Abstract: An orthotic positioning apparatus includes a shoe having an interior and an exterior upper. The exterior upper includes a perimeter edge defining an elongate opening extending between a toe box and a foot opening. An insole is removably disposed within the interior and includes a toe area having multiple resilient toe separator elements projecting upwardly from a top surface of the insole along an arc. When the insole is disposed in the interior of the shoe, the resilient toe separator elements are positioned in the toe box and configured to separate adjacent toes of a user. A top edge of a cover is pivotally coupled to the toe box and configured to cover the elongate opening. The cover selectively pivots upwardly such that the elongate opening exposes the resilient toe separator elements.