I have several neurological issues, including, poor balance and a total right knee replacement. I also have high arches. This walking shoe supports good balance; provides comfort and good arch support; and leaves enough room to add an orthodic. However, I would recommend that the next style of this shoe not have a buldging tongue. When you tie this shoe the wide tongue sticks up and reads, "Orthafeet" -- not very flattering, especially with shorts or straight-leg pants.