This wedge shoe is very nice and seems to be well made.  I have RA which has changed my feet somewhat.  I wore a size 9 in all brands except Skechers I wore a 9.5.  I have been struggling to figure out what size of shoes I now require.  I have increased my shoe size to a 9.5 so that is what I initially ordered in this shoe; a 9.5M.  Wore them around the house for about a half hour and they were comfortable and seemed to run true to size.  When I took them off I noticed they were starting to rub slightly on the outside of my little toes.  If not for my RA I believe they would have been a perfect fit.