Best Sandals for flat feet- Birkenstock, Dr Comfort, Hush Puppies

We all wear sandals, right? But do we wear a good pair of sandals? You are wondering why you should wear an arch supported sandals, well, the answer is they can be helpful in relieving pain, providing comfort and support to your whole body alignment. Having said that, if you are not used to wear arches supported footwear and you are super flat feet, you might get a little discomfort to start with. And you need to wear it gradually that give your body to accommodate the new walking foundation. For high arches feet, these arch support sandals are not high enough to reach to your arch. The sandals recommended here are for men, and also suitable for wider feet type. Let’s find out!


Birkenstock Unisex Sandals

Birkenstock has the highest quality made of cork and leather. It might be hard for some people, but as you walk, the shoe molds to your foot. That is the magic part. If you are a beach or water person, why not try this EVA Birkenstock that is waterproof, easy to clean and lightweight.

Birkenstock has two width, narrow and normal; with arch support. These made them a better pair of sandals for wider feet and flat feet. They have adjustable straps too, that is quite important when you have swollen feet.

Birkenstock has wide range of simple yet fashionable designs with colors to choose from. You will have difficulties to choose only one pair to put into your cart!

While some says it is better to buy from Birkenstock company, buying from Amazon can be cheaper.

Dr Comfort

Dr Comfort Men Sandals


Dr Comfort is a medical graded footwear, that helps correct posture, alleviate foot pain, back pain, shin splints and aching legs. They are more cushioning than Birkenstock and with arch support. These are suitable to wear at home day to day basics. They fit a moderately wide foot. The Velcro strap is adjustable easily.

You will love the comfort and support from Dr Comfort, and if you have heel pain, this can help to relieve your pain too (Review from Amazon customers). Get them from $59.99 today!

Hush Puppies

Hush Puppies Men Sandals

Are you more of an outdoor person? Can’t wear running shoes all the time? Why not try this sporty leather sandal featuring adjustable straps and mesh inserts? Although it might not have good arch support, it provides the width, cushion and comfort fit with Velcro straps. Get them from $78.99 on Amazon.

Don’t wait, feel the comfort today

Never try, never know! If you are flat feet person, and have some pain or tired feet after long day of walking, you should give these a try. If you are more of a thong person, and/or women, here is where you can find the great thongs.

Happy Shopping with Amazon today!





Top 3 Women Sandals for Flat Feet -Find the best for you

Top three arches supported women sandals for flat feet that get great reviews are: Birkenstock, Dr Comfort, and Fitflops. Wearing good arches supported sandals can be helpful in relieving pain, providing comfort and support to your whole body alignment. Having said that, you might get a little discomfort if you are not used to wear arches supported footwear. And you need to wear it gradually that give your body to accommodate the new walking foundation. These three are the best sandals I have tried, with pros and cons listed below.


BirkenstockBirkenstock is from Germany. They are made from the highest quality materials, with cork and leather. I just love the simple design. There are a lot more of designs and type of shoes, it is time to upgrade your sandals and makes your toes shine!


  • If you have a wider forefoot or your little toe come outward when you are walking, this is more suitable for you as the design keeps all your toes inside
  • It shapes to your feet with your wearing period.
  • Good arch support.
  • Adjustable T-Strap


  • As they are made of cork, they are less cushioning compared to those that are made of rubber and EVA.
  • Not waterproof
  • Not suitable for sweaty feet as they are made of leather (Go for EVA Birkenstock instead).

One customer reviewed that: these are not comfortable when you first put them on but become a lot more comfortable as you continue to wear them.

Birkenstock EVA

If you are wearing them to the beach or water activities, here is the waterproof Birkenstock from $39.95. They are stylish, lightweight, cheaper, waterproof and easy to clean. However, it is not recommended to be left in direct sunlight as it can shrink at high temperature. Available in different colors and designs.


Dr Comfort

Dr Comfort SandalThe Dr. Comfort orthotic sandal is a lightweight thong-style sandal. It helps correct posture, alleviate foot pain, back pain and aching legs. Get it for $59.99.


  • Available in two widths: E and 2E
  • More cushioning foot bed and arch support
  • Medical Graded footwear
  • Suitable to wear inside the house


  • Not suitable for swollen feet as the straps might be too tight and put pressure on the upper feet

Fit Flops

Fitflop women sandals

Can’t live without a bit of heels? Need more fashionable look? FitFlops sandals offer dressy sandals with wide range of designs and materials to match your day-to-day outfit.


