Foot orthotics are a widely used treatment for a wide range of foot and lower leg biomechanical conditions. They are designed and helpful to fix alignment and biomechanical issues. All the scientific evidence is that they are usually quite successful and also the patient satisfaction type research shows that they are well received by those that use them. That doesn't mean that they do not have issues. They certainly do have issues. They are able to only be used in footwear that has the room for them to fit into. This means that they can not be used in certain types of sports footwear and some shoes used in certain jobs. Also, in some environments closed in footwear is not too popular due to the temperatures. Some individuals just have a philosophical argument to foot supports since they look at them as being unnatural and as crutches that should not be used.
While foot orthotics are pretty straight forward and can very easily be made to work in the short to medium term you can find options if patients choose to pursue that choice. Exercise treatments are one option and muscle strength may be improved and used instead. However, this could take many months to work and it may be a good option to use foot supports to start with because they can help get some good improvement nearly straight away. If shoes are the challenge and it is not possible for monetary, work-related, sporting or chosen lifestyle reasons to alter the footwear, then there are alternatives such as the Archie Flip Flops that come from Australia and have a reasonable amount of arch support built in. There are other types of footwear like these that do have support integrated, but the amount can be quite smaller compared to the Archies and may not be as useful. As always it is recommended to speak to your podiatrist as to what they believe is the best choice for you.