Custom orthotics are a powerful tool for reducing foot pain in conditions such as plantar fasciitis, Achilles tendonitis, Morton's neuroma, and bunions. They improve alignment, and keep you active. But just like your shoes, orthotics don’t last forever. While most custom orthotics can last from 1-5 years, if you've had changes in your body such as weight gain, falling arches, or an increase in your activity level during that time your orthotics may not work as well as they once did.
The good news? Many problems can be fixed with a simple adjustment or repair, not a full replacement.
5 Common Signs Your Orthotics May Need Attention
1. New Foot or Back Pain
If your orthotics used to help—but now you’re feeling foot pain, heel pain, knee discomfort, or even lower back pain—it’s a red flag. Your foot structure and biomechanics can change over time, especially after injuries, pregnancy or weight gain, and increased activity.
A quick evaluation and adjustment can often restore proper support and relieve symptoms.
2. General Discomfort When Wearing Them
Orthotics should feel supportive, not irritating. If they suddenly feel “off,” uncomfortable, or less stable in your shoes, they may need a small adjustment. Even subtle changes can make a big difference in comfort.
Most adjustments are fast and easy during an office visit.
3. Worn-Down Heels
Many orthotics have a heel post—the firm, square portion at the back that can help with alignment and control motion. Over time and especially in runners and active adults, this area can wear unevenly.
When the heel post breaks down, your orthotics can lose their corrective benefit. Repairing or rebuilding this area can help them function like new again.
4. Thinning or Worn Out Top Covers
The soft top layer of your orthotics provides cushioning and shock absorption. These covers naturally wear out with use, sweat, and friction.
Replacing the top cover is a simple, cost-effective way to improve comfort without replacing the entire device.
5. You’re More Active Than Before
If you’ve started running, playing sports, walking more, or changed jobs, your orthotics may be wearing down faster than expected. Higher-impact activities and more time on your feet can put more stress on both your feet and your orthotics.
Active patients often benefit from periodic checkups to keep their orthotics working at their best. We recommend you come in 3 years after you received your orthotics.
The Bottom Line
Not everyone needs orthotic adjustments—but if you notice pain, discomfort, or visible wear, don’t ignore it. Refurbishing or adjusting your orthotics can extend their lifespan, save money, and help prevent future foot and ankle problems.
If you’re in the Seattle area and rely on orthotics to stay active, a quick evaluation can help make sure they’re still doing their job—so you can keep doing what you love, pain-free.
Are Your Orthotics Over Three Years Old?
Even if you aren't experiencing pain or other discomfort, small changes in your activity and body can cause your orhothics to loose their effectiveness. At the Foot and Ankle Center of Lake City, we recommend our patients with orthotics get re-evaluated every 3 years. That way we catch any problems early.
