I've worn Orthaheel shoes and insoles exclusively for several years.  I have a medium/wide foot, so most of the medium widths are too narrow.  I was thrilled when I saw that this shoe ran large.  I am closer to a size 10.5 (euro 42) but always purchase an 11 - primarily because a 10.5 is nearly impossible to find. This shoe in a 11 fits like it was made for me!  The length does not seem long and the width does not seem overly wide - wider than a Narrow width Birkenstock, but not as wide as a Regular width Birkenstock.

I prefer Orthaheel  by Dr. Weil because. though a little more expensive, the quality of the materials used is so much better than the basic Orthaheel (ie: real leather).  But only in 1 pair of sandals could I find a width to fit. Most of his sizing is a true Medium.

Due to knee, leg and back problems I always wear shoes inside for the support, but slippers just don't hold up and I won't wear my regular street shoes in the house.  These are the perfect house shoes!  I also just found Dr. Weils Deva Clog which seems to have a similar footbed that will be great for out and about.  I just ordered 2 pair.
(http://www.amazon.com/Dr-Weil-Orthaheel-Deva-Black/dp/B007BTM7QS/ref=sr_1_1?ie=UTF8&qid=1356392461&sr=8-1&keywords=deva+clog)

As far as style - I got over that a long time ago.  Being pain free will do that to you!  But I think these are adorable!