An insole for an orthopedic device comprising: a top portion including at least one top layer defining a top surface arranged to be substantially adjacent a plantar surface of a user's foot, the top layer being conformable to the shape of the plantar surface of the foot; a bottom portion connected to and arranged opposite to the top portion, and including at least one bottom layer defining a bottom surface of the insole and an intermediate layer situated between the at least one top layer and the at least one bottom layer, the intermediate layer being resiliently compressible such that the intermediate layer compresses and rebounds between the at least one top layer and the at least one bottom layer as a user walks on the insole; and a plurality of removable elements and a peripheral rim surrounding and supporting the removable elements, formed in the bottom surface such that tops of the removable elements are attached to the top layer and the removable elements are arranged for removal from at least the bottom portion for defining at least one opening below the top surface, the top surface continuously spanning over the removable elements and the at least one opening arranged for off-loading one or more affected areas of the plantar surface of the foot, the removable elements comprising independent pieces arranged to work collectively to adjust and react to lateral foot motion such that the top layer is moveable with the underlying removable elements; an adhesive bond between the top layer and the intermediate layer and an adhesive bond between the intermediate layer and the bottom layer, wherein the adhesive bond between the top layer and the intermediate layer is arranged to fail or break before the adhesive bond between the intermediate layer and the bottom layer so the removable elements do not fall apart at the interface between the intermediate layer and the bottom layer; the top layer having a tear strength about 7 times to about 12 times greater than a tear strength of the intermediate layer, the bottom layer having a tear strength about 2.5 times to about 3 times greater than the tear strength of the intermediate layer. a top portion including at least one top layer defining a top surface arranged to be substantially adjacent a plantar surface of a user's foot, the top layer being conformable to the shape of the plantar surface of the foot; a bottom portion connected to and arranged opposite to the top portion, and including at least one bottom layer defining a bottom surface of the insole and an intermediate layer situated between the at least one top layer and the at least one bottom layer, the intermediate layer being resiliently compressible such that the intermediate layer compresses and rebounds between the at least one top layer and the at least one bottom layer as a user walks on the insole; and a plurality of removable elements and a peripheral rim surrounding and supporting the removable elements, formed in the bottom surface such that tops of the removable elements are attached to the top layer and the removable elements are arranged for removal from at least the bottom portion for defining at least one opening below the top surface, the top surface continuously spanning over the removable elements and the at least one opening arranged for off-loading one or more affected areas of the plantar surface of the foot, the removable elements comprising independent pieces arranged to work collectively to adjust and react to lateral foot motion such that the top layer is moveable with the underlying removable elements; an adhesive bond between the top layer and the intermediate layer and an adhesive bond between the intermediate layer and the bottom layer, wherein the adhesive bond between the top layer and the intermediate layer is arranged to fail or break before the adhesive bond between the intermediate layer and the bottom layer so the removable elements do not fall apart at the interface between the intermediate layer and the bottom layer; the top layer having a tear strength about 7 times to about 12 times greater than a tear strength of the intermediate layer, the bottom layer having a tear strength about 2.5 times to about 3 times greater than the tear strength of the intermediate layer.