Walkito
English
Get the app

Scan to download Walkito

Best insoles for plantar fasciitis: what the trials show

Going by the trials, the best insole for plantar fasciitis to try first is a firm, contoured store-bought arch support (about $50 to $70) or a silicone heel cup (about $18). No trial crowns a brand, and in trials that compared them, custom insoles did no better than store-bought ones. Use it together with stretching and strengthening: the 2023 guideline advises against relying on insoles alone for short-term pain relief. Relying on insoles alone is one of the reasons plantar fasciitis does not get better. Any benefit is modest and may take several weeks.

We do not sell insoles, we have no affiliate links and we did not wear-test these products. Walkito is an exercise app, so we have our own bias toward exercise; this page sticks to what the trials found. If you work long shifts on your feet, see also our guide to shoes for nurses with plantar fasciitis.

Do insoles help plantar fasciitis?

Key findingThe 2023 heel pain guideline says clinicians should not use orthoses, prefabricated or custom, “as an isolated treatment for short-term pain relief”, but may use them “when combined with other treatments” (Koc and colleagues, 2023).

A little, and mostly as an add-on. Compared with fake (sham) insoles, real ones gave a small reduction in pain, not function, between weeks 7 and 12 in one review of 19 trials, which may be too small to notice. Another review found no difference from sham insoles in the short term, and a later trial of 185 adults found none at three months.

In a trial of 103 people, a steroid injection did better at week 4 and arch-contouring insoles did better at week 12, but neither difference was large enough to matter much to patients. So expect insoles to help gradually, if at all, not overnight.

Koc TA Jr, Bise CG, Neville C, et al. Heel Pain - Plantar Fasciitis: Revision 2023. Journal of Orthopaedic & Sports Physical Therapy. 2023;53(12):CPG1–CPG39.

Whittaker GA, Munteanu SE, Menz HB, Tan JM, Rabusin CL, Landorf KB. Foot orthoses for plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine. 2018;52(5):322–328.

Rasenberg N, Riel H, Rathleff MS, et al. Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine. 2018;52(16):1040–1046.

Rasenberg N, Bierma-Zeinstra SMA, Fuit L, et al. Custom insoles versus sham and GP-led usual care in patients with plantar heel pain: results of the STAP-study - a randomised controlled trial. British Journal of Sports Medicine. 2021;55(5):272–278.

Whittaker GA, Munteanu SE, Menz HB, et al. Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy. 2019;49(7):491–500.

Plantar fasciitis insoles compared

List prices on each maker’s own site, checked October 11, 2026. These are the insoles review sites pick most often; we did not test them and do not rank them. “APMA seal” means the product is in the American Podiatric Medical Association’s seal database; “No” means it is not listed, not that it failed anything. Powerstep insoles were used in a published study, and a heel cup from Medi-Dyne, the maker of Tuli’s, was given to everyone in another trial. We found no published studies of the other products, searching abstracts and open full texts.

InsoleTypePriceAPMA seal
PowerStep PinnacleFull-length, semi-rigid$54.95Yes
Superfeet All-Purpose Support High ArchFull-length, firm$59.99Yes
Superfeet Casual Pain ReliefFull-length, casual shoes$69.99Yes
Spenco Total Support MaxFull-length, firm$49.99Yes
Tread Labs PaceFull-length, extra firm$70Yes
CURREX SupportSTPFull-length$59.95No
Redi-Thotics FlexFull-length, semi-rigid$59No
Vionic Relief FullFull-length$55No
Dr. Scholl’s Plantar Fasciitis All-DayFull-length$17.96No
WalkHero Plantar Fasciitis ReliefFull-length$19.99No
Tuli’s Heavy Duty Gel Heel CupsHeel cup, soft gel$17.99Yes
Heel That Pain Gel Heel SeatHeel seat$24.95No

Ring K, Otter S. Clinical efficacy and cost-effectiveness of bespoke and prefabricated foot orthoses for plantar heel pain: a prospective cohort study. Musculoskeletal Care. 2014;12(1):1–10.

Riel H, Vicenzino B, Olesen JL, et al. Does a corticosteroid injection plus exercise or exercise alone add to the effect of patient advice and a heel cup for patients with plantar fasciopathy? A randomised clinical trial. British Journal of Sports Medicine. 2023;57(18):1180–1186.

Are custom orthotics better than store-bought insoles?

Key findingA review of 19 trials found no difference between custom and prefabricated insoles for heel pain at any time point (Whittaker and colleagues, 2018).

