Therapy education

Foot orthotics

Understand prefabricated and custom shoe inserts, the assessment process and the questions to ask before buying orthotics.

When to seek help

An individual assessment helps establish whether this option is suitable. Tell your clinician about medical conditions, recent injuries, pregnancy and medicines before starting care.

What orthotics are intended to do

Foot orthotics are devices worn inside shoes to change support or the way forces are distributed. Options range from prefabricated inserts to individually made devices. They may help selected symptoms, but the fact that a foot looks flat or different does not by itself establish a need for treatment.

Start with the problem to be solved

Assessment should connect the device to a clear goal, such as more comfortable walking. It may involve symptoms, footwear, movement and a walking assessment. Ask what the insert is expected to change, whether a less expensive option is reasonable and how success will be measured. Not everyone needs custom orthotics.

Fitting and follow-up

A custom device may involve a scan, cast or other measurement followed by fitting. Bring the shoes you actually wear: an insert and a shoe need to work together. Follow the clinician’s advice about introduction and review. New pressure areas, blisters or worsening pain should be reported rather than tolerated indefinitely.

Part of a broader plan

Exercises and activity or footwear changes may remain important. Orthotics should not be sold as a guaranteed fix for all knee, hip or back pain or as a universal performance upgrade. People with diabetes or reduced sensation need particular care with fit and skin monitoring.

Questions about cost

Check the price of assessment, manufacture, fitting and adjustments. Ask about replacement expectations and any private-insurance eligibility before ordering. Read the podiatry guide and the relevant foot and ankle guide for context.

Make your appointment useful

Bring a brief history of the symptoms, relevant reports and your medicines list. Explain which activities matter most to you and what you have already tried. Ask what diagnosis best explains the findings, what would change that diagnosis and how you will measure progress.

A plan you can follow

Agree on what to do between appointments, how to adjust activity if symptoms change and when to review the plan. Tell your practitioner if treatment causes a new problem or progress stalls.

Finding care in Melbourne’s north

People in Epping, Mill Park, Lalor, Reservoir and surrounding northern suburbs can contact Muscle Joint Bone about an appropriate appointment. The clinic is at 26 Childs Road, Epping. Confirm the relevant practitioner’s scope and current availability when booking.

Sources and further reading

General education, updated November 2026. This information does not replace an individual assessment.