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Damn, that looks painful still!
And my entirely non-medical point of view on orthotics is, if your shoes are well made and support your feet, pass on the orthotics. I let a Podiatrist talk me into orthotics as an adult, and they changed my gait so much I started having problems with my hips and knees that I didn't have before!
Now, I just live in Dansko clogs and my (high) arches are blissful.
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