Why does footwear space matter?
A gel pad reduces pressure only if the shoe has enough room to accommodate both the foot and the product.
If space is limited, even a soft protector can increase pressure elsewhere.
How should a toe protector fit?
It should sit smoothly around or between the toes without feeling tight, cutting into the skin or forcing neighbouring toes against the shoe.
The toe box should remain wide and deep enough for natural toe position.
Should gel products move around?
No. They should remain in their intended position during normal walking. A product that twists or migrates can stop protecting the target area and may create a new edge pressure.
What if the shoe feels tighter after fitting the protector?
Do not compensate by forcing the foot into a shoe that has become too tight. A wider, deeper or more adjustable shoe may be required.
How should forefoot pads fit?
A forefoot sleeve or metatarsal pad should lie flat and should not form a ridge beneath the ball of the foot.
If the device is designed to sit behind the metatarsal heads, positioning it too far forwards can make symptoms worse.
How should a heel cup or wedge sit?
The heel should remain centred on the device and fully contained within the shoe. The footwear should still hold the heel securely rather than allowing it to lift out.
What socks work best?
Smooth, correctly fitting socks can help reduce additional friction. Seams should not sit directly over the area being protected where this can be avoided.
What should you check after walking?
- the product has not moved or folded;
- the skin is intact;
- there is no new rubbing at an edge;
- the shoe still fastens securely;
- the toes are not compressed.
Important: Severe pain, numbness, broken skin or persistent marked redness should not be treated as normal 'breaking in'. Remove the product and reassess the fit.

