The importance of footwear cannot be over-emphasized. The best orthotics in the world will be ineffective unless you wear them in the correct shoes. In order for your orthotics to work properly, they must sit on a stable base - thus a stable shoe is imperative.

What are ‘good’ shoes?

The most important point about a well-fitting shoe is that it is the correct length for your foot. This means there should be about 1cm (1/2 an inch) between the end of your longest toe and the end of the shoe.

Insole: A removable insole will allow extra depth to accommodate orthotics.

Fastening: Laces, buckles or touch close fastenings (like Velcro) all help to hold the shoe securely on your foot and support your orthotics. It is sometimes easier to get your foot into the shoe if the fastenings extend further down towards your toes.

Toe Box: This should be wide and rounded enough not to squash your toes and deep enough to allow your toes to wriggle in the shoe. A shoe should naturally bend where your toes bend - not in the middle of the shoe.

Heel counter: This is the reinforcement around the heel of the shoe to stabilize the foot on the ground; this should be nice and firm. Try the “two-finger test”, grabbing the heel counter between two fingers, you should not be able to squeeze in. If you can, then the shoe is not stable enough for you.

Heel: The heel of the shoe should be broad and under 4cm (1.5 inches) high.

Width: The shoe is designed so that the widest part of your foot sits in the widest part of the shoe.

Sole: This should be thick enough to provide some cushioning when walking and have enough grip to prevent slipping.

Upper and linings: These should be made from leather or breathable materials and be as smooth as possible.

Running shoes traditionally have the best technology built into them and usually, make for the best walking shoes. Remember, the most expensive shoe is not necessarily the best shoe.

When looking for dress shoes, pay attention to the same stability features as with athletic shoes. Of course, dress shoes will be smaller. They may require a smaller orthotic. The smaller orthotics can be made off the same mould of your foot as the original pair.

If your feet swell during the day, it is best to shop for footwear in the afternoons if possible.

If you are wearing orthotics in your footwear and have any prolonged increase in pain, persistent pressure marks, rubbing or irritation (which remain after 20 minutes of removing the orthotics); please remove the orthotics and contact the clinic for a review.