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8/23/2019: The Ecco Biom Hybrid has the most comfortable sole to reduce the peak axial load while walking. These are intended for golf. The rubber “spikes” produce a cushioning effect better than other brands.

I went away from them for about a year and now returned with much less discomfort for not only golf, but walking and activities of daily living.

Since my knee arthritis is only medial I also use the green 5 degree medial wedged insoles.
www.drlannysinsoles.com

In addition, I replace the Ecco insole with my neutral balance cushion insole for the maximal cushioning effect.

CAUTION: Care must be taken not to catch the “spikes” on edge of stairs or other objects.