Expert Foot & Ankle Treatment from Michiganโs #1 Podiatrist - Balance Foot & Ankle Specialist
Board Certified Podiatrists
Expert Foot & Ankle Care
Expert Foot & Ankle Treatment from Michiganโs #1 Podiatrist - Balance Foot & Ankle Specialist
Expert Foot & Ankle Care
Flat feet can lead to pain, fatigue, poor posture, and long-term foot problems if not properly supported. The good news? The right insoles can relieve discomfort, improve your foot mechanics, and help you move with confidence again. At Balance Foot & Ankle Specialist, we help patients find the best insoles for flat feetโwhether you’re an athlete, a busy professional, or just want to walk without pain.
Not all insoles are created equalโespecially when it comes to flat feet. The best insoles provide:
Firm Arch Support: Prevents the foot from collapsing inward.
Deep Heel Cup: Improves stability and controls overpronation.
Shock Absorption: Cushions the foot during movement and reduces joint stress.
Custom Fit: Either over-the-counter with trim-to-fit options or custom orthotics tailored by a podiatrist.
Breathable Material: Prevents moisture buildup and improves comfort for all-day wear.
At Balance Foot & Ankle Specialist, we offer expert advice on choosing between medical-grade custom orthotics and reliable over-the-counter options, depending on your condition and lifestyle needs.
Best Shoes & Best Insoles
Tired of aching feet, legs, or knees from flat feet? At Balance Foot & Ankle Specialist, we help you find the perfect insoles for real, lasting relief. Whether you need custom orthotics or top-rated insoles, our podiatrists are here to guide you every step of the way.
Serving patients in Bloomfield Hills, and Howell, Michigan.
This video includes the best insoles for flat feet, the best shoe insoles for flat feet & the best insoles for flat feet running. We go over how to correct overpronation & fallen arch treatment. We also review overpronation vs. underpronation.
0:00 What is overpronation
1:05 Flat feet pain & flat feet symptoms
1:24 Overpronation vs. underpronation
1:55 Plantar fasciitis & overpronation
2:17 Subtalar joint pain & overpronation
2:55 Overpronation meaning
3:34 High arch feet vs. flat feet
4:00 Calluses & corns from flat feet
4:22 How to fix flat feet & flat foot pain
5:01 Overpronation running
6:05 Gait analysis by a podiatrist
7:30 How to rebuild arches in flat feet
8:19 Flat feet pain relief
9:39 Flat feet exercises
10:11 Overpronation exercises
11:33 The best insoles for flat feet & best shoe insoles for flat feet
11:57 Orthotics for overpronation
12:28 Best Running shoes for flat feet
13:15 Custom insoles for overpronation & flat feet
13:37 Best shoes for flat feet
14:12 Best shoes for overpronation
14:30 Overpronation vs. supination.
16:14 Arch support for flat feet
16:47 What causes flat feet
17:13 Flat feet treatment & how to fix a flat foot
Finding the best products for managing peripheral neuropathy and diabetic foot pain can make a world of difference in your daily comfort and mobility.
When it comes to managing foot pain from conditions like plantar fasciitis, flat feet, or diabetic neuropathy, the best orthotics can offer crucial support and relief.ย
Choosing the best shoes for foot conditions like neuropathy, plantar fasciitis, or flat feet is essential for pain relief and long-term foot health.
Buying the best insoles for your flat feet can be tricky and confusing if it is your first time.
As podiatrists, we see people struggle with overpronation and flat foot pain almost every single day.
Should you buy cushy foam inserts or firm and supportive insoles?
How aggressive should the arch support height be? Should the arch height be very aggressive, or should it be less aggressive?
Can a flat foot be corrected by an insole, or is surgery sometimes needed?
Some people are born with bone structure that promotes flat feet, while some have arches that have fallen over time due to compensation in other parts of their body.
The video below shows particular causes of flat feet, overpronation, and tight joints surrounding this.
In the video below, we review flat feet exercises, flat feet stretch, the best shoes for flat feet, the best slippers and sandals for flat feet, as well as surgical options for overpronation and flat feet.
One of our favorite treatment options for overpronation and flat feet is to get a good pair of premade insoles for flat feet or have a podiatrist design custom insoles for flat feet.
