"As a Board-Certified Podiatric Surgeon, I often treat the dangerous outward rolling of supination is not with generic arch cushions or glued-on wedges, but with a custom-molded shell featuring a built-in lateral wedge and deep heel cup that physically locks the ankle in a safe, neutral position."
Dr. William Naughton, DPM
Board Certified Podiatric Surgeon
View Medical Credentials
Dr. William Naughton
Chief Medical Officer
Custom Orthotics & Insoles for Supination & Underpronation – Medical Grade
At Home 100% Custom
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Podiatrist In-Clinic Custom | Franchise Stores Off-The-Shelf |
|---|---|---|
| $225 Kit Included | $500 - $1,000+ | $800 - $1,500+ |
| Truly Custom | Custom / Semi | Pre-Fabricated |
| Built-In Wedge/Post Locks foot in neutral | Glued-On Wedge/Post Can shift over time | Generic Base No lateral support |
|
✔ FSA / HSA Eligible |
FSA / HSA Eligible |
Varies |
| 6 Month Guarantee | Usually no refunds | Store Credit Only |
| Podiatrist | Doctor | Sales Rep |
| At-Home Kit | Office Visits | Sales Floor |
| Delivered to Door | Appointments Required | Hard Upselling |
Custom Build for [Unknown]
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Build Strength
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Profile Design
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Target Relief
Dr. William Naughton, DPM
Board Certified Chief Medical Officer - NPI: 1245247089Supination Orthotics:
Ultimate Supination Relief: Our therapeutic, custom orthotics are precision-engineered to compensate for the extreme rigidity and poor shock absorption common with supination. These are not simply generic insoles; each device is custom-made from a precise mold of your foot to provide crucial cushioning and flexibility, improving force distribution and preventing excessive ankle or lateral knee stress, and come with a Bilt labs warranty and guarantee.
Precision Correction
The key to treating supination is providing a balance of motion control and superior cushioning where the foot strikes the ground (the lateral edge). Our custom design includes features to help the rigid foot absorb impact more effectively and encourages a gentle, healthy degree of pronation. This greatly reduces the stress that travels up the leg, helping alleviate pain in the ankles, shins, and knees.
Unparalleled Performance
Built from your unique foot mold and detailed health information, we guarantee a truly precise fit that mass-produced supports cannot match. Choosing Bilt Labs is choosing a durable, evidence-based therapy that offers reliable support and improves gait alignment for long-term comfort and mobility. Backed by our lifetime shell warranty.
Back to overview of Supination orthotics.
Choose Your Comfort Layer
- Everyday (Memory Foam): Ideal for maximum cushion and all-day standing or walking.
- Active (High Rebound): Engineered for high-performance use, providing superior shock absorption and energy return for fitness and long work shifts.
100,000+ Steps
Balanced
Stop the instability caused by outward rolling. Our medical-grade custom orthotics provide the lateral stability and shock absorption needed to correct supination.
Easy, At-Home Process
No Rx Needed
What is Supination?
The Pathomechanics of Outward Rolling
Supination (also known as underpronation) occurs when the foot rolls outward excessively as you step. This puts immense pressure on the lateral (outer) edge of the foot and the smaller toes.
Because the foot doesn't roll inward enough to absorb shock naturally, impact forces are transmitted directly up the leg. This rigid locking of the foot often leads to ankle instability, stress fractures, and knee pain.
Common Symptoms:
- Frequent ankle sprains or feeling of instability.
- Pain on the outer edge of the foot or heel.
- Shin splints and IT Band Syndrome (outer knee pain).
- Calluses on the outer edge of the foot.
Fast Facts
- Prevalence: Less common than flat feet but often more painful.
- Risk: High arches (Cavus foot) are the #1 cause.
- Correction: Lateral wedging pushes the foot back to neutral.
Recommended Solution:
Take Your Quiz
Treating the Root Cause of Supination
Outward Rolling
Generic insoles usually focus on arch support for flat feet. They often make supination worse by pushing the foot even further outward. They lack the specific lateral wedging needed to stabilize a high arch.
Lateral Stability
Bilt Labs custom orthotics are designed with a lateral post (wedge) that sits under the outside of the heel. This gently tilts your foot back inward to a neutral position, preventing the outward roll.
Why Choose Bilt Labs?
Podiatrist
- Cost $400 - $800+
- Lifespan 1-2 Years
- Visit Req. Yes
- Support Corrective
- Guarantee Rarely
Bilt Labs
- Cost $225
- Lifespan 2-3 Years
- Visit Req. No (At Home)
- Support Medical Grade
- Guarantee 6 Months
OTC Insoles
- Cost $20 - $60
- Lifespan 3-6 Months
- Visit Req. No
- Support Minimal
- Guarantee None
Foot Pain Relief from Home
Medical-grade orthotic insoles without the doctor's visit. Here is how we do it:
Take Quiz & Order
Start with our quick foot analysis, then order your at-home impression kit.
