This shoe was recommeded by my physical therapists.  It has arch support and is perfectly proportioned for feet that generally wear sneakers with custom made orthotics.  The thong between the toes is very gentle and does not hurt (I have never been able to wear this type of thong because it hurts between the toes).  It is expensive, but worth every penny of it.  I can even walk around in the house in this and my feet don't hurt.