Talar Made Orthotics

The Art and Science of Footcare

Talar Made Orthotics offers the practitioner a diverse selection of foot orthoses and modification components manufactured from state of the art materials. The research and development team at Talar Made gather clinical expertise, blended with the experience from its custom cad-cam orthosis manufacturing to bring you this unique line of products. Whatever the biomechanical or accommodative requirement, a Talar Made orthotic can be dispensed or customised based upo your clinical assessment.

Pronation Problems

As we walk the foot strikes the ground slightly on the outer side of the heel. Turning forces encourage the foot to roll towards the inner side. This natural movement causes the inner arch to lower and the heel to lean inwards. This movement is called pronation.

In some feet this leaning of the heel is excessive and can cause strain on supportive ligaments and joints of the foot; notably the calcaneo-cuboid and talo-navicular joints (midtarsal joint). Supportive posture is lost, painful symptoms develop[ or ankle and leg (due to associated internal leg rotation). Lower back symptoms and loss of core stability may occur.

In order to prevent this from occurring the heel should remain vertical, the medical arch must be supported and pressure through the forefoot should be evenly distributed.

Correcting pronation problems

The majority of symptoms caused by poor foot posture result from excessive valgus rotation of the heel. This occurs as a consequence of pronation. Whilst different foot types manifest pronation in a number of different ways the most common associated finding is failure of the heel to recover from this valgus position.

The Talar Made TRIO range of foot orthotics is designed to correct this and thus restore the body's natural ability to pronate normally and recover itself to provide mid tarsal joint stability and correct foot function.

The Talar Made TRIO range of custom orthotics is designed to resist excessive valgus rotation. It does this by inverting the calcaneus within the heel cup. In this way the midtarsal joint integrity is maintained and damaging compensations ae avoided. Talar Made TRIO also supports the proximal medial arch of the foot providing navicular stability. It is essential to allow for the first MTP joint to extend during propulasion. Talar Made TRIO is designed to facilitate this by means of a cushioned recess for the first day.

Condition treatable with Talar Made TRIO

1st MTP joint pain
Metatarsalgia (including Morton's Neuroma)
Plantar Fasciitis and Heel Pain
Tibialis Posterior Tendonitis
Posterior Heel Pain (including Achillies Tendonitis)
Medial Tibial Stress Syndrome
Calf Strain (tired, aching legs)
Antero-medial knee pain
Runners knee
Hip instability
Low back pain

Additional Features

Wide range of models to suit various types of shoe styles and activities
Orthotic additions & wedges can be used where extra control is required. Each pair of orthotics is supplied with 3° medial biplanar rearfoot posts and 3° medial and lateral forefoot posts.
Talar Made TRIO can be heat-moulded on the underside of the devoce to provide a custom fit.

3 Different EVA densities available

Medium (blue) 45 Shore AMedium control with good shock absorbtion capabilities

Firm (red) 60 Shore AHigher control, heavier patients or high levels of activity

Extra Firm (black) 75 Shore AOptimal control, exceptionally hard-wearing

When selecting a density for your patient you should consider the severity of the condition, patient weight and activity level. Patients with moderate impact problems, average body weight and low intermediate levels of activity are likely to need the medium density model. For patients requiring higher levels of control or for heavier patients with high levels of activity choose the firm density. Patients requiring optimum control or an ultra hard wearing device should be prescribed the extra firm density.

Talar Made TRIO ¾ Length

An intrinsically medially posted orthotic with additional posting options for triplanar control pronation and forefoot

1. Inverting heel cup with intrinsic medial skive
2. Antibacterial top cover
3. Navicular support
4. Recessed lateral cushion to elevate medial heel loading
5. Location for additional medial biplanar heel post
6. Extrinsic 3° medial post
7. Recessed 1st metatarsal cushion (Remove for placement of forefoot medial post)
8. Location for lateral post

TRIO FULL Length

An intrinsically medially posted Full-length orthotic designed for all types of athletic footwear; as well as work shoes, boots and hiking shoes.

This full lnegth Talar Made TRIO model provides the same features and benefits as the 3/4 model (see above). A full length design means the orthotic is 'locaked' into the shoe without it moving forward during running or sports. This product is ideal for any type of athletic footwear, most of which comes with a soft rubber footbed or lining. This needs to be removed before placing the orthotic. the full length model is also ideal for work shoes and boots, providing lasting support for people whose occupation keeps them on their feet all day.

TRIO Easy Fit

Designed for hard to fit, narrow footwear

Orthotic control can be difficult to achieve within many shoes. The interface between foot and shoe is important and must allow for freedom of natural movement. Failure to allow for this creates pressure points on the skin and discomfort for the patient.

