Foot orthotics are one of the most recommended and effective solutions for a variety of foot and lower body conditions. Whether you’re dealing with chronic foot pain, recovering from an injury, or seeking better support in your daily life, orthotics can make a significant difference. However, many people have questions before committing to using them. Here are the most common questions people ask about foot orthotics—and the answers that can help you make an informed decision.

1. What Are Foot Orthotics?

Foot orthotics are specially designed inserts that go inside your shoes to support and align your feet properly. They can be either over-the-counter (prefabricated) or custom-made to fit your specific foot structure. Custom orthotics are typically prescribed by healthcare professionals like chiropractors, podiatrists, or orthopedic specialists after a detailed assessment.

2. Who Should Use Foot Orthotics?

Foot orthotics are beneficial for a wide range of people, including:

  • Those with foot conditions like plantar fasciitis, flat feet, bunions, or heel spurs.

  • Athletes or active individuals who experience strain or injuries.

  • People with poor posture or alignment issues.

  • Individuals with chronic knee, hip, or back pain related to foot imbalances.

  • Seniors looking for stability and improved walking comfort.

If you experience consistent foot pain, fatigue, or lower body discomfort, a professional assessment can determine if orthotics are right for you.

3. Are Custom Orthotics Better Than Store-Bought Ones?

While store-bought orthotics may offer temporary comfort or support, they are made to fit the general population and not tailored to your unique foot mechanics. Custom orthotics, on the other hand, are specifically designed based on a detailed evaluation of your foot structure, gait, and needs. This precision makes them more effective in treating specific conditions, offering better long-term relief and support.

4. What Conditions Can Orthotics Help With?

Foot orthotics can address a variety of conditions, including:

  • Plantar fasciitis

  • Flat feet or high arches

  • Heel spurs

  • Achilles tendonitis

  • Shin splints

  • Knee pain caused by misalignment

  • Hip and lower back pain related to poor foot posture

  • Metatarsalgia and neuromas

Orthotics work by correcting biomechanical imbalances and redistributing pressure to prevent further damage and relieve pain.

5. Do Orthotics Hurt When You First Wear Them?

It’s normal to feel a slight adjustment period when first using orthotics. Since they alter how your feet distribute weight and absorb shock, your muscles and joints may need time to adapt. Most people get used to them within a few days to a couple of weeks. If discomfort persists beyond that, you should consult your provider for adjustments.

6. How Long Do Foot Orthotics Last?

The lifespan of orthotics depends on their quality, how often you use them, and your activity level. On average:

  • Custom orthotics can last 2 to 5 years with proper care.

  • Over-the-counter versions may last 6 to 12 months.

It’s a good idea to have your orthotics re-evaluated annually to ensure they still meet your body’s needs.

7. Can I Use Orthotics in Any Type of Shoe?

Most orthotics are designed to fit in standard walking or athletic shoes. However, you may need specific styles or thinner designs for dress shoes, boots, or high heels. Your practitioner can guide you in choosing the right orthotic type for different shoe styles or recommend orthotic-friendly footwear.

8. Do I Need a Prescription for Foot Orthotics?

While you don’t need a prescription for over-the-counter orthotics, custom orthotics do require a professional evaluation and recommendation. In Canada, extended health insurance plans often require a prescription from a healthcare provider like a chiropractor, podiatrist, or physician for reimbursement.

9. Are Foot Orthotics Covered by Insurance?

Many extended health insurance plans in Canada cover part or all of the cost of custom foot orthotics, especially when prescribed by a regulated health professional. It’s important to check with your insurance provider to understand your coverage details, claim requirements, and how often you’re eligible for new orthotics.

10. Can Orthotics Help with Sports Performance?

Yes. Orthotics can enhance sports performance by improving alignment, reducing fatigue, and preventing injuries. Athletes often use them to maintain proper foot mechanics during high-impact activities, which can improve efficiency and comfort during training or competition.

Foot orthotics are a versatile and highly effective solution for a wide range of conditions, but it’s normal to have questions before starting. Whether you’re looking to relieve chronic pain, improve posture, or enhance athletic performance, a professional assessment can guide you toward the right orthotic support. If you’re in the Vancouver area, consult a chiropractor or foot specialist like Dr. Zavosh for personalized care and a custom orthotic solution tailored to your needs.

Article by: Dr. Farokh Zavosh

Burrard Chiropractic and Foot Orthotics – Vancouver Chiropractor