Orthaheel Gel Heel Pain Reliever relieves pain associated with plantar fasciitis, heel spurs and bruised heels Did you know? More than 70% of people in the world have got a tendency for their foot to roll-over inside, and gradually flatten? As the foot flattens out on the ground, the supporting tissues that run along the bottom of the foot (the plantar fascia are stretched. If these forces are excessive they can lead to stress and inplammation of the tissues, causing pain under the heel when weight is placed on the foot. Pain in the back of the heel can be caused by inflammation of the tissue that connects the calf muscle to the heel bone (Achilles tendon). The pain can result from the position and movement of the foot causing the tendon to be stretched. Size Guide: Small: Men: 4 - 6 Women: 3.5 - 6 How to use Orthaheel Gel Heel Pain Reliever: Before usage, make sure the product is comfortably accommodated within the shoe: if necessary remove the existing insole. If any discomfort occurs, remove the orthotics for one to two hours, then wear again and repeat until comfortable. If pain persists, discontinue use and consult a porfessional for advice. For best results, replace every 12 months.