What should you know about orthotics for fallen arches?

A fallen arch may be flexible and painless, or it may alter how the foot and ankle load during walking. An orthotic sits inside the shoe to influence pressure distribution and guide movement. It does not rebuild the arch or treat every source of foot discomfort.

A clinician may consider an orthotic when arch strain, heel symptoms, or fatigue are affecting activity. Knee symptoms can also involve the way the foot moves, but foot posture alone does not establish the cause. Assessment should include the foot, ankle, footwear, and the activity that provokes symptoms.

Wear the device in supportive shoes with enough depth and a stable sole. Begin with the schedule provided by the fitter so your skin and muscles can adapt. Check for rubbing, pressure points, numbness, or worsening pain; stop and arrange a review if these persist.

An orthotic often works best alongside calf and foot strengthening, mobility work, and activity adjustment. A physiotherapist can match exercise therapy to your movement pattern. For persistent symptoms, custom orthotics may be considered after an examination rather than selected by arch shape alone.

Arrange an assessment for new or persistent arch pain, swelling, weakness, or difficulty bearing weight. Seek urgent care after an injury if the foot looks deformed, becomes suddenly numb or cold, or you cannot walk. Increasing pain despite removing the orthotic also deserves review.

Is my arch flexible or rigid? What problem is the orthotic intended to change? Which shoe should I use, how quickly should I build wearing time, and what exercise should accompany it?