- When you do the final tightening with the wrenches, dont over-tighten - snug is enough. It has been several weeks of torment and no relief. One of the better orthopedic shoes I have Its not a big enough difference to look bad, but is an important note if that matters to you. Not user friendly but very protective Cute little durable case and extra ear piece so you can listen to music in stereo. Wore these for 10-11 hours for our daughters outdoor wedding and indoor reception. It?s not worth it! Instructions were not clear. Ill follow up with this review in the coming days / weeks.