Q Are insoles or orthotics really effective?
A Custom insoles that support the arch of the foot help alleviate pain by distributing the load on the metatarsals. Custom-made insoles by foot specialists are more effective than commercially available products, and better results can be expected when combined with treatment. For orthotic devices (toe splints), nighttime use is recommended rather than long-term wear.
Detailed Answer
There are randomized controlled studies showing that custom foot orthoses reduce walking pain by 20–30% by redistributing pressure concentrated on the first metatarsal head. Insoles combining forefoot pads, Metatarsal bars, and arch supports are the most effective. Orthotic devices (night splints) are more practical for pain prevention and alleviating morning stiffness than for angle correction.
Korean Medicine Clinic Perspective
Insoles are an assistive means that provides structural support to prevent the blockage of Qi and blood flow from the outside. Reducing pressure on the inner arch of the foot improves meridian flow, which helps maintain the therapeutic effect. At Dongjedang, we incorporate the use of insoles and orthotics into the treatment plan and coordinate the use of insoles to maximize their effectiveness once Qi and blood have been restored through acupuncture and moxibustion.
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