Although over-the-counter orthotics work, custom orthotics work better and are more comfortable; therefore, we use them when over-the-counter orthotics fail to relieve symptoms. Custom orthotics are made out of higher-grade materials that last longer and are more expensive. When a custom orthotic is necessary, it is crucial that a podiatrist is involved, as the wrong type of orthotic can actually make people feel worse or even cause a different problem.