went back to work after being home for years. 1st 3 weeks on job tried 2 different pairs of shoes and 2 different inserts (gel and orthodic), but still was in awful pain after 8 hr shift that often cried on way home. shooting pain and toes numb, could barely walk after 30 min drive home. while these shoes are definately not pretty, despite having arthritis in my feet and one ankle, my feet do not hurt as much--at leat 75% improvement. thanks