Foot orthotics are a frequently used intervention for a wide range of foot and leg dysfunctional problems. These are designed and used to correct alignment and biomechanical issues. All the research data shows they are likely to be quite effective and the patient satisfaction type research shows that they are well accepted by those that rely on them. That doesn't mean that they don't have problems. They certainly do have issues. They can only be used in footwear that has the space for the orthotics to fit into. This implies that they are unable to be used in some kinds of sports footwear and some footwear found in specific occupations. Also, in some environments closed in shoes are not too popular due to the temperatures. In some cases people just have a philosophical objection to foot supports because they see them to be unnatural and as crutches that ought to not be used.
While foot orthotics are pretty straight forward and will easily be designed to work in the short to medium term you will find alternatives if patients would like to follow that choice. Exercise therapy is one choice and muscle strength can be improved and used as an alternative. Having said that, this will take many months to work and it will be a good option to make use of foot orthotics to begin with as they are able help get some improvement almost straight away. If footwear is the issue and it is difficult for monetary, occupational, sporting or lifestyle reasons to alter the shoes, there are possibilities such as the Archie Flip Flops which come from Australia and have a good level of arch support built in. There are more types of footwear such as these which do have support built in, though the amount can be quite small compared to the Archies and might not be as useful. As always you should always talk to your podiatrist as to what they think is the best choice for you.