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ArchSpline Guided Treatment Protocols

Most orthotics are prescribed the exact same way. In many clinics, the orthotic prescription looks nearly identical from patient to patient. Same shell. Same posting. Same arch profile. Regardless of whether the patient presents with plantar fasciitis, posterior tibial dysfunction, functional hallux limitus, or metatarsalgia. Imagine approaching every bunion the same way: Austin/Akin for everyone. No matter the intermetatarsal angle. No matter the PASA. No matter the underlying cause. No surgeon would accept that level of simplification in the OR. Yet, in orthotic therapy, it has quietly become normal because we often fail to treat orthotics like the clinical procedures they actually are. The reality is that custom orthotics are prescribed medical devices with durable biomechanical impact—not just comfort accessories. Their geometry directly influences: Gait and joint mechanics Load distribution Muscle demand Long-term pathology progression Different pathologies require different mechanical strategies. Because their effect unfolds over months and years, orthotics demand the exact same precision at the front end as any surgical intervention. That’s why ArchSpline includes guided orthotic protocols built directly into the design process. When you start a design in ArchSpline: The software identifies the specific clinical condition being addressed. Evidence-based orthotic strategies are automatically presented. Key clinical research is available for review directly inside your workflow. From there, you remain entirely in control. You can follow the recommended protocol, modify it, or build something entirely different based on your exam findings and clinical experience. Think of it less like a template… and more like clinical decision support for orthotic design. The goal isn’t to replace physician judgment. The goal is to give every orthotic the same level of thoughtfulness we apply to surgical planning. Better inputs. Better reasoning. Better devices. Because orthotics shouldn’t be prescribed like off-the-shelf inserts. They should be engineered like treatments.