Betterform makes quality heat moldable pre-made accommodative foot orthotics with semi ridged arch shells and extrinsic 4 degree heel posts. The Betterstep HR heel relief version has a comfortable PPT depressed heel cushion. These sport type foot orthotics are available in full and sulcus (3/4) dress shoe lengths. Why pay $300+ for custom when these off the shelf foot orthotics are available much cheaper?