Root S18 Trail Running orthotic Root S18 Trail Running orthotic - labeled construction

Trail Running

Root Model: S18

Built for unpaved gradients. A polypropylene frame gives rigid control and protection on uneven, variable terrain, while a Myolite arch filler and 3mm EVA top cover work in sync for cushioning and arch reinforcement.

Frame
Performance
Athletic / Casual shoes
Dress
Performance
Control
UCB
Moderate control
Standard width frame
Order on FootID Pro
Enlarged view
Trail runner climbing a mountain path
Intended use

Built for uneven, variable terrain.

The Trail Running device is designed for the recreational to professional off-road runner. It provides support and control on uneven and variable terrain, helping prevent ankle and foot fatigue.

Balance and shock absorption are the mechanism: a rigid polypropylene frame controls the foot on off-camber ground, and a Myolite arch filler with a 3mm EVA top cover absorb what the trail sends back. Built congruent to the runner's own foot model, not an average.

01

Rigid control on off-camber ground

A pressed polypropylene frame gives rigid control and protection where the surface never repeats itself.

02

Improved balance, less fatigue

Holding the foot in position on variable terrain reduces the ankle and foot fatigue that accumulates over long unpaved miles.

03

Cushioning and arch reinforcement

A Myolite arch filler and a 3mm EVA top cover work in sync, so shock absorption does not cost arch support.

FootID Pro scanning platform

Functional correction, congruent to the foot.

Built from a positive model of the patient's foot and modifiable at the clinician's discretion - scanned and ordered through FootID Pro.

Generic support vs Root congruent shape
The Root difference

Shape is everything.

What separates Root from generic sport insoles is the precise morphological shape captured from the patient's foot - held in the exact clinical position the clinician chose. No averaging. No guesswork.

The Trail Running device is built from a positive model of the patient's foot and can be modified at the practitioner's discretion. This means every device fits the patient it was made for - not an approximation.

Digital shape
Default ✓

Modern Root

Width adjusted considering both borders. Default for all Root models.

Cast in plaster

Traditional Root

Justified to the lateral border. Used for specific clinical indications at practitioner discretion.

Modern Root shape process

  • Forefoot balanced to rearfoot - forefoot-to-rearfoot relationship is optimised as the first step in shape modification.
  • Fat pad expanded ~3mm - ensures the device fills the calcaneal contour precisely for the patient's heel.
  • Arch lowered ~3mm - creates optimal heel-to-arch-to-met-head geometry. Not applied to foam impressions.
  • Width tuned to both borders - medial and lateral widths considered together, giving a foundation that matches the patient's actual foot width.
Subtalar joint positions - neutral, pronated, supinated

*Subtalar joint neutral is found by palpating the talus head against the navicular. The neutral position can present many joint-on-joint and bone-on-bone relationships and varies from person to person. An everted or inverted calcaneus may be a neutral position for an individual person. Biomechanical evaluation required.

FootID Pro - Clinical alignment scanning

How you hold the foot is what we build.

Root is not just the orthotic - it's the clinician's positioning, captured and preserved in the device. After scanning, FootID Pro asks the questions no other lab asks.

After every scan, we need to know:

  • Was the subtalar joint held in neutral?
  • Was the midtarsal joint maximally pronated - loading the 5th metatarsal head?
  • Was the midtarsal joint maximally supinated - loading the 1st metatarsal head?
  • Was the forefoot brought perpendicular to the rearfoot?
  • Was a forefoot-to-rearfoot balance bisection achieved at 90° relative to the calcaneal bisection?

The positioning of those 19 joints in the foot is what gives us the shape.

CAD/CAM fabrication

  • Scan or cast captured - clinician captures foot morphology via FootID Pro, holding the subtalar joint in the chosen clinical position.
  • Shape modification applied - forefoot balanced to rearfoot, fat pad expanded, arch adjusted using Root's design process.
  • Technical staff review - every device reviewed against Traditional Root, Modern Root, Blake Inverted, or Accommodative principles.
  • Fabricated to the shape - the polypropylene frame and EVA post are fabricated to match the submitted shape precisely.
FootID Pro tutorial

See how the scan becomes an order.

Watch Kevin capture a foot, confirm the clinical position, and send a Root order - start to finish.

0:00 / 0:00
Foot Impression
Step 01
Foot Impression
Plaster · Foam · STS Sock · 3D Scanner · Pedobaro
Positive Model
Step 02
Positive Model
Plaster · CAD/CAM · Existing Model · Redimold
Frame Built
Step 03
Trail Running Frame Built
Polypropylene Shell · 15 Shore A Myolite Arch Filler · 3mm EVA Cover · 0.6mm Suede Bottom
Congruent Accuracy
Variation converted to anatomy-match accuracy by impression & fabrication method

How closely each method preserves the patient’s intended foot shape. Scale: 0–100%, where 100% = optimal congruence.

