Local multiaxial Rs 120,000 to 200,000
A rubber-ankle multiaxial foot with our socket and a sleeve. Steady on rough ground.
- Assessment
- Test socket
- Training
Ankle movement in every direction
Multiaxial prosthetic foot for uneven streets and slopes
A multiaxial foot moves up and down, side to side and with a slight twist, so it settles flat on broken pavements, slopes and steps instead of tipping you over. It is the comfortable middle ground between a solid SACH foot and a springy carbon foot.
- Free first assessment
- Test socket before the final leg
- Answered 24/7
Reviewed by Ummad Shafique Mughal, Consultant Orthotist and Prosthetist. Updated October 2026.
In short
What is a multiaxial foot?
The short answer
A multiaxial foot has an ankle made of rubber bumpers or a small joint that lets the foot move in several directions. When you step on a stone, a kerb edge or a sloping road, the foot adapts to the surface while the socket stays upright, so less twisting reaches your stump and knee. Examples include the Ottobock Greissinger Plus and the College Park Trustep, which combines multiaxial movement with carbon springs.
A complete below knee leg with a multiaxial foot costs about Rs 120,000 to 400,000.
Is it right for you?
Who a multiaxial foot suits
Usually a good fit if
- Users who walk on broken pavements, unpaved lanes and slopes
- Older users who want stability without stiffness
- People who feel twisting in the stump with a SACH foot
- Users with moderate activity
We may advise waiting, or something else, if
- Very active users who want maximum energy return; a carbon foot suits better
- Body weight above the foot's rating
- Users who want the simplest foot with nothing to wear out
Compared
How a multiaxial foot compares
Each foot suits a different kind of ground and a different kind of walker.
| Foot | Best ground | Energy return | Indicative price of a below knee leg |
|---|---|---|---|
| SACH | Flat floors | Low | Rs 80,000 to 150,000 |
| Multiaxial | Uneven ground and slopes | Moderate | Rs 120,000 to 400,000 |
| Multiaxial with carbon springs | Uneven ground, active walking | Good | Upper end of the range |
| Carbon fibre | Flat to moderate ground, long walks | High | Rs 180,000 to 900,000+ |
Cost in 2026
What a leg with a multiaxial foot costs
Leg with multiaxial foot
Rs 120,000 to 400,000local to imported build
Imported multiaxial Rs 200,000 to 300,000
Imported multiaxial ankles with smoother movement and longer-lasting parts.
- Assessment
- Test socket
- Training
Multiaxial with carbon Rs 300,000 to 400,000
Multiaxial movement with carbon springs, for active users on mixed ground.
- Assessment
- Test socket
- Training
Indicative ranges. A firm figure comes in writing after the free assessment and does not change without your agreement. Full cost guide.
Your visits
Fitting a foot for real streets
Assessment
Where you walk most and how your balance is.
Foot choice
Ankle stiffness matched to your weight.
Fitting
Alignment checked on flat ground and on a ramp.
Training
Practice on slopes, kerbs and steps.
Coming from out of town? Tell us your dates and we will plan the visits close together.
How the ankle moves
Most multiaxial feet have a block of rubber or a set of bumpers at the ankle. Under load, the rubber lets the foot tip forward and back, roll to either side and twist a little, then springs it back to neutral. It works like a simple version of your own ankle, keeping the sole flat on the ground even when the ground is not flat.
Made for real streets
Broken footpaths, unpaved lanes, speed breakers, ramps into shops, the steps of a mosque and puddles after monsoon rain: daily walking in most Pakistani towns is rarely on flat, even ground. A multiaxial foot takes much of the twist out of these surfaces, so the stump and the knee feel less strain and you feel steadier.
The trade-offs
A multiaxial foot gives less push-off than a carbon fibre foot, so very long walks take a little more effort. Some users find the extra ankle movement feels wobbly at first; training on a ramp helps. Feet that combine multiaxial movement with carbon springs offer the best of both, at a higher price.
Care and checks
The rubber parts in the ankle wear over time and in heat can soften slightly. A squeak, a clunk or a wobbly feeling that was not there before is a sign to come in. We check the ankle at follow-ups and replace worn bumpers when needed.
Travelling to us?
Coming to us for a multiaxial foot from another city or country
Tell us your city or country and your travel dates when you call. We plan the visits as close together as the stump allows, so most patients can finish the casting, test socket and fitting in one stay, whether they come from Quetta or fly in from Dubai, with a shorter trip later for adjustments if needed.
Questions
Questions about the multiaxial prosthetic foot
What is a multiaxial foot?
A prosthetic foot whose ankle can move up and down, side to side and with a slight twist, so it adapts to uneven ground and slopes.
Is a multiaxial foot better than a SACH foot?
On uneven ground and slopes, usually yes, because it adapts to the surface. On flat floors for low-activity users, a SACH foot does the job for less.
How much does a leg with a multiaxial foot cost?
About Rs 120,000 to 400,000 for a complete below knee leg, depending on the foot and whether it has carbon springs.
Do multiaxial feet need maintenance?
The rubber parts in the ankle wear over time and may need replacing. We check them at follow-ups; a squeak or a wobbly feel is a sign to come in.
Related
Pages people read next
Below Knee Artificial Leg
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Read moreSACH Prosthetic Foot
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Read moreCarbon Fibre Prosthetic Foot
Springy feet that store energy and give a stronger push-off.
Read moreArtificial Leg for Elderly Patients
Light, safe legs for standing, transfers and walking at home.
Read moreWe import and fit parts from Ottobock, Össur, Blatchford, Proteor, Fillauer and other makers to order, and we are independent of all of them. Brands we fit.
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