Can Custom Insoles Help With Vertigo-Related Stability Problems
- Mitch Greenberg

- Dec 23, 2025
- 13 min read
Custom insoles can help with vertigo-related stability problems by providing additional support and balance for those who are dizzy or unsteady. Many of us with vertigo feel like our balance is unstable, particularly when we are in motion or standing for extended periods. Custom insoles are designed to fit the contours of each foot, so they help distribute weight more effectively and can alleviate some of the wobbly sensations. Some physicians and therapists use them in conjunction with other treatments, such as balance exercises or physical therapy. These insoles won’t stop vertigo, but they will make it feel steadier to walk or stand. To understand how custom insoles help, it is useful to examine real-world specifics and professional recommendations, which the upcoming sections address.
Key Takeaways
Vertigo wreaks havoc on balance and gait, leading to a higher risk of falls and psychological afflictions, including fear of movement that can restrict mobility.
Custom insoles provide focused assistance by increasing proprioception, realigning posture, balancing pressure, and minimizing sway. These are essential factors in stability.
Orthotic solutions are most effective when tailored to individual foot anatomy and combined with comprehensive assessments that include gait and balance evaluations conducted by qualified specialists.
The benefits of custom insoles are best realized as part of a holistic approach that integrates vestibular rehabilitation, strength training exercises, and proper footwear to address multiple aspects of balance and fall prevention.
There is clinical evidence for custom orthotics for stability. You have to be realistic – the best results are not permanent and usually require continued use, often in combination with other treatments.
Those suffering from vertigo and instability can find solace in community support, equip themselves with knowledge, and embrace proactive management to regain control and confidence in their lives.

Understanding Vertigo And Instability
Vertigo is the feeling that your surroundings are spinning or moving, and it’s commonly associated with inner ear or brain issues. This sensation can throw off your equilibrium and cause balance issues, making it difficult to walk or stand. Instability caused by vertigo increases the risk of falls, particularly in older adults, where 30 to 60 percent of individuals fall each year. Vertigo and instability: Knowing how it works is the first step in combating it and avoiding falls.
The Sensory Conflict
Balance arises from a combination of sensory inputs, primarily vestibular, visual, and proprioceptive. Your vestibular system, located in the inner ear, detects head movement and position. Visual input orients the body in space, while proprioception is the body’s sense of position, especially from joints and muscles. When these systems send conflicting signals, the brain may receive confused messages that manifest as vertigo and unsteadiness.
Such a mismatch can arise if the inner ear indicates motion, but the eyes do not, leaving the brain floundering to maintain equilibrium. Insufficient dorsiflexion at the ankle or suboptimal proprioceptive input from the foot can exacerbate this, causing the body to depend even more on vision. Sensory conflicts such as these are frequent in vestibular disorders, where they commonly worsen baseline disequilibrium.
The Impact On Gait
Vertigo alters people’s gait, causing them to take slow, wide steps and to place their feet with an unsteady air. Frequent gait abnormalities are shuffling, decreased stride length, and increased time spent with both feet on the floor. Gait disturbances are the major contributor to increased falls in patients with vertigo. If you have fallen once, you’re more likely to fall more, and changes in your gait, such as over-reliance on one side or a stiff-legged walk, can loosen your postural control.
Decreased elasticity of the triceps surae, or excessive foot pronation, can destabilize gait. Bad balance shows up in simple tests such as the one-leg stance, in which seniors average 13 to 21 seconds. When gait and posture are off, the risk of serious injury from falls increases and sometimes leads to hospitalization or even greater consequences.
The Fear Of Falling
For those who have vertigo, the fear of falling is real, and it can reduce an individual’s mobility or time spent outdoors. This fear, if unchecked, makes people do less, which exacerbates balance. Controlling this anxiety is essential. Balance exercises, proprioceptive drills, and foot inserts can assist individuals in reclaiming faith in their steps.
A comprehensive fall plan shouldn’t concentrate solely on physical hazards, but on the psychological aspect. Tackling them both can reduce subsequent falls and the damage they inflict.
How Custom Insoles Improve Stability
Custom insoles, engineered for individual feet, provide precise support that serves not just comfort but performance. Their involvement in handling vertigo-induced balance issues revolves around adjusting alignment, increasing sensory input, and fine-tuning mechanics. These insoles aren’t just for seniors; they can help anyone from millennial office workers to aging parents who have experienced mysterious falls or find themselves losing balance.
How custom insoles enhance stability
They assist in alleviating pain by distributing pressure more equally, which reduces exhaustion during extended periods of being on your feet.
By correcting abnormal foot mechanics, like overpronation or high arches, orthotics tackle root sources of instability.