Dr. Scholl’s cushy foam orย Dr. Scholl’s gel inserts won’t provide your foot with any arch support at all, which usually means you will be out $70-$100 without much relief from your foot pain.ย
To get the right insoles, you have to determine whether your flat feet are rigid or flexible.
If your feet are flat when standing or sitting, you have rigid flat feet and want low arch insoles. If you are someone older, you may benefit from more cushion and less aggressive correction.
If an arch appears when you’re sitting, you have flexible flat feet and want medium or aggressive arch insoles. If you are younger, you may benefit from more aggressive correction than an older and more stiff person.
Foot orthoses or insoles are special shoes or heel inserts prescribed by a doctor or a podiatrist, particularly the custom-made or prefabricated, provide a cushioned and off-loading effect to the foot frame. Your doctor prescribes these treat many problems associated with the foot, leg, or backbone.
Custom insoles: Custom-made insoles or heel inserts are contoured devices designed by plaster cast or a 3-dimensional impression of a laser scan of your feet. Prefabricated insoles are over-the-counter or non-prescribed masses formed based on the size of your foot. Foot insoles are used to help, support, and correct the foot posture with a good weight-bearing condition of your feet. Along with support and protection, they adjunct the patients in treating any pathological condition of lower limb or foot such as plantar heel, heel pad syndrome, plantar fasciitis, rheumatoid arthritis, diabetic plantar ulcer, bunions (hallux valgus), and juvenile idiopathic soreness of joints.
Custom insoles are proposed to alter the role of the lower limb and foot joints during weight-bearing activities such as walking, running, and prolonged standing to decrease pain and boost the foot’s function and improve the quality of life. The demand for custom insoles has increased dramatically over the years globally, and the market has reached 3.5 billion US$ by the year 2020.
Custom insoles are generally considered the gold standard; however, the featured mechanism is not fully understood. Many studies on insoles found that custom insoles are more effective than the prefabricated insoles for the prescribed purpose estimated through biomechanical evaluation of pressure relief, weight distribution transversely the plantar regions, and dynamic balance of the body. Custom-made insoles are comparatively more expensive than prefabricated insoles; their medical efficacy and cost-effectiveness need to be estimated.
Custom insoles are designed precisely to suit your specific condition, foot type, weight, and the desired activity. Generally, they offer better control than other kinds of insoles for flat feet; in addition, they are more durable and long-lasting. Their biomechanical modification is achieved by using foams and plastics of high density, which may appear too hard initially but, with time, typically become more comfortable. Research shows that in many cases, custom insoles can rectify pain and prevent further joint debility. This also suggests that insole therapy is not for everyone, but specialists prescribe footwear mostly with simple advice, and the patient gets well with this therapy.
Insoles are recommended in certain conditions of feet to treat them; depending upon your condition, the particular design and feature of the insole will offer you the best therapy outcome.
Custom insoles are not a separate treatment; rather, your podiatrist recommends you some workouts, footwear changes, and medications as well. Here is a list of some conditions of foot abnormality in which insoles are recommended:
Custom insoles are placed in your shoes to deal with various problems associated with your feet, like flat feet, foot inflammation, or pain. Scientific research has verified that insoles help protect against injuries in the leg, foot, ankles, and heels. These custom insoles are beneficial in treating leg and foot aches, so before fitting over-the-counter or custom insoles, judge both of them and then make a final decision. Insoles for flat feet provide release and comfort from minor pain, but they cannot deal with major problems of feet.
In case if you have been diagnosed with plantar fasciitis or you have been suffering it for months or years, you have consulted a podiatrist or not whether you need custom insoles or not.
Custom insoles help work for plantar fasciitis. A pair of custom insoles of high quality is found to be effective in improving plantar fasciitis, as it supports your foot arch and cushions the sensitive heel pad. That is why custom insoles are considered one of the best tools in treating plantar fasciitis, and it is the top-recommended method by doctors, especially podiatrists.
Biomechanical evaluation of custom insoles
Custom insoles process includes:
Custom insoles get ready in a multi-step process that starts with a detailed assessment by a podiatrist. During the evaluation process, the podiatrist asks how and when you got symptoms of feet issue. After that, he thoroughly examines your foot, and feet assessment typically includes a visible gait assessment.