  • Adjustable buckle strap
  • Cushioning
  • Arch support
  • Different footbed materials


  • Not suitable for wide forefoot type as they are designed with standard width

One customer reviewed that: Love the way these fit! The shock absorbency in these are more pronounced, and you feel more of a bounce when you walk. I hesitated to buy these with the cork footing, but to my surprise they weren’t hard at all, if anything it was very soft.

Tips before ordering online

Sizing Guide and reviews- Research to avoid regret

As different shoes companies have their own measuring guide, it is suggested to read those reviews before decide your size. Although some sellers are kind enough for the free return, but this can be prevented just by do some research beforehand.

And one more thing.. Measure during evening time or when you feet swell to avoid buying a smaller size of the shoes


Which one is your fav?

Birkenstock and Dr Comfort’s sandals are suitable for wider forefoot types; Dr Comfort and Fitflops are more cushioning; Birkenstock and Fitflops are more dressy with more designs available. Best of all, they are shoes that aim to provide comfort and arch support, that you need for your flat feet.

Leave a comment below if you are wearing one of the shoes above, either good or bad. Let me know in the comment if you have a great sandal that I must included in too!





why you should throw away your high heels

High heel foot pain? Time to throw your high heels shoes-the reasons and the solutions

Elegant, sexy-looking high heels shoe is a must when you are going for events, parties or due to work requirements. How could we not pair with a pair of nice high heels with our perfect make up, freshly pedicured toes, and elegant dress? Yes, high heels give women the nice posture and the self-confident, meeting with friends and giving good impressions at work. All the movie stars and business women have dozens of high heels! BUT, the fact is, high heels are bad for you, and you should throw away your high heels. You would not believe there are many side effects of wearing high heels, impacting your feet, and giving you long-term damage to your health. Here is how you can prevent and improve it.

High heels change the way you walk- the root of the problems

High heels change the way you walk wronglyWe are meant to walk heel-to-toe. Wearing a high heel alter the position of the foot which lead to lots of problems.

High heels also change your walking platform, that your calves muscles got to work harder, and prolonged contracting and eventually shortening of the calves muscles.

Shortening of calves muscles could directly and indirectly lead to the following problems:

  • Pain after wearing heels
  • Foot deformities such as Bunions
  • Burning pain or numbness at the forefoot such as Mortons Neuroma, where pointy high heels squeeze the toes
  • Weakness in the ankle and causing Ankle sprain injuries
  • Achilles tendinitis
  • Joint degeneration
  • Arthritis

Other side effects of wearing high heels:

  • Ingrown toe nails
  • Corn and Calluses

Before it is too late…

Do you prefer to live with pain later in life? The problems mentioned above are not able to reverse once it starts. You might not see the changes of your feet, these problems take time to form, and when you realize, it is too late. With the advanced medical research and medical teams, you can have corticosteroid shots (that might or might not help with your problem), or doing surgeries, but these damages to your feet can be prevented. Living painless is priceless. Let’s start with putting away your high heels, and find the alternate shoes.

What to do next? Buy a better shoe

Are you experiencing any pain wearing high heels? If you do, great! It just means that you are more prompt to make a change than those who hasn’t had pain wearing heels. We learn better with lesson, right? Start buying shoes that actually help you walk better, not damaging your feet. Here is some recommended orthotic friendly shoes.

Here is some great tips:

  1. Lower inch with gradual slope high heelsChoosing a rubber-soled shoe over leather, as rubber is better able to absorb pressure in the feet.
  2. Buying shoe with a gradual slope, so the force is evenly distributed over the foot.
  3. Choosing a lower inch of the shoes to avoid over pressure the feet.
  4. Shopping for shoes at the end of the day, when your foot is most swollen.
  5. Choosing an orthotic friendly shoe that putting your orthotics in to realign the way you walk.
  6. Change your high heels to comfy shoes once you reach your office, to relax your feet.

Train up your muscles with these simple exercise

Think about your overworked calves muscles, you got to relax them through stretching. Weaker muscles need to be strengthened to prevent strain injuries. And with the pointy heels, you need to have good balance to avoid ankle sprain.

Stretching: To stretch lower leg muscles, use a towel to pull your foot towards you for 30 seconds.

