A patient of mine recommended this shoe.  I am on my feet all day and recently they have been aching by the end of the day.  I always notice shoes on my patients and we got to talking about the Orthaheel which she highly recommended.  I gave them a try and am quite pleased.  I normally wear an orthotic inside my shoes but they didn't seem to be doing the job.  I also like the looks of the shoe and that they don't look "frumpy" like so many ortho shoes do.