Ideal for high arch and forefoot support and pain relief. Includes a shock absorbing heel cushion and thin design to fit comfortably in most shoes and boots. The Vivaâs bio-mechanical design provides firm support for the entire foot. The Orthotic gently shapes your foot to insure proper longitudinal and forefoot arch functions. The finest, vegetable tanned leather with an active carbon filter protects the shoe from the build-up of odor causing bacteria.