Orthotics Auckland | Foot, Heel, Ankle & Knee Pain | Flow Clinic
Flow Clinic Services Orthotics
Custom orthotics

Orthotics that make everyday movement more comfortable.

When one area of the foot keeps taking too much pressure, the right support can make standing, walking and sport easier to tolerate.

We first check whether orthotics are likely to help. If they are, we choose the simplest option that suits your pain, shoes and daily activity, then add exercises when needed.

Orthotics at Flow Clinic Auckland
Assessment
Start with the pain
What support should do
Reduce pressure on the sore area
Used with
Rehab and footwear advice
Clinic
Wairau Valley
Does this sound familiar?

Pain often returns because the same area keeps getting irritated.

Orthotics can be useful when the same pain returns during walking, standing, running, work or while wearing certain shoes.

Your heel hurts when you first stand up

Pain underneath the heel may be strongest with the first few steps in the morning, after sitting or after a long day on your feet.

Work shoes make your foot pain worse

Long standing hours, hard surfaces or footwear with limited support can increase pressure through an already irritated area.

One part of your foot keeps getting overloaded

Pain that keeps returning under the ball of the foot, arch or heel may be linked with where pressure builds up during standing, walking or exercise.

Pain improves with support but returns without it

If supportive shoes or temporary taping make the pain feel better, that is a useful clue during the assessment.

Orthotic support and modification areas
How orthotics may help

Orthotics work by changing how pressure is spread through your foot.

The aim is not simply to “support an arch”. The right insert can take pressure away from a sore area and make standing, walking or exercise more comfortable. We shape it around your pain, shoes and daily activities.

Heel support
Can reduce strain around the heel, calf or Achilles when that area is being overworked.
Pressure relief
Extra cushioning or a pressure-relief area can protect a sore spot under the heel or ball of the foot.
Targeted support
Small changes to the insert can guide how your foot sits and moves inside the shoe.
Footwear fit
The device still has to fit comfortably inside the footwear you actually use for work, walking or sport.
More than an insole

Take pressure off. Build strength. Return to normal activity.

Orthotics can make movement more comfortable now while exercise and a gradual return to activity build strength for the long term.

01

Settle

Take enough pressure away from the sore area to make walking, standing or exercise more comfortable.

02

Strengthen

Build strength in the foot, calf, knee or hip when weakness is adding to the problem.

03

Return

Gradually return to longer walking, work demands, running, gym training or sport without repeatedly flaring the same area.

When orthotics may fit

Orthotics can help with several foot and leg problems made worse by pressure.

They are most likely to help when certain shoes, long periods on your feet or repeated activity keep irritating the same area—and support makes it feel better.

Where orthotics help most

Orthotics can help when the right problem is being treated.

Orthotics are most useful when standing, walking, sport or certain shoes keep irritating the same area. We check whether temporary support changes your pain before recommending an insert.

Often a good option

Heel pain on your first steps

Orthotics can take pressure away from a sore heel, especially when getting out of bed, standing for long periods or walking keeps setting it off.

What you may notice Easier first steps and more time on your feet with less discomfort.
Can help when support feels better

Painful flat or high-arched feet

The right shape and cushioning can move pressure away from a sore spot. Having flat or high arches by itself does not mean you need orthotics.

What matters most Your pain improves when the foot is supported or cushioned differently.
Used alongside rehabilitation

Some knee or Achilles pain

Support may help when shoes or foot position are adding strain to the knee or Achilles. It should be used with strengthening and a gradual return to activity.

What to expect Extra help during rehabilitation—not a stand-alone fix.
What studies found

How orthotics compared in four studies.

Blue shows the result with supportive orthotics. Grey shows a basic flat insert or shoes without extra support. A short explanation under each graph tells you what the numbers mean.

Heel pain

Less first-step pain

Study with 60 people
Difference on a 0–100 pain scale Longer bar = more relief
What this means People using orthotics with suitable shoes had less pain on their first steps of the day.

