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Do I need insoles?

Very interesting question. Why do you think you need insoles?


There are so many types of insoles and so many kinds of foot conditions; it makes it hard for me to answer this question according to your condition, especially when I did not evaluate your foot.

  • In my practice, I am a firm believer that a shoe is the first orthotic. If you have the tendency of wearing thongs all the time, wearing flexible shoes or flat shoes, your first reflex should be to change your footwear type before even considering investing in orthotics.

  • The second point is: if you have no symptoms, I usually do not recommend investing in orthotics; unless you have a history of foot ulcers, orthotics become a must.

  • Now, some technical words:

    • There are different types of flat feet, some of them cause fatigue and tendon degeneration (Achilles tendinopathies, posterior tibialis tendinopathies, osteo-arthritis of the medial column); for that kind of flat foot, orthotics are very helpful.

    • High-arched feet cause strain on the fibular tendons, a lot of pressure on the heel, the bottom of the little toe, and the bottom of the big toe (causing sesamoiditis, plantar fasciitis, Achilles tendinopathies, fibular tendinopathies, and synovitis of the 5th MPJ). If you have one of those conditions, orthotics help a lot!

    • Osteoarthritis of the joint of the big toe, or hallux rigidus, or stiff big toe is very responsive to custom-made orthotics.

    • Bunions cause pain in the second toe (synovitis or capsulitis of the second toe). Bunions also cause metatarsalgia, or pain in the ball of the foot, orthotics alleviate the pain and make a big difference.

If those words are unfamiliar to you, and you experience some sort of foot pain/ discomfort; please book an appointment with us to fully assess your condition and prepare a treatment plan.


Finally, for mild to moderate conditions, insoles by themselves are 1/3 of the treatment; usually, we need good shoes, a good pain management program, and a good physiotherapist. Always happy to work with your health team (GP and physio).


For moderate to severe cases, a referral to orthopedic surgery is the option, I will be glad to refer you to the most appropriate surgeon according to your condition. In this case, a referral for imaging is a must.


One way or the other, I am here to help you navigate through all these options. =)

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