I have a lot of foot trouble due to past operation on foot, I have not worn these yet for a long period of time but wearing them just around trying them they did not irritate injury or leave pain. I ordered a second pair just due to this so far I love them!!!! UPDATE!!!! tried wearing them to a function, at first they were comfortable around in the house..outside not at all, every stone or crack is felt through the bottom, the top tightens with every move until it is unbearable..could be that both shoes were marked same, but I had a friend try the right shoe (she wears one full size smaller than I do) guess what it fit her perfect, left shoe big just like mine would normally. I believe these were sent with the right being smaller size than the other. I have no answer I returned these, will be returning the other pair of these I ordered and will never order these again. My personal feeling is the tops tighten with every step..the souls are cheap and you feel every little stone etc. through them, there is absolutely no arch support. I personally feel these shoes are best left in the store on the shelf..nice to look at, expensive to buy..and a nightmare to wear.