Custom orthotics are all the rage, podiatrists order them for 90% of their patients but this may not be a useful solution for many.
A recent study showed that most custom orthotics performed no better than off-the-shelf orthotics. For conditions like plantar fasciitis supportive shoes or off-the-shelf orthotics did the job. A NY Times article found many who spent large amounts of money on orthotics to have none of them resolve the problem and others found sufficient relief in other measures.
Hard plastic orthotics can cause other problems due to the lack of any cushioning. Most over-the-counter orthotics are made out of combinations of dense foam, providing both support and cushioning. Some people have even had custom orthotics that make their problems worse.
Off-the-shelf orthotics and sports insoles can help with most common foot problems. Dr. Scholls has a line of “custom” orthotics. You can use their online assessment tool to determine what model orthotic you need. Many stores also have a kiosk you can use to determine what orthotics you need and purchase them in person. Use this store finder to locate a kiosk near you. You can also buy these orthotics online through Walmart. These orthotics average about $50 a pair. Far cheaper and more efficient than $200 – $800 orthotics via a doctor’s office.
Tread Labs makes multiple styles of insoles with orthotic-type features including various levels of arch support, heel support, and combinations of materials to achieve the support needed. Their taller arch levels are ideal for people with extremely high arches. These range from $50 to over $100 based on what you need. They also have supportive footbed sandals.
AliExpress has a variety of sports insoles, orthotics, and supports ranging from a few dollars up to $26.00. This is a great way to try something out at a lower price point to see if it helps or if you need basic orthotics for multiple pairs of shoes.
Walk Hero Inserts may be a good option if you need a heel cup and a bit of arch support. At $19.99 these may be the best bang for the buck for things like plantar fasciitis.
Dyn Walker insoles include a deep heel cup, substantial arch support, and a metatarsal pad. This combination is hard to find in off-the-shelf orthotics. The company claims these will help with metatarsalgia, over-pronation, and achilles tendonitis. At about $24 a pair, they are a relatively low-risk option to try.
