I wear a 10, narrow or medium (due to slight bunions), depending on brand. I used to wear an 11 until shoes started running large. Anyway, these in a 10 medium fit great, so I would say they run a little narrow since they work for me.  I also have a high instep, and I have no problem lacing them up. I like the cushioned heel counter, since I have a narrow heel as well. They do not have arch support, but since I have Dr Comfort custom orthotic inserts, that is not a concern. I can wear them all day shopping with no foot fatigue. My only comment on the style is that they could be a little fashion forward. They are a little matronly appearing, if you ask me.