Strengthening: Use an exercise band to strengthen the muscles of the lower leg and ankle. Use the exercise band to resist the ankle as it pushes up, out and in

Standing toe raises: Don’t forget to work the smaller muscles of the leg, put small objects (pen) on the floor and use your toes to pick them up.

Balance:  With something to hold on or beside a wall, stand on one limb and hold it for 30 seconds. Then change side. When you are good with it, try to close your eyes. This will increase the stability and help with your balancing.


Imagine going through bunion’s surgery, imagine walking every step with pain, imagine the money you spent to ease your foot conditions. Sounds awful! But you can totally help yourself to stay away from them. Start buying shoes that are lower heels, not pointy at the front, have a gradual slope; and do stretching and strengthening exercises. You can also consider putting orthotics into orthotic friendly shoes or wear a pair of supportive and stable running shoes. You can learn more about how orthotics can help with foot condition here.

Happy shopping at Amazon today!





Orthotics Friendly Men Dress Shoes-Dr Comfort Shoes

Looking for dress shoes that is able to fit in your orthotics? It can be tricky when you did not do research beforehand. While the appearance of the shoes is the main reason for you to take it home, you will also need to make sure that the shoes can give you the comfort and space for you to put in your orthotics. The rules for a pair of orthotic friendly shoe is it has extra space, such as extra depth and width; and the original shoe insoles are removable. Dr Comfort shoes are one of those shoes that match the rules. Let’s have a look for the designs.


Dr. Comfort Classic Men's Dress Shoes
Clean simple lines, high-polished, hand burnished leather with a classic attention to detail. This traditional shoe is perfect for any formal or informal occasion. Available in Black and Chestnut color.

Review from Amazon customers:

‘Amazing shoe for Diabetics. I am Type 2 with foot issues. When I have these on- I have no issues. They’re amazing.
Just to not have foot issues I would pay double.’

‘This are the best shoes for my husband, he loves this brand, in any different design, the comfort is spectacular, specially if you suffer of fasciitis plantar, I recommend this product, also the company offers a great customer service fast and good.’



You cannot go wrong with our classic wing-tips. Lightweight outsole, fine leather interiors and hand-burnished finishes. Available in Black and Chestnut color.

Review from Amazon customers:

‘Very comfortable, have helped my plantar facitis to the point of not having one attack since I got them. Hard to find a dress shoe suitable for business with the orthotic properties I needed. I wear a 9.5 to 10 in a regular shoe, the 10 in this shoe leaves over an inch past my big toe… could have easily worn a 9. Still a very comfortable shoe and I’m keeping them!’

‘I prefer wing tip or cap-toed shoes for dress, and I have difficulty finding the E/EE width. I also prefer the leather soles; however, with antiquity, I am looking for the softer sole that these shoes provide. They are perfect for what I want and need.’


Look good while feeling great in the Ruk shoes for men. The Ruk is available in two different colors, Rust and Brown. The Rust color is a suede material while the Brown is made of full-grain oiled leather. The classic style of the Ruk shoes pairs well with jeans or trousers.

Review from Amazon customers:

‘Mostly as expected. Slightly large however I require a larger shoe box so my big toe nuckle does not rub against the inside with my custom orthotic.’

What comes with the shoes?

Dr Comfort Gel Inserts

When you order one of the Dr. Comfort shoes, it includes both a main arch support Gel insert (in bag) and a flat Blue foam spacer insert. It is suggested trying the Gel inserts first. If the shoes feel too big or too wide, add the blue foam insert UNDER the Gel Insert.

The sole of the Dr. Comfort shoes are built to the wider width using both the Gel insert and the blue foam spacer insert will provide you with a snugger tighter fit.

Sizing guide

Every shoes companies has their own measurement. Dr Comfort shoes tends to size slightly longer in cm. One thing to note, when you need the width to be extra wide, you should order the shoes half a size smaller. The shoes are roomier than the other shoes. You can always check with the customer services or read the customers reviews regarding the sizing.

Pricey but worth it

Live painless is priceless. It is worth the price when you try these shoes out, that give the best comfort for your feet. You can easily fit your custom-made orthotics into the shoes by taking out the original inserts. It is time for you to get the right shoes, with comfort and fashion.

Happy shopping at Amazon today!





