Soft, T-shaped metatarsal pad. Provides support for the latitudinal arch and metatarsus to help prevent and alleviate symptoms of splay foot. Covered with natural, breathable leather. Self-adhesive. Available in the following sizes: Small (35-37), Medium (38-40), Large (41-43) & Extra Large (44-46) How to use- The pad should be situated just behind the toe joints. To find the right position inside the shoe, remove the self adhesive backing a little and place the pad inside the shoe, then put on the shoes and walk around. If the pad does not feel comfortable, re-position it and try again. Once it feels comfortable, completely remove the release liner so that the pad securely adheres to the insole in your shoe. Foot conditions- MetatarsalgiaMorton’s NeuromaBursitisCapsulitisSplay FootForefoot Pain