Impression Method (Clinician)

Plaster bandage is wrapped around the foot in the clinician’s prescribed corrected position, setting into a precise negative of the foot’s contour.

AdvantageYields an accurate, precise impression with easy foot alignment.
LimitationTime-consuming and messy to take.
Foot model dataModel stored 3 months; positive model can be returned on request.
Read full guide →

The foot is pressed into a crushable foam box, leaving a negative impression of the plantar surface.

AdvantageFast and accurate; captures the foot’s natural fat-pad expansion.
LimitationCasting technique is difficult to master.
Foot model dataModel stored 3 months; positive model can be returned on request.
Read full guide →

An existing positive model from the patient’s previous orthotics is reused - KevinRoot accepts models from any lab, with frame-contour variance as low as 1%.

AdvantageAccurate, reusable model; helps patients understand the process.
LimitationPatient is responsible for storing the model.
Foot model dataPositive model returned to the clinic.
Read full guide →

A digital scanner such as FootID Pro captures the foot surface as a 3D model.

AdvantageFast, clean and non-contact; instantly stored and recallable.
LimitationCapture quality depends on scan technique and foot positioning.
Foot model dataDigital model stored indefinitely.
Read full guide →

A fiberglass casting sock is applied over the foot and cures to capture its contour.

AdvantageQuick capture; clean.
LimitationLarge congruency variation from gaps between the impression sock and skin.
Foot model dataStored indefinitely.
Read full guide →

Pedobarography captures the patient’s plantar pressure distribution (static or dynamic) at 1:1 scale - used with arch height and shoe size to select a redimold positive model, not to capture true 3D contour.

AdvantageIncorporates gait analysis, quick capture, and digital transfer (no shipping).
LimitationDoes not yield an accurate foot model; orthotic has high congruency variation.
Foot model dataStored indefinitely.
Read full guide →

A direct-molding system using prefabricated, size- and arch-based positive models (33 in total) rather than an individual foot impression.

AdvantageQuick and easy - fastest data acquisition and turnaround.
LimitationDevice will not have a custom-contoured frame shape.
Foot model dataRedimold positive model; stored indefinitely.
Read full guide →
Fabrication Method (Lab)

Heated material is vacuum-pressed over a plaster positive model, drawing it intimately into every contour.

AdvantageAccurate foot model; supports the full range of frame materials.
LimitationPhysical storage, can break, and is irreplaceable without a new positive model.
Foot model dataStored 3 months, or returned to the clinic for repeat orders.
Read full guide →

The frame is 3D printed by selective laser sintering (SLS) directly from the CAD-designed digital frame.

AdvantageMicron-level resolution, highly accurate to the digital design, with no material waste.
LimitationNylon only; CAD design-time limits can increase contour variation.
Foot model dataDigital frame specifications stored indefinitely.
Read full guide →

A positive model is CNC-milled (CAD/CAM) from an STS, 3D scan, plaster, or foam impression, then the frame is vacuum formed over it.

AdvantageDigital 3D model stored indefinitely; supports the full range of frame materials.
LimitationSome foot contour is lost with the routed positive model.
Foot model dataDigital 3D model stored indefinitely.
Read full guide →

A CNC machine subtractively mills the frame from a block of polypropylene or EVA per the digital design.

AdvantageConsistent and reproducible; multiple pairs can be milled simultaneously.
LimitationLimited to polypropylene or EVA; some contour loss from CAD design-time limits.
Foot model dataDigital frame specifications stored indefinitely.
Read full guide →
High accuracy (≥95%)
Moderate accuracy (86–94%)
Lower accuracy (≤85%)

*Redimold has no physical or digital foot impression - patient-foot-to-cast congruent accuracy is unavailable. Variation from positive model to frame is low.

From scan to finished orthotic

How your patient's foot shape becomes a precision frame.

The journey from clinical capture to finished Trail Running frame is where Root's expertise lives. Every step preserves the shape and position the clinician chose for that patient.

  • Foot impression captured - the clinician captures the foot using their preferred method. How the foot is held directly determines the congruency of the finished device.
  • Positive model created - the impression becomes a physical plaster model or a digital CAD/CAM model. Digital models are stored indefinitely for future pairs.
  • Root technicians modify the shape - every modification reviewed against the prescription. Rearfoot post, heel cup depth, and cover selection confirmed per patient.
  • Trail Running frame fabricated - the polypropylene shell is pressed over the positive model with a 12mm heel cup and an intrinsic rearfoot post. A 15 Shore A Myolite arch filler, a 3mm EVA top cover, and a 0.6mm suede bottom cover are applied, forefoot balanced to rearfoot. No extension.

