An insole for an orthopedic device includes a top portion including at least one top layer. The top layer defines a top surface arranged to be substantially adjacent a plantar surface of a user's foot. A bottom portion is connected to and arranged opposite the top portion. The bottom portion includes at least one bottom layer. At least one removable element is arranged for removal from at least the bottom portion for defining at least one opening below the top surface. The top surface continuously spans over the at least one opening arranged for off-loading one or more affected areas of the plantar surface of the foot.