Types of foot orthotics- A quick glance for the designs

Painful feet, bunions, heel pain, flat feet, high arched feet, foot deformities, or back pain? You might probably need a orthotic. But before that, do you know what designs to choose from? There are design specially for certain foot condition, let’s have a quick look!

Orthopaedic insole designs

Longitudinal arch support
Longitudinal arch support
Tarsus supination.
Tarsus supination
Metatarsal arch support
Metatarsal arch support
Longitudinal and metatarsal arch support
Longitudinal and metatarsal arch support
Cup-shaped heel support with longitudinal and metatarsal arch support
Cup-shaped heel support with longitudinal and metatarsal arch
Tarsus supination, metatarsal arch support
Tarsus supination, metatarsal arch support

Which design is for me?

While having a normal arch supported orthotics can help in redistributing the forces putting onto your feet, having the right design of the orthotics based on your conditions can reduce your pain and symptoms effectively. On the other hand, you are taking a risk of worsening your condition if you buy without seeking professional advice.

Which brand I should buy?

The orthotics shown above are by Qmed care, and there are many different medical graded orthotics available on the market. It is sometimes frustrating when you want the best product for you but there are so many choices. Here I suggest you to see a podiatrist, or you can always go online to do research and read the reviews or my review here.

Why do I need to see a Podiatrist?

Foot types

Put it simply, podiatrists are foot and ankle doctors. When we are sick, we go for doctors; when our feet have problems, we go for podiatrist. They are specialized in this field and are able to provide thoroughly check for your condition, giving the right treatment for you. There are a bunch of process to check whether which orthotics design is best for you. For example, walking patterns, feet types, feet shapes, footwear choices, body alignments, leg length difference etc. Although they will have their own preferences on the brands of the orthotics, they are satisfied with the brand.

Let the experts be experts

I know it is time and cost saving when we self-treat our pain and aches, however it might be the other way round. Living painless is priceless, so let the experts be experts. Get the best foot care from podiatrist.





Orthotics Reviews- You pay what you get?

So you or your family have one of the conditions such as plantar fasciitis, bunions, flat feet, Mortons Neuroma, or painful feet in general; and knowing that having orthotics is the way to resolve the condition. Now the question is: what and where you should get you orthotics. I recently bought two pairs of kids orthotics from EBay, and I compared them with medical graded orthotics.

Cheap and good quality orthotics- Do they ever exist?

Cheap orthotics insole for kids
No they don’t. Look at the first one I got from EBay. It was described as Children Kids Insole Pad – Orthotic – Shock Absorption -Foot Correction, the price was AUD 3.59. Cheap! But clearly the seller did not understand the word ‘orthotic’.

Wikipedia defines orthotics as ‘provide support for the foot by redistributing ground reaction forces as well as realigning foot joints while standing, walking or running.’ The ‘orthotic’ above has no supporting arch that would help to redistributing forces or realigning your feet. But, it is shock absorbent as it is cushioning.

Here is the arch support orthotics- Do they give the right support?

Orthopedic Orthotics Arch Support Shoe Insoles Inserts For Children

The second pair I got was :Orthopedic Orthotics Arch Support Shoe Insoles Inserts For Children, AUD 3.78. It is super supportive, that can definetely redistributing forces or realigning your feet, but might be in the wrong way. You would not know how your feet should be supported, only podiatrists or physiotherapists would be able to fit your orthotics professionally.

Medical Graded Off the shelf kids’ orthotics

There are many off the shelf medical graded orthotics available, and with dfferent designs too. This is a 1/2 length children’s orthotic with 3 degree medial rear foot post, the price is AUD 21.10. Although it is off the shelf orthotics, it is heat mouldable to certain degree. That is, it can be moulded to your feet. Sounds good? It also mentioned it is for clinicians use only. These medical graded orthotics should only be given out by health professions, such as podiatrists. We should not try to be our own doctor to self-treatment. The truth is, we do not need orthotics unless we have symptoms or pain in our feet.

Customized Orthotics by Podiatrists

Customized orthotics

Would you let dentist to check your eyes? Nope. Then, seek podiatrists for your orthotics. Do you know there are different designs of orthotics that provide instant relief for different kind of pain? However, wrong choice of orthotics would only like putting salt onto your wounds.

But it costs hundreds of dollar!

Yes it costs around $600-$700 or more for a pair of custom-made orthotics. Do you know why?

