this post was submitted on 11 Mar 2024
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You probably won't have very much luck with over the counter inserts, the vast majority are built to treat people with flat feet who over pronate. Conversely people with high arches tend to supinate, aka carry too much weight on the outside of the foot.
So most otc inserts will actually make foot pain from higher arches worse, especially if it's hind foot pain. For my patients with higher arches who lack coverage for custom inserts, I will typically fit them with a pair of Arch Rival from a company called Don Joy, you can usually find them online or Amazon.
They are pretty decent out of the box at treating cavus arches. However, if someone is having significant ankle pain, I will typically modify it with a small amount of lateral heel wedging.
Up until a few ago I was getting my inserts from a local place, you put them in hot water and then stand on them for a couple minutes until they cool and harden.
Then I got insurance that covered them. The difference it makes is insane. I lost that insurance 2 years ago, and I've been alternating the 3 pair trying to get them to last as long as possible. At this point there's not much left of them, but they're all I've got. It's 200 bucks for my next set (3 pair), and I'm gonna have to figure that out soon.
If the new ones are just heat moldable inserts aswell, you can probably find them online for cheaper.
I don't tend to utilize heat moldable inserts very often, but they generally only cost around $15-20 a pair from most distributors. The mark up on anything foot care related is pretty insane if you're going to a brick and mortar.
If the new ones are really custom, where they took an impression of your foot with a scanner, plaster tape, or casting box, then 200 for 3 pairs is a really good deal.
Yeah, they 3d scanned my feets. The new insurance pays some, just not sure how much. 200 is the out of pocket.