Custom orthotics vs. over-the-counter insoles

Over-the-counter insoles help a lot of people, and they're a reasonable first step. When they haven't helped, it's usually because of something an exam can find.

How they differ

Over-the-counter insoles

Made in standard shapes and sizes to cushion and support an average foot. They're inexpensive, easy to try, and available at PodiatryMarket.com.

Custom orthotics

Prescribed after a foot exam and gait analysis, and made from a cast of your own feet. They can be built to address a specific problem, such as offloading a painful spot, controlling how far the foot rolls, or matching two feet that are different from each other.

Why store-bought insoles sometimes don't help

  • The pain has a cause that insoles don't address, such as a nerve problem or stress fracture
  • Your feet are different from each other, or from the average shape
  • The problem needs a specific correction or offloading
  • The insole doesn't fit your shoes, or the shoes themselves are the problem
  • The insoles have worn out

When custom orthotics are worth considering

  • You've given over-the-counter insoles a fair trial without relief
  • You have a recurring problem linked to foot structure or mechanics, such as plantar fasciitis or overpronation
  • You have a specific pressure spot, like a callus or ball-of-foot pain
  • You're very active or on your feet all day

What the $499 includes

Gait analysis, a foot exam, casting, the orthotics, and the dispensing visit. If the exam shows that over-the-counter insoles or a shoe change are the better choice, you'll be told. See custom orthotics.

Which visit to book

Book the Custom Orthotics & Gait Analysis ($499).

Common questions

Are custom orthotics worth the cost?

For the right problem, they can be. The exam is where you find out whether custom orthotics are likely to help more than a store-bought option.

How long do custom orthotics last?

Often several years, depending on the materials, your activity, and your weight. Store-bought insoles usually wear out much sooner.

What should I bring?

Your most-worn shoes and any insoles you've tried.

Related pages

Over-the-counter podiatry products

For foot care products you can buy without a visit, shop online at PodiatryMarket.com.

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