Before you send in your orthotics for an adjustment please check first:
Are your shoes worn or streched? Replace shoes and test.
Do you feel like you are coming out of the shoe? Wear the orthotic between the hoseriey or sock and foot to keep orthotic in the proper postion.
Have your feet suddenly started bothering you in certain shoes? Remove the shoes insoles and cut out the parts that may be interfering in the proper positioning of the orthotic or replace insole with a flat cushioning insole.
Do you have the orthotics in the correct shoe? Little dimple always goes to outside.