Our Hamilton men’s Charcot shoe last is a short boot last designed to accommodate a severe Charcot foot. The shoe last is designed for a wide insole base at the medial side with a bulge extended further to accept offloading accommodative orthotics. The shoe last has a slight concave shape at the lateral side of the mid foot area to follow the shifting of the joints providing a close fit. This is done because it is common for the lateral side of the forepart region to shift up while the medial side of the arch is collapsing. We also made sure to provide ample room in the 5th toe area. The measurement of this shoe last at the instep is much greater than a regular shoe last measuring 15% more girth measurement and 6% more on the ball joint. The length is kept to standard grading charts. The contour of the shoe last bottom between the heel and the ball joint line has a straighter shape than a regular shoe last in order to accommodate offloading insert and the rocker bottom of the foot. A matching shoe last from the same shoe last group could be ordered for the other foot (Brampton or Oshawa).