The Talar Made TRIO range includes the easy fit model, which features a lateral cut away design. This model retains the essential features for pronation control, including an optimal biplanar rearfoot post. A medial forefoot post can be used to replace the 1st Metatarsal cushion if required. In this way, control is achieved without compromising natural movement and comfort.

Available in Medium density only (blue)

TRIO SLIM Fit

A low profile orthotic that protects the foot with rearfoot pronation control and natural forefoot contouring. Designed for ladies' fashion footwear.

Slimmer fitting shoes can present a real problem for clinicians attempting to control foot posture and treat painful symptoms. It is important to recognise that many patients are unable or unwilling to compromise on this issue; due to work or social concerns. It is imperative for clinicians to be able to offer some orthotic control in these circumstances despite having to sacrafice some extent of control.

Even if tighter fitting fashionable shoes are worn, it is still desirable to control pronation. If the foot is left with no control, symptoms will often become more severe. The recessed medial heel post within the Talar Made TRIO Slim Fit design offers this control without risking irritation of the skin within the shoe. In addition the forefoot contouring provides a stabilising effect upon the forefoot joints and reduces cramping pain. This provides an effective treatment for Metatarsalgia.

1. Recessed forefoot Poron® cushion
2. Anti-slip 'hook & loop' disc
3. Recessed medial post
4. Transverse forefoot contouring

Available in Medium density only (blue)

TRIO Heel Pain

Designed to eliminate the cause of heel pain through a rearfoot cushioning support within a cobra orthotic model

Heel pain represents one of the most common foot complaints. Treatment is usually directed at cushioning painful areas. Pronation andd excessive pressure on the heel are often associated findings, which require addressing at the same time if treatment is to be successful.

The Talar Made TRIO Heel pain model has been designed to incorporate adequate protection for the heel into a 'Cobra' style orthotic. This unique shaping allows for moderate control of underlying pronation which leads to excessive strain of the medial band of the plantar fascia and painful symptoms. In addition the medial arch redistributes pressure away from these painful sites.

1. Supporting heel cup
2. Navicular support
3. Cobra style arch support
4. Recessed heel cushion
5. Lateral Cut-away shape

Additions & Wedges

Note: Every Talar Made orthotic ships with this set of additions at no extra cost

Rearfoot positioning

The rearfoot post is placed on the medial side of the device onto the demarcated area to increase subtalar joint control. Once put in place the raised edges on the orthotic prevent the wedge from moving.

If symptoms fail to respond it is possible to increase subtalar joint control by applying the additionsal biplanar rearfoot post to the demarcated area on the underside of the orthotic. This provides a further intrinsic posting control.

The Talar Made TRIO Rearfoot Post has a 3° inclination and is made from extra firm (black) density EVA for maximum affect and long term wear. This post is bi-planar in that it features a 3° inclination in 2 directions. This means that it is angled to support the inner and front edges of the heel at the same time. This reduces valgus rotation and lowering of the medial longitudinal arch, which are features of excessive pronation.


Forefoot Medial (varus) post If the 1st MTP joint is elevated, or the forefoot inclined inwards relative to the heel, the poron infill under the 1st MTP may be replaced with the forefoot medial post	Forefoot Lateral (valgus) post If the 1st joint is relatively prominent on the sole of the foot, or the foot is inclined outwards relative to the heel the forefoot lateral post should be used. This will encourage propulsion through the first toe.

Metatarsal Domes & Heel Lifts (Not included)

Talar Made Metatarsal Domes and Heel Lifts are also available. They are sold as extras and are not shipped with the orthotics. Click here to view these products

Dispensing Talar Made TRIO Orthotics

1. Choose appropriate model Depending on the shoe type, choose a model that fits and suits the patient's shoe
2. Select the correct density Depending on the patient's weight, activity level etc (refer to colour blue/red/black density chart above)
3. Determine correct orthotic size, based on patients shoe size
4. Apply wedges and additions where extra control is needed
5. Heat modify the orthotic, if required

Size chart

	Kids Small	Kids Large	X-Small	Small	Medium	Large	X-Large	XX-Large
AUS/US Mens	13-1	1½ - 3	3½ - 5	5½ - 7	7½ - 9	9½ - 11	11½ - 13	13½ - 15
AUS/US Womens	13 - 1	1½ - 4	4½ - 6	6½ - 8	8½ - 10	10½ - 12	12½ - 14
UK	12 - 13½	1 - 2½	3 - 4½	5 - 6½	7 - 8½	9 - 10½	11 - 12½	13 - 14½
EURO	30 - 32	32½ - 34½	35 - 37	38 - 40	40½ - 42½	43 - 45	46 - 48	48½ - 51