Foot pain is more common than you might think – and one of the first solutions many people reach for is a pair of insoles. A quick trip to the pharmacy or online store offers dozens of options labeled as “supportive,” “orthopaedic,” or “pain-relieving.” But are these over-the-counter (OTC) insoles really enough? And when should you consider investing in custom orthotics?
Let’s break it down.
What Are Over-the-Counter Insoles
Over-the-counter insoles are pre-made inserts you can slip into your shoes for extra cushioning or basic support. They’re easy to find, relatively inexpensive, and marketed as quick fixes for common foot complaints like sore arches, heel pain, or general fatigue.
Pros:
- Affordable and accessible
- Easy to replace if they wear out or don’t work
- Variety of types: gel, foam, arch support, heel cups, etc.
Cons:
- One-size-fits-all approach – not tailored to your specific foot shape or condition
- Limited durability – most wear down after a few months of regular use
- May not address underlying issues like improper gait, alignment problems, or chronic conditions
“Over the counter orthotics are a good first step,” says Dr. Alivia Passet, foot and ankle surgeon at The Iowa Clinic. “If they don’t resolve the problem, then custom orthotics are recommended.”
What are Custom Orthotics?
Custom orthotics are medical devices made specifically for your feet, based on a detailed analysis of your foot structure, gait, and posture. At The Iowa Clinic, our podiatrists use advanced tools – including 3D imaging and pressure mapping – to design orthotics that fit your feet exactly.
There are two main types of custom orthotics:
- Functional orthotics – correct abnormal motion and improve alignment
- Accommodative orthotics – provide cushioning and relieve pressure from painful areas
Pros:
- Tailored to your unique biomechanics
- Long-lasting and durable (typically 2-5 years)
- Can improve or correct underlying structural issues
- Helpful for managing chronic conditions like plantar fasciitis, bunions, flat feet, arthritis, and more.
Cons:
- More expensive up front (often covered in part by insurance)
- Requires consultation and fitting by a healthcare provider
“Custom orthotics aren’t just about comfort, they’re about preventing long-term damage,” says Dr. Passet. “They support your feet in ways off-the-shelf insoles simply can’t, helping with posture, alignment, and overall mobility.”
So, Which Should You Choose?
The answer depends on your needs.
If your pain is occasional, mild, or caused by long days on your feet, a high-quality OTC insole might offer temporary relief. But if you’re dealing with persistent discomfort, recurring injuries, or structural problems, custom orthotics are the gold standard for both treatment and prevention.
You only get one pair of feet, and they support your entire body. The right support can have far-reaching benefits – from improved comfort and mobility to better posture and reduced joint pain. Don’t wait for the pain to get worse. Book an appointment online with a foot and ankle specialist today or call 515.875.9876.
AliviaPasset , DPM
Alivia Passet, DPM joined The Iowa Clinic Podiatry department stemming from her admiration for its reputation for exceptional providers and patient care. Dr. Passet values the close relationships amongst TIC providers, which provides the opportunity to streamline patient care.
After obtaining her undergraduate degree in Athletic Training, Dr. Passet completed her medical degree at Des Moines University and later completed her residency training at the Iowa Methodist Podiatric Medicine and Surgery program. Her background in Athletic Training, combined with personal experiences with athletic injuries, fuels her special interest in treating athletes and athletic injuries. Helping patients to return to a pain-free, active lifestyle is something Dr. Passet finds most rewarding about her practice.
An Iowa native, Dr. Passet is thrilled to serve the people of central Iowa. An enthusiastic fan of the Iowa Hawkeyes and Cincinnati Bengals, she is an avid sports-watcher and dedicated fan. In her free time, Dr. Passet enjoys spending time with friends and family, cooking and being outdoors – whether golfing, biking, or running.