FitFoot360 Foot Model

  • Root digital model stored indefinitely → recalled for future pairs
  • Root technicians modify the digital shape in real-time: arch, heel, width, postings
  • Vacuum formed over CAD/CAM positive model, direct milled or 3D printed Root Frame - replicable, consistent, precise
FitFoot360 CAD/CAM interface - orthotic surface modification FitFoot360 CAD/CAM - digital positive model
FitFoot360 - CAD/CAM design software

Real-time control over shape, function, and fit.

FitFoot360 gives Root's technicians complete digital control over every dimension of the orthotic frame - in real time. What once required physical carving and guesswork is now precise, repeatable, and stored permanently for every patient.

Digital positive model

Stored indefinitely. Future pairs, replacements, or modifications can be fabricated from the exact same shape without a new impression.

Real-time shape modification

Root technicians control arch, heel, width, and postings directly in the software.

Every parameter visible

Heel cup depth, frame reinforcement, ray cut-outs, flanges, and more are set per patient, not per template.

Plaster and foam digitisation

Physical models can be digitised for permanent storage. Note: digitising may not perfectly replicate the intimate contours achieved when vacuum forming directly over plaster.

Root S18 Trail Running orthotic - labeled construction diagram
Construction

Built to their spec. Built for their foot.

Every parameter of the Trail Running device is set to the individual patient. Frame rigidity, heel cup depth, arch filler, and covers are chosen for that runner's anatomy, weight, and weekly trail mileage. Forefoot is balanced to rearfoot and the device is custom congruent to the foot model.

FRAME MATERIALPolypropylene

A pressed polypropylene frame, custom congruent to the foot model, for rigid control and protection off road.

REARFOOT POSTIntrinsic

An intrinsic rearfoot post stabilizes the rearfoot congruent to the foot model without adding bulk in a trail shoe.

HEEL CUP12mm

Pressed from the patient's calcaneus, the 12mm heel cup controls inversion and eversion on off-camber ground.

FRAME FILLER15 Shore A Myolite

A Myolite arch filler under the frame reinforces the arch and absorbs shock over long unpaved miles.

ARCH CONTOURCustom congruent

The arch contour is taken from the patient's own foot model, improving balance on terrain that never repeats.

TOP COVER3mm EVA

A 3mm EVA top cover works in sync with the arch filler to cushion the foot without softening control.

BOTTOM COVER0.6mm Suede

Suede bottom cover protects the polypropylene shell and seats cleanly on the shoe's footbed.

Product details

The full picture.

Everything you need to prescribe the Trail Running device.

Purpose Clinical Indications
  • Symptomatic feet while running
  • Biomechanical pathology

Recommended for

  • Recreational trail runners
  • Ultramarathoners
  • Runners with moderate to advanced pathology
Design Device Overview

The Trail Running device is designed for the recreational to professional off-road runner. Designed to provide support and control on uneven and variable terrain, this device helps to prevent ankle and foot fatigue by improving balance and providing shock absorption.

The device is pressed with a polypropylene frame for rigid control and protection; a Myolite arch filler and 3mm EVA top cover work in sync to provide cushioning and arch reinforcement.

Constructed from a positive model of the patient's foot and modifiable at the practitioner's discretion.

Details Suggested L-codes
  • L3000 (UCB)
  • L3010 (longitudinal/metatarsal support)
  • L3020 (arch support)
  • L5000 (filler)

Based on configuration. For reference only. Final coding and billing are the provider's responsibility.

Delivery Time

  • Standard: 2 weeks
  • Expedited: Available on request
Biomechanics

Designed for control on ground that never repeats.

The Trail Running device pairs a pressed polypropylene shell with an intrinsic rearfoot post and a 12mm heel cup, giving rigid control and protection as the foot lands on rock, root, and camber. Holding the foot in position is what keeps ankle and foot fatigue down over long descents.

A 15 Shore A Myolite arch filler and a 3mm EVA top cover work in sync, reinforcing the arch while absorbing the shock of unpaved gradients.

Root S18 Trail Running orthotic
Intended use

The right frame
for the trail.

The Trail Running device sits on the Performance frame profile, a low-volume fit
that drops into trail running shoes in place of the sock liner.

Trail shoes · replaces sock liner Unpaved gradients & variable terrain Balance & shock absorption Recreational runners to ultramarathoners
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