Not in trials. The guideline says the evidence “clearly finds a similarity in outcomes between custom and prefabricated orthoses”. Some related trials:

  • In a trial of 135 people, firm-foam store-bought insoles and semirigid custom ones both improved function a little more than soft sham insoles at three months, but not at 12 months.
  • In a trial of 142 people, low-cost foam insoles, prefabricated or customized, had similar effects after 8 weeks.
  • In a study that was not randomized, with 67 people completing it, custom insoles did no better than prefabricated Powerstep insoles, which were 38% cheaper per patient.
  • In a trial of 185 adults, custom insoles did no better than sham insoles, and a cost analysis found them not cost-effective compared with usual care from a family doctor.

Custom orthotics often cost $300 to $800, according to GoodRx; see our cost guide. One best-practice guide puts custom orthoses as a later step, at about three months, after shockwave therapy, if improvement is still suboptimal.

Whittaker GA, Munteanu SE, Menz HB, Tan JM, Rabusin CL, Landorf KB. Foot orthoses for plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine. 2018;52(5):322–328.

Koc TA Jr, Bise CG, Neville C, et al. Heel Pain - Plantar Fasciitis: Revision 2023. Journal of Orthopaedic & Sports Physical Therapy. 2023;53(12):CPG1–CPG39.

Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Archives of Internal Medicine. 2006;166(12):1305–1310.

Baldassin V, Gomes CR, Beraldo PS. Effectiveness of prefabricated and customized foot orthoses made from low-cost foam for noncomplicated plantar fasciitis: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2009;90(4):701–6.

Ring K, Otter S. Clinical efficacy and cost-effectiveness of bespoke and prefabricated foot orthoses for plantar heel pain: a prospective cohort study. Musculoskeletal Care. 2014;12(1):1–10.

Rasenberg N, Bierma-Zeinstra SMA, Fuit L, et al. Custom insoles versus sham and GP-led usual care in patients with plantar heel pain: results of the STAP-study - a randomised controlled trial. British Journal of Sports Medicine. 2021;55(5):272–278.

Rasenberg N, van Middelkoop M, Bierma-Zeinstra SMA, El Alili M, Bindels P, Bosmans J. Cost-effectiveness of custom-made insoles versus usual care in patients with plantar heel pain in primary care: cost-effectiveness analysis of a randomised controlled trial. BMJ Open. 2021;11(11):e051866.

Morrissey D, Cotchett M, Said J'Bari A, et al. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. British Journal of Sports Medicine. 2021;55(19):1106–1118.

Insoles work best with the exercises. Walkito gives you the stretches and strengthening in 3, 5 or 10 minute sessions that adjust to how your feet felt this morning. Pair your insoles with the exercises

Heel cup or full-length arch support?

Key findingIn a trial of 236 people who all stretched, 95% improved with a silicone heel pad, 88% with a rubber heel cup, 81% with a felt pad, 72% with stretching alone and 68% with a custom orthotic after 8 weeks (Pfeffer and colleagues, 1999).

The evidence points both ways. That older trial favoured simple heel pads. A later review concluded that contoured full-length insoles relieve plantar fasciitis symptoms better than heel cups, and in a pressure study in older adults, a prefabricated contoured insole gave a fivefold greater reduction in heel pressure than the next best insert, including a silicone heel cup.

A heel cup is cheaper and fits more shoes; a full-length arch support has more support behind it in recent research. Either can be a first try alongside exercise.

Pfeffer G, Bacchetti P, Deland J, et al. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot & Ankle International. 1999;20(4):214–21.

Schuitema D, Greve C, Postema K, Dekker R, Hijmans JM. Effectiveness of mechanical treatment for plantar fasciitis: a systematic review. Journal of Sport Rehabilitation. 2020;29(5):657–674.

Bonanno DR, Landorf KB, Menz HB. Pressure-relieving properties of various shoe inserts in older people with plantar heel pain. Gait & Posture. 2011;33(3):385–9.

What should you look for in a plantar fasciitis insole?

  • Firm, contoured arch support rather than soft foam. In a small 3-week trial of 30 adults, a foam-covered rigid insole reduced pain more than a soft supportive foam one, and a thin flat insole had no significant effect. In another trial, soft thin foam was used as the fake insole.
  • A heel cup that cradles the heel.
  • A fit that works in your shoes. Full-length insoles usually replace the shoe’s own insole; heel cups fit more shoes.
  • No magnets. In a trial in JAMA, magnetic insoles gave no extra benefit over the same insoles without magnets.

