What are AFOs?
AFOs, or splints, are devices which support leg weakness or muscle control. They are commonly used in conditions which affect lower limb strength or muscle tone.
How are they worn?
Putting the AFO on correctly is very important to ensure it is comfortable. A thin cotton sock should be worn next to the skin; the foot should be fully back in the splint and held securely without any gapping, and all straps should be fully fastened.
Will they be comfortable?
AFOs will feel strange but should not be uncomfortable. A gradual introduction is essential to avoid problems.
Please follow the wearing in advice given below:
| Day 1: | 30–60 minutes |
| Day 2: | 1–2 hours |
| Day 3: | 3–4 hours |
| Day 4: | 4–6 hours |
Some redness after use is normal but should be no more than a sock would leave and should disappear within 30 minutes.
If pain, skin damage or problems persist then please stop using the AFO and contact the department for a review.
What shoes work best with AFOs?
Most AFOs are worn inside the shoe, and the shoe is a vital part of the overall prescription. Most suitable are shoes which have sufficient space to take the AFO, enough strength to provide a stable foundation, and a secure fastening to make sure that walking is as efficient as possible. Trainers with a removable inlay work well as a first option, but your clinician can advise further for your specific requirements.
Review procedure
Please follow the review advice given by your clinician.
Please note. If we do not hear from you within 24 months from your last appointment you will be discharged from the orthotics service, and a new referral will be required before another appointment is made.
Orthotics Department
George Eliot Hospital NHS Trust
College St, Nuneaton CV10 7DJ
Tel: 02476 865237
Email: orthoticsenquiries
Opening times: 9.00am till 5.00pm Mon-Fri excluding bank holidays
George Eliot Hospital is a smoke free environment. For help and advice to stop smoking you can call the national helpline on 0300 123 1044 or visit https://
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