A Guide to Relieving Foot and Lower Extremity Pain
Have you been dealing with chronic foot pain that just won’t go away? If so, you might have wondered, Do I need orthotics? While this is a common question, the answer isn’t always straightforward. Consulting a medical provider, such as a physical therapist trained in orthotic intervention and conservative care for lower extremity pain, can help determine the best solution for you.
How foot mechanics impact your pain
Foot, lower leg, hip, and even back pain can often stem from how your foot interacts with the ground. Your body’s natural “architecture” might make it harder to disperse the forces of walking, running, or standing, leading to tissue irritation or joint discomfort over time.
Additionally, lifestyle factors can affect your biomechanics. Weak muscles, tight tissues, or added body weight may contribute to poor movement patterns, resulting in similar pain and dysfunction.
The role of physical therapists in addressing pain
As physical therapists, we evaluate the factors contributing to your pain — whether it is related to your natural anatomy or biomechanical changes.
This allows us to determine whether your pain can be resolved through strengthening, stretching, and biomechanical training alone, or if an orthotic device is needed to provide additional support and bridge the gap between where you are and where you want to be.
While we aim to help you “exercise your way out” of pain and dysfunction, there are instances when we need the help of an orthotic device to tip the scales in our favor.

Why custom orthotics may be necessary
Not all insoles are created equal. Over-the-counter options may not address the specific needs of your individual feet. A custom orthotic, designed by a specialist who carefully assesses your unique biomechanics, can:
- Reduce pressure on painful tissues and joints.
- Improve your body’s ability to absorb and disperse forces.
- Allow you to return to walking and weight-bearing activities with less pain.
By bringing the ground up to meet your foot, orthotics help minimize biomechanical stresses, providing a faster path to recovery.
Our approach to orthotic intervention
Our primary goal is to strengthen and stabilize your body to reduce the need for long-term orthotic use. However, orthotics can play a crucial role in relieving pain and enabling you to return to your favorite activities sooner.
Who can benefit from orthotics?
If you’re experiencing chronic pain in your:
- Foot or ankle
- Knee or hip
- Lower back
a consultation with a physical therapist trained in orthotic intervention could be the key to finding relief.

Take the first step toward pain-free movement
Don’t let chronic pain hold you back. Reach out to a physical therapist with orthotic intervention training today to learn whether orthotics could be the solution you need to regain comfort and mobility. We’re here to help you take the first step toward a healthier, pain-free life.