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HEEL PAIN8 min read•Last reviewed June 6, 2026
Orthotic Therapy What You Need To Know

★ Key takeaways

  • Orthotics support the foot and can ease pain from conditions like plantar fasciitis, flat feet and heel pain.
  • Off-the-shelf inserts suit many people, while custom orthotics are made for your specific foot and gait.
  • Orthotics work best alongside physiotherapy, strengthening and the right footwear, not on their own.
  • A physiotherapist can assess your feet and advise whether orthotics are right for you.

Maintaining an active lifestyle should be something we enjoy, not something we endure with discomfort. Yet, for many people, persistent foot pain and limited mobility can feel like a roadblock to staying active. You’ve tried different treatments, but the discomfort persists, leaving you wondering if there’s a more effective solution. 

Foot pain can take a toll on your quality of life, making even simple activities challenging. If you’re seeking a way to balance your active lifestyle with lasting relief, orthotic therapy could be the answer you’ve been searching for.

What is Orthotic Therapy?

Physio tip: Orthotics work best alongside strengthening and the right footwear, not on their own. A physiotherapist can show you the exercises that make them more effective.

Orthotic therapy is a specialised treatment that focuses on how the foot and ankle work. It involves using custom-made orthotics, or shoe inserts, to support and realign these important structures. This can help reduce pain, prevent injuries, and improve how your feet and ankles function.

Our feet and ankles handle a lot of pressure every day, whether we’re walking, running, jumping, or just going about our daily activities. If they’re not working as they should, it can lead to stress, pain, and other issues. Orthotic therapy helps by targeting the root cause of these problems. With advanced tools and a deep understanding of foot and ankle function, our physiotherapists create orthotics designed just for you.

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What Conditions Does Orthotic Therapy Treat?

Orthotic therapy can help with many foot and ankle problems, such as:

  • Plantar fasciitis: Pain in the bottom of the foot, often from overuse or strain on the plantar fascia, a tissue band connecting the heel to the toes.
  • Overpronation: When your foot rolls in too much while walking or running, putting stress on your feet and ankles.
  • Flat feet: Low or no arches in the feet, which can cause discomfort and pain.
  • Bunions: A bony lump at the base of the big toe, leading to pain and irritation.
  • Metatarsalgia: Pain in the ball of the foot, often due to stress or overuse.
  • Hallux valgus: When the big toe bends towards the second toe, causing discomfort.
  • Neuromas: Enlarged nerves in the foot, typically from stress or repetitive pressure.
  • Shin splints: Pain along the front of the lower leg, often from overuse or strain on the muscles and bones.

Who Should Wear Orthotics?

Orthotics support the foot, but lasting change comes from how you move and load it.

Here are some groups of people who might benefit from using orthotics:

  • Athletes: High-impact activities like running, jumping, or playing sports can put stress on the feet. Orthotics can help reduce this stress and lower the risk of injuries.
  • Older adults: As we age, our feet and ankles can become less stable, leading to pain and a higher risk of falls. Orthotics can improve support and mobility.
  • People with flat feet: Flat feet can cause pain and discomfort. Orthotics can help align the feet properly and reduce strain on the joints.
  • People with plantar fasciitis: This condition causes pain in the bottom of the foot. Orthotics can ease the strain on the plantar fascia and provide relief.
  • People with foot problems: Conditions like bunions, metatarsalgia, or neuromas can be painful. Orthotics can improve foot function and help with discomfort.
  • Pregnant women: Pregnancy can change the structure of the feet due to extra weight and pressure. Orthotics can provide support and reduce discomfort.

Everyone’s feet are unique, so it’s important to consult a professional physiotherapist if you’re experiencing pain or discomfort. They can assess your needs and let you know if orthotics are the right solution for you.

What Are The Different Types Of Orthotics?

Orthotics come in a range of options, from simple inserts you can pick up at your local chemist to custom-made devices specially designed for your feet by a physiotherapist.

Foot pads

These are small cushions that go under your feet inside your shoes. They create a soft barrier between your foot and the shoe, helping reduce pressure. Foot pads come in different shapes and sizes, like bunion pads, doughnut-shaped pads, and metatarsal pads.

Heel liners

Also known as heel inserts, heel pads, or heel cups, these provide extra cushioning for your heels. They’re useful for thinning of the natural fat pads on your heels as you age. They can also raise the heel slightly to help with pain in the arch, Achilles tendon, or plantar fascia.

Arch supports

These inserts support the natural arch of your foot. They often have a raised section to provide extra support, which can be helpful if you have flat feet or high arches.

Insoles

Insoles, or shoe inserts, are placed inside your shoes to add support and cushioning. They’re available in materials like foam, plastic, or gel. Insoles can be soft or firm and come in various shapes and sizes to suit different needs.

