The first two weeks in the pair
Day one is not an eight-hour test. Wear them for a portion of the day in the shoes that have enough depth, then come out of them if a new hot spot shows up. A hot spot is information about the shell or the shoe, not a character test. Call rather than layering moleskin for a month and deciding orthotics “failed.”
Look at the old insoles you removed. The wear pattern, heavier on one heel or one big toe, is part of why a custom shape was even considered. If both shoes are worn evenly and the pain is a disc with leg weakness, we should not have made the pair. That mismatch is on us to catch at the exam, which is why the shoes come to the visit before anything is ordered.
Running, a long shift on concrete, and dress shoes are three different loads. A pair that is comfortable in a sneaker can be miserable in a flat. We will say which shoes are realistic. We will not promise the pair works in every shoe you own, including the ones with no removable liner.
Recheck when the pain they were built for is either clearly better in those shoes or clearly not. “Well over a year” is how long the materials usually hold shape, not how long you should wait to complain. If the heel is worse, stop wearing them and come back. Continuing to prove a point is how a helpful device becomes an irritant.
Socks, volume, and a shoe that was already tight are the boring reasons a good pair feels bad. If you add a thick sock on day three, the fit changes. Tell us that before we reshape anything. Children and people whose shoe size is still changing are a poor time to lock in an expensive shape. Say so if that is you. We would rather delay the pair than deliver something you outgrow before the break-in ends. None of this is a price. Ask the office what a pair costs for your case when you book. The number is not on the website.