So, so hard. I wanted a stiff sole but these really hurt. Even with my orthotics. They also slip like crazy even though I bought the correct size. The toe has a bit of a dip that bumps my big toe which has arthritis and happens to pop up a bit. Really nice, shoe, though. Looks like a bowling shoe and, as a younger woman with terrible feet, I like that they look not exactly orthopedic. Too bad. Really hurt after a short period of time. I was really optimistic about these. Theyre Medicare approved. Boo.