I purchased these shoes to help with my plantar fasciitis.  The ONLY thing that has permanently helped the pain (for me) is strengthening the foot by running barefoot (yes, without shoes, on a treadmill) and applying ice 1-2 times per day.  However, it is nice to have supportive shoes for work and around the house, when I'm not able to self-correct my foot positioning.  I already own a pair of Orthaheel sandals and clogs, so I've been very pleased with their arch support and pronation control.  These shoes are different from these others, in that the orthopedic insert is removable, just like a traditional athletic shoe.  The sole/insert of this shoe isn't as cushy and forgiving as the one-piece sole of their sandals/clogs; and the arch support isn't nearly as high. Personally, I wish this shoe had better padding, both underneath and surrounding the foot, slightly more arch support, and more mesh on the uppers to increase breathability. I would have given these a 3 star rating, because I would expect more comfort from such an expensive shoe, but I've found they are so good at correcting my gate/stance that I can overlook the padding just a little.  The planar/pronation control footbed essentially forces me to stand/walk correctly-- it's easy to still "cheat" sometimes with the sandals, clogs, and orthopedic inserts-- so I have to give these shoes a 5 for their therapeutic benefit.  All things considered, a 4 seems fair.  My only hope is that Orthaheel will put a little more effort into the comfort and design of their future shoes, as I will definitely be looking to buy more.

UPDATE: I still love these shoes.  They have been the only pair wide enough to accommodate my orthotics (which did NOT actually do much for me) without bending the side arch, and the shoes helped my plantar fasciitis quite a bit.  Unfortunately, my foot pain lingered at a 7/10.  After trying MANY more things/shoes, I finally found that my pronation and achilles tendon were ALSO causing me foot pain.  I began stretching the back of my achilles/hamstring and arch with a yoga strap every night before bed, and this brought down my foot pain to a 3/10.  What finally brought me back to 100% were DANSKOS, of all things!  You absolutely CANNOT pronate in Danskos without breaking your ankle.  Fortunately, I have strong ankles, so problem solved.  My pain is now, FINALLY, a 0/10!!!

I also heard that alternating shoes/footbeds will strengthen your foot, so I switched to Crocs at home to pad the foot and strengthen my super high arch.

Let me tell you, I'm on my feet all day long, and I WAS IN AGONY.  I would cry sometimes, they hurt so bad.  Danskos, Crocs, and a yoga strap brought me back to normal.  Hopefully I can save someone a LOT of money trying out different shoes.  Also, the black-inside Danskos have better (amazing) padding, and the used ones are every bit as good as the new ones.