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Information for professionals

The Regional Specialist Orthotics service provides a specialist service to patients whose needs are physically or technically complex, and a multidisciplinary assessment is required. This usually results in the provision of an orthosis.

The Multidisciplinary Team consists of Orthotists, Physiotherapists, a Consultant in Rehabilitation and Nurses.

The service has the following specialist clinics:

Serial casting clinic

Removable custom-made casts are made to provide a stretch to the muscles and soft tissues around the problem joint.  The aim of these is to stabilize and / or improve the range of movement at the joint.  These are usually for the lower limb and are weight bearing to allow standing, transfers and walking. If improvements in range of movement are achieved a patient will have a series of incremental casts.  Patients are then usually supplied with a definitive, custom-made orthosis to maintain the range of movement and maximise function.

Upper limb orthotics clinic

Custom-made or off the shelf orthoses are supplied to enhance function, relieve pain, facilitate hygiene, prevent loss of or maximize range of motion.

Lower limb orthotics clinic

Custom-made or off the shelf orthoses provided to facilitate safe gait or transfers, protect vulnerable feet, reduce pain, prevent loss of range or maintain optimal alignment

Dynamic lycra splinting clinic

Custom-made lycra garments provided to reduce tremor and optimize function, reduce muscle tone and or associated reactions, stabilize or improve sensory awareness of body parts.

Consultant led clinic

For complex diabetic foot problems and limb salvage.

General orthotics clinic

Addressing other complex presentations including partial foot amputation, and head posture difficulties.

Who is the service for?

The service compliments local district orthotics services by providing a regional service for those patients requiring more specialised multi disciplinary assessment or complex orthoses.

  • Residents of West Midlands
  • Age 16 or over
  • Long term neurological condition (e.g. stroke, traumatic brain injury, cerebral palsy or multiple sclerosis) or
  • Complex foot problems related to diabetes (Diabetic/vulnerable feet) or
  • Partial foot amputations or
  • Failed local provision


Referral process

Patients can be referred by letter, by any NHS healthcare professional.

Referrals are reviewed and prioritised on a weekly basis

Referrers may be contacted for further information or with advice to redirect the referral to a more appropriate service if appropriate.

The department is currently unable to accept electronic referrals.

Referrers can contact the department to discuss potential patients if they are unsure if they meet the access criteria.  The best time to do this is 8.30-9am. Or 3.30 – 4.30pm.

Preparing patients for their appointment

  • Patients will usually need to attend a series of appointment, for assessment, cast or measurement, delivery and review of their orthosis

  • Once a patient’s condition is stabilised with their orthosis they may be referred back to their local orthotics service for ongoing management if appropriate

  • Please encourage patients to attend with someone who knows them well if they have communication difficulties

  • Ask patients to bring any previous or existing orthoses to their assessment appointment as this can give useful information to guide their future management

  • If the patient has lower limb oedema and they have been referred with lower lower limb problems it may be worth referring them for compression hosiery as the limb will need to be a standard volume before we can usually supply an orthosis.

  • If the patient has an orthosis from their local Orthotics service make sure this has been reviewed before referring the patient to us as often problems can be rectified at local level.

Contact Us

Regional Specialist Orthotics Service 
West Midlands Rehabilitation Centre 
91 Oak Tree Lane 
Selly Oak 
Birmingham 
B29 6JA

Tel: 0121 466 3004

Safehaven fax :-0121 471 3690

Hours of work 
8.30am - 4.30pm 
Monday to Friday