I have bilateral hip replacements and need as much support as I can get.  The Vasque 7167 hiking boot is the superior footwear for me.  They are the only shoes/boots I can wear and not have terrible leg cramps at night.  I wear them from the moment I get out of bed until the moment I'm ready to get back in the bed at night.  They are the bomb for gardening on my hillside.  Last weekend I wore some other orthopedic shoes to go clothes shopping, and I paid the price for not wearing my Vasque boots.  They are super comfortable.  I do not need my orthotics when I wear these boots.  I order my usual size and there is room to wear thick socks if I choose.  I even get compliments on them when I wear them with dresses (and I tend to feel silly in hiking boots with a dress!).  I am looking to buy my third pair of these boots.  With all the physical problems I have, a recommendation from me is a real good thing.