How Do I Choose the Best Toe Orthotics?

Orthotics are assistive devices designed to help alleviate foot problems. They may come in different forms, and toe orthotics specifically are usually either in the form of pads inserted into a shoe or a foot brace. An ideal toe orthotic will provide proper support and be designed in accordance with the activity level of the individual. The structure of the orthotic might be considered in relation to aesthetics or the level of protection the orthotic offers for different types of conditions. Custom-designed toe orthotics may best meet an individual's unique needs.

Some evidence suggests that orthotics which hold the toe in a certain position — called functional toe orthotics — may facilitate better healing. When a great deal of pressure is placed on the big toe, a number of uncomfortable and painful conditions ranging from bunions to general join pain can occur. A particular bone — the first metatarsal bone — may be secured in such a way to relieve this pressure, however. Studies indicate that orthotics keeping this bone in a downward position have a better record of alleviating common toe problems. In general, functional toe orthotics like a toe brace are made of sturdy materials and are designed for more severe bone-related issues like displaced or abnormally growing joints.

Forms made with soft cushioning materials like rubber or leather — known as accommodative orthotics — are often ideal for less severe and temporary toe problems like painful bunions or calluses. Examples include gel caps that spread the toes and flat shoe pads. Extra levels of support may be provided by foam or other cushioning.

Another consideration in choosing the best toe orthotics is how often you will be wearing them. Some varieties are more versatile and are thus designed for long periods of wear in a number of different shoe types. These casual types usually have primary features like flexibility, shock absorption, durability, and support. Certain varieties are also marketed to appeal to highly active individuals like athletes. Athletic toe orthotics may offer the added benefit of protecting the ankle and Achilles’ heel, in addition to the toe.

The shape of the toe orthotics can also create stronger support. Ideally, the orthotic should be custom-fit to your arch. The more secure the orthotic is against the arch, the less chance of a damaging effect when the toe bones impact the ground.

Aesthetic concerns may be of further interest. Thin and narrow orthotics are available that provide minimum visibility. These varieties are often designed with dress shoes in mind.