Adjustable orthotic

A shoe insert for placement on an inside surface of a shoe comprising in combination:

• a shoe insole formed of non-compressible sheet of deformable synthetic organic thermoplastic resin having a thickness of up to 50 mils and being shaped to fit over said inside surface of a shoe, said sheet having memory to permanently retain a deformed shape and said sheet having a continuous, smooth, seamless upper surface and having a bottom surface;
• and
• the bottom surface of said sheet including a layer of first fastening material selected from loop fabric or hook fabric and
• a plurality of cushion pad elements, each containing a layer of resilient compressible, cushioning material and each having a top surface including a layer of second fastening material releasably engageable with said first fastening material selected from loop fabric or hook fabric, said elements being attached to said layer of first fastening material and at least one of said elements containing a thicker layer of cushioning material whereby when the insert is placed on the inside surface of a shoe, said elements compress under the weight of the user, the sheet deforms in the space between the elements and at locations where adjacent pad elements differ in thickness and retains a deformed shape when the force from the user's weight is removed to selectively modify the elevation or pitch of said insert relative to said inside surface of said shoe.