A5514
The custom insert for the Therapeutic Shoe Program, available for 3 pairs only. A 35 Shore A EVA frame under a 3mm plastazote cover, custom congruent to the patient's foot model and billed under code A5514.
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Custom inserts for the Therapeutic Shoe Program.
The A5514 is the custom-fabricated insert for diabetic patients under the Therapeutic Shoe Program, available for 3 pairs only. It is made directly from a model of the patient's foot rather than carved from a prefabricated blank, so the contact surface matches that foot from the first day of wear.
Custom-molded inserts are proven to reduce the pressures causative of ulcers in patients with decreased circulation and sensitivity.
Therapeutic Shoe Program
Supplied for 3 pairs only, seated in the extra-depth therapeutic shoe the patient is fitted with.
Diabetic patients
Decreased circulation and sensitivity mean pressure has to be managed by the device, not by the patient.
Ulcer prevention
Plastazote immediately molds to the patient's foot, helping to minimize friction and hot spots.
A5514, 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.
Shape is everything.
What separates Root from generic 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 A5514 insert 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.
Modern Root
Width adjusted considering both borders. Default for all Root models.
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 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.
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 EVA frame and plastazote cover are fabricated to match the submitted shape precisely.
See how the scan becomes an order.
Watch Kevin capture a foot, confirm the clinical position, and send a Root order, start to finish.
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.
Plaster bandage is wrapped around the foot in the clinician’s prescribed corrected position, setting into a precise negative of the foot’s contour.
The foot is pressed into a crushable foam box, leaving a negative impression of the plantar surface.
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%.
A digital scanner such as FootID Pro captures the foot surface as a 3D model.
A fiberglass casting sock is applied over the foot and cures to capture its contour.
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.
A direct-molding system using prefabricated, size- and arch-based positive models (33 in total) rather than an individual foot impression.
Heated material is vacuum-pressed over a plaster positive model, drawing it intimately into every contour.
The frame is 3D printed by selective laser sintering (SLS) directly from the CAD-designed digital frame.
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.
A CNC machine subtractively mills the frame from a block of polypropylene or EVA per the digital design.
*Redimold has no physical or digital foot impression, patient-foot-to-cast congruent accuracy is unavailable. Variation from positive model to frame is low.
How your patient's foot shape becomes a precision frame.
The journey from clinical capture to finished A5514 insert 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.
- A5514 insert fabricated: a 35 Shore A EVA frame with matching EVA filler is formed over the positive model, with an intrinsic rearfoot post and a deep 18mm heel cup. A 3mm plastazote top cover is applied, forefoot balanced to rearfoot.
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
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.
Built to their spec. Built for their foot.
Every parameter of the A5514 insert is set to the individual patient: frame density, heel cup depth, and cover thickness are all chosen for that patient's anatomy, risk level, and therapeutic footwear. Forefoot is balanced to rearfoot and the device is custom congruent to the foot model.
A medium-density EVA frame that spreads load across the whole plantar surface of the insert.
Matching 35 Shore A EVA filler, so the insert loads uniformly from heel to forefoot.
An intrinsic rearfoot post keeps the device accommodative, with no rigid edges against an insensate foot.
A deep 18mm heel cup pressed from the patient's calcaneus, cradling and containing the fat pad under the heel.
A thick full-length plastazote top cover that immediately molds to the foot, minimizing friction and hot spots.
No separate extension. The plastazote cover runs full length over the EVA frame.
No bottom cover. The EVA frame seats directly in the therapeutic shoe.
The full picture.
Everything you need to prescribe the A5514 insert.
- Diabetes Mellitus
- Ulcer prevention
Recommended for
- Diabetic patients
- Therapeutic Shoe Program
- Available for 3 pairs only
The A5514 is a custom-fabricated, UCB-type diabetic insert supplied under the Therapeutic Shoe Program for 3 pairs only. Custom-molded inserts are proven to reduce the pressures causative of ulcers in patients with decreased circulation and sensitivity.
Its accommodative design pairs a 35 Shore A EVA frame and filler with a 3mm plastazote top cover that immediately molds to the patient's foot, helping to minimize friction and hot spots. Built with a positive model of the patient's foot and modifiable at the practitioner's discretion. For a heavier-duty custom diabetic device outside the shoe program, see the T3 Premium Diabetic.
- A5514 (custom insert, direct carved or milled)
- Available for 3 pairs only
Based on configuration. For reference only. Final coding and billing are the provider's responsibility.
Delivery Time
- Standard: 2 weeks
- Expedited: Available on request
Lower the peak pressure before the skin pays for it.
Ulceration in the neuropathic foot follows repetitive peak pressure the patient cannot feel. A 35 Shore A EVA frame built to the patient's own contour increases contact area so load is shared rather than concentrated under prominent metatarsal heads, and the 3mm plastazote cover deforms locally wherever a hot spot begins to form.
The deep 18mm heel cup contains the calcaneal fat pad so it keeps working as the body's own cushion, and the intrinsic rearfoot post keeps the device balanced forefoot-to-rearfoot with no rigid edges against insensate skin.
The right insert
for the shoe program.
A5514 sits on the R3 Control frame profile: the widest, deepest platform in the range,
matched to the extra-depth therapeutic shoes the program fits.
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