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Do Orthotics Work for Flat Feet

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Flat feet, or fallen arches, is a common condition where the arches of the feet touch the ground or are significantly lower than usual. For individuals with flat feet, the question of whether orthotics can effectively address this issue often arises. This article explores the topic “Do Orthotics Work for Flat Feet?” and provides insights into the use of orthotics for managing this condition.

Understanding Flat Feet

Before delving into the role of orthotics, it’s important to understand what flat feet are:

Flat feet, or pes planus, occur when the arches along the inside of the feet are absent or significantly lower than the norm. This condition can be present from birth (congenital) or develop over time due to various factors. It is a common condition and can lead to foot discomfort, pain, and potential issues with gait and posture.

What Are Orthotics?

Orthotics are medical devices designed to provide support and address various foot and lower limb conditions. They are typically made from materials like foam, gel, or rigid plastics and are inserted into your shoes to provide additional support and stability. Orthotics come in various forms, including custom-made and over-the-counter (pre-fabricated) options.

Effectiveness of Orthotics for Flat Feet

The effectiveness of orthotics for flat feet can vary depending on several factors:

1. Cause of Flat Feet: The cause of flat feet, whether congenital or acquired, can impact the effectiveness of orthotics. Congenital flat feet may respond differently to orthotic treatment compared to those caused by factors like injury or overuse.

2. Custom vs. Over-the-Counter Orthotics: Custom-made orthotics, designed to address your specific foot condition, tend to be more effective for flat feet than over-the-counter alternatives. Custom orthotics are created based on a detailed analysis of your feet and gait, providing tailored support.

3. Severity of Flat Feet: The severity of flat feet can vary, and more severe cases may require specialized orthotics and additional interventions, such as physical therapy or orthopedic consultations.

4. Consistency of Use: Orthotics should be consistently worn to be effective. Failing to wear them regularly may limit their effectiveness in providing support and alleviating discomfort associated with flat feet.

Types of Orthotics for Flat Feet

Several types of orthotics can be used to address flat feet:

1. Rigid Orthotics: These orthotics are made from firm materials and are designed to control foot motion. They are often prescribed for individuals with flat feet to provide stability and support to the arches.

2. Cushioned Orthotics: Cushioned orthotics are softer and provide cushioning and shock absorption. They can be beneficial for individuals with flat feet who also experience discomfort due to excessive pressure on their feet.

3. Custom Orthotics: Custom orthotics are specifically tailored to an individual’s foot structure and gait. They are designed to provide the most precise support for flat feet and are usually recommended for moderate to severe cases.

Key Considerations Before Using Orthotics

Before using orthotics for flat feet, it’s important to consider the following:

1. Professional Assessment: Consult with a podiatrist or orthopedic specialist for a comprehensive evaluation of your flat feet. They can determine the underlying cause, severity, and the most appropriate type of orthotics for your condition.

2. Orthotic Fitting: Custom orthotics require precise measurements and fitting. Ensure that your orthotics are accurately designed and fitted to your feet to maximize their effectiveness.

3. Commitment to Consistency: Orthotics are most effective when worn consistently. Make a commitment to use them as directed by your healthcare provider.

4. Footwear: Consider the type of footwear you use. Orthotics may require shoes with removable insoles or adequate space to accommodate them comfortably.

Alternatives to Orthotics

While orthotics can be effective for managing flat feet, some individuals may explore alternative approaches to address this condition:

1. Physical Therapy: Physical therapy can help strengthen the muscles and improve the flexibility of the feet and lower legs, potentially reducing discomfort associated with flat feet.

2. Stretching Exercises: Stretching exercises and activities like yoga can be beneficial in improving foot flexibility and reducing pain.

3. Footwear Selection: Choosing supportive footwear with arch support and proper cushioning can alleviate some discomfort associated with flat feet.

Lifestyle Adjustments

For individuals with flat feet, certain lifestyle adjustments can complement the use of orthotics or alternative treatments:

1. Weight Management: Maintaining a healthy weight can reduce the strain on your feet and may help alleviate discomfort.

2. Activity Modification: Adjusting your physical activities to reduce high-impact exercises or choosing more foot-friendly activities can make a difference in managing flat feet.

Maintaining Your Orthotics

To make the most of your orthotics, it’s important to maintain them:

1. Regular Cleaning: Clean your orthotics with a damp cloth and mild soap. Allow them to air dry completely before using them again. Regular cleaning can prolong their lifespan and prevent odor.

2. Inspect for Wear: Periodically check your orthotics for signs of wear and tear. If you notice any visible damage or reduced effectiveness, consider consulting with a professional for assessment and possible adjustments.

Consulting a Specialist

While exploring the use of orthotics for flat feet and considering various options, it’s crucial to consult with a foot specialist or podiatrist. These professionals can assess your specific foot condition and provide expert guidance on the most suitable type of orthotics for your condition. They can help you make informed decisions that align with your budget and long-term foot health goals.


Orthotics can be effective in providing support and relief for individuals with flat feet, but their effectiveness may vary based on the cause, severity, and type of orthotics used. To determine the most suitable approach for your flat feet, it is crucial to consult with a healthcare professional who can assess your condition and recommend the best course of action. Whether you choose orthotics or alternative methods, addressing flat feet can lead to improved comfort, reduced pain, and enhanced quality of life.

About the Author

Dr. Zac Cartun

After graduating medical school from the University of Massachusetts, Dr. Zac Cartun consulted for health-tech companies expanding medical care. Since earning his M.B.A from Wharton X INSEAD, he is now bringing orthopedic and podiatric care to the home.