A stable base can enhance balance and reduce fall risk, which is important for anyone suffering from vertigo or previous falls.
Custom insoles can increase power in the lower extremities with regular use, fueling enhanced stability and assurance.
Enhancing Proprioception
Custom insoles can help sharpen proprioceptive feedback by providing subtle adjustments to foot contact and pressure points. Proprioception, our sense of body position, is central to balance and fall prevention. For vertigo sufferers, this sensory feedback is even more crucial. Balance exercises, such as one-legged stance and balance boards, performed with orthotics can accelerate proprioceptive training. Enhanced feedback translates to more stable footfalls and quicker reactions to changes in motion, reducing fall risk.
Correcting Posture
Orthotics eliminate postural imbalances by aligning the feet and thereby the body. A lot of stability issues begin with the foot. If you do not place your foot well, your knees, hips, and back will all compensate for the chain. Good posture makes movement more efficient and less risky. Insoles keep the feet in proper position and can help maintain your balance, especially during dynamic tasks.
Optimizing Pressure
Custom insoles distribute pressure across the foot, relieving hotspots that may lead to pain or fatigue. This is important for folks with deformities or chronic soreness because even pressure translates to less discomfort and better stability. Better pressure balance can assist while walking or standing, making every step more secure. We notice that folks with bunions or flat feet can stand significantly longer without pain after switching to custom insoles.
Reducing Sway
For example, custom insoles can reduce postural sway, which is how much your body sways while standing or walking. Less side-to-side sway means steadier balance. This is measured in tests like one-leg stance or tandem stance, where orthotic users demonstrate marked gains. Combine insoles with balance drills, and you can reduce sway even more. Stability from less sway keeps us upright and mobile.
Increasing Confidence
When people feel stable, their confidence swells. Custom insoles can mitigate fall anxiety and create a more graceful sense of standing or walking. This lift frequently cascades into increased activity in daily or physical pursuits. Motivation is maintained by monitoring improvements and adhering to recommended balance regimes. A little more comfort and stability make small errands less of a hassle.
The Science Behind Orthotics
Custom orthotics are not just shoe inserts. Their design leverages deep research in biomechanics, neurology, and clinical studies, providing a solution that aids the sense of balance and stability for those with vertigo-related issues. It’s these underlying mechanics that explain how orthotics work and why they’re prescribed to those afflicted by stability issues.
Biomechanical Principles
Biomechanics is the study of body movement, specifically how the body exerts forces and is affected by them. The foot is at the nexus of stability, our root to the ground. When its architecture is misaligned, even slightly, it can disrupt balance and posture. Custom orthotics alter the manner in which your foot hits the ground. They help realign things like flat feet, high arch, or forefoot varus, all of which can make you walk wonky or cause you to compensate for other joints. They try to make the gait smoother and reduce abnormal pressure, which in turn helps the rest of the body line up better. Orthotics are custom-made to your specific requirements, utilizing materials that provide both support and flexibility. Many are worn all day long, and a few studies indicate an average of 10.2 hours per day. Depending on usage and materials selected, they have a lifespan of anywhere from one to three years.
Neurological Feedback
Your feet are loaded with nerve endings, and the manner in which they sense the ground is crucial to balance. Orthotics supply additional sensory input that the nervous system exploits to compensate and recalibrate posture and movement. This feedback loop helps people keep their balance, even when their inner ear or vision is not trustworthy, like with vertigo. Custom insoles help to cue the brain about where the body is in space. The nervous system and foot mechanics cooperate, immediately detecting these tiny adjustments so a person doesn’t lose their balance. Enhanced sensory input can help make a difference, particularly for fall-prone patients or patients with neuropathy and other sensory-depleting conditions.
Clinical Evidence
Study/Year | Population | Outcome | Key Findings |
Menz et al., 2016 | Older adults | Fall risk, balance | Improved one-leg stance time, reduced falls |
Gross et al., 2020 | Elderly, general | Stability, gait | Better tandem gait scores, reduced hip fractures |
Collins et al., 2018 | Knee pain | Quality of life, stability | Enhanced quality of life, improved postural control |
Clinical trials demonstrate that orthotics assist with balance and reduce fall risk in older adults. Evidence-based practice is about using this research to inform if and how orthotics are used. Some studies leave gaps, such as long-term benefits or effects in younger folks with vertigo, which could be worth investigating further.
Are Custom Insoles Right For You?
Custom insoles, aka orthotics, are created to fit your individual feet. They correct structural issues, support abnormal walking patterns, and relieve discomfort associated with numerous foot disorders. Opting for custom insoles isn’t just about comfort. It requires a comprehensive examination of your foot structure, gait, and health history. So for those who battle vertigo-related shakiness, know thyself before starting on a custom quest.
