I've been wearing my orthotics all day, everyday in well made shoes (Brooks Beasts) for
several months and I still have pain....constant life-draining pain in my feet.
My podiatrist has done several "tweeks" to the orthotics over the course of several months, mostly canting my foot over (shiming under the heal on the inside of my foot). None of his tweeks has made any difference at all. As a matter of fact the last tweek was so painful I removed it the next day.
FWIW he did say I had the worst collapsed arches he'd ever seen.
I either need a new podiatrist or to start drinking heavily.