Does the NHS provide footwear for splints?

We do not routinely provide shoes for over-splint use. You will therefore need to purchase them yourself.

Criteria for over-splint orthotic footwear prescriptions

Your Orthotist will be able to determine if you are suitable for custom footwear. We are unable to provide an exhaustive list as criteria will vary depending on the medical condition presented and the requirements of the AFO for function.

Shopping for footwear for AFO’s

We advise the following:

  • Take the splints with you
  • Try the splint in different sizes and styles to find the most  suitable. You will need to go up 1-2 sizes to fit the splint
  • Ensure your foot fits comfortably and is not too tight around the toes. Soft top shoes are recommended
  • Remove the insole in the shoe to allow for extra room
  • Wide and deep fitting styles work well with splints
  • Shoes with a lower heel are advised to prevent the AFO tipping too far forward in the shoe

Example of AFO friendly shoes

ELHT does not endorse any of the named brands or companies.

  • Nike Ranges (Air Max)
  • Asics Ranges
  • Sketchers Ranges
  • Clarks Ranges
  • Shoezone Ranges

Helpful tips for putting on your AFO and shoes

To make putting your shoes on easier you can either keep the splint inside your shoes (if your splint does not have an ankle strap) or you can put the splint on first and use a shoe horn to help guide your foot into your shoe.

Avoid putting your orthosis near any radiators or in direct sunlight as the heat from these may alter the shape of your device. This may affect the fit and effectiveness of the orthosis. 

Footwear adaptions

Your Orthotist may suggest footwear adaptions to the shoes. These may include:

  • Toe bumpers and/or toe tips
  • Welt protectors
  • Lengthen straps