Local build Rs 80,000 to 150,000
Laminated socket, socks or a foam liner, a cuff or sleeve, a steel pylon and a SACH foot.
- Free assessment
- Test socket
- Walking training
Solid ankle, cushion heel
SACH prosthetic foot, simple, tough and affordable
SACH stands for solid ankle, cushion heel: a solid foot with a soft heel wedge and no moving parts. It is the most affordable foot, very hard-wearing and easy to replace, and for many first legs and low-activity users it is all that is needed.
- 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 SACH foot?
The short answer
A SACH foot has a rigid inner keel, a foam body shaped like a foot and a softer wedge in the heel. When you land, the heel compresses a little to cushion the step; as you roll forward, the foam front bends at the toes. There are no hinges or springs to break, so it copes well with dust, rain and hard daily use, and it can be replaced quickly when it wears.
Below knee legs with a SACH foot are our local build, from Rs 80,000 to about Rs 150,000.
Is it right for you?
Who a SACH foot suits
Usually a good fit if
- First legs and families on a tight budget
- Low to moderate activity: home and neighbourhood walking
- Users who want something tough with nothing to break
- Children and older users who need simplicity
We may advise waiting, or something else, if
- Very active users who walk long distances; a dynamic or carbon foot saves effort
- Frequent uneven ground or slopes; a multiaxial foot adapts better
- Users who want a springy push-off
Compared
Where a SACH foot sits among prosthetic feet
The simplest foot is not the wrong foot. It depends on how and where you walk.
| Foot | Ankle movement | Durability | Indicative price of a below knee leg |
|---|---|---|---|
| SACH | None; the heel compresses | Very high | Rs 80,000 to 150,000 |
| Single-axis | Up and down only | High | Rs 100,000 to 200,000 |
| Multiaxial | All directions | Good | Rs 120,000 to 400,000 |
| Jaipur Foot | Flexible rubber foot | Good, made for barefoot use | Low, on request |
| Carbon fibre | Springy | Good, for years | Rs 180,000 to 900,000+ |
Cost in 2026
What a leg with a SACH foot costs
This is the most affordable way to a sound below knee leg, with the money spent where it matters most: the socket.
Leg with SACH foot
Rs 80,000 to 150,000local to imported build
With a silicone liner Rs 120,000 to 180,000
The same tough foot with a silicone liner for more comfort, especially in summer.
- Free assessment
- Test socket
- Walking training
Spare or second foot Priced on request
A second SACH foot for a different heel height, such as formal shoes, or a spare for a worn foot.
- Fitting
- Alignment check
- Advice
Indicative ranges. A firm figure comes in writing after the free assessment and does not change without your agreement. Full cost guide.
Your visits
Four visits for a local build leg
Assessment
Stump, activity, shoes and budget.
Casting
The socket, the most important part, is made for your stump.
Test socket
Comfort and pressure checked before the final socket.
Fitting and training
Alignment and first steps on the new leg.
Coming from out of town? Tell us your dates and we will plan the visits close together.
What is inside a SACH foot
The keel inside is a rigid piece, often wood or hard plastic, bolted to the pylon. Around it, the foot is moulded from foam in the shape of a real foot, with a softer wedge in the heel. Heel wedges come in soft, medium and firm, chosen for your body weight: too soft and you sink back on landing, too firm and every step jars the stump.
Why simple can be the right choice
A SACH foot lets you put the money into the part that decides comfort: a well-fitted socket. It suits first legs, when the stump is still changing and the socket will be replaced anyway, and it suits users who walk mostly at home and around the neighbourhood. It is easy to repair or replace in any city, which matters for families far from Karachi.
The limits of a SACH foot
Because the ankle does not move, a SACH foot is stiff on slopes and gives little push-off, so long walks take more effort. On uneven lanes and broken pavements, the foot does not adapt to the surface. If your activity grows, a multiaxial or carbon fibre foot can be fitted to the same leg later.
SACH or Jaipur Foot?
The Jaipur Foot is a rubber foot developed in India and widely used across South Asia. It is designed for barefoot walking, squatting and sitting cross-legged, which some families value for home and the mosque. A SACH foot is usually used with shoes and gives a more even step in footwear. We fit both and can explain which suits your daily life better; see our notes on the brands we fit.
Travelling to us?
Coming to us for a below knee leg 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 sach prosthetic foot
What does SACH stand for?
Solid ankle, cushion heel. The ankle does not move; a soft heel wedge cushions each step.
Is a SACH foot good enough?
For many first legs and users who walk mainly at home and around the neighbourhood, yes. It is tough, simple and inexpensive. Very active users usually do better with a dynamic or carbon fibre foot.
How long does a SACH foot last?
Often several years. The foam wears at the toe and heel over time, and the foot can be replaced quickly and cheaply.
Can I walk barefoot with a SACH foot?
Short steps at home in socks are fine. For walking barefoot in the house or the mosque, some users prefer a Jaipur Foot, which is designed for it.
Related
Pages people read next
Below Knee Artificial Leg
The most common leg we fit: your own knee bends, the socket and foot do the rest.
Read moreCarbon Fibre Prosthetic Foot
Springy feet that store energy and give a stronger push-off.
Read moreMultiaxial Prosthetic Foot
Feet that tilt and twist to cope with uneven streets and slopes.
Read moreTemporary Artificial Leg
An early, simple leg to get you standing while the stump settles.
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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