Foot Drop & the XTERN External AFO

If your foot catches, drags or trips you, the right brace can help you walk with more confidence and freedom. We assess, fit and support people with foot drop across New Zealand—in person or through our Virtual Foot Drop Clinic.

What foot drop feels like

Foot drop makes it hard to lift the front of the foot. The toes catch the ground as you walk, so you trip, or you compensate by swinging the leg or lifting the knee higher than usual. It can follow a stroke, a nerve injury, surgery, or conditions such as Multiple Sclerosis and Charcot-Marie-Tooth Disease.

Left unsupported, many people quietly do less over time. They walk less, avoid uneven ground, worry about falls, and lose confidence and strength as a result. The point of the right brace is to interrupt that slide and keep you moving.

The XTERN: a different kind of brace

Illustration of an ankle-foot orthosis fitted closely to the ankle, showing how the strap and shell support the foot

Most ankle-foot orthoses sit inside the shoe, against the leg. The XTERN, made by TurboMed, is an external AFO. It attaches to the outside of your shoe and works like a spring-assisted exoskeleton, helping lift your foot with each step.

For the right person, that outside-the-shoe design can mean:

  • Less pressure and rubbing on the shin and ankle
  • A more natural, flexible feel through the stride
  • Compatibility with everyday shoes, boots, and steel cap work boots
  • Freedom to stay active, from walking and tramping through to sport

The XTERN is one of several options. Whether it is the right one for you is exactly what an assessment is for. Our philosophy is to prescribe the least restrictive device that gives a real improvement in mobility, safety, and quality of life.

How our assessment works

Every person with foot drop walks differently. That's why every prescription begins with an assessment—not an online checkout. You can see us in person in Masterton, or access our Virtual Foot Drop Clinic from anywhere in New Zealand.

1

Assessment

We assess how you walk, review your medical history, discuss your goals and determine whether the XTERN is the most appropriate solution. Virtual assessments can include video gait analysis and a telehealth consultation.

2

Trial and Fitting

If appropriate, we'll arrange a trial of the XTERN before you commit to purchasing it. Once you're happy, we professionally fit the device to your own footwear and guide you through the setup—either in clinic or virtually.

3

Ongoing Support

Your care doesn't stop once the brace arrives. We'll continue to review your progress, fine-tune the fit if required and work alongside your physiotherapist or specialist whenever appropriate.

Book an assessment online →

Funding: ACC may help

Cost is usually the first question, and it is a fair one. Where your foot drop follows an injury, ACC may contribute towards the cost of an AFO when the eligibility criteria are met. We will talk through what is likely to apply to you as part of your assessment, so you know where you stand before anything is fitted.

Why Masterton Foot Clinic

Mobility and foot drop management is a particular area of interest for our clinic. Over many years we have worked with people living with foot drop, Multiple Sclerosis, Charcot-Marie-Tooth Disease, stroke, peroneal nerve injuries, and age-related mobility decline, helping them stay active and independent.

We prescribe a full range of devices, from simple foot drop supports through to advanced external and custom AFO systems, and where it helps, we work alongside physiotherapists, occupational therapists, and medical specialists. You are assessed and fitted here in the Wairarapa by people who will still be here for the follow-up.

Book with our podiatrists

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

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

Frequently asked questions

Is the XTERN right for me?
That depends on how you walk, the cause of your foot drop, and what you want to achieve. That's exactly what the assessment is for. The XTERN is one of several bracing options we prescribe. Our philosophy is to recommend the least restrictive device that provides meaningful improvements in mobility, safety and confidence.
How is the XTERN different from a carbon fibre AFO?
Unlike many AFOs, the XTERN attaches to the outside of your shoe rather than sitting inside it. Its spring-assisted design can reduce pressure on the shin, allow greater freedom of movement, and work with a wider range of footwear. Whether it's the right option for you is something we'll assess together
Can I wear it with work boots?
Often, yes. Because the XTERN attaches to the outside of the shoe, it can be used with many everyday shoes, hiking boots and steel-cap work boots. We'll check that it's compatible with your preferred footwear during your assessment.
Can I still run or play sport?
Many people return to activities such as walking, tramping and sport while wearing an XTERN. What's realistic depends on your condition, strength and goals, and we'll discuss this with you during your assessment.
Do I need a referral to be seen?
No. You can book directly with us. If you're already seeing a physiotherapist, neurologist or specialist, we're happy to work alongside them as part of your care.
Can ACC help with the cost?
If your foot drop is the result of an injury, ACC may contribute towards the cost of an AFO if the eligibility criteria are met. We'll discuss the funding options available to you during your assessment, so you know where you stand before proceeding.
Do you only see patients in Masterton?
No. While we're based in Masterton, we also provide specialist foot drop care throughout New Zealand via our Virtual Foot Drop Clinic. Depending on your circumstances, we can assess, trial, fit and support the XTERN remotely, making specialist care accessible wherever you live.

Related conditions

Foot Drop

Neuromuscular Conditions

Ready to move with more confidence?

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

  • ACC registered
  • Southern Cross Easy-Claim available