When it comes to orthotics, one of the most common questions we get in physical therapy is:
“Should I use orthotics — or not? Will they help, or could they make things worse?”
The short answer?
It depends.
As frustrating as that may sound, orthotics are not a universal solution. At our physical therapy clinic, we talk with patients daily about whether orthotics are right for them — and it’s never a black-and-white answer. Let’s break down why.
How Orthotics Really Work — And Why It’s Not So Simple
Many people think orthotics are designed to “push” the foot into a better position — like boosting a flattened arch or correcting a high arch that’s rolling outward. It sounds logical, right? Almost like fixing a building or a machine.
But here’s the problem with that approach:
➡️ Our bodies aren’t buildings.
➡️ Our feet are dynamic, not static.
As physical therapists, we understand that your body is constantly adapting to its environment. Take walking, for example — the way pressure shifts through your foot as you step is always changing. Your body responds to those shifting pressures by adjusting muscles, joints, and posture up the chain (think knees, hips, and back).
Flat Feet vs. High Arches — Why You May or May Not Need Orthotics
If you have high arches (like me), you may not feel the ground well, which can make you feel unstable. Your body senses that instability and often tenses up — creating stiffness in other areas. For people like this, a small arch support can sometimes help them “find” the ground better, improving balance and movement efficiency.
On the flip side, if you have flat feet, your weight may be dumped onto the inside edge of your foot. In that case, a different type of orthotic might give some gentle lift to the arch, helping distribute weight more evenly and improving the way the whole body moves.
But here’s the catch — it’s never just about the arch.
What Physical Therapy Teaches Us About Orthotics
At our physical therapy practice, we evaluate how each person moves — not just how their feet look. Some people with flat feet move beautifully and don’t need orthotics. Others with “perfect-looking” arches may have pain and need extra support.
And sometimes, the right shoe can make all the difference — no orthotics required.
So… Do You Need Orthotics?
The answer is unique to you. That’s why working with a physical therapist who understands biomechanics, gait, and functional movement is crucial before jumping into orthotics.
If you’ve ever wondered:
- “Do I need orthotics or just better shoes?”
- “Why do my knees/hips/back hurt when I walk or run?”
- “Can orthotics help my performance in sports?”
➡️ We can help you figure that out.
Ready to Take the Next Step?
If you want personalized help to figure out whether orthotics are right for you — or you’re struggling with pain related to your feet, knees, hips, or back — contact us today for an evaluation.
We’re here to help you move better, feel better, and get back to doing what you love.
