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ProstheticLeg.pkProsthetic leg clinic, Karachi

Prosthetic feet, from SACH to carbon fibre

The foot is where the leg meets the ground, so it decides how tiring each step feels. A simple foot is tough and cheap; a carbon foot gives back energy. The right one depends on how far you walk, how much you weigh and what you wear on your feet.

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Written by the ProstheticLeg.pk clinical teamUpdated October 2026General information, not a diagnosis

What a prosthetic foot does

Your own foot absorbs the shock when your heel lands, rolls forward smoothly and then pushes you off into the next step. A prosthetic foot copies these jobs with its shape and materials. Cheaper feet do the first job well and the last one poorly. Better feet store energy as you roll over them and give some of it back.

Every foot is chosen for your weight and your activity level. A foot that is too stiff feels like walking on a plank; too soft, and it collapses under you. That is why we never fit a foot from a shelf without knowing who will walk on it.

Carbon keel and heel spring beside the foot shell
Inside the foot shell: the carbon keel and heel spring that store and return energy.

The main kinds of foot

Prosthetic feet compared
FootHow it worksSuitsEffect on price
SACHFirm keel, soft heel, no moving partsShort distances, one speed, tight budgetsLowest
Single-axisAn ankle hinge lets the foot go flat quicklyAbove-knee users who need stabilityLow
Multi-axialMoves in several directions on uneven groundRough ground, both-leg users, older walkersLow to medium
Dynamic keelFlexible keel rolls over and springs a littleDaily walking, work, travelMedium
Carbon energy-returnCarbon springs store and return energyActive users, long days, faster walkingHigh
Hydraulic ankleOil damping adapts to slopes and stairsActive users who walk on slopesHigh

Feet are part of the complete-leg ranges in the price guide.

Prosthetic foot in a shoe beside a heel height gauge
The leg is aligned for one heel height, measured with the shoe on.

Feet for different lives

Waterproof prosthetic foot standing in a tray of water
Waterproof feet can stay on for wudu and bathing.

How we choose your foot

  • Your weightEvery foot has a weight limit and a stiffness for your weight. Too soft or too stiff both cause problems.
  • How far you walkA few hundred metres at home, or several kilometres at work, changes the right choice.
  • Your shoesHeel height and style decide the foot shell and the alignment.
  • WaterIf you need to get the foot wet for wudu or bathing, we choose a waterproof foot.
Man walking down a ramp with a prosthetic foot in a leather shoe
A good foot matters most on ramps, slopes and long days, not on a flat clinic floor.

Prosthetic foot questions

What is a SACH foot?

SACH stands for solid ankle cushion heel. It has a firm keel inside a foam or rubber foot with a soft heel that squashes as you step. It has no moving parts, is very tough and cheap, and suits people who walk short distances at one speed.

Is a carbon fibre foot worth the extra cost?

If you walk a lot, yes. Carbon feet bend as you load them and spring back as you push off, so walking takes less effort and the step feels more natural. For short walks at home, a good dynamic foot or a SACH foot is usually enough.

Can I wear sandals with a prosthetic foot?

Many feet fit sandals, and some come with a split between the big toe and the rest for thong-style sandals. Heel height matters: a foot is set up for one heel height, so changing to a very different shoe changes how the leg stands.

Can a prosthetic foot get wet?

Some feet are fully waterproof, others are not. If you need to make wudu or shower with the leg on, tell us and we will choose a waterproof foot, or suggest a separate shower leg.

How do I know my prosthetic foot is wearing out?

Cracks in the foot shell, a heel that has gone flat, a new clicking sound or the leg leaning to one side are all signs. The cosmetic shell can usually be replaced on its own, which costs much less than a new foot.

Not sure this is the right leg for you?

Send a photo of the stump and a line about your health on WhatsApp. We will tell you honestly what fits, and what it is likely to cost, before you travel or pay anything.

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