I have fibromyalgia, as well as serious orthopedic issues. I believe I bought my first pair of Elka in 2003. The only
shoes I took to London where these and a pair of trainers. The Elkas were better than the trainer; I walked for hours at a time. I have 6 pairs now, including (thankfully) colors that have been discontinued. I'm hardly a fashion plate, but I have received so many compliments on these
shoes, which I think are beautiful on the foot. The only adjustment I've made is to tight the forward strap. I also like how the ankle strap is over the top of the foot, not touching the ankle. It's more flattering, and if your feet do swell, you won't have the strap cutting in. I wear these from May through October (in Chicago), and wear them to business meetings and dressy occasions. In addition to the excellent arch, the heel cup makes a tremendous difference. Both my chiropractor and my orthopedic surgeon state Mephistos are excellent for people with bad backs, hips and knees. (The other brand is
Dansko, which the surgeon wears in the OR.) This is a great shoe to have around for after knee or
hip surgery, when you aren't able to put on socks or tie
shoes.