Do I Need Orthotics?
Do I Need Orthotics? A Physiotherapist’s Guide to Foot Support and Pain Relief
If you’ve ever had sore feet, knees, or even back pain, you might have wondered — “Do I need orthotics?” Orthotics are custom or pre-made inserts that go inside your shoes to improve the way your feet move and support your body. But they’re not for everyone. Let’s break down when orthotics can help, and when other treatments might be a better first step.
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What Are Orthotics?
Orthotics are specialized insoles designed to correct how your feet function. They can be:
• Custom orthotics — made specifically for your feet after a biomechanical assessment by a physiotherapist or podiatrist.
• Off-the-shelf insoles — available in stores and helpful for mild alignment or cushioning needs.
Orthotics work by supporting your arches, redistributing pressure, and improving alignment through your legs and spine.
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When Orthotics Might Help
Orthotics can be very effective for people who experience:
• Foot pain (plantar fasciitis, flat feet, high arches)
• Heel pain or Achilles issues
• Knee, hip, or lower back discomfort related to poor alignment
• Pain that worsens after walking or standing for long periods
• Recurrent running injuries like shin splints or IT band irritation
They can also be useful if your shoes wear unevenly, or if you notice your feet collapsing inward (overpronation) or rolling outward (supination) when you walk.
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Why a Physiotherapy Assessment Comes First
Before jumping into orthotics, it’s important to find out why your pain or imbalance is happening. Sometimes, foot pain is a symptom of weakness or stiffness elsewhere — for example, tight calves, weak glutes, or limited ankle mobility.
A physiotherapist can:
• Analyze how you walk and run (gait analysis)
• Test your strength, flexibility, and joint movement
• Identify if orthotics are truly needed or if exercises and footwear changes will fix the problem
In many cases, targeted exercises, proper footwear, and manual therapy can correct issues without the need for long-term orthotic use.
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Custom vs Store-Bought Orthotics
Custom orthotics are ideal when there’s a structural or chronic issue — for example, flat arches or a leg length difference. They’re made to fit your feet precisely and last several years.
Over-the-counter insoles, on the other hand, are more affordable and can work well for mild pain or temporary support. A physiotherapist can recommend which option is right for you.
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When to See a Physiotherapist
Book an assessment if you notice:
• Ongoing foot or heel pain
• Pain when walking barefoot
• Frequent ankle sprains
• Uneven shoe wear
• New pain since changing shoes or activity levels
Your physio will determine whether you need orthotics or if other treatments like strengthening, taping, or mobility exercises will work better.
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Takeaway
Orthotics can make a big difference — but they’re not a one-size-fits-all solution. The best step (pun intended!) is a biomechanical assessment with a physiotherapist who can pinpoint what’s causing your pain and design the right treatment plan for you.
If you’re wondering whether orthotics could help, book an appointment at Better Beyond Rehab. We’ll help you walk, run, and move comfortably — from the ground up.
