How is the landscape of custom orthotic design and manufacturing evolving in modern podiatry? In this special episode of Sole Science, hosts Pat Doan and John Charles sit down with four leading figures in orthotics from across the sectors of clinical practice, manufacturing, and digital technology: Kent Sweeting (Queensland Orthotic Lab), Rhys Pierce (Footwork), Konrad Job (LaserCam Orthotics), and Darcy Dore (The Run Clinic / Propel3D). Together, the panel unpacks the complete orthotic ecosystem—bridging the gap between the clinician’s initial prescription and the laboratory’s production line. From defining true clinical success to navigating the shift from traditional subtractive manufacturing to chair-side 3D printing, this conversation tackles the core questions and modern realities shaping the future of custom foot orthoses in Australia. In this episode, we dive into: Defining Clinical Success: Why true orthotic success relies on shifting tissue load effectively, achieving comfort, and enabling patient progression rather than relying on symptom resolution alone.The Pathomechanical Approach: Tackling the debate surrounding over-prescription, the impact of modern footwear technology on performance and injury, and why prescription must be rooted in clinical reasoning.Scope and Ownership: Who owns orthotic therapy? A hard look at why podiatrists must retain clinical mastery over custom foot capture, foot morphology, and orthotic prescription over other healthcare disciplines.Foot Capture Foundations: Exploring the reliability, inter-rater variability, and clinical intent behind different capture methods—from weight-bearing scanning to plaster casting—and avoiding flat orthoses.Debunking the 3D Printing Myth: Examining the differences between SLS nylon, FDM printing, and polypropylene materials, while addressing misconceptions around modifying and grinding 3D-printed devices in-clinic.Strengthening Lab-Clinician Relationships: Why orthotic prescribing requires a collaborative partnership rather than a transactional service, and how developing a shared language prevents costly mistakes.Future Directions: A look into emerging delivery models—including in-clinic 3D printing, CAD empowerment, sensor-embedded active orthotics, and evolving regulatory standards under the TGA. Whether you are a new graduate looking to refine your prescribing skills, an experienced clinician interested in 3D printing, or a practitioner wanting to build better relationships with your orthotic lab, this episode provides invaluable insights into the science, craft, and future of custom orthoses. Connect & Join the Community Guest Info: Kent Sweeting via Instagram @qol1985, Rhys Pierce via Footwork, Konrad Job via CadCam Orthotics, Darcy Dore via Instagram @darcy_sports_podJoin SEPA: Get connected and become part of our community! www.sepa.org.au