Accommodative Ultra

Orthotica’s Accommodative Ultra device is designed for patients who cannot tolerate rigidity and require maximum shock attenuation. Perfect for patients whose occupations require extended standing time, the Accommodative Ultra device delivers a semi-flexible base with optimal padding and neutral intrinsic correction.


Heel Cup: 3/8″
Rearfoot Post: Balanced Cast
Top Cover Padding: 3/16″ Bilam

ScriptWise™ Pathology Profiles

Achilles Tendinitis

Achilles tendinitis is an injury to the band of tissue that connects the upper calf muscles to the heel. The condition is relatively common and occurs with overuse due to repetitive running, walking, jumping or standing. Symptoms are usually painful swelling and inflammation, especially above the heel.

Those with flat feet, bone spurs and rheumatoid arthritis are especially at risk. Improper or ill-fitting shoes also increase risk.

ScriptWise™ Modifications

1/2” Deep Heel Cup

0° Varus Extrinsic Post

3mm Heel Raise

Adult Acquired Flatfoot (PTTD)

Known formally as posterior tibial tendon insufficiency or posterior tibial tendon dysfunction (PTTD), symptoms of adult acquired flatfoot typically presents as chronic pain at the arch of the foot and ankle. As the condition progresses, the arch collapses and the ankle can internally rotate causing the foot to externally rotate. Left untreated, arthritis can develop in both the foot and ankle.

Adult acquired flatfoot is unrelated to flatfoot in children who usually outgrow the condition, often without treatment.

ScriptWise™ Modifications

Low Medial Flange – 1/8″

Hallux Limitus

Hallux limitus is a condition that diminishes flexibility of the hallux at the 1st MPJ. Patients with hallux limitus often present with complaints of pain upon walking. As the condition progresses, bone spurs and arthritic changes can take place, eventually eliminating all available motion at the 1st MPJ. Inefficient windlass mechanism is often a contributing factor. 

ScriptWise™ Modifications

Dynamic Wedge

Hallux Rigidus

Hallux rigidus is a form of degenerative arthritis of the metatarsophalangeal, or MTP, joint. Translated from the Latin as ‘stiff big toe’, hallux rigidus is a common joint disorder that causes pain and stiffness at the base of the big toe as well as swelling and inflammation at the MTP. Affecting women more than men and usually occurring between the ages of 30 and 60, it’s not uncommon for a bone spur to develop on top of the toe.
ScriptWise™ Modifications

Morton’s Extension

Heel Pain / Plantar Fasciitis

Plantar Fasciitis is an inflammation of the plantar fascia, the thick ligament at the bottom of the foot connecting the heel to the toes. The most common cause of heel pain, plantar fasciitis is often felt most severely first thing in the morning and other periods of inactivity. Untreated, pain can become chronic, causing biomechanical changes that can lead to a cascading of issues into the knee, hip or back.
ScriptWise™ Modifications

1/2″ Deep Heel Cup

3° Varus Extrinsic Post

1/8″ Heel Cushion


Metatarsalgia is a common overuse disorder referring to pain and inflammation of the ball of the foot. The pain can be sharp or dull and may be accompanied by a burning feeling. Sufferers often describe it as the feeling of a pebble in their shoe. Distance running and other high-impact sports increase risk. Improper or ill-fitting shoes also increase risk.

ScriptWise™ Modifications

3° Extrinsic Post

Metatarsal Pad