Orthotics
Definition
Foot orthotics (orthoses) are shoe inserts designed to support the natural shape of your foot, improve alignment and function, and help redistribute pressure across the foot during walking and running.
Symptoms they can help
Arch or heel pain (plantar fasciitis), forefoot pain (metatarsalgia/plantar plate irritation), shin or knee overload, and callus/corn build-up from high-pressure areas. Orthotics can also assist with recurrent ankle strain and fatigue from prolonged standing.
Causes of pain/overload
- Foot mechanics such as over-pronation or very high arches
- Toe deformities or bunions that alter pressure points
- Training volume spikes; long hours on hard surfaces
- Ill-fitting or unsupportive footwear
Who may benefit?
- People with plantar fasciitis, metatarsalgia or recurrent forefoot/heel pain
- Those with flat feet or high arches needing alignment support
- Workers on their feet all day; runners and active walkers
- Children with symptomatic flat feet or activity-related foot pain
Risks
Poorly matched or worn-out inserts can be uncomfortable or ineffective. Review and adjustments may be required as activity levels, footwear, or symptoms change.
- Initial adaptation soreness (usually settles with a gradual wear-in)
- Hotspots if footwear is too tight or orthotic isn’t tuned
- Reduced benefit when used in heavily worn shoes
Prevention
- Choose supportive footwear with adequate width and cushioning
- Progress training loads gradually and include calf/foot strengthening
- Replace worn shoes and review orthotics periodically
Treatment
- Comprehensive assessment of foot mechanics and pressure points
- Prescription orthotics (custom or prefabricated) to off-load and support
- Footwear advice and activity/load modification as needed
- Follow-up to adjust posting, padding or top-covers for best comfort
If you’re dealing with persistent foot pain, orthotics combined with the right footwear and a graded activity plan can help you return to comfortable movement.