They are less orthopedic looking than the older Shape-Ups.  They came with two pairs of shoe laces one black pair and one pink pair.  I love them.  I have six different pairs now.  I've been using Shape-Ups since the last year.  I didn't wear them the last two days and my back was aching and my feet were tired.  I usually use them everyday to work. The first time I wore Shape-Ups I felt my legs a bit sore like I had exercised.  I am on my feet all day and walk quite a bit everyday all day.  After a few days I got used to them and when I don't wear them I feel the difference.  I got others at work hooked on them too. I highly recommend them.  After a car accident my back specially the lower back would be in such pain I had to take pain meds everyday after work.  Since wearing Shape-Ups that decreased to pretty much zero pain.  I haven't toned up or lost weight.  I know that takes watching your caloric intake,fat intake, healthy eating and exercise to burn the extra calories your body doesn't need, but they have made a difference in my life when it comes to my back problems.  They have alleviated the pain and that has made my life more enjoyable.