You are right, I should have tempered my answer with "orthotics / pronation / ice hockey in the main don't work". Yes, if you have a mild case you may get away with orthotics. For medium to severe cases then you will be looking for a different answer, especially if you play ice hockey. BethG - ask the doc if he can recommend you to someone who knows about fitting feet with problems into ice skates. Do consider the Graf range of skates, they are one of the few models around (outside of a custom boot) that have variations in boot shape so you can purchase a skate to match a foot.