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An orthotic insole comprising a main body having an opening in either the lateral and/or medial sides for receipt of an insert, the opening(s) extending from a forward position which in use is located beneath and close to the relevant metatarsal head to a rearward position which in use is located beneath the calcaneus wherein the main body comprises: a) a base portion extending in use from the back of the calcaneus to just behind the metatarsal heads which is formed of semi-rigid plastics material capable of deforming under loading and then returning to its original shape, and b) a top portion which extends the full length of the foot which is formed of deformable material, and wherein the opening(s) are located between the base and top portions.