Spinal complaints, such as low back painthat persist despite quality care, usually have their root causes located distally in the kinetic chain.

Often structural collapse of the medial arch of the foot is the true underlying cause of faulty foot joint arthrokinematics which creates problems further up the kinetic chain; the structure and function of each component of the kinetic chain integrates and relies on the stability of the joint complexes found below. 

This integration works to the patient’s advantage when postural anomalies are not present, but in case of any, problematic symptoms begin to develop.

For example, in the event of a foot arch collapse, the skeletal alignment undergoes major changes.

Internal tibial rotation, valgus knee, an increased Q-angle, anterior pelvic rotation, hyperlordosis, and functional scoliosis are just a few of the structural defects a hyperpronated foot creates.

In such cases, rehabilitation programs are often successful at relieving acute symptomatology, but often fail to sustain long term results.

The MASS4D® approach to foot biomechanical health follows the Integrated Multi-Axial Posture Theory™ to ensure our foot orthotics support the foot’s natural arch when its integrity has been lost and to prevent any problems with the musculoskeletal system in the future. 


The success of your rehab program lies greatly in the ability and desire of the patient to follow your recommendations. The more you can offer them from within your own facility, the more likely will this be accomplished. 

With MASS4D® orthotics as a part of your active rehabilitation toolbox, you will be able to offer a detailed biomechanical assessment to address patient concerns and identify any existing structural discrepancies that could potentially cause further problems in the lower extremity and the musculoskeletal system. 

This is in line with the Integrated Multi-Axial Posture Theory, which respects the functional integration of all components of the kinetic chain and promotes the optimal alignment of all articulations to bring balance and stability to the body. 

By treating the root cause of the problem and preventing its recurrence, your active care rehabilitation programs will be complete whilst patient retention and satisfaction will soar with a complete service from head to feet. 

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 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

Our 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

Newton’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 

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.

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

Low Back Pain
A Multidisciplinary Approach to Foot Posture

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