Custom orthotics get talked about a lot — sometimes as a fix for almost anything, sometimes as an unnecessary expense. The reality sits in between. Here’s a straightforward look at what they do, who tends to benefit, and who probably doesn’t need them.
What custom orthotics actually do
Custom foot orthotics are devices made to support and guide your foot during movement. Unlike off-the-shelf insoles, they’re designed around your foot structure, movement patterns and activity level. The goal isn’t just cushioning — it’s changing how load moves through your feet and lower limbs.
Who tends to benefit
- People with persistent heel or arch pain, such as plantar fasciitis, that hasn’t settled with other care.
- Runners and active people whose foot mechanics are contributing to knee, shin or hip niggles.
- Those with specific structural or biomechanical issues identified on assessment.
Who probably doesn’t need them
Plenty of foot pain improves with the right footwear, a graded strength program, load management and time. Orthotics aren’t a default answer, and they aren’t a substitute for addressing the underlying cause. If something simpler will do the job, that’s usually the better starting point.
How we decide
At Peak Performance Institute, we prescribe orthotics only when the assessment supports it. That means looking at your history, footwear, movement and gait before recommending anything — and being honest when they’re not the right tool.
Written by the Peak Performance Institute team. Medically reviewed by: to be confirmed prior to publication. This article is general information only and is not a substitute for individual clinical advice. If you have concerns about your health, please book an appointment or speak with your practitioner.