If you need any further imagining of your feet to evaluate an underlying abnormality, your podiatrist will make an X-ray or Ultrasound image to confirm specific pathology in that area. After assessing your foot condition through visual examination, pathology, foot activity, and footwear, your podiatrist will recommend certain custom insoles suitable to you. The podiatrist will send your custom insoles design to an insoles art laboratory where highly accomplished experts make these.
We can differentiate custom insoles based on the material from which they are made and their shape. Depending upon the foot condition, workout, and type of footwear, your doctor will change the prescription. Different options for custom insoles include:
1. Full-length insoles: This is an insole designed for shoes with a removable footpad; it provides optimal support and function to the footpad.
Ideal shoes include:
Features
2. 3/4th length insoles: it is more versatile in most the shoes
Ideal shoes include
Features
3. Slim fit insoles: This type gives full comfort and function in a different way to fit shoes
Ideal shoes include
Features
4. Carbon insoles: This orthotic is made up of graphite (carbon fiber)
Ideal shoes include
Features
5. Childrenโs insoles
If you are concerned about your children’s feet, you must think about whether your children need insoles or not. Or you have flat feet and are worried about your children.
Foot posture problems and abnormalities in the gait are common issues with growing children. In most cases, consultation with a podiatrist clears all the issues with foot gait and posture, or with age, the child clears all the issues by itself. There are a lot of common non-invasive methods that resolve the issues very easily. Most cases need advice in footwear selection, posture workouts, hope, and time to raise. But in the case when custom insoles are necessary, podiatrists evaluate the whole case by assessing all the necessary things.
Podiatristsโ evaluation
Before considering any therapy (insole), a complete assessment by a podiatrist is of prime importance. Podiatrists consider these factors:
6. Custom Footbeds
Custom shoes improve your efficiency of work and reduce the chances of injury. The custom footbeds are effective in the improvement technique, control of edge, and balance out other problems of feet.
There is a standard footbed for every boot, but like flakes of snow, every foot is different, and every person has a different style to place and distribute their weight. So, the podiatrist advises skiers to have a right footbed along with the custom fit boot, as it can prevent them from footsore and aches.
Custom footbeds are created based on the foot profile, not just considering the prior mold, made from various materials, and durable with more effectiveness than simple insoles. There are many important factors considered in designing the custom footbeds, with an arch of the foot, warmness, and blood flow are among the vital ones. A footbed will be considered good if it promotes blood flow to cold feet, giving a competitive edge in accuracy turns and good protective support needed in skiing the whole day without any problem.
The process of custom footbeds involves; foot assessment, foot molding, customizing footbeds, modification, trial your new custom footbeds, and finalizing your footbed.
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Working on custom insoles
The patients are always curious about the working of custom insoles and ask this question from podiatrists to answer it in the best possible way. The main objective of orthotic therapy is to decrease the internal and external forces acting on different parts of the foot, to reduce the pain and any injury present in the foot.
Insoles work by altering the pressure from the earth’s surface to the foot while standing, walking, or running. They change these forces’ intensity to achieve better foot functioning and decrease any undue force that causes foot injury.
Reliant on the underlying pathology and where your foot pain is sited, diverse insole design with specific structures can change location, degree, and effectiveness of force acting and within the foot. These extreme forces inside the foot and ankle are the source of nearly all mechanically associated wounds that we treat regularly.
By wearing custom insoles, we can support and send back sensory reactions to your brain to prompt it to modify its program during the walk. With these signals, your brain can send the right movements to the foot and progress function, avoid discomfort and avert injury.
How much do custom insoles cost?
Custom insoles are recognized notorious due to the diverse price choices. People suffering from foot and ankle pain or other feet issues try to seek help from custom insoles if prefabricated or over-the-counter insoles failed to provide the necessary support and relief from the pain. Whenever you visit your podiatrist, you must keep in mind the price of custom orthotics to avoid any shock. After all, an average person cannot afford too much costly custom insoles. You should make a wise decision in selecting a specific custom orthotic suitable to your foot in an affordable price range.
