Powerstep has taken their best selling arch support - the Powerstep Pinnacle - and added a metatarsal pad for extra cushioning to the forefoot plus metatarsal heads for ball of foot pain relief; it brings that perfect mix of added comfort and stability to the already great Powerstep Pinnacle. This strong, medical-grade foot support is accepted by the American Podiatric Medical Association and is ideal for athletic, dress, and casual shoes and boots.