use ONLY these shoes to work in--  i own a child care business so i'm on my feet alot plus need the added support & other benefits of the stability walker--  like most propet products (i've got a number of different styles), they all enable orthotics to be used with or without at least one of the 2 insoles that come with their shoes.... get a size large enuff to accommodate your orthotic PLUS the shock absorber insole; just remove the liner insole that has no support, etc to it and you'll be alot happier!  without the shock absorber insole.... well.... it's NOT fun!  also, LOTS of toe room--  i went up from a 7 1/2 reg width to an 8 wide width (also use athletic socks) and it's perfect!