Most people feel some change or mild aching as they get used to their orthotics, but they should not cause sharp or severe pain. Any soreness usually settles over the first one to two weeks as you follow the wearing-in schedule. If discomfort is strong or continues, contact the clinic so your podiatrist can review and adjust them.

Some people feel more supported straight away. For longer-standing problems it can take several weeks before you notice a clear change in pain or stamina, especially if your treatment plan also includes exercises and footwear changes. Your podiatrist will discuss realistic timescales for your condition.

This depends on the type of insole and your footwear. Many devices are designed for trainers, walking shoes or work shoes with a removable insole. Slimmer devices can be used in some smarter shoes. Your podiatrist will advise which shoes are most suitable and whether you may need more than one style of insole.

You can usually keep working and stay active while you are getting used to your orthotics, although you may be advised to reduce very high-impact activities at first. It can help to introduce them into work and sport gradually rather than switching straight to full-time wear.

With normal use and suitable footwear, many custom devices last several years. This varies with your weight, activity level, occupation and the materials used. Your symptoms, feet and footwear can also change over time, so periodic reviews are recommended to check whether any adjustments or replacements are needed.

If you are not improving as expected, your podiatrist will reassess you, check that the devices are being worn as advised and make any necessary adjustments. If orthotics are not the right solution for you, they will discuss other options such as different treatments, referral for opinion from another specialist.

Custom orthotics are made or adapted specifically for your feet and are not reusable for other patients. The clinic’s policy on fees, reviews and refunds will be explained before you go ahead. If you are unsure, please ask at your assessment so that everything is clear in advance.

If you have diabetes, peripheral neuropathy or circulation problems, orthotics can still be useful but must be prescribed and monitored carefully. Your podiatrist will check your skin, sensation and pulses, and will advise you on extra precautions. If any redness, blistering or breaks in the skin develop, stop wearing the insoles and contact the clinic promptly.

Shop-bought insoles offer general cushioning or arch support but are not designed around your individual feet or walking pattern. Custom orthotics are prescribed after a full assessment and can be shaped, angled and adjusted to match your specific needs. In some cases a well-chosen prefabricated insole that is customised by a podiatrist can offer a good balance of value and support.