  • It fits to your feet
  • It requires techniques and knowledge
  • The materials are plastics that will last for many years

And one more thing, your podiatrist will help you to fit the orthotics into your shoes and make changes if there is any discomfort.

Go online or what?

I would recommend seeking for profession advise before you buy any of the orthotics, or maybe you don’t even need orthotics! Who knows. Find out how orthotics can help with your pain here. Once you got your first pair of off the shelves orthotics, you can always go online to search for the same pair of the orthotics. But you miss out the part that your podiatrists will continue to monitor your conditions and make any alteration for your orthotics. We always pay what we get, right?





Orthotic friendly shoes for women. Yes! they are fashionable and comfortable

Being a woman is hard, being a fashionable woman yet has painful feet is even harder. I always heard women who came to podiatry clinic with painful feet, and with bad choice of shoes, saying: beauty is the pain. They choose to wear good-looking shoes rather than comfortable shoes, or what they called, granny shoes. Indeed, there are occasions or work requirement to wear formal and nice-looking shoes. Well, there are shoes that combined fashion and comfort, and they are orthotics friendly shoes, that you can start taking care of your painful feet.

Ziera you get what you wanted

The words fashion/ stylish are all unique to us. Each person defines them differently. Ziera shoes offers wide range of women’s shoes that hopefully are your taste. They have styles such as dress shoes/ sandals, casual shoes/ sandals, heels, slippers boots and orthotics friendly shoes. What is special about their shoes is that they have designed to fit in orthotics, even in high heels (look for the small foot icon at the top right corner). They have removable inserts, providing more space for it. With some shoes, you can choose the width of it (wide or  extra wide), an extra bonus for wider feet people.

Ziera Shoes“From lace-ups to loafers, brogues to ballet flats, Ziera offers the perfect blend of style and comfort for those needing extra supportive footwear or those needing to swap out the Ziera footbed for their custom-made orthotic. On-trend looks combined with luxurious cushioning to cocoon the whole foot, Ziera’s range of orthotic friendly styles suit anyone who needs additional comfort and support for their feet.”

You can get yours at or at Amazon just at one click.

Dr Comfort-Comfortable shoes

Flute Merry JaneDr Comfort shoes provide the three choices of the width in certain design, medium, wide and extra wide. The shoes come with removable cushioning inserts, a shoe horn, and a pair of flat inserts. You do not need to worry about putting your orthotics in, as when the original inserts are removed, they have the depth for orthotics.

The most popular choice is Flute Women’s Merry Jane, made with leather, and also with expandable materials at the top (the upper shoes). This suits women with bunions condition, swollen feet, and wide feet.

Dr Comfort Coco Rich Patent Women’s Classic Shoes are suitable for dress or work shoes, also forefoot design provides pressure relief for all day comfort and the BOA closure system provides an adjustable secure fit.

“The Finest Quality Comfort Footwear Period! Diabetic, Therapeutic and Orthopaedic Shoes, Footwear and Compression Wear that provide the utmost comfort.”

Revere Shoes- Stylish sandals and shoes

One important design for a sandal to be able to accommodate orthotics is that the shoes have to have heel counter to secure your feet and the orthotics. The shoes are also available in two width, medium and wide.

Bali Heel Counter Sandal designed as follows:

  • Adjustable hook-and-loop straps
  • Leather uppers and linings
  • Removable comfort footbed with built-in arch support allows the insertion of custom orthotics if required
  • Matching strap extensions included to enhance fit
  • Slip-resistant outsole

There are more shoes available here.

Running/Walking Shoes-Best shoes to put orthotics

Most running and walking shoes are able to fit in orthotics. The reason why they are the best shoes to put in your orthotics because they have stable base, and your feet and orthotics will be secure inside the shoes.

Oh…and one more thing

One important trick when buying any shoes is to take the orthotics with you, try the shoes with the orthotics as you might need a size up for your shoes.

If you are buying shoes online, consider if you are going to have orthotics inside the shoes and measure your feet at evening time. These little yet important factors will help you to get the right size of the shoes, please be mindful that wearing smaller size of the shoes might cause problems to your feet.

Happy Shopping at Amazon today!




