A foot orthosis can be a game-changer if you struggle with foot pain, discomfort, or mobility issues. Whether you're an athlete looking for better balance or someone dealing with chronic foot problems, the right orthotic can make all the difference.
Keep reading to learn how foot orthoses work, the available types, and how they can help you move more comfortably.
Key Takeaways
- Foot orthoses help correct foot posture, reduce pain, and improve mobility for various conditions, such as plantar fasciitis, tendonitis, and foot ulcers.
- Custom, cushioning, and prefabricated foot orthoses offer solutions tailored to specific foot concerns.
- A well-fitted orthotic, combined with ongoing treatment and follow-ups, ensures long-term comfort and effectiveness.
A foot orthosis, also called orthotics, is a custom-made shoe insert that supports and aligns your foot. It helps improve foot function and reduces discomfort from various conditions, such as:
- Corns and calluses
- Persistent or recurring open wounds (Foot ulcers)
- Tendon inflammation (Tendonitis)
- Recurrent ankle sprains
- Repeated stress fractures in the foot and leg
- Heel pain (Plantar Fasciitis)
- Pain in the front of the knee (Patellofemoral Syndrome)
- Hip and lower back pain, especially from prolonged walking or standing
- Flat foot deformity and pain (Posterior Tibial Tendon Dysfunction)
- Instability and pain in the foot and ankle (Peroneal Tendon Dysfunction)
- Swelling and pain in the midfoot (Midfoot Osteoarthritis)
- Discomfort and pain when walking (Metatarsophalangeal (MTP) Joint)
- Swelling and pain under the ball of the foot (Plantar Plate Injury, Metatarsalgia)
- Stiffness and pain in the front of the foot (Freiberg Disease)
- Restricted or stiff sensation around the ankle (Achilles Tendon Contractures)
They can also help people with chronic foot or leg problems by reducing strain and improving mobility. While athletes use them to correct imbalances that might impact their performance.
Orthotics can be prefabricated or custom-made, with custom options crafted using a plaster cast or digital imaging for a precise fit.
Types of Foot Orthoses

Foot orthoses come in different types, each designed to address specific foot concerns. Whether you need support, cushioning, or pressure relief, the right orthotic can help improve comfort and function.
- Functional Orthoses – These are crafted to control abnormal foot movements and address biomechanical issues, helping your foot move more naturally.
- Prefabricated Orthoses – Ready-made inserts that a podiatrist or doctor who specializes in feet and ankles can adjust to target specific foot issues.
- Cushioning Orthoses – Provide extra shock absorption to reduce impact and improve comfort.
- Pressure Relief Orthoses – Help redistribute body weight to relieve pressure points that can cause corns, calluses, or discomfort.
- Custom Foot Orthoses – Specially designed to provide you with personalized support and cushioning. They are more expensive than store-bought options but offer a precise fit and targeted relief for specific foot issues.
Choosing the right orthotic depends on your specific needs, and a healthcare professional can guide you in finding the best option.
Prescription and Customization
Creating an effective foot orthosis involves:
- Assessment Process – A detailed evaluation of your foot joints, alignment, and any specific concerns. This includes checking joint movement, muscle strength, and bone positioning while standing. Your walking pattern may also be analyzed on different surfaces or during activities that cause discomfort to ensure the orthotic meets your needs.
- Customization Techniques – Using plaster casts or 3D imaging to design an orthosis that fits your foot perfectly.
- Material Selection – Choosing materials based on the support you need, flexibility, and activity level to ensure comfort and effectiveness.
A well-made foot orthosis requires careful assessment, precise customization, and the right materials to match your needs. Each step ensures the orthotic provides proper support, comfort, and long-term relief.
Ongoing Care and Treatment with Orthotics
Orthotics are often part of a broader treatment plan that includes stretching and strengthening exercises to improve posture and alignment. A podiatrist may design these exercises based on your specific needs, starting them when prescribing your orthotics.
Other physical therapies, such as ultrasound, joint mobilization, manipulation, and taping, may also enhance effectiveness.
For those with diabetic foot ulcers, wound care, and pressure-relieving orthoses can help improve healing.
Follow-up visits with your podiatrist ensure the orthotics are working properly.
In some cases, small adjustments may be needed, and an ongoing treatment plan will be developed to manage foot issues over time.
Frequently Asked Questions
What do orthotics do for your feet?
Orthotics improve comfort and movement by adjusting how your foot strikes the ground. They help absorb shock, enhance balance, and reduce pressure on sore areas.
Why would someone need AFOs?
Someone may need ankle-foot orthoses (AFOs) for support and stability if they have muscle weakness, joint instability, or foot deformities that affect walking.
These are often used for conditions like stroke, cerebral palsy, or nerve damage to improve movement and alignment.