Orthopedic Shoes vs. Custom Orthotics (2024)

If you experience pain and discomfort in your feet, you can take many different steps to get relief. Depending on the type of foot issues you have, some may be more appropriate for treating your symptoms so that you can get back to your routine.

Two of the most common treatments for foot and gait problems are orthopedic shoes and custom orthotic inserts.

These two products can treat foot problems like hammertoe, plantar fasciitis, fallen arches, and diabetic feet. However, many misconceptions surround them both. People often assume that both of these products are expensive or are only available for a narrow set of foot issues.

Today, we’ll explain the difference between orthopedic shoes and orthotic devices, debunk some common myths about each one, and show you how to treat various painful and irritating foot conditions.

Once you have a better understanding of their uses, you can decide which is right for your needs.

What is an Orthopedic Shoe?

An orthopedic shoe is a type of footwear made with additional features you wouldn’t generally find in most off-the-rack shoes. Typical supportive features may include extra ergonomic cushioning through the sole, a deep heel cup that stabilizes the foot, and an extra-roomy toe box.

In addition to their supportive features, orthopedic shoes get made to minimize irritation and discomfort. It’s not uncommon to find orthopedic shoes with seam-free interiors, stretchy fabric uppers, and a padded collar. These attributes are great for people with more sensitive feet due to conditions like diabetic neuropathy.

Orthopedic shoes can also correct gait problems, like overpronation. The additional stability these shoes provide helps limit the foot’s inward motion, helping avoid related knee, hip, and back pain.

Pros:

Great for mobility issues

Orthopedic shoes are great for people who have mobility issues, significantly if the issue currently affects their lower leg or ankles. Because an orthopedic shoe envelops the entire foot and stabilizes the ankle, it makes walking or even running easier for people with these issues.

Boosts circulation

Orthopedic shoes can help boost circulation for people with diabetic or neuropathy issues because they’re roomier and often more comfortable than traditional shoes.

Cons:

A limited number of styles

Opting for orthopedic shoes over orthotics means that you’re limited to a specific type of shoe, which can often be large, with fewer styles available. If you’re usually in formal or business attire, it can be challenging to find a pair of shoes that work for your needs.

Price

Orthopedic shoes can get expensive, costing anywhere from $200 to $800 for a fully customized pair.

What is a Custom Orthotic Insert?

Another useful tool for treating and preventing foot and lower body issues is the custom orthotic insert. A custom orthotic insert is a narrow insert placed inside a regular or orthopedic shoe.

Many different orthotic inserts are available today, ranging from the popular over-the-counter insert available at most pharmacies and shoe stores to completely custom options that are constructed based on an individual’s measurements.

Most doctors recommend investing in custom orthotic inserts once you’ve determined what’s causing your foot or gait problems.

At Orthotics Direct, every custom orthotic we build starts with a precise cast of the customer’s foot, taken either digitally or using a foam mould. Once the measurements are exact, we make each orthotic fit the wearer and consider all of their foot and gait problems.

Pros:

Accommodates a variety of foot issues

Since we make custom orthotics from a cast of your foot, a custom orthotic insert can accommodate various foot and gait issues – even ones that coincide with one another. We customize orthotics to each wearer. This way, we can correct foot and gait mechanics while offering cushion for physical ailments like plantar fasciitis, bunions, or ulcers.

Custom-fit to almost any shoe

Instead of wearing orthopedic shoes, which are typically more casual in appearance, you can insert orthotic insoles into any shoe, including designer and brand-name options. Orthotic insoles give you a lot more flexibility to choose shoes that match your outfit.

Custom orthotics can also be transferred between different pairs of shoes, ensuring comfort no matter the situation.

Cons:

Rumours of muscle weakness

One of the most popular myths about orthotic devices is that they can eventually cause muscle weakness. This myth makes some people unwilling to wear them long-term.

Thankfully, research has shown that instead of causing muscle weakness or atrophy, Orthotics help cushion feet that are sore from plantar fasciitis or tendonitis while you’re recovering. Once healed, you can gradually transition back to other footwear.

Can be expensive

Like orthopedic shoes, custom orthotic inserts can be costly to make since an orthotics company is crafting them to fit each individual’s specific measurements. However, the ability to use orthotics in multiple pairs of shoes makes the investment more sensible, especially to people who are paying the entire cost out of pocket.

Find Reasonable Custom Orthotics at Orthotics Direct

One great way to save money while shopping for custom orthotic inserts is to purchase them from a reputable online retailer like Orthotics Direct. Instead of investing in a brick-and-mortar location, we’ve kept our operations entirely online, enabling us to pass those savings to our customers.

Another great way to save money is to buy one of our package deals: a pair of custom orthotics bundled with a new pair of shoes. We carry some of the best comfortable shoe brands like Brooks, Clarks, Sorel, and many more. It’s a great way to stay comfortable while maintaining your style.

Orthopedic Shoes vs. Custom Orthotics (2024)

FAQs

Are orthopedic shoes the same as orthotics? ›

Not exactly. Orthopedic shoes are designed to correct foot problems and offer support, while custom orthotics are made specifically for your feet and tailored to your individual needs.