Podiatrist in Willetton, Bull Creek, Bentley, Hammond Park- James Wong( Podiatrist )

James is a podiatrist graduated from University of Western Australia. He is the owner of Excel Podiatry Clinic, working in Willetton, Bull Creek, Bentley and Hammond Park. He has a total of 5 years of experiences working in community, and has experiences in  treating advanced and high risk patients in public systems. He is fluent three languages in English,Mandarin and able to communicate in Cantonese and Malay. He also provides ongoing care and home visits for non-English speaking elderly people within the community.

Latest Treatment Available: Laser Therapy

James is one of the few podiatrists who is qualified and registered to treat patients with laser machine. Many have been reporting good results from laser treatments. In his clinics, Fungal Nail Infections Condition is the most commonly treated with laser, Mortons Neuroma, Warts and muscles tightness also reported positive results from laser therapy. Laser therapy is time-saving and painless compared to other treatment such as dry needling or surgery.

For more information about FOX Laser:

Where are we located

Excel Podiatry Clinic are now available in three branches out in suburbs:

1) Apsley Medical Centre: Unit 3/73, Apsley Road, Willetton, 6155, Perth, WA

2) Bullcreek Medical Centre: Unit 2/79 Wheatley Drive, Bull Creek 6149, Perth, WA

3) Bentley Family Practice: Bentley Plaza 1140 Albany Highway Bentley, WA 6102

4) Cornerstone Family Podiatry: 1/2 Brushfoot Blvd, Success WA 6164

Call James on 0478 936 871 or click here to make an appointment online

How can podiatrist help:

Elderly people

We aspire to help elderly people with their ongoing routine nail and skin care issues commonly due to issues of been unable to reach their lower extremities. We also perform diabetic foot assessment to educate the importance of taking care of their feet, to prevent ulcerations, and to check their feet blood circulations and nerve sensation.

Adults and children with painful feet

We often performed a full biomechanical assessment & gait analysis on the patient to identify the cause and the root of the pain. With this, James will examining and studying the way you walk, assessing your overall gait patterns, checking for muscles activations and joint range of motions and others.

Treatments such as dry needling, deep tissues massage, laser therapy, ultrasonic therapy, taping, orthotics, Foot Mobilization Techniques (FMT), giving stretching and strengthening exercises etc will be tailored accordingly.

Kids with growing pain or walking in-toeing/walking funny

Seeing our own kids growing is a joy, however they might often complaints of calves muscles pain; walking funny in their developmental stage. When you notice something is not right, trust your guts, and bring them to see a podiatrist. Listen to their complaints and seek for solutions.

Surgery for Ingrown toenails and Warts

What to do when you see a warty lesions?

A wart lesion can often be misdiagnosed as a corn (calluses -hard, dead skin).

Warty lesion is a thickened callous like growth caused by the human papilloma virus. The infection occurs in the superficial layer of the skin. Sharp/tender pain can sometime be felt with a wart lesion. Plantar warts can be seen in all age groups but commonly affecting children and adolescents.

At Excel Podiatry clinic, we offer great range of treatment methods for the warty lesions; ranging from Acid application, liquid nitrogen applications, silver nitrate stick applications, needling techniques, laser therapy and Wart curettage surgery. So come down to check it out.

What to do when your big toenails always grow into your flesh?

Ingrown nails are painful and can lead to infection if not managed properly. Conservative care often includes simply cutting/trimming the offending spicule or portion of the nail. If required (ie recurrent or severe cases) only then; possible partial nail avulsion surgery with phenolisation can be discussed and performed on the day to remove the Ingrowing toenails permanently as a long term solution.

Get the Right Help

Sometimes it is hard to find a good restaurant, we keep on trying and exploring new places or through word of mouth, hopefully we can find the hidden gem of food. When we found one, we stick with that place. We understand of the uncertainty especially when you have never been to a podiatrist, or might feel discouraged by previous bad experiences. I got to tell you, come to meet James!.. you will get the profession and yet wholistic approached care. James always take a step further in caring his patients; that many of them have become his friends. Oh…and one more thing, because of his extra care and willingness to take things seriously; very often he might identifies other existing problems which are giving rise to the signs and symtoms of your problems.

You can call James on 0478 936 871 or click here to make an appointment online.  Here is more information about Excel Podiatry Clinic Pty Ltd.




Orthotics Inserts/Insoles for flat feet, high arch feet, heel pain and bunions

The function of Orthotics
Orthotics are a medical device which is often utilized by health professional like podiatrist in supporting and realignment a person’s body postures. There are two main types of orthotics; over the counter generic orthotics or customized orthotics. Depending on the conditions, the purpose of having orthotics can be different. This post will explain how orthotics inserts/insoles can help with the conditions of flat or high arch foot, heel pain and bunions.