Ideal Candidates
There are a few signs that people who benefit the most from custom insoles typically exhibit. If you have chronic foot pain or a foot condition such as flat feet or high arches, or if you suffer long-term discomfort that doesn’t improve with basic insoles, you may require a custom solution. Custom orthotics can assist with plantar fasciitis, heel spurs, posterior tibial tendon dysfunction, and Morton’s neuroma. These are some typical foot ailments that don’t necessarily respond to generic insoles.
A comprehensive examination of your gait and posture is important, particularly if you suffer from vertigo. Older adults or individuals with a record of falling might require additional assistance to maintain their balance. Age can affect the shape of your foot, which makes custom orthotics potentially more important as you age.
The Assessment Process
A good orthotic work-up begins with a medical history and is then followed by a physical foot exam. Gait analysis is the key and is frequently performed with video or pressure plate systems to observe how your feet move and where issues begin. Physical therapists or podiatrists typically conduct these checks and employ tools such as 3D foot scanning or foam molds to capture your foot shape in fine detail.
They monitor your equilibrium and analyze how you stand and ambulate on various materials. The idea is to identify weak areas in your foot mechanics that may predispose you to poor balance, such as if you’ve previously suffered from vertigo.
Realistic Expectations
If the underlying issue is connected to your feet, then you can anticipate custom insoles to alleviate pain and enhance stability. They won’t necessarily correct all equilibrium problems, particularly if vertigo originates from the inner ear or brain. For new users, there is an initial discomfort, but this usually dissipates within a few days. Best results often come when custom insoles are combined with other care, like balance training or physical therapy.
Stability improvements can take a few weeks. Custom insoles, which are crafted from more resilient materials, can last 1 to 5 years, but the impact varies based on daily usage. If plain insoles don’t alleviate your symptoms within a month, custom options can be worth it.
Beyond Insoles: A Holistic Approach
Addressing vertigo-induced stability issues requires more than custom insoles. Insoles can help, but a comprehensive strategy tackles the underlying causes and encourages sustained progress. Addressing the body as a whole, not just the feet, yields more effective results.
Balance and gait affect daily life; both need support.
Custom orthotics, when properly made, can help align the feet, ease the pain, and boost mobility.
Bunions, flat feet, Achilles tendonitis, and similar conditions usually progress with bad foot mechanics.
All that standing or walking on my feet all day may require additional support.
Good foot care considers health, lifestyle, and activity level.
Vestibular Therapy
What is vestibular rehabilitation therapy, and why is it a secret weapon for people with balance issues from vertigo? It attacks the inner ear and the brain, which collaborate to maintain balance. Vestibular therapy exercises, such as gaze stabilization or balance retraining, train the body to adapt to signals that can feel wonky. Other exercises have patients shift their eyes while rotating their head or stand on squishy foam with their eyes shut, which trains the brain and body to maintain equilibrium even if disturbed. Combined with orthotics, vestibular therapy can more effectively aid individuals whose suboptimal foot mechanics exacerbate their balance issues. Working with a trained balance therapist provides personalized attention and guidance, ensuring advancement is secure and gradual.
Proper Footwear
What people wear in their shoes has a huge effect on balance. Shoes with hard soles, broad bases, and good fastenings provide a solid foundation, reducing the risk of falls. Good shoes provide arch support and heel cushioning, alleviating issues like plantar fasciitis or heel spurs. Remember, custom insoles don’t replace your regular shoes; they make them fit better by filling gaps and aligning your foot so that every step is more stable. A lot of people erroneously select shoes that are loose, worn, or have heels that cause an imbalance and pain.
Strength Exercises
Calf raises—stand on toes, lower slowly—build calf muscle strength.
Single-leg stands—balance on one foot—train stability muscles.
Side leg lifts—lift leg sideways—strengthen the hip and outer thigh.
Squats—bend knees gently—improve core and leg strength.
Heel-to-toe walks, which involve walking in a straight line, enhance gait control.
Muscle strength prevents falls and allows people to get around with increased confidence. Incorporating balance training, like standing on uneven ground or a balance board, into workouts nourishes body and mind. Many discover hard guides from physical therapists or online sources from medical groups.

My Perspective On Grounding A Dizzy World
Vertigo rattles equilibrium. It can make even the most common act, like walking or standing, feel perilous. As someone who works with data in health care, I encounter how vertigo transforms daily life for many. It’s not just about dizziness. It makes them fear tumbling at every footstep. Balance comes from three main sources: what eyes see, the inner ear system, and the sense of touch, mostly in the feet and spine. All three collaborate, but if one is off, the others must compensate. That’s why it’s helpful to be mindful about what shoes we wear. Adding feedback to the feet can make a real difference.