Some of the basics of buying custom insoles:
Whenever you visit a podiatrist, always keep these things in your mind.
Are our custom insoles covered by insurance?
If your general health insurance covers the cost of custom insoles, you need to pay 10 to 50 % of the total price. Though custom insoles are often not covered by insurance, you must check your insurer before fitting your custom insoles.
And one important thing, first ask yourself if you need custom insoles for your feet or you can remain easy without them. Many doctors conclude that some people do not need custom orthotics and can become normal using other therapies. People with certain conditions need custom insoles; these include:
Are our custom insoles worth it?
The definite cost of custom insoles manufacturing (including resources) is usually 100 dollars or less, so why are custom insoles cost too much? It’s for the reason that you’re paying for the biomechanical and visual examination, negative casting or molding of your feet, and a substantial mark-up. Here is what adds up to the total price of prescribed custom insoles:
Who can make custom insoles?
When you are going to order your custom insoles, you have to keep few things in your mind:
How can you keep your insoles clean?
Custom insoles can provide many benefits such as cushioning and supporting effect to your feet, alleviating pain in your foot and leg. Custom insoles are prescribed for various issues like bursitis, foot ulcers, plantar fasciitis, and tendinitis. Clinical research shows that foot inserts and custom insoles decrease pain in the feet and improve the functional anatomy of feet.
With a lot of health benefits provided by custom insoles, there are some problems with them too. It is a natural phenomenon that the custom insoles will get smelly over time if they are not kept smell fresh.
Cleaning, scrubbing, and washing of the custom insoles:
To wash your custom insoles or shoe inserts, use a slight soap and detergent with hand-hot water, be sure about their water-absorbing capacity, and do not leave them to absorb too much lukewarm water. To remove any stain from your insoles, try to scrub that area with a soft toothbrush to treat it gently. After rinsing them gently with removing extra dirt and cleaning them whole, try to dry them completely. Never wash or dry your insoles or shoe inserts in the machine, as it will destroy the internal structure of orthotics.
Replacement of custom insoles: How do you use and wear your custom insoles makes the expected lifespan of custom insoles or shoe inserts insoles. You will think about changing your custom insoles every three to nine months to enjoy the true benefits of custom insoles.
Factors affecting the lifespan of custom insoles
Custom insoles or shoe inserts are made to enjoy the whole life; insoles aim to give you as full comfort with full use of custom insoles as possible. But some constant factors can be used to determine whether your insoles are in good health as expected or in poor condition.
These consist of:
When to replace your custom insoles?
On an average estimate, a typical custom insole may last for about two to three years, but not all the cases are typical. Some patients need to replace their insoles every year, and others need to change them after 5 years. It depends upon their use. Podiatrists recommend evaluating your custom insoles or shoe inserts every year to clear out any wear and tear and replace them within three years. Pediatric insoles recommend their patients visit after every six months to check the development and replace their shoes when required.
Is it compulsory to replace my custom insoles instead of replacing them?
In most cases, the answer is yes. It depends upon the age, the making material, and wear and tear of your custom insoles. In general, podiatrists recommend replacing old custom insoles rather than their repairment, as repairing insoles does not give full support and protection to your feet. But repairing insoles can also be done by reshaping them with heat, adjusting the height and arch of the insoles, adding extra cushioning material, replacing the heel lifts and covers with new ones, and making them useable.
Signs showing to replace or repair your custom insoles
It would help if you inspected your orthotic regularly for any signs of damage in your orthotic. Many signs show that you need to replace or repair your insoles, but the most warning sign is pain. If you suddenly feel a huge, flashing pain in your feet, though previously your insoles are working well, you need to replace your orthotic as early as possible. Small damage or stain in your orthotic is not a sign of great worry, but if there are large changes like material warping, cracking, or any other change, you must consult your podiatrist.
You must be extra attentive if you are going through certain life events
So, consider these factors, as they can be the precursors of replacing or adjusting your custom insoles.
