For modification the insole may be taken out. The patented design on the wedge obtains an off-loading mechanism The OrthoWedge® Off-loading Shoe is especially designed to defend the forefoot by removing the vast majority of stress through the metatarsal head and digits in the weight-bearing portion of the gait cycle. https://medwalk.bloguetechno.com/diabetic-slippers-in-chennai-for-dummies-62223360