Dr Comfort Marla is a lightweight, machine washable, women's comfort shoe with a flexible upper to to allow for bunions, hammertoes and other diabetic foot complications. Extra depth Insole can be removed to accommodate your own custom orthotic Insole has a supportive polyurethane layer Stretch lycra fabric vamp Two-way contact closure hook-and-loop straps with a large amount of adjustability to cater for a variety of midfoot heights or swelling Padded heel and tongue Double depth Firm sole with a slight pitch Firm heel counter with a raised ankle collar Machine Washable Suitable for diabetics, bunions, hammer toes, planter fasciatis, swollen feet, osteoarthritis, corn, callouses rheumatoid arthritis, moreton's neuroma and other diabetic complications