Foot orthotics are a widely used treatment for a number of foot and lower leg dysfunctional problems. These are designed and helpful to correct alignment and functional problems. All of the scientific evidence is that they are generally very successful and also the patient satisfaction type evidence shows that they are well received by those who have them. That does not imply that they do not have issues. They actually do have issues. They are able to only be used in footwear which has the space for the orthotics to fit into. This implies that they can not be used in some kinds of sports shoes and some footwear used in specific occupations. Also, in some environments closed in shoes are not that common due to the temperatures. Some individuals just have a philosophical objection to foot orthotics since they see them to be unnatural and as crutches that ought to not be used.
Even though foot orthotics are pretty straight forward and can quickly be made to work in the short to medium term you can find alternatives if patients desire to pursue that option. Exercise therapy is one option and muscle strength could be improved and used as an alternative. However, this can take a few months to work and it may be a good option to use foot supports to start with because they can help get some improvement practically immediately. If footwear is the challenge and it is difficult for monetary, occupational, sporting or lifestyle reasons to change the shoes, then there are choices such as the Archie Flip Flops that 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 integrated, however the amount can be quite smaller compared to the Archies and may not necessarily be as useful. As always you should always talk to your podiatrist as to what they feel is the best alternative for you.