pedag® VIVA® SNEAKER is a full length orthotic insole, German hand-made elegant, and durable. Made of natural, durable cotton terry and sisal fibers provides comfort for hot and tired feet. Air circulates and feet stay dry and comfortable. The pedag® VIVA® SNEAKER has a universal foot bed for all shoes and boots. The orthotic features a semi-rigid longitudinal arch and plantar vault, a built-in orthopedic metatarsal pad for the latitudinal arch (metatarsal) and a substantial heel cushion. Awarded the American Podiatric Medical Association (APMA) Seal of Acceptance for promoting foot health. Hand made in Germany from natural materials.