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Neutral vs Posted Orthotic Insoles: What’s the Difference?

Neutral and posted insoles can look similar but are prescribed for different reasons. This guide explains what posting means and why the amount and location of a post matter.
Neutral vs Posted Orthotic Insoles: What’s the Difference?

Quick Answer

A neutral orthotic provides its built-in shape and arch support without an added corrective wedge, while a posted orthotic includes an angled component intended to alter support or loading in a selected part of the foot. Posted devices should be chosen according to a defined clinical requirement rather than simply because they provide 'more correction'.

What is a neutral orthotic insole?

A neutral orthotic uses its base shape, heel cup and arch contour without an added angled correction beneath the forefoot or rearfoot.

It may still provide substantial support and does not mean the device is flat or non-functional.

What is a posted orthotic?

A posted orthotic contains an angled section, wedge or built-in correction intended to change how a specific part of the device contacts the foot or shoe.

Posting can be incorporated during manufacture or added as a modification.

Where can posting be placed?

Common areas include the rearfoot and forefoot, but the exact position depends on the intended prescription.

The location and direction of the post are more important than simply having a wedge present.

Does more posting mean more support?

No. A larger angle is not automatically more effective or more appropriate.

Too much correction can create new pressure, discomfort or changes elsewhere in the lower limb.

Who might use a neutral device?

A neutral device may suit someone who needs arch support, heel containment or a stable base without an additional corrective wedge.

It can also provide a starting platform for later professional modification in some orthotic systems.

Who might need a posted device?

A posted device may be selected where assessment identifies a need to influence rearfoot or forefoot position, pressure or movement.

That decision should be based on symptoms, foot mechanics and the complete lower-limb picture.

Can you add your own wedges?

Not to a prescribed orthotic unless instructed. Changing the angle or position can alter how the device functions.

Important: If a product includes modular posts or wedges, use them according to the clinical prescription or fitting guidance rather than adding correction by trial and error.

How should a posted orthotic feel?

It should remain stable and supportive without creating a sharp edge, excessive tilt or new pressure point.

Any significant change in pain, balance or walking should prompt reassessment.

When should professional advice be sought?

Professional input is particularly important for children, complex deformity, asymmetrical feet, significant instability or devices using specific posting angles.

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When Should You Seek Professional Advice?

Posted orthoses can alter foot and lower-limb mechanics and should be selected or adjusted by a suitably qualified clinician where a specific correction is required. Do not add wedges or change posting independently to chase symptoms.
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