An orthotic device has a readily adjustable variable forefoot posting system. In some embodiments, a generally planar plate is pivotally coupled to a foot-receiving shell. The plate is generally under the arch and not in contact with the supporting surface when in a neutral position. Along the plates perimeter are raised regions that can be deployed into position as a forefoot post via pivoting the plate. In some versions, adjustability is via a sliding motion. Some areas have a greater height than others do and these raised areas or protrusions can be set at either an inner side or an outer side. Depending upon the shape of the ridges on the plate and the plates pivoted position, a range of tilts can be variability provided. The plates can be part of an interchangeable system providing more options. Professional versions can have a greater range of settings than consumer versions. Folding versions and telescoping versions are also disclosed.