Friends, family, and local groups provide emotional support and practical assistance. Many with vertigo or balance issues feel isolated or don’t know where to seek assistance. Basic neighborhood classes, web-based forums, or clinics can provide guidance and techniques on safer walking and selecting the right footwear. In my experience, support systems count just as much as wheelchairs. For instance, seniors who participate in community-based fall-prevention programs tend to experience fewer falls. This illustrates the importance of sharing narratives and educating ourselves as a community.
Education for everyone, vertigo patients, and their helpers. Educating not just on how the body maintains balance, but how things like custom insoles or proper shoes function, equips people to take those intelligent steps. One myth is that walking barefoot automatically aids balance, but this is not the case for everyone. Studies demonstrate that going barefoot, in socks, or in slippers increases the risk of falls by as much as 11% relative to athletic or canvas shoes. Thin, flexible soled minimally dropped shoes tend to do the trick best by allowing the feet to feel the ground better. Good shoes are an easy shift that goes a long way in keeping you comfortable and safe.
Having a sense of control and taking initiative reduces fall risk. Testing all three sensory channels—vision, vestibular, and touch—can reduce fall risk. Among older adults, 30 to 60 percent experience a fall each year and 10 to 20 percent result in injury or worse. Choosing the right shoes, utilizing personalized insoles for support and understanding personal risk factors can help keep individuals grounded.
Conclusion
Custom insoles provide stability to vertigo sufferers. They modify how feet hit the floor, which can stabilize strides and reduce stumbles. Good insoles make some people's lives easier. Others will have to experiment a little bit. Shoes and insoles are most effective when incorporated into a larger strategy tailored to each individual’s health requirements. To get the best fit, consult with a physician or podiatrist. Experiment, monitor how you feel, and continue to educate yourself. For those living with dizzy days, little changes make big differences. Post your own tips or questions below and let’s keep the discussion going.
Frequently Asked Questions
1. Can Custom Insoles Help Improve Balance For People With Vertigo?
Indeed, custom insoles can provide support for improved foot alignment and stability. They could help reduce fall risk for certain vertigo patients, but outcomes differ.
2. How Do Custom Insoles Work For Stability Problems?
Custom insoles support your feet. They aid in weight distribution, which may positively impact posture and unsteadiness while walking.
3. Are There Scientific Studies Supporting Insoles For Vertigo-Related Issues?
According to a few reports, orthotics can sometimes help balance. More research is still needed to verify the benefits for vertigo-related stability.
4. Who Should Consider Using Custom Insoles For Vertigo?
Those who have instability or balance issues from vertigo should start by talking to a healthcare professional.
5. Can Custom Insoles Cure Vertigo?
No, custom insoles don’t cure vertigo. They might alleviate some symptoms, such as instability, but they don’t address the root cause.
6. What Other Treatments Can Help With Vertigo-Related Balance Issues?
Physical therapy, balance exercises, and medical management are typically used. A holistic plan typically does best.
7. Do I Need A Prescription For Custom Insoles?
When it comes to medical-grade custom insoles, a doctor’s prescription is typically necessary. OTC are available, but might not work as well.
Stronger Steps Start Here, Orthotics For Balance And Stability In Rhode Island
Staying steady on your feet matters more than most people realize. If you’re dealing with unsteady steps, frequent ankle rolls, or tension in your knees, hips, or back, your balance may be the root of it. FootTek provides custom orthotics that improve alignment, support your arches, and help your body move with control and confidence.
Our team uses advanced 3D scanning technology to study how your feet absorb pressure and how your body shifts as you walk. This lets us design orthotics that improve stability, reduce wobbling, and support the structures that keep you balanced throughout the day.
Getting started is simple. Schedule a consultation, let us evaluate how your feet and gait affect your balance, and receive custom orthotics built for long-lasting support. No guesswork, no generic inserts, just the right design for your body.
If you’re on your feet at work, staying active, or noticing more instability as you age, the right orthotics can keep you steady and comfortable. They help your body stay aligned and reduce the strain that leads to fatigue and injury.
Disclaimer
The content on this website is provided for informational and educational purposes only and is not intended as medical or professional advice. Always consult a qualified healthcare provider regarding any medical concerns, diagnoses, or treatment options. Do not rely solely on the information here to make decisions about your health or care.
While we strive to keep the information accurate and up to date, it may not reflect the most recent medical research or clinical practices. FootTek Orthotics assumes no responsibility for actions taken or not taken based on the content of this website, to the fullest extent permitted by law.




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