Heel Cushions & Heel Pads

Are there differences between heel cushions, heel pads, heel wedges, and heel cups?

The short answer is "yes." The long answer is that while each will provide some level of cushioning and support for the heel of the foot, each works in a slightly different way, as described below:

• The terms "heel cushions" and "heel pads" generally describe a cushioned heel insert piece that is relatively flat and has the primary purpose of simply providing additional cushioning and shock absorption under the heel of the foot.
• The term "heel cup" generally describes a cushioned heel insert that has a contoured back and sides, which will help to cradle the heel of the foot in addition to providing additional cushioning and shock absorption.
• The term "heel wedge" generally describes an angled heel insert, often cushioned, that helps to orient the ankle slightly inwards or slightly outwards in order to address over-pronation or supination.
  

Would I wear these on top of my insoles? Or underneath?

This largely depends on the shape of the insole and the shape of the heel insert:

• A relatively flat heel cushion, heel pad, and heel wedge would generally be worn underneath your shoe insole. This allows for a consistent foot feel from heel to toe, and if your insole has a contoured heel the heel insert won't interfere.
• A heel cup or any contoured heel cushion would typically be worn on top of your shoe insole; this ensures that the contoured shape of the heel insert won't interfere with the fit of the insole. However: If your insole has a contoured heel, this will not work, and we'd recommend a flat insert instead.

In either scenario, the insert would be placed firmly against the heel of the shoe to align with the heel of the insole. Most inserts do not have an adhesive, as your weight will naturally hold the insert in place when moving.

Is gel or foam better?

While both materials have their advantages, both are excellent for heel cushioning no matter which you choose. In general, however: Gel is much more shock absorbent, making it better for high-impact activities such as running and jumping, making it the preferred material for athletic purposes, while foam is a bit better at passively absorbing weight and pressure, making it better for general everyday use and for standing.