Good structural health is essential for good functional health; from distal to proximal, each component of the kinetic chain is interlinked to provide optimal structural support above.

Hyperpronation of the foot during weightbearing leads to repetitive internal tibial rotation, valgus knee, an increased Q-angle and pelvic unleveling. The resultant stress on the soft tissues from this structural dysfunction presents itself in the form of Plantar Fasciitis, Knee Pain, Iliotibial Band Syndrome, Low Back Pain, and more. 

MASS4D® bespoke foot orthotics work together with your prescribed active rehabilitation plan to hasten your patient’s recovery time and improve clinical outcome measures. 

internal tibial rotation corrected with MASS4D®

By applying the Integrated Multi-Axial Posture Theory™ approach, MASS4D® ensures both structural correction and functional support for all 33 joints in the foot, and not the subtalar joint alone. 

Adopting such a holistic approach benefits your patients from the ground up, providing full contact support to allow for a proper foot posture from heel strike through toe-off. This, in turn, provides a stable foundation for the entire skeletal system. 

Whether your patients are looking to recover from injury, prevent recurrence or improve foot function, MASS4D® custom orthotic is the right tool for the job.


Orthopaedic doctors’ comprehensive musculoskeletal expertise must be supported by the best rehabilitation tools for effective outcomes.

Thorough evaluations from the feet upwards are necessary to identify the cause of symptoms and for devising appropriate treatment modalities, which are inclusive of supportive devices. 

MASS4D® will train your rehab team to become experts in biomechanical foot health and to offer casting and custom foot orthotic fitting right from the convenience of your clinic.

By gaining an in-depth knowledge and understanding of these highly-calibrated assistive devices, you will have an advantage over your competition in terms of both quality and availability. 

Patient satisfaction and referrals improve when facilities are able to offer excellent healthcare resources and complete rehab support, all under the same roof. 

A Few Advantages Of MASS4D®

A high-calibre orthotic must enhance balance and posture of the full body by enhancing proprioception through the foot and ankle complex during all phases of gait. MASS4D® works with your treatment programme for complete neuro-musculo-skeletal rehabilitation.

Gait Reference Casting  

Gait referenced castingGait-referenced casting is a dynamic process that produces an exact 3-dimensional impression of the plantar morphology of the foot.  This process involves taking a semi-weight bearing impression of the feet in specialised angled foam to capture the foot in its corrected closed-chain posture. 

The resultant orthotic manufactured from this mould is able to respect the corrected posture and allow for much-needed soft tissue displacement. 

Proprioceptive Action Potential

orthotic proprioceptive inputOur orthotic shell’s 'leaf spring' action enhances proprioceptive input through the foot with its spring-back action and even weight distribution across the plantar surface of the foot.  This helps in generating better movement patterns throughout the body.

Calibrated to bodyweight, foot flexibility and activity level

Orthotic CalibrationNewton’s Third Law dictates the MASS4D® proprietary calibration process.  Each orthotic is calibrated to the wearer’s bodyweight, foot flexibility and activity level, ensuring all action occurring above the orthotic is met with an equal and supportive reaction force.  The final product offers the truest customisation available in the foot orthotic industry.

Individually handcrafted orthotic 

MASS4D® orthotics

The individually handcrafted orthotics are truly a work of art requiring at least three hours of hands-on time per orthotic. Built to exact specifications with orthotic shells, cushion foams and high-quality top covers, each product stands as a testament to the dedication of MASS4D® in helping each patient recover from their injuries and achieve optimal foot health.

Designs available for a variety of shoes.

Orthotic heelcup variations

Available for a variety of shoes, the orthotic can easily be incorporated into any type of footwear allowing for the same level of comfort and convenience whilst correcting foot posture and saving patients the hassle of having to purchase specific shoes for the orthotic.

Recommended Links

Rehabilitation as an Integrated Approach

Recent Publications