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Writer's pictureJordon McIlvain, PT DPT

Are Orthotics Right for You?



Orthotics are often seen as a solution for foot pain, alignment issues, and improving overall comfort during physical activities. Whether custom-made or store-bought, these supportive shoe inserts can make a big difference in how we walk, run, and stand. However, while they offer several benefits, orthotics also come with certain drawbacks that are important to consider. In this post, we'll explore both the pros and cons of orthotics to help you decide if they're the right choice for your needs.


Pros of Orthotics

1. Improved Foot Support

One of the primary benefits of orthotics is enhanced foot support. Orthotics are designed to correct alignment issues and provide extra cushioning for the feet. This is particularly beneficial for those with flat feet, high arches, or plantar fasciitis. By providing proper arch support, orthotics can help prevent foot fatigue and discomfort during daily activities.

2. Pain Relief

Orthotics can alleviate pain not only in the feet but also the ankles, knees, hips, and low back. 

3. Injury Prevention

For athletes or people with active lifestyles, orthotics can help prevent injuries. By providing proper alignment and support, they reduce the risk of common issues like shin splints, stress fractures, and Achilles tendonitis. Orthotics can also distribute pressure evenly across the foot, helping to avoid overuse injuries.

4. Customized Fit

Custom orthotics are tailored specifically for an individual’s foot shape and condition, providing targeted support. This personalization ensures that the orthotics address unique structural issues, such as bunions or uneven leg length, which may not be possible with over-the-counter inserts.

5. Enhanced Performance

For athletes, orthotics can boost performance by enhancing stability and improving movement mechanics. Proper foot alignment enables better balance and coordination, which is essential for running, jumping, and other physical activities. With improved biomechanics, you may experience better endurance and fewer aches after exercise.


Cons of Orthotics

1. Cost

One of the biggest downsides of custom orthotics is the cost. Custom-made orthotics can be quite expensive, ranging from $200 to $800 or more, depending on materials and the level of customization required. While over-the-counter inserts are more affordable, they may not offer the same level of comfort or effectiveness.

2. Adjustment Period

Wearing orthotics for the first time may feel uncomfortable or awkward. It often takes time for your body to adjust to the new foot alignment. During this period, you may experience discomfort or soreness in your feet, legs, or back. Most people need a few weeks to break in their orthotics fully.

3. Not a Cure-All

While orthotics can provide significant relief for many conditions, they are not a cure for underlying issues. Foot problems like arthritis, tendon injuries, or severe deformities may require additional treatments such as physical therapy, medications, or even surgery. Orthotics may help manage symptoms, but they won't solve all foot-related concerns.

4. Potential Overdependence

Another potential drawback is becoming over-reliant on orthotics. In some cases, people might avoid addressing the root cause of their foot problems, such as muscle imbalances or poor footwear choices, and instead rely solely on orthotics. While they can provide relief, strengthening foot muscles and improving posture are also important for long-term health.

5. Limited Durability

Orthotics, especially custom ones, are not built to last forever. Depending on the materials used and how often you wear them, they may need to be replaced every 1-3 years. Over-the-counter orthotics might wear out even faster, meaning recurring costs for replacements.

Orthotics can offer significant benefits for individuals dealing with foot pain, alignment issues, or athletic injuries. They provide much-needed support, enhance performance, and help prevent further injury. However, they can also be expensive, require an adjustment period, and are not a one-size-fits-all solution.


Before opting for orthotics, it's essential to consult with a healthcare professional, such as a podiatrist, to determine whether they are the right choice for your specific needs. In many cases, they are a helpful tool, but they should be used in conjunction with other treatments and a comprehensive approach to foot health.


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