Not always. The operation of bespoke orthotics and over-the-counter insoles is essentially the same: They give your heel and arches the right support and equally disperse pressure throughout your foot. These two actions alone will give your feet immediate benefits from your orthotic insole—prescription or over-the-counter. It's not that over-the-counter insoles are any less reliable, effective, or of lower quality than custom orthotics—many of them are the result of extensive science and research. When it is feasible, many podiatrists may counsel their patients to get high-quality over-the-counter insoles rather than custom orthotics. Plantar fasciitis, heel pain, and foot tiredness are common foot conditions that a proper orthotic can help avoid or treat. An effective orthotic can help with biomechanical problems including overpronation or supination and balance. Custom orthotics are not the only way to enjoy these advantages. As long as you acquire the correct insole for your needs, any orthotic shoe insert—custom or over-the-counter—will offer these advantages.
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