Orthoses for dress shoes can be great. Personally, I prescribe many graphite orthoses with a shallow heel cup, normal width and vinyl cover to the sulcus for these shoes. This device works wonderfully in many women’s and men’s dress shoes.
I tell all patients, however, that I make no guarantee that the orthoses will fit in any shoe that they currently own. In fact, I tell them that they probably will not fit in any of their current shoes but that I will give them a list of fashionable shoes that often work well with orthoses.