Ankle Instability & the EXO-L Brace

The EXO-L ankle brace worn on the outside of the ankle, its strap anchored to the shoe

If your ankle keeps rolling, the EXO-L lets it move normally and only steps in at the moment it is about to sprain. It is made from a 3D scan of your own ankle, and we hold the exclusive rights to it here in the Wairarapa.

When an ankle keeps giving way

One bad sprain is often not the end of it. The ligaments heal, but the strength, balance and position sense that were keeping the ankle safe do not always come back with them, and the ankle starts going on kerbs, on uneven ground, or on a change of direction.

Ankle sprains are the most common foot and ankle injury ACC covers, and for a lot of people the second and third arrive faster than the first. Each one takes a bit of confidence with it, until you are watching the ground instead of the game.

The EXO-L works like a seat belt

Illustration of two feet in trainers, each wearing an EXO-L brace, with a cuff above the ankle and a stay running down to the shoe's laces

Most ankle braces work by limiting movement. They put walls up on every side, which is why they are bulky, why they change the way you walk, and why so many of them end up in a drawer.

The EXO-L does the opposite. It leaves your ankle to move freely and then catches it at the point where the ligaments would otherwise be overstretched, the same way a seat belt lets you lean forward for the radio and locks when it matters.

Because it only has one job to do, it can stay slim. It sits outside the shoe, attaching to small patches fitted to the shoes you already wear, and the straps tension up or down depending on what you are doing.

How the brace works.

Made from a scan of your own ankle

There is no sizing chart and no guesswork. We assess your foot and ankle first, then 3D scan them, and that scan becomes the prescription.

The scan is taken here in Masterton. The brace is designed in Holland, printed in Australia, and comes back to us to be hand finished and fitted to your shoes.

Who it tends to suit

The EXO-L is worn by adults and children, and it is usually the right conversation if you have:

  • Sprained the same ankle more than once, and expect to do it again
  • Chronic ankle instability, or an ankle that feels like it might give way
  • Hypermobile ankles
  • A sport with fast acceleration, deceleration and changes of direction
  • Work that keeps you on your feet or on uneven ground, from retail and nursing through to building sites
  • A child who is on their feet all day at school
  • A general feeling of being unsteady, and a worry about falling

How the process works

Every ankle behaves differently, so it starts with an assessment rather than an order form.

1

Assessment

We look at how your ankle behaves, what has happened to it before, and what you want to get back to. If we do not think the brace will get you there, we will say so.

2

Scan and prescription

If it is the right device, we 3D scan your foot and ankle. That scan and your assessment together become a prescription for a brace made for your ankle alone.

3

Fitting and follow up

When the brace comes back to us we hand finish it and fit it to your own shoes, then check in with you as you get used to wearing it.

Book an assessment online →

Funding: ACC may help

Cost is usually the first question and it is a fair one. Some EXO-L braces are covered by ACC, at ACC's discretion, and if your ankle problem follows an injury it is worth asking. There is paperwork to complete for the application and we do that with you. If you hold health insurance, ask your provider whether your policy covers orthotics.

Why Masterton Foot Clinic

We were the first clinic to bring the EXO-L to the Wairarapa and we hold the exclusive rights to it here, so the assessment, the scan, the fitting and the follow up all happen in the one place, with the people who will still be here afterwards.

Bracing is a particular area of interest for this clinic. We fit a full range, from simple supports through to custom and external AFO systems, and our philosophy is to prescribe the least restrictive device that makes a real difference to your mobility, safety and confidence. Some of our own podiatrists wear the EXO-L in the clinic.

Book with our podiatrists

Choose the clinician you would like to see, or call us and we will match you with the right person.

  • Adam Philps, CEO & Senior Podiatrist

    Adam Philps

    CEO & Senior Podiatrist

    Minor Surgery · Foot & Lower Limb Orthotics · Neuromuscular Conditions

Not sure who to see? Call us on 06 370 4057 and we will point you in the right direction.

Frequently asked questions

Who is the EXO-L suitable for?
Adults and children who have had multiple ankle sprains and are likely to keep having them, people with chronic ankle instability, people whose foot or ankle weakness makes them prone to sprains, and anyone who feels unsteady on their feet and is worried about rolling an ankle or falling.
How is the brace custom made?
We take a 3D scan of your foot and ankle so the fit is exact, and pair it with a full assessment of how your ankle works. Your podiatrist turns the two into a prescription, which is sent overseas to be designed and manufactured. What comes back is a precise device made for your ankle alone.
How can it be so slim when other braces are so large?
Traditional braces try to restrict movement in general, so they have walls up on every side. The EXO-L does not restrict your ankle at all until the moment it is about to sprain, and that point is worked out during your assessment before the brace is made. Doing one job well is what lets it stay slimline.
How often should I wear it?
That is a conversation with your podiatrist, because it depends on when you are actually at risk. If your ankle goes during sport, you would wear it to train and play. If a walk on uneven ground leaves you uneasy, you would wear it for that and through the day. Any time it is on, that risk is covered.
What shoes does it work with?
The brace attaches to patches fitted to your shoes, so the two work together. Choose supportive shoes you will actually be wearing during the activity that puts your ankle at risk, such as good sports shoes or walking shoes.
How quickly do I get my brace?
It takes approximately three weeks. That allows for the design phase in Holland, printing in Australia, and shipping back to the clinic.
I sprained my ankle while I was not wearing it. Should I keep wearing the brace now, or leave it off to recover?
Keep wearing it, and take the right precautions to rehabilitate the ankle. Another sprain on top of a fresh one can set your recovery back a long way and do more damage to the ligaments. See your podiatrist if you want a hand with the rehab.
Is the EXO-L covered by ACC?
We do have some EXO-L braces covered by ACC, but it is at their discretion. If ACC deems you and your injury eligible then you may be covered. It is worth discussing with one of our podiatrists, and we complete the required paperwork to apply.
Is it covered by health insurance?
That depends on your level of cover, so check with your provider. The thing to ask them is whether they cover orthotics.
I do not play much sport. Is the EXO-L still right for me?
If you have ankle weakness or instability, yes. You do not need to play sport to have weak ankles or to sprain them, and plenty of people wear theirs simply to get through everyday life more steadily.
I have weak ankles with foot drop. Is the EXO-L right for me?
The EXO-L is built to prevent ankle sprains. For foot drop, its sister brace the EXO-L UP is the one designed for the job.
Illustration of a strong, stable ankle balancing confidently

Ready to stop rolling your ankle?

Book online for the next available appointment, or call us to discuss your needs.

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