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It all depends on your problem. As they say, "the hip bone's connected to the leg bone, and the leg bone's connected...." An orthotic might fix a problem in one area only to cause a problem in another.
I have pretty ugly feet with cavus arches and bunion deformity. I was running and playing soccer pretty regularly and developed pain to the point that I couldn't play or run. I took time off. Returned. No luck. Probably age taking a toll. So I saw a specialist, did some therapy, and eventually had custom orthotics made for both soccer cleats and walking shoes. They solved the foot pain problem. But the alteration in the angle of my foot at impact resulted in a pain in my knee.
So I guess I'd have to say that they worked for the problem that was diagnosed, but in general I don't think of orthotics as an holistic cure. YMMV.
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