Table 1 Screening Criteria

Aged between 40 and 85 years

Have had prior foot or ankle surgery

Have Diabetes diagnosed by a medical practitioner

Have had major injury to the lower limb (e.g. fracture)

Have modular or bespoke footwear ^a

Have had prior or active chronic foot or leg ulceration within last 2 years

Have all normal foot structures present

Require heel pressure reduction intervention

Be able to walk without a stick for 100 m

Have had prescription foot orthoses via the department in the last 12 months

Have sensory neuropathy ^b

Absence of foot pulses assessed via Doppler or palpation

Capable of providing informed consent to participate

Comorbidities (Ischaemia, Renal, Charcot Arthropathy