Powerstep Pinnacle MAXX - The Podiatrist's Prescription for Pain Relief!® - Powerstep Pinnacle Maxx, the next generation of foot orthotics, features the Heel Secure Comfort System(TM), a uniquely designed heel that offers a deeper cup and an expansive micro thing platform, mildly angled for maximum support. By providing medical grade control for the heel rolling in and arch lowering or overpronation, Powerstep Pinnacle Maxx has been shown to reduce pain even in the ankle, knee, and lower back. Pinnacle Maxx combines this System with the comfort and spring that allows the foot to function naturally. **** Powerstep Pinnacle Maxx is the orthotic of choice for motion control and stability shoes. It also relieves pain that occurs during on-the-job standing, walking and high intensity sports involving running and walking. The prescription like orthotic with the Heel Secure Comfort System(TM) is sealed in two layers of foarm with a durable EVA antimicrobial fabric for unsurprassed comfort and pain relief. **** Directions: Remove shoe insoles, if possible, and replace with your Powerstep Orthotics. Trim edges if needed to fit. If necessary, wear a few hours a day until feet are accustomed to better support, then wear full time.