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Birkenstock footbeds are contoured in the shape of a healthy foot, which ensure proper weight distribution to help support the foot's natural shape and structure. However, some people with medical conditions such as Plantar Fasciitis, shin splints, arch pain, metatarsalgia, neuromas, arthritic conditions or other foot, leg or lower back pain may benefit from having a custom Birkenstock footbed made to the shape of their own feet.