I love love love these shoes.  Ive never seen this lace/Velcro combo, so easy yet tight fitting and supportive.  The tongue is also very nicely padded, adding to the support on top of my food, necessary for the arthritis in my foot.  It includes a decent arch support on the removable insole, and two additional insoles:  one 1/16 thick, one 1/8 thick, for adjustable depth and fit.  I have added an additional arch support under the insole, no problem. This shoe is much better than the Dr. Comfort extra depth shoe I wore previously.  I have a bunion and neuropathy plus arthritis, but now I can walk comfortably.