Walther M, Kratschmer B, Verschl J, et al. Effect of different orthotic concepts as first line treatment of plantar fasciitis. Foot and Ankle Surgery. 2013;19(2):103–7.

Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Archives of Internal Medicine. 2006;166(12):1305–1310.

Winemiller MH, Billow RG, Laskowski ER, et al. Effect of magnetic vs sham-magnetic insoles on plantar heel pain: a randomized controlled trial. JAMA. 2003;290(11):1474–8.

What do “clinically proven” and the APMA seal mean?

Less than they sound. The PowerStep, Dr. Scholl’s and Superfeet product pages say “clinically proven” without linking a study; Superfeet’s line is brand-wide: “clinically proven to decrease fatigue, reduce injury, and improve comfort”. Dr. Scholl’s says its plantar fasciitis insole “Immediately relieves heel pain & prevents it from coming back”; we found no trial support for that claim for any insole.

The APMA seal means the product has the podiatrists’ association’s Seal of Acceptance, but APMA says it “is not a testing laboratory” and does not compare products against each other.

How to use insoles with exercise

The guideline supports insoles only alongside other care, and the exercises have stronger grades: plantar fascia and calf stretching A, strengthening B. In one trial in which everyone wore shoe inserts, heel raises with a towel under the toes gave faster improvement than stretching.

Wear the insoles in the shoes you use most, and do the plantar fasciitis exercises every week. Our page on insoles vs exercises covers the trials behind combining them.

Koc TA Jr, Bise CG, Neville C, et al. Heel Pain - Plantar Fasciitis: Revision 2023. Journal of Orthopaedic & Sports Physical Therapy. 2023;53(12):CPG1–CPG39.

Rathleff MS, Mølgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: a randomized controlled trial with 12-month follow-up. Scandinavian Journal of Medicine & Science in Sports. 2015;25(3):e292–e300.

When should you see a podiatrist?

See a podiatrist or doctor if the pain has not improved after about two weeks of home care (NHS), or sooner for the warning signs below. If you have diabetes, get your feet checked: Medicare covers therapeutic shoes and inserts only for people with diabetes and severe diabetes-related foot disease (Medicare.gov).

Questions people ask

Which insoles have clinical evidence for plantar fasciitis?

No brand has strong trial evidence behind it. Of the 12 insoles we compared, only two makers turned up in the published studies we found: Powerstep insoles were used in one study that was not randomized, and a heel cup from Medi-Dyne, the maker of Tuli’s, was given to everyone in a trial, so that trial does not show what the heel cup alone did. What the trials point to is a type, not a brand: a firm, contoured store-bought arch support or a silicone heel cup, used with stretching and strengthening.

Do insoles really work for plantar fasciitis?

Modestly, and best alongside exercise. The 2023 guideline advises against relying on insoles alone for short-term pain relief but allows them combined with other care. Trials against fake insoles are mixed, with at most a small benefit after several weeks.

Are expensive insoles better than cheap ones?

Trials have not shown it. Custom insoles did no better than store-bought ones in a review of 19 trials, and prefabricated foam insoles matched customized foam insoles in a trial of 142 people.

Should plantar fasciitis insoles be soft or firm?

Firm and supportive did better in a small trial that compared them, and soft thin foam was used as the fake insole in another trial. Comfort still matters, since you have to wear them.

Are heel cups good for plantar fasciitis?

They can be. In a 1999 trial, 95% of people with a silicone heel pad improved, but a later review found contoured full-length insoles worked better than heel cups. Either is a reasonable cheap first try with exercise.

See a clinician first if

  • your heel pain followed an injury or a fall
  • the pain is severe or stops you doing normal activities
  • it has not improved after about two weeks of home care, or keeps getting worse
  • the pain comes with numbness, tingling or swelling
  • you have diabetes or reduced feeling in your feet

Pair your insoles with the exercises

Walkito gives you the plantar fascia stretch, calf stretches with the knee straight and bent, and strength work that gets harder over time, on 3, 5 or 7 days a week. It is a weekly or yearly subscription; the price is shown in the store.

Each morning a one-tap check-in makes a bad day lighter, and a short test every 14 days, then every 28 after your first goal, shows whether your calves, arch and balance are changing.

Updated

Try Walkito on iPhone or Android.