Step Into the Box
Step into our bio-foam box. It captures your unique arch and foot shape in seconds.
We Build & Ship
Our US Lab creates your custom orthotics and ships them directly to you.
Medical Expertise
Elevate your foot health with Bilt Labs today.
Experience clinic-level foot support designed to eliminate daily pain and realign your body—directly from home.
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Board Certified Oversight
Every pair is reviewed by experts, ensuring clinical accuracy.
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30+ Years Experience
Dr. William Naughton, DPM brings decades of orthotics expertise.
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Medical-Grade Materials
We use the same high-performance polymers as top podiatry clinics.
Verified Credential
License: DPM00321
NPI: 1245247089
Chief Medical Officer
Dr. William Naughton
Board Certified Podiatrist
Precision Engineered & Hand Finished—All In the USA
Aerospace-Grade Materials
We use high-performance polymers and EVA foams designed for maximum durability, shock absorption, and comfort.
Laser-Precision Milling
Your orthotics are carved from a solid block of material using CNC robotics, ensuring 100% accuracy to your foot mold.
Hand-Crafted Quality
Every pair is hand-finished and inspected by our technicians in our US-based lab to ensure clinical efficacy.
Designed For Your Specific Needs
Ready for Pain-Free Living?
Order your custom impression kit today and take the first step towards lasting relief.
Take Your QuizFrequently Asked Questions
Supination Relief
Can custom orthotics and shoe inserts fix supination?
Do I need firm or soft support for supination?
Will custom shoe inserts for supination help prevent ankle sprains?
What is the difference between supination and overpronation?
What are the best shoes to wear with custom shoe inserts for supination?
Product & Service
Are Bilt Labs shoe inserts and insoles truly medical-grade?
Do you take insurance or FSA/HSA for custom insoles?
What is the warranty on custom shoe inserts?
How long does it take to receive my custom orthotics?
How long will my custom orthotics last?
What is your return/refund policy?
Where are my orthotics made?
See what our customers have to say.
I’m a mailman with extremely flat feet. After going through 3 pairs of custom orthotics from doctor’s offices - to the tune of $500 EACH - none of which ever truly felt comfortable, I needed to find a better solution.
My wife had tried Bilt Labs and was over the dang moon about her orthotics. I tried their 2-pair deal and got the exact same custom food casting mold I’d used in the doctor’s office. That’s when I realized, the doctor’s, tho good at their jobs, were just middlemen when it came to the orthotics.
I cut out the middlemen and got a quicker turnaround time and orthotics that actually feel good on my feet! The attached photo is just a little longer than 6 months into wearing them and taken after 10 hours of trudging through snow & ice delivering mail and heavy packages. They still look in great shape (the front big toe area of the right insole is starting to peel just a tiny bit but I’m honestly surprised this hasn’t happened sooner, with how much abuse these things go through).
Working in nursing 34 years, my feet
were so sore. I was told I needed Orthotics by my foot Dr later on. I found
this sight and was thrilled to see the nicest people
After almost 3 years searching and purchasing from various company/seller (including doctor’s recommendation), this seller is top AAA!! Taking my questions seriously and super smooth to deal with. I bought 3 pairs and feeling relieved from the product. Very recommend it!
The inserts makes such a difference! Going to order a second pair
My wife gifted me the foot mold impression when my feet started hurting. I do have high arches, therefore I had to purchase work shoes/boots that accommodate my custom orthotics. It has been a great relief and pleasure to my high arches during my 10-14 hour work shifts!
Definitely recommend 👌🏼
Need second pair do I don’t have to remove them when I change shoes
Took a while to get used to. Very helpful now
I have become a huge fan of Bilt insoles. I must have bought and tossed out at least a dozen off-the-shelf products and some felt fine at first but then after a longer hike, pain would develop, usually along the outside edge of one foot. I then went to a podiatrist and spent tons of money on orthotics which helped but were expensive and made me feel like i was walking on a tennis ball. Then i found Bilt. I can walk forever now and have no pain. There are times after a long hike that I come home and leave my shoes on because they feel like my feet are getting a hug with each step, truly. Perfectly molded for each foot's needs rather than trying to use a standard. I doubt many people's feet are "standard." So I will be placing an order for my 3rd pair since my second pair arrived recently and the test proved to me that they are as good/same as my first pair. This from a 74-year-old who hikes 7+ mile hikes two or three times a week and recently completed my second Camino de Santiago in Spain, using these insoles. Huge fan.
