Futuro Therapeutic Arch Support Moderate - 1 pr. Helps relieve foot, arch and heel pain. Removable arch inserts provide custom support. Helps provide relief from foot, heel, or arch pain associated with plantar fasciites. The arch straps, which contour to the arch of the feet, include two flexible inserts to allow for customized levels of support. Wear all day or as needed - with or without socks and/or shoes. Straps should be worn with inserts on both feet, to ensure proper body alignment. For left and right foot, this support has been designed with an adjustable strap in order to create a customized fit for most body types. Measure instep circumference. Directions: Open the hook and loop strap and place the support so it comfortably rests under the arch of the foot (the foot icons should be placed against the inside of the arch). Secure on the top of the foot with the hook tab. Use the hook tab to pull up on the arch. Match foot symbol on strap to foot symbol on insert. It's recommended to wear the straps for 4 hours the first day and gradually increase 1-2 hours per day thereafter. After 1 week, if you feel you need more support, switch to the dark blue insert and follow the gradual wear time again. To wash, remove the arch inserts and secure the fastener. Hand wash with mild soap in warm, (not hot) water. Rinse well and air dry. Active Ingredients: Inactive Ingredients: Nylon; Polyester; Polyurethane Foam; Polypropylene; Spandex Warnings: If discomfort or pain results, persists or increases, discontinue use and consult a physician.