Premium Heel Wedges align the position of your heels in shoes, reducing shoe wear, stabilizing the heel, and alleviating sore heels and ankles. Insert Premium Heel Wedges into shoes to correct pronation or over supination and increase ankle stability. An adhesive may be used (not supplied) to fix the Premium Heel Wedges in place, or you can slip them beneath shoe insoles. Premium Heel Wedges conform to the shape of shoe heel contours and are intended for use in enclosed shoes. Made of firm, natural rubber beveled to a slant with a tan leather top cover to help the rubber wedge stay in place. Right and left are marked to be used on the medial aspect of the heel, but the wedges may be reversed to be used on the lateral side. 1 pair per pack. Although sizes may vary we recommend the following: Small for women's sizes 5-7 Medium for women's size 8-10, men's size 6-8 Large for women's sizes 11-13, men's sizes 9-11 Indications - Premium Heel Wedges are used in the treatment of pronation, supination, and poor heel alignment. Conditions that may be treated with Premium Heel Wedges include arthritis of the foot and ankle, ankle sprains, flat foot, PTTD, and knee arthritis. DIRECTIONSPlace inserts in footwear with the “wedge” facing downward and the rounded end positioned snugly in the heel area of each shoe. If desired, scissor-trim for a custom fit.Placement InstructionsTo limit pronation, place the thicker side of the heel wedge under the medial (inside) side of your heel.To limit supination, place the thicker side of the heel wedge under the lateral (outside) side of your heel. Here's a link to our return policies and procedures. SKU#: M950 950