I did see a podiatrist twice ..each time got a pair of customized orthotics..yes there was a cost..I did have a health care benefit (employer-sponsored) for this. (Canada's Medicare health care system does not cover orthotics.)
I have been quite happy..and I wear my orthotics inside my cycling shoes. Have been for well over 15 yrs. I have mountain bike oriented cycling shoes and use toe-clips. I also walk around in them with same shoes...for several kms.
My podiatrist had me walk across a computerized mat with sensors where each foot was mapped. Then orthotic was made ... The foot imprint was made in 1 appointment. This was a number of years ago..as you can tell how long I've had orthotics.
I have fallen arches. Different problem..opposite of overly high arches.
Yes, my orthotics are thin and half sized (approx.)



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. This last podiatrist I found based upon him being a triathelete. Ding the bell... just what Miranda's feet ordered
. Well, he wasn't exactly. But has done 1/2 marathons, and rides a hybrid. And asked, "do you clip in when you ride". Major upgrade.
