Dr. Santopietro's custom orthotics work in concert with a properly fitted and appropriately constructed pair of shoes.

No single shoe fits every foot Individual biomechanics mean what works for one patient may not suit another. Use this guide as a starting point, and bring your orthotics when you shop.
Always fit shoes with your orthotics in place A shoe that feels right without the orthotic may be too snug once it's inside. Plan for the extra volume.
Ask for help from a knowledgeable fitter The local stores listed below have staff experienced with orthotics and wider sizing. They are familiar with the EvenKeel approach.
The EvenKeel Custom Orthotic System
EvenKeel custom orthotic
EvenKeel custom orthotic
EvenKeel CM1 Leather Pro
EvenKeel CM1 Mesh Pro
What to Look For

Anatomy of a Good Shoe

Whether you wear full custom orthotics or need only minimal support, the construction of your shoe matters. Here's what to evaluate before you buy.

Diagram showing proper sole width
Wide base from toe to heel
Diagram showing pyramid heel shape
Pyramid Shaped Heel Counter
Diagram showing sneaker heel counter
Deep, firm heel counter
Primary Use Case

For Shoes Worn With Orthotics

  • Wide toe box and midfoot
    Women's 2E and men's 4E widths are often needed. The orthotic takes up volume; the shoe must accommodate it without crowding the foot.
  • Firm, deep heel counter
    Pyramidal shape preferred. Prevents the foot from sliding backward and gives the orthotic a stable surface to work against.
  • Thick, removable insole
    Remove the factory insole before inserting your orthotic. A shoe with a glued-in liner will not work well.
  • Midsole that wraps the midfoot
    Cushioning material should extend up the sides at the arch — not just sit underneath. This cradles and stabilizes.
  • Heel raised at least 5/8" above forefoot
    Up to 1½" is fine. A slight heel drop reduces strain on the Achilles and plantar fascia.
  • Lace-up closure
    Allows you to control fit precisely. Slip-ons and elastic closures cannot hold the foot securely enough.
  • Flexes at the forefoot, not the arch
    Bend the shoe in your hands. It should give at the ball of the foot. If it bends through the middle, the shoe is too soft to support your orthotic.
For Minimal Orthotic Use

For Shoes Worn Without Orthotics

  • Heel raised above forefoot
    Even without a full orthotic, some heel elevation helps reduce loading on the arch and Achilles.
  • Lace-up or boot style
    Tie shoes and ankle boots provide better support than slip-ons. Boot styles are generally superior for ankle stability.
  • Wide, stable base
    A wider sole from toe to heel gives the foot a more forgiving platform, especially on uneven terrain.
  • Firm heel counter
    Even without an orthotic inside, a structured heel counter prevents the foot from rolling and supports the calcaneus.
  • Avoid open-back designs
    Clogs, mules, and backless sandals offer no heel control. They alter gait in ways that compound most foot problems.
Don't Overlook the Sock

Sock Recommendations

The right sock complements both your shoe and your orthotic. The wrong one introduces wrinkles, bulk, and pressure points that undermine everything else.

Look for socks with these characteristics:

Thin profile — thicker is not better
Open weave construction with minimal seams
Compressive fit — the sock should hug the foot, not bunch
Lycra or similar synthetic blend preferred
Seams away from toes and pressure points
Smooth fit with no wrinkles — put them on carefully
Shop Locally

Boston-Area Shoe Stores We Trust

These local retailers carry wider widths, know how to fit shoes with orthotics inside, and have staff who can help rather than just hand you a box.

A word of caution As much as we trust these stores, if we give you a prescription for a specific sneaker, make sure they get you into that exact shoe. Don't let an inexperienced sales associate steer you toward something else you don't need. And if anyone tries to convince you that a particular shoe means you won't need orthotics — don't buy it. No shoe alone can do what an EvenKeel custom orthotic does. That's not bragging, it's just what 50 years of patient outcomes tells us. If you have any questions, give us a call or send us an email and we'll sort it out.

Simon's Shoes

Harvard Ave, Coolidge Corner. Long-established specialty retailer with deep experience fitting patients who wear orthotics.

The Barn Family Shoe Store

Knowledgeable staff, wide-width inventory, and a focus on functional footwear for the whole family.

Panza Shoes

Family-owned. Good selection across athletic and dress categories with a practical approach to fit.

Footstock

Athletic focus with a solid range of motion-control and stability options in multiple widths.

Marathon Sports

Boston's go-to running specialty retailer. Knowledgeable staff and a strong selection of stability and motion-control shoes in extended widths.

Please Avoid

Bare feet, flip flops, clogs, and zero-drop or flat-soled shoes work against nearly everything we're trying to accomplish with an orthotic. Even on a quick trip to the mailbox, footwear matters. If you have an active foot condition, treat shoe choice as part of the treatment.

For Dress Occasions

We understand that dress shoes require compromise. When you can't wear your full orthotic, always favor a moderate heel over a flat. A dress orthotic is available for patients who need support in a slimmer shoe profile. Ask Dr. Santopietro at your next visit.

These recommendations will not suit every patient. Foot biomechanics vary widely, and what works well for one person may not be right for another. If you're uncertain about a specific shoe or have questions about fit, bring the shoe to your appointment and we'll evaluate it together. We update these recommendations as we learn more from our patients and from new products in the market.