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I would absolutely recommend orthotics for shoes. My feet are severely damaged due to RA and now that I have custom made orthotics I can actually walk and my feet are happy. Unfortunately insurance doesn't cover for RA and they are very expensive - about $600 but worth every penny if you can walk without pain. Don't buy anything over the counter. Have her see a podiatrist and then get custom orthotics. I promise it will help. Good look