When to see a podiatrist for insoles for flat feet?ย
If someone simply wants an extra cushioning and supporting effect, firstly, they must try over-the-counter inserts designed for the feet. If you are suffering from serious pain or distress in your routine life, you should book an appointment with a podiatrist in your immediate vicinity. A good podiatrist will evaluate your general body condition and look for any other serious contributive factor in the cause of pain. Podiatrists are highly trained and experienced persons, and they assess the biomechanical history of your lower limb. They will examine your legs, feet, and heels and judge your gait to make a diagnosis, will listen to all the necessary details of your complaint, and evaluate the function of lower body parts. Some specialists also use innovative tools like Ultrasound and an X-ray specifically designed to see and assess any abnormality within your body. Your podiatrist will gather all the information and make a confirmatory diagnosis with a degree of problem. He will take a 3-D image of your feet and prescribe custom insoles of individual needs that might help relieve the body foot pain if necessary. The pictures taken by your podiatrist and all the measurements obtained help create a pair of unique custom insoles that will recover your movement and provides more comfort and stability to your feet. Your podiatrist will also suggest supplementary treatments to function your feet better.
Best Insoles for Flat Feet References
https://pubmed.ncbi.nlm.nih.gov/31714699/ย
https://treadlabs.com/blogs/insoles-reach-your-stride/the-cost-of-custom-orthotics
https://arcuscustomorthotics.com
https://www.health.harvard.edu/blog/do-i-need-orthotics-what-kind-2018102915182
https://www.apma.org/orthotics
https://www.footlevelers.com/products/custom-orthoticsย
In our opinion, there are more cost-effective insoles for flat feet than Dr. Scholl’s insoles for flat feet. Generally, these are more expensive and less effective than other best otc insoles for flat feet.
We wrote an entire article on Birkenstock insoles for flat feet. We go over Birkenstock insoles in detail for both the left and the right foot.
Here we review our favorite insole flip flops for flat feet:
Click here for the best women’s insole flip flops for flat feet.
Click here for the best men’s insole flip flops for flat feet.
Here we review the best insole slippers for flat feet:
We recommend looking at these insole inserts options. For the best custom-fit insoles for flat feet, consider seeing our great podiatrists in Michigan!
We recommend looking at these options for the best otc insoles for flat feet. For the best custom-fit insoles for flat feet, consider seeing our great podiatrists in Michigan!
In our opinion, as mentioned above, No. We believe they are not the best option for most people for flat foot pain, bunion pain, or plantar fasciitis.
Yesโquality insoles support your arch, improve alignment, and reduce pain.
Custom orthotics are tailored to your foot shape and offer superior long-term relief.
Absolutelyโmisalignment in the feet can affect your entire kinetic chain.
Most last 6โ12 months, but custom orthotics can last years with proper care.
Yesโearly support can help prevent long-term complications.
Yesโrunning-specific insoles offer extra shock absorption and heel control.
While OTC insoles are available, a podiatrist can recommend the best type based on your condition.
Insoles donโt cure flat feet but can manage symptoms and improve function long term.
Shoes with removable insoles, proper arch height, and good heel support work best.
Replace when they show signs of wear, lose cushioning, or no longer feel supportive.
Dr. Tom Biernacki, DPM is a board-qualified podiatrist and foot & ankle surgeon serving Southeast Michigan at Balance Foot & Ankle Specialists. A Michigan native, Dr. Biernacki earned his undergraduate degree from Michigan State University and his Doctor of Podiatric Medicine (DPM) from Kent State University College of Podiatric Medicine. He completed a three-year comprehensive surgical residency in foot and ankle surgery in the Detroit metro area.
Dr. Biernacki specializes in the treatment of heel pain, bunions, hammertoes, diabetic foot care, sports injuries, flatfoot correction, and minimally invasive foot surgery. He is dedicated to providing evidence-based, patient-centered care that helps people of all ages stay active and pain-free.
He sees patients at multiple convenient Metro Detroit locations and is committed to community education through the MichiganFootDoctors.com resource library. Dr. Biernacki is a member of the American Podiatric Medical Association (APMA) and the Michigan Podiatric Medical Association (MPMA).
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4330 E Grand River, Howell, MI 48843
Mon\u2013Fri: 8:00 AM \u2013 5:00 PM
43494 Woodward Ave #208, Bloomfield Twp, MI 48302
Mon\u2013Fri: 8:00 AM \u2013 5:00 PM