PORC (Prosthetic and Orthotic Rehabilitation Clinic) has served mankind since 1988, delivering
trusted, evidence-informed care for foot and lower-limb health. We specialize in custom orthotics and
personalized strategies that improve comfort, alignment, and long-term mobility.
Proper footwear supports healthy movement and helps protect your joints. Well-fitting shoes that
match your foot structure reduce strain on the plantar fascia, tendons, and joints while improving
stability and shock absorption. Custom arch insoles add targeted support, guide alignment, and
distribute pressure more evenly. With the right shoe-and-insole combination, many common foot
problems can be prevented or managed more effectively.
Understanding Your Arch Type
Most people fall into one of three arch types. Knowing yours helps you choose shoes and insoles that
match how your foot loads and moves.
Flat/low arch: often rolls inward more (overpronation), which can increase strain through the foot
and lower limb.
Normal arch: typically balances stability and flexibility, but still benefits from the right shoe
structure and support.
High arch: absorbs shock less efficiently and may concentrate pressure on the heel and
forefoot.
At PORC, we customize arch support to your foot structure using advanced foot scanning
technology to guide precise insole design.
Common Foot Problems & Solutions
Plantar Fasciitis
Plantar fasciitis often causes sharp or aching pain in the heel and arch, especially with the first steps
after rest. It is commonly driven by repetitive strain, poor shock absorption, or insufficient arch
support.
Shoe requirements: cushioned heel, supportive arch structure, and a firm midsole to limit
excessive bending.
How custom insoles help: contoured arch support and a stabilizing heel cup to reduce plantar
fascia strain and improve load distribution.Flat Feet (Pes Planus)
Flat feet occur when the arch is low or collapses during standing and walking. This can increase
inward rolling and contribute to fatigue or pain in the feet, ankles, or knees—especially with prolonged
activity.
Shoe requirements: motion-control or stability design, structured midfoot support, and a wide
toe box.
How custom insoles help: medial arch support and controlled posting to improve alignment
and reduce overpronation-related stress.
Metatarsalgia (1st & 4th Metatarsal Pain)
Metatarsalgia is pain and inflammation in the forefoot, often under the ball of the foot and sometimes
focused at the 1st or 4th metatarsal heads. It is commonly aggravated by tight shoes, high-impact
activity, or increased pressure from foot mechanics.
Shoe requirements: wide toe box, adequate forefoot cushioning, and a rocker-style sole to
reduce push-off loading.
How custom insoles help: strategically placed metatarsal pads and offloading features to
redistribute pressure away from painful metatarsal heads.
Heel Pain
Heel pain can come from plantar fasciitis, fat-pad irritation, Achilles tendon overload, or repetitive
impact. Identifying the source matters because support strategies differ by diagnosis.
Shoe requirements: deep heel cup, effective cushioning, and strong shock absorption to reduce
impact.
How custom insoles help: heel posting, cushioning, and stabilization to improve alignment
and reduce painful heel loading.
Knee Osteoarthritis (OA)
The foot and knee function as a connected chain, so foot alignment can change knee loading and
walking mechanics. In knee OA, reducing stress on the affected knee compartment can improve
comfort and daily function.
Shoe requirements: stable base, supportive alignment, and cushioning to reduce impact while
controlling motion.
How custom insoles help: condition-specific lateral or medial wedging to redistribute load
and support more efficient lower-limb biomechanics.
What Makes Custom Arch Insoles Different?
Custom arch insoles are built from precise measurements—often using 3D foot scans—to match
your foot shape and functional needs. Unlike generic inserts, they are tuned to support specific
structures, improve alignment, and manage pressure.
Shell: the supportive base that controls motion and maintains shape.Accommodation layer: adds pressure relief where you need it most.
Padding: targeted cushioning to offload sensitive areas.
Top cover: improves comfort and wear resistance.
Materials may include EVA, Poron, and varied densities selected to balance stability, cushioning, and
durability for your condition and activity level.
Key Features to Look for in Shoes
Adequate depth and width: prevents pressure points and allows natural toe splay.
Removable insoles: makes room for custom orthotics without crowding.
Firm heel counter: stabilizes the rearfoot and limits unwanted motion.
Flexible forefoot: supports efficient push-off while keeping the midfoot stable.
Appropriate cushioning: matched to your weight, activity level, and pain pattern.
Built-in arch structure: works with your orthotic design for consistent support.
Quality materials and construction: maintains support and lasts longer.
Recommended Shoes: Premium & Budget-Friendly Options
These two models are consistently recommended across multiple conditions—including plantar
fasciitis, flat feet, metatarsalgia, heel pain, and knee osteoarthritis—because they combine reliable
support with comfort-focused design. The picks below reflect patterns seen in 2026 clinical sources
and expert reviews, especially around stability, cushioning, and load management.
Feature Premium Option Option
Model New Balance 990v6 Hoka Bondi 8
Key Features High stability with excellent
arch structure, deep heel
counter for heel pain, proven
support for plantar fasciitis
and knee pain
Maximum cushioning with
rocker sole that reduces
forefoot load (ideal for
metatarsalgia), strong
clinical support for plantar
fasciitis relief
Best For Plantar fasciitis, flat feet, heel
pain, knee OA
Plantar fasciitis,
metatarsalgia, heel pain,
general foot pain
Price Range ₹15,000–₹20,000 ₹8,000–₹12,000
The PORC Approach: Advanced Foot Assessment
At PORC, we use advanced foot scanning to build accurate 3D models of your feet and capture key
structural details. We assess biomechanics and analyze pressure distribution to see how you load
your feet during standing and walking. We use this data to design custom insoles matched to yourcondition, footwear, and functional goals—so you get a precise, patient-specific solution that supports
comfort, alignment, and long-term outcomes.
When to Replace Your Insoles
Plan to review and typically replace custom insoles every 12–18 months, depending on use, activity
level, and materials. Replace sooner if you see visible wear, loss of shape, reduced support, or
returning symptoms.
If you have persistent foot, heel, or knee discomfort, get assessed early to prevent problems
from escalating. Visit PORC for a comprehensive evaluation, custom insole fabrication, and
clear guidance on shoes that properly fit your orthotics and support your biomechanics.
Serving mankind since 1988, we focus on practical, patient-centered solutions that fit real life.
Book your assessment today to move more comfortably and confidently.
PORC – Serving Mankind Since 1988
P.O.R.C
Prosthetic & Orthotic Clinic
Prosthetic & Orthotic Clinic