Skip to content
Kinesio Rehab Physiotherapy Centre
Glossary · Foot support

Orthotics, in plain words

They are shaped inserts or supports worn in the shoe to change how the foot takes load.

What are orthotics?

Orthotics are supports worn inside the shoe, or sometimes on the leg, to change how the foot or leg takes load. They can be bought ready-made or shaped to fit one person.

A simple heel cup or arch insole is the commonest kind. Some are firmer and designed after the foot is measured.

Why does it matter for a patient or family?

Orthotics can ease strain at the heel, arch or forefoot, which may help with plantar fasciitis (heel and arch pain), flat feet or foot pain from walking on hard floors. They may also protect feet for people with diabetes.

An insole is only one part. Strong feet and calves, supportive shoes and sensible activity changes usually matter just as much.

An everyday example in Ipoh

A school teacher spends the day on tiled corridors and has heel pain each morning. A physiotherapist checks her calf strength and shoes, and suggests a heel-cushioning insole as a trial for a few weeks, together with calf stretches and strengthening.

She keeps a note of the morning pain and brings it to the review, so they can see whether the insole is helping.

Questions to ask before buying

  • What problem is the insole meant to help, and how will we know?
  • Is a ready-made one enough, or is a custom one needed?
  • How long should I try it before we review?
  • What else should I change, such as shoes or exercises?
  • Brace: a support worn on a joint or body part.

Read about flat feet, flat feet in children, plantar fasciitis, diabetic foot and balance and foot drop after stroke.

Questions people ask

Do I need custom orthotics?

Not always. Plenty of people do well with a good pair of shoes and a ready-made insole. Custom ones may suit people with specific foot shapes, diabetes or conditions that need more precise support. A physiotherapist can advise after checking your feet.

Can children wear insoles for flat feet?

Plenty of children have flat-looking feet that develop normally with age. Insoles are not needed unless there is pain or a specific problem. Ask a doctor or physiotherapist before buying one for a child.

Are orthotics safe if I have diabetes?

They can help protect the feet, but they must fit well because pressure sores can go unnoticed. Check feet daily, and see a doctor or foot specialist for fitting. Tell your physiotherapist about any numbness.

Talk to a physiotherapist about your next step

If foot or heel pain makes walking tiring, tell us what you do on your feet and what you wear; we will explain what we would check before suggesting any insole.

Message us on WhatsApp