The present invention relates to a fluidized lower leg protection and support system and method. The system can include an inner positioner. The inner positioner can displace and contour three-dimensionally as though it was fluid to the sides and top of the leg while not having flow characteristics that would result in migration of the medium under the force of gravity. The system can also include an outer support which is received over the inner positioner. The outer support can be in the shape of an open boot. The outer support can include an ultra low pressure plenum. The ultra low pressure plenum is filled at a predetermined low pressure for distributing pressure along the length of the outer support, but not providing significant elevation of the lower leg and heel by itself.