The Pedag STEP Arch Cookie is a self-adhesive, in-shoe arch support insert designed for most shoes (not for use in sandals or flip-flops. Relieve pain in the arch by positioning Pedag STEP Arch Cookies wherever it feels comfortable. Just peel and stick. Made of a resilient, inch-thick, polyurethane foam wedge covered with a genuine leather top. Medium firmness and long-lasting. Fits in most shoes, including dress shoes, loafers, and flats. Latex-free. Choose from four sizes. By Pedag. 1 pair per pack. Indications - The Pedag STEP Arch Cookie is used in the treatment of arch pain, posterior tibial tendon dysfunction (PTTD), and pronation. Sizes Small: 3.3125” long x ¾” high and 2.125” wide Medium: 3.875” long x ¾” high and 2.3125 wide Large: 4.375” long x 1” high and 2.625” wide X-Large: 4.75” long x 1.25” high and 2.75” wide Here's a link to our return policies and procedures. SKU#: M944 944