A forefoot wedge insert, and methods for forming same, are described for a piece of footwear, such as but not limited to ice skating boots, or a shoe, such as but not limited to exercise, therapeutic, or physiological footwear, for correcting a pronation and/or supination condition wherein the insert permits the subtalar joint of the affected foot to be placed and/or maintained in a neutral position. In this manner, the insert can provide the corrected foot with adequate balance relative to the skate blade during typical ice skating maneuvers. Also described is a skating boot, or shoe, having an adjustable toe cap portion that is selectively operable to be raised up to accommodate the uplifted forefoot portion of the wearer when the forefoot wedge insert is being used.