So often in clinical practice, we have either designed orthotic devices, or are evaluating previously mad orthotic devices, and we find that the stability could be improved to help the patient. 4 simple improvements are supporting the arch, adding a temporary Kirby skive, changing the shoes to more stable ones, and power lacing those chosen shoes.
Simple Medial Arch Reinforcement here with 1/4 inch Grinding Rubber
Or, a Temporary Kirby Medial heel skive along to the medial heel cup