Ankle braces

These are worn around the ankle before putting on shoes. Ankle braces are often recommended for conditions like tendonitis or other ankle and foot issues to provide stability and support.

Custom Orthotics

Custom orthotics are specially designed inserts made to cushion and support your feet. Some are full-shoe inserts, while others focus just on the heels. Your healthcare provider creates orthotic treatment that match the exact shape of your feet and how they move. To do this, they might use a plaster mould, have you step into a foam box for an impression, or create a 3D image using a computer.

There are two main types:

  • Functional orthotics: Made from semi-rigid materials like graphite, carbon fibre, or plastic, these help control foot movement and reduce pain. They’re often used for injuries like shin splints.
  • Accommodative orthotics: Made from softer, flexible materials, these provide cushioning and mould to your feet. They’re ideal for conditions like diabetes-related foot ulcers.

Not sure what is safe to do right now? A physio can tell you in one visit.

Book your assessment

Benefits of Wearing Orthotics

Orthotic treatment therapy offers plenty of benefits compared to other treatment options: 

  • Non-Invasive: One of the best things about orthotics is that they help manage pain, improve alignment, and address functional problems without needing surgery. This makes them a safer and simpler first step in treatment.
  • Daily Pain Relief: Orthotics work by fixing misalignments and spreading pressure evenly across your feet. This can ease pain not just in your feet but also in your ankles, knees, hips, and lower back throughout the day.
  • Better Mobility: If walking or moving around has become a struggle, orthotics can make everyday activities easier and more comfortable.
  • Preventative Care: Orthotics can help stop certain foot problems from getting worse, protect your joints from wear and tear, and lower the chance of injuries by keeping your feet properly aligned.
  • Fits Any Shoe: Orthotics can be made for all types of footwear, from runners to work boots and dress shoes, so you can have the support you need no matter what you’re wearing.
  • Works with Other Treatments: Orthotics often work well alongside things like physical therapy, exercises, or medication, creating a well-rounded treatment plan for better results.
  • Long-Term Benefits: Unlike some quick fixes, orthotics aim to tackle the root cause of your problems. With the right care, they can provide lasting support for years.
  • Cost-Effective: Compared to surgery or ongoing medication, orthotics are an affordable option that delivers lasting benefits without constant extra costs.

It’s important to remember that orthotics aren’t a one-size-fits-all solution. Their success depends on a proper assessment of your condition, customisation to suit your needs, and using them correctly as part of your overall treatment plan. 

Achieve Pain-Free Mobility with Orthotic Therapy

If you’ve been struggling to maintain an active lifestyle due to persistent foot pain and limited mobility, it’s time to consider a solution that works. Orthotic therapy can address the root causes of discomfort, offering real, lasting relief. With custom-designed orthotics tailored to your specific needs, you can regain control over your daily activities and enjoy the freedom to move without pain. 

Don’t let discomfort hold you back any longer, take the first step towards a more comfortable, active life.  At Switch, our dedicated team of experienced physiotherapists is committed to identifying the root causes of your foot issues and delivering personalised, evidence-based solutions. Take the first step towards a healthier, pain-free lifestyle, book a consultation with us today and regain control of your foot health!

When to seek urgent care: sudden severe foot pain, an inability to put weight through the foot, or numbness and tingling that does not settle should be assessed promptly.

FAQs

How do you know you need orthotics?

Pain can often signal the need for orthotics. Issues with foot mechanics can lead to discomfort in areas such as the foot, knee, hip, or lower back. Common areas of foot pain include the heel, arch, and ball of the foot.

What is the goal of orthotic therapy?

Foot and ankle specialists use orthotics to alleviate symptoms caused by various health conditions. Orthotics are designed to align and support your feet and ankles, helping to prevent and manage deformities and other related issues.

How do you take care of orthotics?

After cleaning your orthotics with soap and water, gently wipe them dry with a clean towel. Allow them to air dry completely in a safe, clean place. Avoid using a dryer or blow dryer, as it can damage them.

Who decides if you need orthotics?

A health professional will gather a comprehensive health history, including your height, weight, activity level, and any medical conditions. They will then assess the most suitable materials and level of rigidity/flexibility for your orthotics and create a detailed impression of your foot. If you’re in Sydney, you can visit one of our convenient clinic locations: Penshurst, Maroubra, Concord, Lane Cove, Menai, Rouse Hill, or Gladesville for personalised care.

About the reviewer

James Becerra

Bachelor of Science (Sport and Exercise Science)
Master of Physiotherapy · SWITCH Physiotherapy

I love being able to help someone out of pain and get them moving again, the smile on that persons face when they experience pain free movement makes it all worth it.

For me its about going above and beyond to treat the cause of the inju… View James’s profile →

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