Brand new in box Siena boots from Orthofeet. These come with the spacers and arch booster as shown. Size is 10W as shown. This cute leather bootie keeps busy days pain-free, with adjustable Ortho-Cushion™ System support to enhance your mobility. The zipper on the inner side of the boot makes them easy to get on, while the strap and stretch gore on the outer side adjust a perfect fit that flexes with you. Siena protects feet in a healthy space, with padded interior, extra depth and a roomy toe box. Soft faux fur collar keeps ankles comfortable & feet warm.Soft water repellent leather upperZipper closure on the inner (medial) side for easy on & off Adjustable strap over stretch gore – a secure, pressure-free fit for a wide range of foot shapes, flexible and stretchy gore moves with youSoft, padded fabric interior Wide toe-boxRemovable Premium Orthotic Insole Ergonomic SoleExtra depth & included fitting spacersSlip Resistant Sole