Using orthotics: A practical guide for underpronators and overpronators
Underpronators (also known as supinators) and overpronators often add orthotics - custom’ or off-the-shelf shoe inserts - to their footwear. The purpose of orthotics is to correct their gait to improve:
the motion and roll of the foot through the stride
improve shock absorption and weight distribution
alignment of the feet and ankles (which can reduce stress on the legs, knees, and hips).
For many, fitting orthotics into regular shoes is not that simple. You might experience:
New discomfort and pain - in your feet, ankles or further up your legs
Slipping or instability of the orthotic
Pressure points or blisters
Uneasy gait correction
Disappointment when the orthotics don’t bring the results you were hoping for.
This blog helps you identify the right shoes that work with your orthotics—and your stride.
Why shoe choice matters with orthotics
Orthotics are designed to support your feet in a specific way. But if the shoe they go into doesn’t complement them—or worse, works against them—you could lose all the benefits.
Getting the shoe–orthotic combination right is critical to comfort, support, and effectiveness. In many cases, it takes effort and perseverance to find the right pair of shoes that give your orthotics a fair chance to do their job.
Features to look for in orthotic-friendly shoes
Depth and volume: The shoe must have enough internal depth and space to fit the orthotic in, without cramping your feet (such as toes, arches and heels).
Flat and secure insole: The orthotic should fit flatly and securely , functioning as the shoe’s main insole.
Removable shoe insoles: Some shoes come with insoles that you can remove and add your own custom orthotic. For example sports shoes.
Fixed shoe insoles: Other shoes come with fixed insoles, so you need to be able to position your orthotic over this. For example boots, work or school shoes.
Stable heel counter: A firm heel area helps anchor the orthotic and keep your feet secure. (It is often difficult to fit an orthotic into open-back shoes.)
Roomy toe box: Extra space around the toes helps prevent compression caused by changes in foot positioning with the orthotic in place.
Secure lacing or closure: Laces or adjustable straps (such as velcro) help maintain a stable fit and stop the orthotic from sliding.
Consider neutral shoes
Neutral shoes are often a good match for orthotics, especially if the orthotic provides motion control or cushioning.
For underpronators (supinators):
Stick with neutral cushioned shoes
Choose models with softer midsoles for better shock absorption.
For overpronators:
If your orthotic offers motion control, be careful combining it with motion-control shoes - this may lead to overcorrection
A neutral shoe is often a safer choice unless advised otherwise by a professional
See our companion guide: Checklist: Features of ‘neutral’ shoes - for underpronation, neutral pronation and orthotics
Tips for Trying Shoes With Orthotics
Look for shoe product information like “orthotic-friendly,” “extra depth,” or “removable insole” when shopping online.
Try shoes on in the afternoon when feet are naturally more swollen.
If possible, remove the factory insole (unless it’s thin and designed to stay in) and replace it with the orthotic.
Try the shoe on with and without your orthotic.
Walk around to check for rubbing, slipping or heel lift.
Common mistakes to avoid
Buying shoes too small, hoping they’ll “stretch”.
Wearing orthotics on top of existing thick insoles (unless they still work effectively).
Choosing shoes that are too soft or too structured—find the right balance.
Assuming your old shoes will work the same with the new orthotics.
When to reassess
It is often recommended that people introduce orthotics gradually, so that your stride has a change to adjust to new feelings.
But once you have them working in a shoe(s) also realise that the shoes you use don’t last forever. Revisit your fit if:
You notice new discomfort
Your gait feels off again
You’ve had your orthotics or shoes for more than 12 months
Your activity levels, weight, or health has changed.
Related resources
For more about finding shoes suitable for orthotics:
Final thoughts
Your orthotic is a custom solution—but it needs the right partner. Choosing the right shoe helps your orthotic do its job: supporting your stride, easing pain, and helping you walk, run, or move with more confidence.
Finding the right shoe can sometimes feel like trial and error. But with the right knowledge, it becomes easier to spot features that support your foot health—and your pronation journey.
Contact us – have your say
We’d love to hear your experiences with orthotics and shoes. What’s worked? What hasn’t? Your feedback helps us create more helpful resources for others walking a similar path.
Disclaimer – note of caution
This blog provides general information for educational purposes only. It is not a substitute for professional advice from a qualified healthcare provide.