Two commonly experienced problems in bicycling which are helped by orthotics are forefoot pain and knee pain. Pain in the forefoot is very common in bicycling because narrow cycling shoes with or without toe straps squeeze the forefoot. This combined with vibration from the road as well as pressure focused on it from pedaling puts excessive stress on all of the tissues in the forefoot.
Hot foot is condition cyclists frequently encounter.
It occurs most often during hard pedaling efforts and is due to focused pressure on the balls of the feet . The focused pressure forces blood from the fat pads on the soles of the feet. Which in turn causes heat to build up which is normally dissipated by the circulation causing a burning pain. It is worse in hot weather because body heat builds up more in these conditions. Riders with high arches and those who pronate excessively experience it more frequently because they have abnormal increased pressure on the ball of the foot.