• Research suggests orthotic management can effectively restore function and reduce pressure following toe amputation at the MTPJ, though high-quality evidence is limited.

• Common interventions include footwear modification, toe fillers, custom insoles, and occasionally carbon fibre plates, with generally good functional outcomes.

• It seems likely that restoring forefoot stability and maintaining foot shape are key priorities, although optimal treatment varies by level of amputation, particularly with hallux loss.

Plantar fasciitis is a leading cause of heel pain, affecting up to 10% of the population at some point in their lives. It typically presents with focal tenderness at the medial calcaneal tubercle and pain on first steps after rest. Though often self-limiting, chronic cases require a structured and evidence-informed approach.

Research suggests orthotics can improve mobility and comfort after transmetatarsal amputation, but evidence is mixed. Common options include shoe modifications, toe fillers, and ankle-foot orthoses (AFOs), with varying effectiveness. Proper fitting and patient education are crucial for success.

In the realm of orthotics, materials play a pivotal role in defining the comfort, functionality, and efficacy of these transformative devices. Over time, the evolution of materials used in orthotics has been a testament to innovation, paving the way for enhanced performance, durability, and patient satisfaction.