Good question...something a little different. Podiatrists are great at solving a problem (usually), but rarely understand the relationship between the plates they make and the shoes that are available to the customer/patient. All to often they seem to operate under the idea that what they suggest is the only solution, and it's no problem of theirs that the plate completely lifts foot out of dimension with the shoes a patient needs to wear, leaving the patient to consider 'orthodedic' shoes almost exclusively. There is a great cped here who makes two orthodics for her patients - one for walking/casual shoes and activities and another, lower profiled one for use in dress shoes. This is the best solution I have come across...that or try the 'Alden-thedic' line, if still available.