Me, I like Birks and glucosamine sulfate for now. Not a cure, but they do allow me to walk around. I have tried athletic shoes, Spenco arch supports, OTC arch supports -- and Birks work for me because: 1) I need a high and strong arch support and Birks have it; 2) I like the low footbed of the shoe and the wide toe area. When I got fitted for Birks the lady in the story said, "Your feet need support. If they have support, they don't need cushioning." As for the inserts, I have nothing to offer. Haven't tried them yet. Several people have posted about having better luck with Birks than the inserts, at least at first blush.