Heli-skiing, remote adventure skiing and Ski – Dubai have all become very popular in the desert! Due to ease of travel our patients can fly to other countries during ski season or pop in to Mall of the Emirates to go skiing. Calf cramp and forefoot numbness and knees together are common problems we see in skiing. Most of the actually biomechanical correction of the foot and lower limb is done outside the ski boot in work and sports shoes. The actual ski orthotic has to be minimal as the efforts from the orthotic are multiplied when skiing. Manipulation of the foot and lower leg can be done with high intensity orthotics placed in walking shoes and a much-refined version placed into the ski boots.