There are many reasons why your orthotic may not be fitting in your shoes. First, if the basic insert is able to be removed from your shoe and you have a full length orthotic, then remove the insert to provide extra room. Different types of orthotics fit better into different types of shoes; a sport orthotic will not fit into most casual and dress shoes and vice-versa for dress orthotics. When discussing custom orthotics as a treatment option, be sure to express your needs for the orthotic and when you will primarily be wearing them, i.e. exercise versus the office. Letting your provider know when you will be wearing them most often will help them to create an orthotic that you will be able and want to wear!