Orthotics may help distribute pressure more evenly and support the arch, especially when paired with stretching, strengthening, and footwear changes. Some people do well with over-the-counter inserts, while others may need a more customized option. However, inserts alone are rarely the whole solution. A physical therapist can help determine whether your symptoms are more related to arch support, calf tightness, training load, footwear wear, or movement patterns.