01
Plantar Fasciitis
Irritation of the plantar fascia can create pain through
the heel or arch, often becoming especially noticeable
during the first steps after rest or with extended time
on your feet.
HOW CUSTOM ORTHOTICS MAY HELP
A custom orthotic can support the arch, cushion the heel,
and redistribute load through the foot to help reduce
repeated strain on the plantar fascia during standing
and walking.
C.PED. INSIGHT
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The answer is not simply “more arch support.” The contour,
heel control, flexibility, and amount of correction should
match the way your individual foot loads. An overly
aggressive design can be just as uncomfortable as not
enough support.
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02
Overpronation
Pronation is a normal part of walking. Overpronation refers
to the foot rolling inward excessively or remaining
pronated longer than expected during the stance phase.
HOW CUSTOM ORTHOTICS MAY HELP
A custom orthotic can support the foot through stance,
improve load distribution, and provide controlled support
where excessive motion may be contributing to discomfort
or fatigue.
C.PED. INSIGHT
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Pronation itself is not a problem—it is a normal movement.
The goal of an orthotic is not to lock the foot in place.
We look at how much motion is occurring, when it occurs,
and how that motion relates to the symptoms you report.
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03
Supination
A foot that stays more toward its outer border during
standing or walking may place increased pressure along
the lateral side of the foot and provide less natural
shock absorption.
HOW CUSTOM ORTHOTICS MAY HELP
Custom contouring and cushioning can increase contact
beneath the foot, redistribute pressure, and help manage
concentrated loading along the heel and outer border.
C.PED. INSIGHT
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A laterally loaded foot often needs thoughtful
accommodation rather than simply adding a very high arch.
The design should increase useful contact and distribute
pressure without pushing the foot farther toward the
outside.
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04
Flat Feet
Flat feet have a low or reduced arch profile. Some are
flexible, some are more rigid, and many people with flat
feet have no symptoms at all.
HOW CUSTOM ORTHOTICS MAY HELP
When symptoms are present, a custom orthotic can support
the available arch, distribute pressure more evenly, and
help reduce fatigue during prolonged standing or walking.
C.PED. INSIGHT
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A flat-looking foot does not automatically need aggressive
correction. Flexibility, comfort, activity, footwear, and
the way the foot functions are more important than simply
trying to create a visually higher arch.
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05
High Arches
A higher-arched foot often has less surface area contacting
the ground, which can concentrate pressure beneath the heel
and forefoot.
HOW CUSTOM ORTHOTICS MAY HELP
A total-contact custom contour can increase the area
supporting the foot while cushioning and redistributing
pressure away from concentrated high-load regions.
C.PED. INSIGHT
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High arches frequently benefit from accommodation and
pressure distribution rather than aggressive correction.
Increasing comfortable contact beneath the foot can be
more useful than trying to force the arch into a different
position.
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06
Morton’s Neuroma
Morton’s neuroma involves irritation around a nerve in the
forefoot and may create burning, tingling, numbness, or
discomfort that can extend toward the toes.
HOW CUSTOM ORTHOTICS MAY HELP
When appropriate, custom forefoot contouring and
metatarsal support can help redistribute pressure around
the involved area and reduce concentrated loading beneath
the metatarsal heads.
C.PED. INSIGHT
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Placement matters. A metatarsal pad positioned too far
forward can increase irritation rather than reduce it.
Footwear width and available toe-box space are also
important parts of managing forefoot pressure.
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07
Heel Pain
Heel pain is a symptom rather than a single diagnosis.
Where the pain occurs, when it appears, and what activities
aggravate it can point toward very different causes.
HOW CUSTOM ORTHOTICS MAY HELP
Depending on the mechanics involved, a custom orthotic
may help by cushioning the heel, redistributing pressure,
supporting the arch, or managing the way forces travel
through the foot.
C.PED. INSIGHT
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“Heel pain” by itself does not tell us what needs to be
changed. Pain beneath the heel, behind the heel, or along
one side can involve different structures, which is why
the details in your Fit Assessment matter.
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08
Bunions
A bunion is a structural change around the big-toe joint
that can create a prominent area along the inside of the
forefoot and make certain footwear uncomfortable.
HOW CUSTOM ORTHOTICS MAY HELP
Orthotics cannot reverse a bunion, but they may help
improve pressure distribution and support foot mechanics
that contribute to irritation around the first
metatarsophalangeal joint.
C.PED. INSIGHT
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Footwear matters just as much as the orthotic here. A
custom insert cannot compensate for a toe box that is too
narrow and repeatedly presses directly against the bunion.
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09
Metatarsalgia
Metatarsalgia describes pain or irritation through the ball
of the foot, where the metatarsal heads carry substantial
load during standing, walking, and push-off.
HOW CUSTOM ORTHOTICS MAY HELP
Custom contouring, cushioning, and properly positioned
metatarsal support can help redistribute forefoot pressure
and reduce concentrated loading beneath sensitive areas.
C.PED. INSIGHT
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Simply adding more soft padding does not always solve
forefoot pain. Effective offloading depends on where the
pressure is occurring and how the orthotic redistributes
that load before it reaches the painful area.
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10
Achilles Tendinitis
Achilles irritation can develop when the tendon is exposed
to more repetitive load than it can comfortably tolerate,
producing pain or stiffness around the back of the ankle
and heel.
HOW CUSTOM ORTHOTICS MAY HELP
When foot mechanics are contributing to tendon loading,
a custom orthotic may help support the foot and modify
some of the forces reaching the Achilles during standing
and walking.
C.PED. INSIGHT
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Achilles pain is not one-size-fits-all. Location,
footwear, activity, ankle motion, and whether symptoms
are closer to the heel insertion or farther up the tendon
can all affect the appropriate support strategy.
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11
Arthritis
Arthritis can affect different joints throughout the foot
and ankle, potentially creating pain, stiffness, reduced
motion, or sensitivity during weight-bearing activity.
HOW CUSTOM ORTHOTICS MAY HELP
Depending on the joint involved, an orthotic may help
redistribute pressure, cushion sensitive areas, or limit
motion that repeatedly aggravates a painful joint.
C.PED. INSIGHT
Read insight
The useful design depends heavily on which joint is
affected. In some situations the goal is support and
motion control; in others, accommodation and pressure
relief are more important than correction.
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NOT SURE WHAT’S CAUSING YOUR DISCOMFORT?
You don’t need a diagnosis to start.
Your Fit Assessment asks about where you feel discomfort,
your footwear, daily activity, and other factors that give
your Certified Pedorthist useful context before reviewing
your foot impressions.
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