Orthotics for flat foot and high arch foot

For kids: If your child’s arch development is atypical for their age, such as flat foot or collapsed arches, or your child has other neurological or development conditions affecting the lower limbs and foot, it is important that your child’s foot alignment issues are treated early in their development. This would help to encourage normal development while preventing further deformity via reducing abnormal forces on the foot, ankle, knees, hips, pelvis and spine over the years of development.

For adults: If you have an established excessive pronation (flat foot) or overly supinated foot (high arched); depending on the conditions; you might be experiencing different pains and aches, ie: Plantar fascitis (plantar fasciosis), heel pain syndrome; Morton’s Neuroma; Achilles tendinopathies; bunion deformity as so on.

Orthotics for heel pain syndrome/plantar fasciitis

Plantar fasciitis is one of the most commonly encountered foot condition in a podiatrist practice. The prevalence of the condition was 2/10. That’s about 4-5 millions of the Australian’s population suffering from the condition daily. Pain is often presented first step in the morning and upon prolonged resting. Pain is often found upon palpation on the medial of the heel portion. Plantar Fasciitis is often presented secondary to tightness in the plantar fascia structure as well as the calves muscles on your legs. Pain is presented due to over used injury and degenerative state of the fascia structure. Hence, proper use of supportive orthotics and shoes are a vital step of the treatment to reduce the stress loading to the fascia.

Orthotics for bunions

Bunion is an enlargement of the joint at the base and side of the big toe. Bunions are not hereditary- but, inherited bad mechanics are an underlying cause. Bad choice of footwear such as high heel and pointy shoes could be the cause too. Pain maybe felt in the big toe joint, together with a lump that enlarges with age. Left untreated the big toe will increasingly deviate until it overlaps or underlaps the 2nd toe. Pain, discomfort and difficulty wearing shoes may be experienced due to deformity. Arthritis and stiffness in the joint can also develop. Before it is too late, this can be treated with correctly fitted orthotics to realign and control the foot. Orthotics when molded to your foot limit the effects of pronation and prevent further development of the bunion. Having said that, orthotics can slow down the bunion deformity, it is not possible to cure the bunion, it has to be done through surgery.

Best shoe to accommodate orthotics

Running shoes are the best shoes to put orthotics

Finding the right shoes are difficulty when it comes to using an orthotics daily. The shoes are needed to be wide enough; deep enough; and stable enough to accommodate for the orthotics. Very often the shoes were way too flexible and unstable for the orthotics. Let me ask you; would you ever built your house on a slumpy or a muddy grounds? No ! right? . You would find a good flat ground with solid and stable foundation prior to the construction. Similarly,; you would need to have a good supportive shoe to accommodate the orthotics. Most running shoes are the best shoes to put in orthotics.

Having said that, there are way too many types of orthotics are available in the market, how then can we as a consumer, know which one suits us more in treating painful aching foot?

The best place to get orthotics is from a Qualified Podiatrist

why the necessity?

  • Podiatrists are trained to prescribed medically graded orthotics for your needs
  • Proper assessment of your foot and body alignment and function as a whole.
  • Helps you to understand the cause of the foot problems.
  • Podiatrists can also provide treatment plans accordingly to further assist with your foot condition
  • Podiatrists can also modify the orthotics to suit your shoes and your foot

After doing some mystery shopping at different chemist shops, most of the over the counter orthotics sold were not the ideal orthotics for you as they simply doesn’t provide sufficient control and support. 

Orthotics with no support

Henceforth, save up your money. Rather than spending on an orthotics over the counter randomly; it would be best to see a podiatrist who can advised and help you with your discomfort.

In doing this; it will help you not only to save money but also to get back on your foot in a much shorter period.

Hope the information helps you to understand a little about the functions of orthotics. Over the counter orthotics are cost-efficient, but in some cases custom-made orthotics can be more helpful.





How often should you change your running shoes?-the impact of wearing small shoes

How can you tell it is time to replace a new pair of shoes for you or your kids? Do you check their shoes regularly? Does the kids tell you they need to change their shoes? And do you know the impact on them by wearing a pair of worn out shoes?

