- Place in your shoe under the heel of your foot. - Trial placement in the shoe before removing the protective film. - Ensure the cushion sits in the heel area with the larger rounded end at the back. - Peel protective film off cushions and apply to the shoe sticky side down. - Reposition if required, ensuring the cushions are in the same position in each shoe. - Take care when removing, pull slowly and gently out of the shoe, applying pressure to the shoe insole next to the cushion with the other hand. - Replace after 6 months or first signs of wear.