I am using these shoes with prescription orthotics and bought them specifically because they come in wide sizes. Also, I have to have shoes with a removable insole.These shoes don't have much of an arch,if any, in the removable insole.  It has taken me a while to get them to the point where I could wear them very regularly because they are not as wide as I was hoping. I wore them only around the house for several days.  stilI have to wear them very loosely laced which isn't  so great, but not a big deal.  I wish the toe box were a little wider. I think most people with arthritic feet need that extra room for their toes whether they have orthotics or not.  The best thing about these shoes is that my daughters both commented on them because they like the look and the colors!