An orthotic scanner is designed for the orthotics and prosthetics field, emphasizing detail for medical grade insoles and braces. It constructs 3D models using structured light technology with sub-millimeter precision, even in the most challenging regions, including the toe creases and heel sulcus. The scanner has automatic defect detection software tools capable of skin irregularity or bony prominence pressure sore identification. For diabetics, this allows the design of off-loading insoles which may relieve restraining pressure, reducing the ulcer risk by 60%. In sports medicine, it assists athletes by designing insoles to alleviate biomechanical inefficiencies over pronation which improves performance and reduces injury rates. Its interfacing capability with 3D printers enables rapid design and alterations, fundamental for timely solutions in a clinical environment.