I have joint problems in the ball of my foot. I have worn many differenct brands of diabetic shoes during this time, and always with an orthodic insert. But this one will do the job until I’m ready to upgrade. -Call Quality: Not great but not horrible. The Teva Pivot are very good, well made shoes. I would recommend them to fellow musicians. and i love the colors and the design. Clean sound. Muy cómodas, pero debes de tener los pies perfectos, ya que cualquier defecto se nota mucho, y todo y que transpiran cuando hace mucho calor no son muy agradables de llevar y cuando hace frío tampoco, o sea son para una época del año determinada. At first around town they seemed ok but as soon I drove down the highway the crossbars broke!