For functional rehabilitation

The VACOped (formerly VACOcast Pro/Achilles) orthopedic boot provides superior rehabilitation to patients with Achilles injuries with our patented Vacuum Relief insert and unique hinge mechanism that allows the boot to morph to accommodate the patient’s individual needs (see below). The VACOped truly is the best Achilles and fracture orthopedic boot on the market.

See famous Lakers player wearing the VACOped boot on the Huffington Post

What can you do in a VACOcast boot? Everything from swimming to Crossfit.

No clumsy wedge inserts required!

Quickly and easily increase or decrease flexion in 5º increments

 VACOcast Pro/Achilles at 30º | 15º | 0º

VACOcast Pro/Achilles at 30º | 15º | 0º

The #1 choice of professional and world-class athletes! Click here to see.

Progressive treatment options

Achilles Ready
Removable fracture sole & Achilles wedge are both included

Precise Adjustments
Gradually adjust flexion from -10° to +30° with increments of 5°

Controlled ROM
Keep in stationary position, or activate Range Of Motion (ROM)

Earlier weight bearing

The sooner you can walk on your injured leg without crutches, the faster you are onto the road to recovery. The patented Vacuum Relief insert with micro-beads creates a comfortable “perfect fit” to enable controlled weight bearing (when appropriate, as specified by your doctor). Vacuum orthotics are clinically proven to get people with ankle fractures back to work up to 24 days sooner than traditional fiberglass cast.

It's incredibly comfortable.

Patients actually rave about how comfortable their VACOped is. Search "vacocast" on (or just click this link)

Ideal for Achilles rehabilitation.

As your tendon heals, an orthopedist can gradually reduce the amount of plantar flexion on the VACOped. Thissafely increases the amount of tension on the tendon and avoids unwantedshortening of the Achilles tendon without increasing the likelihood ofre-rupture. (see clinical study)

Each boot includes

  • One adjustment key
  • One vacuum relief insert
  • One vacuum pump
  • One removable velour liner
  • One detachable rocker sole
  • One detachable 15° Achilles Wedge sole


  • Additional Liners mean better hygiene and more comfort.
  • EvenUp provides a more normal walking gait.

All accessories are available in the web shop.


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Fitting Tutorial

Robby Swift - Pro Windsurfer

Medical Indications

  • Achilles tendon rupture
  • Achilles tendonitis
  • Ankle fractures
  • Ankle joint replacement
  • Arthrodeses of the upper & lower ankle joint
  • Calcaneus fractures
  • Complex ligament injuries
  • Metatarsal fractures
  • Severe sprains
  • Soft tissue injuries with impaired healing process
  • Splinting of foot & lower leg

Ask your doctor for VACOcast

Patients always have the right to ask for the best product available for any injury or medical indication. VACOcast is often covered by Medicare and by most health insurance programs.

Show your doctor this VACOped product overview.

Sizing Chart

Shoe Size M 5-8 | W 6.5-9.5 M 8-11 | W 9.5-13 M 11+ | W 13+
Length Positions (Min/Mid/Max) 9.3" / 9.7" / 10.1" 10.4" / 10.8" / 11.2" 11.3" / 11.7" / 12.2"
Foot Width 4.1" 4.7" 5.3"
Ankle Circumference 5.5-11" 8-16" 12-18"
Calf Circumference 9-15" 13.5-20" 15-23"
If you have any questions about sizing please don't hesitate to contact us at for assistance. If you are in between sizes we generally recommend that you choose the smaller size. If you have a very large calf you may require additional accessories to accommodate (Liner Extension and Extra Long Strap).