One base. Three frames.
Every Root device is built from the same custom capture of the patient's foot. The frame profile sets how much volume and control the device carries — from the low-profile R1 Dress to the maximum-control R3.
R1 Dress
Fashion / Dress
R2 Performance
Athletic / Casual
R3 Control
Work / Therapeutic
What R2 builds into
The Performance profile is the foundation for three advanced category devices — same standard-width base, tuned for the use case.
See it from every angle
Standard-width, full-contact, and tuned for athletic and casual footwear — shown here in its standard configuration.
Start with R2, build the exact device
Every R2 Performance device follows the same path — pick the frame material, set the rigidity, add covers and posting, then fine-tune with modifications.
Frame material
Choose the shell — durable polypro or low-profile carbon.
Rigidity
Set how much the frame flexes underfoot.
Covers & posting
Finish with top and bottom covers plus built-in posting.
Modify
Fine-tune with 845+ patient-specific modifications.
Frame options
Frame materials →A reliable, cost-effective polypropylene shell — the everyday workhorse frame that balances support and durability across most performance prescriptions.
Learn more →A cushioned EVA frame that adds shock absorption and comfort — well suited to higher-impact athletic and casual wear.
Learn more →Thin, strong carbon engineered for a low profile — delivering full clinical support with minimal bulk in performance footwear.
Learn more →A lightweight carbon frame with a responsive flex — a premium, energetic feel underfoot with minimal bulk.
Learn more →Default options
Modifications →cover to toes
cover
post
Rigidity options
Rigidity guide →Modify at your discretion
Use the Root Library of Modifications to prescribe custom, patient-specific orthoses for optimal outcomes — postings, extensions, pads, and frame modifications, all on the R2 base.
Shape is everything.
What separates Root from generic supports is the precise morphological shape captured from the patient's foot — held in the exact clinical position the clinician chose.
The Root orthotic matches the precise alignment the clinician held the foot in during scanning. This congruency offloads strained structures and redistributes load across the correct ones.
Modern Root
Width adjusted considering both borders. Default across the Root range.
Traditional Root
Justified to the lateral border. Medial width reduced. Used for specific clinical indications.
Modern Root shape process
- Forefoot balanced to rearfoot — the forefoot-to-rearfoot relationship is optimised as the first step in shape modification.
- Fat pad expanded ~3mm — expanding the fat pad in the heel ensures the device fills the calcaneal contour precisely.
- 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 are both considered, 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 Achilles tendon vector?
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.
- 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.
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 foot shape becomes a precision frame.
The journey from clinical capture to finished orthotic frame is where Root's expertise lives. Every step preserves the shape and position the clinician chose.
- Foot impression captured — the clinician captures the foot using their preferred method. The fashion in which the foot is held directly affects the outcome of the Root Shape congruency against the foot.
- Positive model created — the impression becomes a physical plaster model or a digital CAD/CAM model via FitFoot360. Digital models are stored indefinitely.
- Root technicians modify the shape — using FitFoot360, technicians apply the Modern Root shape process. Every modification is reviewed against the clinical prescription.
- Orthotic frame fabricated — the frame is vacuum formed over the positive model or 3D printed, pressing the material precisely to the shape. Covers, postings, and modifications are then applied.
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 R2 Performance is set to the individual patient — material, posting, heel-cup depth, and covers are all chosen for their anatomy and gait, never an average.
Rigidity is selected per patient weight — so the shell supports the arch exactly as much as that specific patient's structure and gait demand.
A balanced extrinsic rearfoot post added to control and stabilize subtalar joint motion — set to the patient's prescription, not a generic wedge.
A standard-depth cup cast from the patient's calcaneus, cradling the heel to control their specific degree of pronation and inversion.
The standard-width R2 frame, sized for athletic and casual footwear so the device seats securely without crowding the shoe.
A 3mm Prolite cover run full-length to the toes, trimmed to the patient's foot geometry so contact and pressure distribution match exactly.
A suede bottom cover finishes the shell so it sits quietly and securely inside athletic and casual footwear.
Suggested billing codes
Based on configuration. Codes vary with the options you select on the R2 base.
For reference only. Final coding and billing is the provider's responsibility.
Download the code document →
