Comparing Clinical Outcomes Using Two Insole Manufacture Techniques

Inclusion Criteria: * Are aged 18 years or above * Are referred to the NHS GGC Orthotic service requiring a new assessment for insoles * are deemed suitable for CAD/CAM insoles as assessed by the PI or Co-I on clinical assessment * Are able to commit to five appointments over a 16-week period (two Face-to-Face appointments, three Telephone Appointments) * Have suitable own footwear that can accommodate a CAD/CAM insole as assessed by the PI or Co-I, and as per standard practice can wear these for 12-weeks * Is willing to allow their General Practitioner and consultant, if appropriate, to be notified of participation in the trial. * An adequate understanding of written and verbal information in English in order to provide informed consent and answer the study questionnaires Exclusion Criteria: * Scheduled elective surgery or other procedures which is likely to affect mobility during the trial. * Scheduled steroid injection of the foot or ankle up to 3 months prior to joining the trial, or during participation in the trial * Age \<18 years * Adult with Incapacity, under The Adults with Incapacity (Scotland) Act 2000 * Participant unable or unwilling to consent * Medial longitudinal Arch height of the foot exceeds depth of EVA blank (35mm) * Clinical assessment concludes that the participant requires an insole material other than EVA * Clinical assessment concludes that the participant does not require or will be unlikely to benefit from CAD/CAM insoles. * The participant is …