How do I know if I need orthopedic shoes? ›

So if you've noticed your feet slipping out of your shoes, or have experienced increased pain and fatigue while walking, it may be worth investing in a pair of orthopedic shoes designed to provide better support for your unique foot shape.

Are custom orthotics really better? ›

There is no evidence that custom orthoses are more effective than prefabricated ones." Some people absolutely do need custom orthotics.

Do I need a prescription for orthopedic shoes? ›

A podiatrist (foot doctor) or other qualified doctor must prescribe the shoes or inserts, and you must get the shoes or inserts from one of these: A podiatrist.

What are the disadvantages of orthopedic shoes? ›

Cons:
  • Orthopedic shoes tend to be more expensive than regular shoes and are often only available from specialty retailers, which can make them difficult to find.
  • Many people may be uncomfortable with the idea of wearing orthopedic shoes since they have traditionally been associated with old or disabled individuals.

How much do custom orthopedic shoes cost? ›

Custom orthotics are special shoe inserts that can help with foot pain and other problems. They give your feet extra support tailored to your unique needs. There are many types of custom orthotics, and they can cost anywhere from $300 to $800.

Who should wear orthopedic shoes? ›

Chronic foot pain and issues such as flat feet, plantar fasciitis, bunions, hammertoe and heel spurs can not only slow someone down – but they can stop someone from being able to walk all together. Cushioned, roomy orthopedic shoes can give someone back his or her mobility.

Do orthopedic shoes have arch support? ›

While most shoes are flat on the inside with minimal cushion or arch support, orthopedic shoes come shaped like your feet. They typically feature robust arch support, a deep heel cup, shock-absorbing cushion, and a wide toe box to help bring your feet into healthy alignment.

How do you get fitted for orthopedic shoes? ›

If orthotics are needed, your podiatrist will capture a three-dimensional image of each foot. Those images, as well as any measurements obtained by your podiatrist, are used to create a set of unique foot supports that will improve your foot movement and lead to more comfort and mobility.

What are the negatives of orthotics? ›

Disadvantages:
  • Not designed for your foot type or foot pathology.
  • Thick and bulky.
  • Difficult to fit into footwear.
  • Low durability – 6 months.
Apr 20, 2020

Does insurance cover custom orthotics? ›

Fortunately, you can get partial or full reimbursem*nt for what you spend on orthotics. Many health benefit plans include coverage for specific medical conditions and treatments, including orthotics. These plans provide either partial or complete coverage for custom orthotics obtained with a doctor's prescription.

Can you put orthotics in Hoka shoes? ›

Why HOKA Works Great with Orthotic Solutions. Many orthopedic professionals recommend HOKA shoes for those experiencing any foot pain in need of orthotic solutions.

Does insurance cover orthotic shoes? ›

Coverage typically varies by provider, although most will cover medically necessary orthotics, such as those needed to treat injuries or deformities. Depending on your insurance plan, coverage may also include the cost of fitting, labor, and device replacement.

Why are orthopedic shoes so expensive? ›

Customization. These custom orthotics are designed to fit your foot contours and provide support from one end of your footwear to the other. This customization takes time and skilled labor, which costs more money than generic one-size-fits-alls.

Does Medicare pay for orthopedic shoes? ›

Medicare will only cover your orthopedic shoes if your doctors and suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren't enrolled, Medicare won't pay the claims they submit.

What is considered an orthopedic shoes? ›

An orthopedic shoe is a medical device designed to improve the comfort of sensitive, deformed or pathological feet. It is usually accompanied by a custom-made orthotic to provide complete correction. For minor ailments, a comfortable shoe with a wide fit, good cushioning and reinforced support may be all you need.

What shoes are considered orthotics? ›

What are orthopedic shoes? Footwear used to accommodate, control, or support the therapeutic needs of a foot deformity or abnormality in the leg, knee, or ankle. The footwear must be manufactured by recognized and reputable orthopedic footwear manufacturers and may be modified or adjusted to fit your feet.

Are orthotics considered orthopedic? ›

Orthotics, also known as orthoses and orthotic insoles, are placed in shoes to restore natural function to the feet. Orthopedic shoes are designed to relieve pain and provide support for your feet, ankles or legs.

Top Articles
Latest Posts
Article information

Author: Kieth Sipes

Last Updated:

Views: 5359

Rating: 4.7 / 5 (67 voted)

Reviews: 82% of readers found this page helpful

Author information

Name: Kieth Sipes

Birthday: 2001-04-14

Address: Suite 492 62479 Champlin Loop, South Catrice, MS 57271

Phone: +9663362133320

Job: District Sales Analyst

Hobby: Digital arts, Dance, Ghost hunting, Worldbuilding, Kayaking, Table tennis, 3D printing

Introduction: My name is Kieth Sipes, I am a zany, rich, courageous, powerful, faithful, jolly, excited person who loves writing and wants to share my knowledge and understanding with you.