Leading Provider of Custom Orthotics

Breaking: Study Validates Foot Levelers Custom Orthotics Significantly Reduce Low Back Pain, Help Reduce Reliance on Opioids


What could eclipse the eclipse?

In our world–in the world of safe, effective pain management and the fight to save lives as the national opioid emergency rages on–it’s a new, major research study that proves what we’ve know for over 65 years:

Foot Levelers + Chiropractic care significantly reduce Chronic Low Back Pain

by an average of 40.4 percent.

Published in the Archives of Physical Medicine and Rehabilitation.

Foot Levelers custom orthotics, like Chiropractic care, are safe, painless, non-invasive and cost-effective–in stark contrast to risky, expensive surgery.  It’s important to note that Chiropractic is, and has always been, a drug-free approach to care.

Got Pain? Avoid the knife and potentially life-threatening drugs.  Find a Foot Levelers doctor near you.


ROANOKE, VA—A conclusive study, “Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial” conducted by National University of Health Sciences and published in the Archives of Physical Medicine and Rehabilitation shows that Foot Levelers custom orthotics, particularly in combination with chiropractic care, significantly reduce Low Back Pain (LBP). The National Institutes of Health (NIH) reports 80 percent of adults experience LBP at some point in their lifetime and it’s the single leading cause of disability worldwide, with many taking prescription drugs for pain relief – which often leads to long-term drug abuse and addiction.


“The study unequivocally confirms what we have known for over 65 years: Foot Levelers custom orthotics are a powerful first-line treatment in the battle against LBP,” says Kent S. Greenawalt, CEO of Foot Levelers, the world’s leading provider of custom-made functional orthotics and other therapeutic products. “There is significant scientific evidence that explains the foot-spine connection, but the bottom line is that using Foot Levelers to balance and support the feet—the foundation of the body—helps balance and support the spine. This study is another striking development in the case for evidence-based, conservative care of LBP, which in the face of America’s ongoing opioid crisis, is more important news than ever.”


A Chiropractor resident treats a patient in Hayward, California

Key Findings

  • Foot Levelers orthotics significantly reduce Low Back Pain 34.5 percent
  • Foot Levelers orthotics plus chiropractic care reduce Low Back Pain 40.4 percent
  • Foot Levelers alone or in conjunction with chiropractic care improves function:  18.5 percent and 32.3 percent, respectively


  • Outcomes assessed at six weeks. Outcomes also assessed after 12 weeks, and then after an additional three, six, and 12 months.
  • Improvements in both pain and in function as measured on the Numeric Pain Rating Scale and functional health status (Oswestry) scale.
  • 225 subjects with LBP were randomly assigned to one of three groups:
  1. Wait-list: no treatment for 6 weeks.
  2. Foot Levelers Shoe Orthotic Group: treatment plan consisted of Foot Levelers custom orthotics only.
  3. Plus Group: treatment plan of Foot Levelers custom orthotics plus chiropractic care.

Manuel Duarte, DC, MSAc, DABCO, and DACBSP, Chair of Clinical Practice at National University of Health Sciences, (Lombard, IL) and one of the study’s lead researchers, says, “LBP is one of the most common reasons cited for missed work and the NIH study confirms more than one quarter of adults reported LBP during the past three months.  Most alarming is the link between LBP and the deadly opioid epidemic, a challenge that is effectively addressed when Foot Levelers custom orthotics and drug-free chiropractic care are the first-line approach for LBP pain management.”

 Find a Foot Levelers doctor near you.


  1. atlasbiomechanics

    Great article on reducing lower back pain with orthotics. A good orthotic can realign the whole lower body. When a patient comes to us with lower back pain, knee pain, plantar fasciitis, heel spurs, or flat feet we usually start with a heat mold orthotic. When an arch support is properly fitted the patient usually says their pain level is decrease and the need for opioid meds is less.
    Thanks again for an interesting article.

    Teri Green
    Atlas Biomechanics

    • Foot Levelers

      Thank you for your feedback, Teri! We see you mention a “heat molded orthotic.” Note that the study validates Foot Levelers’ custom orthotics specifically, which we believe are a cut above the rest. We encourage you to give us a try! We’ve got a great promo this month (code “DANCE”) which makes it easy. Please give us a call and see why we are the most research-backed custom orthotics in the world: 800.553.4860.

  2. Living Thearpy

    Hi Foot Levelers ,
    Hi Dr. Benjamin Martin ,I agree with you this was a excellent informative post you have shared on this page about the lower back pain at night near a spinal cord , but there are a few that you should stay away from. Two of the worst ways to sleep for those who suffer from lower back pain at night are on the stomach and on the side in curled up in a ball. However you sleep best, there are ways to enhance your sleeping position to restore proper alignment to your spine.

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