Most flatfeet that we see here in our clinic at Dubai Podiatry Centre are actually not real flatfeet. Most of the conditions we see involve the ankle rolling inwards, which depresses the arch in the foot. Making an orthotic that addresses the ankle deviation by aligning the ankle into a straight position will engage and lift the arches up again. This movement is achieved with an orthotic that is tilted. In almost every case, one foot leans in more than the other. Therefore, the tilts added to the left and the right orthotic will be different. Just as lenses in eye glasses are usually different prescriptions, this is also the case for orthotics that correct the ankle misalignment.