The shoes arrived ahead of date given.  They fit as expected and had several ways to adjust the fit both at the heel across the top of my foot and the toe width.  They have 3 inserts that can adjust the interior fit of the shoe.  For my non affected foot the shoe was a dream...like walking on a cloud.  For my affected foot and ankle I found the inserts were not firm enough and I had to add a firmer insert to support my arch and heel