As a doc who is also a skate fitter, I couldnt agree more. Going to a pedorthist or "foot Specialist" who doesnt understand the skate can be disappointing. Not all orthotics are created equally. Skates are not manufactured with the intention of having orthotics in them. Orthotics need to be manufactured that dont change the way that the foot sits in the skate. Custom orthotics not made with specific factors in mind can be as much of a negative experience as they can a positive one. With respect to the fitter, a great pair of orthotics in a poorly fitted skate will never realize its full potential