I’ve got insoles from my podiatrist and they were great. Love my doctor but I didn’t have to go back and get new ones. Bilt Labs does the same procedure my doctor did for half the cost and it all comes to my house. This will be my second pair and love them.
Have worn insoles for years after a bout of Plantar in my left foot. After Shockwave Therapy I started using medical inserts and now this Bilt Labs service.
Excellent product that is better than any medical grade. They remind you to reorder on a regular basis as they do last a long time but are in some pretty tough conditions!!
Just leaving a review to say how helpful the team has been. I had an issue with the mold kit that arrived and after emailing about it, Laura M. Immediately sent me a replacement mold so that I would have the most ideal experience. Looking forward to using my custom orthotics when they get made!
The insoles were delivered as per schedule. They fit perfectly, are finished with an eye for comfort and have helpers me relief pain, within weeks of using them. You do need to allow for a few days of getting used to them in whichever show you decide to install them.
Great quality and comfortable.
Awesome pair of orthotic insoles
I was searching for insoles for my feet for several years. I tried all of the over the counter, less expensive ones. I must have bought 50 different pairs. Nothing helped my feet. I finally got a job that offered FSA benefits, and I was browsing online for places that accepted FSA. Bilt came up and I thought to myself that it couldn't hurt to try them out, since all the others ended up in failure and a ton of foot pain. Yes, they are expensive. Buy multiples. All of your shoes need these. Seriously. Don't try to be that guy who moves his insoles from shoe to shoe. It's not worth it. Just buy more. I ordered 2 everyday and 2 active, the first time. That got me through the first year. That was last year. This year, I got new shoes, and needed new insoles again, since you really don't want to use insoles for longer than a year, anyway. So in January, again, I ordered two more pairs of active insoles.
I work in a demanding job, on my feet and moving, for 13 hours a day. Out of 14 days, I work 10 days. So I'm tough on my shoes and I need insoles that can handle that. The active insoles live up to their expectations and then some.
The foam kit to make the insoles is a little weird to use, but it's honestly worth every icky feeling to get insoles that are this great.
And just in case you care, I'm now ordering my third set, since I broke my newer shoes and need more active insoles. I'm a customer for life - and I can be, since they keep the mold for future use.
Thank you Bilt Labs for curing my foot pain. The insoles work wonders. I have come back for reorders on both the Everyday - Memory Foam and Active - High Rebound even thoug it's been only about 6 months since I first placed orders as a new patient.I wish i had known you earlier! Much appreciate!
Seem to fit well. However, I am already noticing some separation in the adhesive layers. I haven't had these very long.
These insoles have helped my pain so.much. I have a bump that was developing on my Achilles and it would hurt so bad during the day I would be limping about halfway through. With these my feet have found comfort that lasts.
I tried different inserts from different vendors, but not custom. My doctor recommended custom inserts that would have costed $700. Then I found Bilt labs on a google search and the reviews were great. All for less than half of what the doctor recommended. Let me tell you, they work. It’s been about 3 months and I’m already ordering a second pair. The process was well described and everything happened as planned. My plantar fasciitis was acute. It took about 4 weeks for the pain to go away and about 8 weeks to feel less tight. No more pain first thing in the morning. But you have to keep wearing the inserts. In the house I wear something with support, like Cushionaire, and outside sneakers with the Bilt labs inserts.
Just received my second order, because I was so happy with my first pair.. My podiatrist was impressed also. Excellent value and they have really made a big difference in my ability to walk with little to no pain due to fallen arch, neuroma and bunion. thanks!
I am a walking endorsement for anyone overweight or with foot, knee or back pain.
These have helped me become more active and do more exercise. I have lost 120lbs with the help of these orthotics
Fit like a glove.
Great pair of orthotic insoles. Just ordered my 4th and 5th pair today. The ones before I got back in 2022.
I am very pleased with my orthotics. They sent a mold and customized them for me after I submitted some information. The price is better than at other places I have checked and they are custom made. It took awhile to receive them, but it was worth it. I didn’t even have to leave my house for an appointment.
The process of the foot impressions is incredibly simple. I orderd my first pair of orthotics in June of 2026. Started the break-in on the daily basis as recommended and have been wearing them full time since then. Feet are not perfect but, feel drastically better -- to the point of ordering a second pair.
My feet feel so much better with these orthotics. I am now comfortable when walking and woke up for the first time this morning without my previously chronic arch pain. I ordered a second pair after seeing how much better I feel.