Bishop C, Thewlis D, Hillier S. BMC Musculoskeletal Disorders. 2018;19:222.

Pain at the front of the knee

More people felt improved

Study with 179 people
People who felt clearly better after 6 weeks More is better
What this means More people improved with supportive orthotics than with a basic flat insert.

Collins N et al. BMJ. 2008;337:a1735.

Painful flat feet

Lower pain after 8 weeks

Study with 67 people
Pain score after 8 weeks Lower number = less pain
What this means Both groups did the same home exercises, but the supportive orthotics group finished with less pain.

Yurt Y, Şener G, Yakut Y. Eur J Phys Rehabil Med. 2019;55(1):95–102.

Painful high arches

Pain and function improved

Study with 154 people
Change after 3 months More improvement is better
What this means Orthotics reduced pain and helped everyday activity more than a basic insert. They also spread pressure under the foot more evenly.

Burns J, Crosbie J, Ouvrier R, Hunt A. J Am Podiatr Med Assoc. 2006;96(3):205–211.

When support is worth trying

Orthotics are more likely to help when:

We look for a clear, practical reason before recommending them.

  • Taping, supportive shoes or a temporary insert makes the pain feel better.
  • The same heel, arch or ball-of-foot area keeps becoming sore.
  • The insert fits comfortably inside the shoes you use for work, walking or sport.
  • We can review comfort and check whether everyday activity is becoming easier.
A note about the numbers

These numbers are averages from four studies, so they do not promise the same result for everyone. Research results differ between conditions and people. Orthotics usually work best with suitable shoes, rehabilitation and sensible changes to activity. Sources include Bishop et al. 2018, Collins et al. 2008, Yurt et al. 2019, Burns et al. 2006 and the 2023 heel pain treatment guideline.

Assessment process

We match orthotics to your pain, shoes and daily activity.

We find the sore area, check what keeps irritating it and try support inside your usual shoes before deciding what you need.

Assess

Understand the pain

We review where it hurts, how it started, what activities aggravate it and what you need to return to.

Examine

Check how you move

We check how your foot and ankle move, how strong and steady you are, and what happens when you stand and walk.

Match

Select the support

If an insert is likely to help, we choose the simplest option that fits your shoes and takes pressure away from the painful area.

Progress

Build strength

Exercises and activity are increased gradually so the insert supports recovery without replacing strength.

Pricing and ACC

Orthotics from $80.

The cost depends on the type of support and how much adjustment it needs. Assessment or appointment fees may also apply.

For eligible ACC injury claims, orthotics may be considered when they are needed as part of recovery. Funding depends on ACC requirements and the individual claim.

Orthotics From $80
FAQ

Before getting orthotics.

The most common questions we hear before an orthotic assessment.

No. Foot shape alone does not mean you need orthotics. We look at where it hurts, which shoes and activities make it worse, and whether temporary support makes it feel better.

They can help some types of heel pain by taking pressure away from the sore area while it settles. They usually work best with suitable shoes, temporary changes to activity and a rehabilitation plan—not as the only treatment.

No. We use ready-made, adjusted and custom-made inserts. The best option is the simplest one that fits your shoes and takes enough pressure away from the painful area.

Usually not. Orthotics can make movement more comfortable, but strength and confidence with activity still need to improve when weakness is part of the problem.

Sometimes. They may help when shoes or foot position are adding strain to the knee. Because knee pain has many causes, we assess it first rather than recommending orthotics to everyone.

Orthotics may be considered for eligible ACC injury claims when they are needed as part of recovery. Funding and approval depend on ACC requirements and the individual claim.

No. Book an assessment first. We will check the problem and explain whether orthotics are likely to help and what type of support would suit your pain and shoes.

If the same pain keeps returning, change what is irritating it.

Start with an orthotics assessment. We will check the sore area, your shoes and how you walk, then show you whether support can take pressure away from it.

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