out a 
series of exercises with our orthotist to start his treatment process.

 

Our orthotist coaches him in the correct method of walking because it is crucial the patient walks about in his shoes and insoles in order for the treatment to be effective. Over the approximtely two hour session, our orthotist corrects poor walking habits he has acquired over the years.

At the end of the session, he finds that the shoes he 
initially thought was too tight has become fitting. Our 
orthotist explains that this is because the joints of his feet have already been shifted. 

Pleased with the results, he is determined to walk daily in his orthotic shoes and insoles. Keeping in contact with our orthotist, he reports that his legs feel lighter and his feet continue to grow smaller over the weeks.

3 - 6 months later

(Dependent on individual exercise frequency and nutritional intake)

Stage 3: Follow-Up & Strengthening

Indeed, when the patient arrives for his follow-up session 3 weeks after he collected his shoes and insoles, his knees are less bent, and the swelling in his feet, ankles, and legs has subsided.

Our orthotist instructs him to continue walking diligently in his orthotic shoes and insoles in order to continue seeing positive results. 

The patient does as he instructed and finds that his feet continues to grow smaller while his knees become less bent. He continues to come for montly follow-ups and he receives another pair of insoles 3 months later having made significant progress in his treatment. 

 

After 6 months, he finds that his shoes have become too loose for him and he schedules an appointment with the center to have a new pair crafted for him.

3 - 6 months later

(Dependent on individual exercise frequency and nutritional intake)

Stage 4: Follow-Up & Strengthening

6 months after he received his second pair of shoes, the patient finds that it has also become too loose for him. 

 

When he arrives at the center to have a new pair of shoes made, he expressed concern over his ever shrinking feet. Our orthotist explains that this is a natural part of the treatment; as the shoes and insoles slowly push displaced joints back to their original position, affected regions will naturally grow smaller. 

However, once all the displaced bones have been shifted back to their original position, surrounding muscles will have the opportunity to grow and develop. Therefore, he does not have to worry about his feet continuing to grow smaller. In fact, he might realise his shoe size go up by 1 size as his muscles grow. 

3 - 6 months later

(Dependent on individual exercise frequency and nutritional intake)

Stage 5: Follow-Up & End of Treatment

Indeed, he finds his legs getting stronger everyday. He no longers feel pain when he walks and has no problem balancing himself.

Our orthotist also explains that because his musculoskeletal system has been restored to its ideal position, his body's self-healing function can perform more effectively.

As a result, medical conditions related to blood circulation, such as high blood pressure and diabetes, will improve as the uneven pressure in the body is eliminated. The immune system and respiratory system can also be strengthened.

He also has a lower risk of developing neurological conditions such as dementia because the orthotic insoles has been stimulating nerve endings on his feet.

The patient's knee no longer hurt because muscles surrounding the knee joint has grown strong enough to support the knee joint. As  a result, the two leg bones no longer rub against each other painfully when he walks.

When he arrives for his follow-up session, our orthotist shows him a cast of his feet. As no visible deformities can be observed from the casts, our orthotist informs him that treatment has ended.

The cast on the right shows that the structure of the patient's feet has been restored to an ideal alignment.

Stage 6: After Treatment

Our orthotist congratulates him on completing his treatment and reminds him to continue wearing his orthotic insoles and shoes to prevent the problem from coming back. He can choose to pair his insoles with the full range of TLM’s customised shoe designs.

Our orthotist also reminds him to discard his previous insoles as those insoles are no longer suitable for him and might cause complications if worn again.

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A'POSH BIZHUB, 1 Yishun Industrial Street 1 #04-14  Singapore 768160

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Tel: +65 6684 2168

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