Foot orthotics are a widely used treatment for a wide range of foot and lower leg dysfunctional conditions. They are developed and used to fix structural and functional problems. All the scientific evidence is they are likely to be very successful and the patient satisfaction type evidence demonstrates that they are well accepted by those that have them. That does not imply that they do not have issues. They actually do have problems. They are able to only be used in a shoe which has the space for the orthotics to fit into. This implies that they can not be used in some kinds of sports shoes and some shoes found in certain occupations. Also, in some environments closed in footwear is not too popular because of the temperatures. Some individuals just have a philosophical argument to foot orthotics as they see them as being unnatural and as crutches that ought to not be used.
Whilst foot orthotics are simple and will quickly be designed to work in the short to medium term you can find options if patients desire to follow that option. Exercise therapy is one option and muscle strength could be improved and used as an alternative. Having said that, this can take several months to work and it may be a good option to use foot supports in the beginning as they can help get some improvement virtually right away. If shoes are the issue and it is difficult for financial, occupational, sporting or lifestyle reasons to alter the shoes, then there are choices such as the Archie Flip Flops that come from Australia and have a good level of arch support constructed in. There are more kinds of footwear such as these which do have support built in, though the amount is rather smaller compared to the Archies and might not be as helpful. As always you should always confer with your health professional about what they think is the better decision for you.