An orthotic is a shoe insert that supports your foot, promoting proper foot and ankle alignment for more efficient movement. Wearing orthotics may help prevent abnormal motion or rolling of the ankle that often causes foot pain.

• Orthotics vs inserts. You can get over-the-counter shoe inserts from many pharmacies; however, these are not the same as custom orthotics. Inserts provide an extra layer of cushioning in your shoes, making walking more comfortable and temporarily easing foot pain. Orthotics are prescribed medical devices custom-made to fit your foot and are often more rigid and long-lasting than generic inserts.

• How are custom orthotics made? Your podiatrist will use scans or impressions to create 3D images of your foot and get an overview of any structural abnormalities that could be causing pain. They will also examine your posture and gait for more insight into your foot concerns. Once the podiatrist has determined your unique support needs, they will create a custom shoe insert that fits your foot perfectly.

• Types of orthotics. You can use rigid plastic or carbon fibre orthotics to support your feet when wearing shoes with a closed toe and low heels, such as runners or dress shoes. Rigid orthotics are also called functional orthotics, and they help prevent strain in your legs and lower back from improper foot alignment. Soft or accommodative orthotics are flexible, providing cushioning and relief for painful foot conditions.