We designed Dr. Scholl’s Stylish Step Ball of Foot Cushions for High Heels specifically for women who experience ball of foot pain when wearing heels. These discreet cushions stay firmly in place and absorb shock for all-day comfort. The package includes one pair of cushions. Dr. Scholl's has been a trusted brand in foot care since 1904 when Dr. William Mathias Scholl, grandson of a cobbler, launched the company under the name Dr. Scholl Inc. 1- Wipe inside of shoes clean. 2- Remove plastic backing and place ball of foot cushions in the forefront of shoes, with straight edge below toes, gel waves down. Replace after 6 months or at the first sign of wear HSA/FSA EligibleRestrictions apply; contact your insurance provider about plan allowances and requirements.