A foot pad or heel insert purchased at your local pharmacy or sporting goods store is an orthotic device. So is a custom-moulded, individually designed shoe insert or ankle brace. Orthotic devices like these are frequently used to treat various conditions of the foot and ankle. They are often very effective in relieving common complaints. For example, a wedge inserted into the inner (medial) side of the sole of a shoe can be used to help support a flatfoot, thus reducing the risk of tendinitis. An ankle-foot brace can help relieve the pain of rheumatoid arthritis in the heel or ankle. A heel flare can be used to increase support and help prevent ankle sprains. Heel cushions can help absorb impact and relieve stress on the heel and ankle when you walk or run. Although custom orthoses are considerably more expensive than off-the-shelf devices, they last much longer and provide more support or correction. In some cases, however, an over-the-counter device can be just as effective, particularly when combined with a stretching and exercise program.
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