Musculoskeletal conditions that insoles can improve
The lower limb alignment can improve the following conditions
Inflammation caused by the increased frictioning between the patella and the femur
Structural overload of disks or facet joints.
When the bone isn't able to cope with the load
Advanced degeneration of the knee
Nerve impingement caused by foot pronation
Functional overload of lower limb's bones.
Published Research Synthesis
We reviewed the scientific literature to present you a selection of peer-reviewed findings highlighting the role of custom insoles in managing load, reducing pain, and supporting functional outcomes.
Journal References – PMID / PMC Databases
Stress Fractures
Custom insoles are associated with reduced incidence of stress-related injuries by improving shock absorption and load distribution.
- Shock-absorbing insoles could cut the number of stress fractures in half. View Reference →
- Custom-made biomechanical insoles may be more effective than no insoles for reducing shin splints View Reference →
- Overall fewer osseous stress injuries were reported in the experimental groups for all 4 studies comparing military personnel in insoles View Reference →
- Tibial stress fracture incidence was lower in the insole group View Reference →
Achilles Tendinopathy
Orthotic support can assist in managing tendon load and improving recovery conditions in rearfoot-related pathologies.
- Application of orthoses can be helpful for managing rearfoot pain. View Reference →
- Foot orthoses may serve to prevent the incidence of Achilles tendon pathologies View Reference →
- Insoles result in significant pain relief in boys with Sever's injury. View Reference →
- Orthoses allow an increased equinus position and therefore improved protection of the healing tendon. View Reference →
Plantar Fasciitis
Custom orthoses are widely used in conservative management of plantar and forefoot conditions through pressure redistribution.
- Wearing a custom-made foot orthosis leads to improvement in patients with plantar fasciitis View Reference →
- Foot orthosis are known to be one of the best conservative management and have short and long-term effects View Reference →
- Insoles seem to enhance clinically relevant treatment effects. View Reference →
Metatarsal pain
- Metatarsal padding is a safe and inexpensive alternative in treating metatarsalgia patients. View Reference →
- This type of insole is simple and inexpensive and showed a significant effect on decreasing pressures under the metatarsal heads. View Reference →
Running related injuries
- Wearing insoles while running is related to an immediate and a long-term decrease in pain and symptoms of overuse running injuries. View Reference →
- The rearfoot medially-wedged insole was a useful intervention for preventing or reducing painful knee or foot symptoms during running in runners. View Reference →
- Prefabricated foot orthoses may be beneficial for reducing the incidence of lower limb injury. View Reference →
- Orthosis with strategically placed medial posts may enhance stability and alleviate internal loading on the foot-ankle complex during running. View Reference →
- Orthosis achieved a significant reduction of peak pressure in the forefoot of recreational runners. View Reference →
- Medial arch supported insoles were effective in reducing the impact and loading under the heel region in prolonged running on a treadmill. View Reference →
- Insoles can be used effectively to prevent and decrease pain and promote a suitable weight-bearing pattern in the foot. View Reference →
Patellofemoral impingement
- The second peak patellofemoral contact force was significantly lower in the orthosis group. View Reference →
- Semi-custom insoles is a mechanism to reduce patellofemoral pain symptoms in recreational runners. View Reference →
- Foot orthoses were associated with a decrease in medially directed foot loading among individuals with patellofemoral pain. View Reference →
Knee osteoarthritis
- The use of a lateral wedge insole improved the patients' symptoms and function. View Reference →
- The potential effect of lateral wedge insole was shown with better performance of the locomotor phase. View Reference →
- Both lateral wedged insoles significantly reduced the peak medial compartment load during gait. View Reference →
- The use of medial-wedge insoles was highly effective in reducing pain at rest and on movement and promoted a functional improvement of valgus knee osteoarthritis. View Reference →
- The lateral wedge insole could significantly decrease medial meniscus extrusion in patients with knee OA. View Reference →
- Results also showed that insoles work in correcting the position of the knee. View Reference →
- Lateral wedge insoles consistently reduced the overall magnitude of medial compartment loading during stair ascent and descent. View Reference →
- Lateral wedge insoles reduced knee pain. View Reference →
- Lateral-wedge insoles may protect against plantar pressure deterioration in patients with knee osteoarthritis. View Reference →
Lower back pain
- Physical interventions specifically targeting pronated feet significantly alleviate pain and reduce disability in patients having lower back pain. View Reference →
- Custom-made orthotics can be recommended to patients as a management option of chronic lower back pain. View Reference →
Morton Neuroma
- Customized insole with metatarsal and arch support relieved walking pain and improved patient-reported measures of function in patients with Morton's neuroma. View Reference →
Ageing
- Foot orthoses were effective for improving balance and for reducing pain and disability in elderly women. View Reference →