Here are some pointers: 

Check the inside of the shoes

You would not know what is happening inside of the shoes unless you take out the insole of the shoes. To my suprise, i have seen cases where the original insole was presented with a big hole on their big toes as well as some of the weight bearing areas of their feet. Removing and observing the insole can assist you with identifying the pressure areas and how your child walk; their gait patterns.This can sometimes be handy to tell the type of their foot shapes.

Sands! Parents… please take note if your child love to play in the sandpit, they are coming home with shoes which are filled with sand. It is very important to clear up the sand while the insole is out, dont just shaking out the sand. You wouldnt believe the amount of sand that is hidden beneath the insole. If the sand was left over a period of time; this would damage the interior of the shoes slowly, and causes bacterial and fungal skin infections. 

So parent.. please take out the insoles and take some time to check the condition. Also; match them with their feet, if the feet are longer than the insole then it is time for shoe shopping.

Now check the outward appearance of the shoes 

The most obvious way to identify whether it is time to change the shoes is through the appearance of the shoes. Has the shoes worn out? or are the cute little toes visible through the holes in the shoes? Least to forget; go ahead and take a look at the bottom of the shoes- are the thread still there?

By the way; if there is not thread on the shoes then the shoes are not doing what they are support to do, in fact it could cause more slipping and fallings. No matter how much your kids want to wear them, regardless of the brand of the shoes, they need to be replaced. Believe it or not, shoes can change a child’s walking pattern. Therefore, it’s either to have a good supportive shoes or to have a shoes that requires your child feet health. Worn out shoes can actually cause overused muscles injuries in some cases. 

Listen to their little Complaints

It is understandable sometime parents ignored our kids’ requests or complaints. However, it should be taken seriously when they are reporting pain while wearing a certain pair of shoes. When they refused to wear a pair of shoes, Not wanting to walk for long distances, tired of shopping etc. These might be due to pain which was resulted from over used injuries and wearing an unsupportive footwear. Feet!!. monitor your child’s feet, check them out for any redness, swelling or infections. If in doubt, see a Podiatrist; a health professional who spends time study in details about feet and ankles. 

What more does the research had to say

An orthopaedic surgeon,  Mr Espinosa once said this: “the most striking finding in our study was that more than 90 percent of both outdoor and indoor shoes/slippers worn by the children were too small.” One other literature review suggested that wearing small shoes can lead to improper positioning of the flex zone (where the cuts and folds follow the natural movements of the feet) and thereby causing harmful stress to the feet.

The impact of wearing small shoes – Foot deformities

Wearing small and narrow shoes can be an big problem. It can have a detrimental effect on children’s feet health. I am sure you are aware of bunions deformity; claws toes; flat foot IGTNs. I am not saying, wearing small shoes will have a direct causative factor of the foot deformities as per mentioned but it does contribute in exacerbating the deformity. Therefore, parents please change your kids’ shoes in time, perhaps you might be saving them from needing a surgery in the future for bunions and other foot deformitiess. As we all knew this rather well: ” prevention is better than a cure”.

Hallux Abductor Valgus/ Bunions

Hallux Abductor Valgus are also commonly known as bunions. It is a progressive genetic driven plus external factor driven foot deformity where the big toe begins to angled sideways toward the second toe. This can sometimes be painful, and might presented with just red nodules to start with. For kids, it can be aggrevated by wearing smaller and narrow shoes for their feet. For women/ ladies, it can be formed by wearing high heels shoes ( which greatly increases forefoot pessure hence exacerbating the condition) and/or narrow pointy shoes. 

Ingrown toe nails

Ingrowing toenails are a condition where the nails; especially the big toenail are growing in the nail fold. It is painful and yet sometime presented with some nasty infections. Wearing tight shoes can also have a detrimental effect on how the child’s nail grow. In some cases, nail damages can occurs. This often results in increased thickness of the nails; layering of the nails; discolouration and bruising of the nail bed. 

Not to forgets- as per mentions previously; sand in the shoes could also sometime gets into the sulcus and cause further irritations to the nail fold bringing infections and unwanted bugs. 


To sum up, parents, it is not needed to further explain as to how picking/choosing and checking children’s foot wear is an important task to assist your little ones. Teach them about these pointers above; embraced them; so that they too, can do it themselves and pass on the message to their friends and families. 

 “Lets make the Shoes a better place for the children feet”: – Dr James Wong (Podiatrist)