i have worn them for about 5 yrs for to help with hypermobility/bad knees. Mine were made from platercast moulds taken of my feet. Through discussion with the podiatrist we agreed that I would get them ‘raw’ rather than with a coverin, so they are just that, hard plastic inserts that go from heel to in front of arch on inside and a bit shorter on outside. Spent quite a bit of time with him looking at my Spesh riding shoes and playing with varus wedges and footbeds. Ended up with no additional varus wedge over the inbuilt Spesh one, but blue footbeds, rather than std, which fairly closely replicates what the orthotic does to my foot