Brand new, Open/Damaged Box VIVA HIGH Pedag Viva High Semi-Rigid Support for High Arches with Metatarsal Pad Size: 41 (11 L / 8 M) pedag VIVA HIGH provides special foot support made of vegetable tanned leather with an extra high longitudinal arch support for high arches. A full length orthotic insole, German hand-made elegant, and durable. VIVA HIGH can fit all shoes and boots. The extra high longitudinal arch support of pedag VIVA HIGH cushions and supports the foot and keeps it in the right position. Anatomically shaped heel cushion absorbs the impact shock. The metatarsal pad prevents the creation of a splayfoot and alleviates its symptoms. The fine and breathable, vegetable tanned, cowhide surface and the active carbon filter provide an optimal climate inside the shoe. Awarded the American Podiatric Medical Association (APMA) Seal of Acceptance for promoting foot health.