Lightly padded for extra comfort, this casual shoe is as supportive as attractive. The Annie provides pressure relief, superior all-day comfort and features a breathable and stretchable Lycra upper with leather trim. Nice and roomy, the contact closure design gives you the opportunity to custom fit the tightness for your ideal comfort. Indications include foot problems associated with: Diabetes Plantar Fasciitis Corns Calluses Swollen Feet Osteoarthritis Rheumatoid Arthritis Bunions Hammer Toes Morton's Neuroma Injuries involving tendons, muscles, and bones (e.g. Achilles Tendonitis) Dr. Comfort Technology: We use the best technology, material, and craftsmanship in construction to deliver comfortable and top-quality diabetic shoes. With thorough designs, shoe modifications, 3D technology and more, Dr. Comfort shoes can protect your feet against the complications of diabetes. Gel Inserts: Gel insoles come standard in Dr. Comfort shoes. The inserts provide comfort and stability, shock absorption and additional support for individuals with medical conditions like arthritis and diabetes.Fitting tips: This shoe has a Lycra upper and is designed for patients with hammertoes and bunions. Lycra is a stretchable material and can make the shoe feel quite roomy. If you feel this shoe is loose, we suggest you order it one width narrower to achieve a more comfortable fit.Footnotes: Please remember you should not normally want to fit your diabetic patients either shorter or narrower than measured. However, by following these instructions, you will achieve a fit comparable to the other shoes in our line. It is also important to remember that when you are fitting patients that have narrow heels, it will be easier to accommodate their needs with a lace shoe.Recommendation: Width narrower.