The black plastic nodules can be moved to different parts of the stretcher to suit your requirements including increasing toe space by lifting the toe box area

Pedifix Ribbed Digital Caps -L/XL (#PF1051)

Two Loops for Better Spacer Positioning

Ideal for climate membranes

Ralyn Diabetic Socks - Crew (#RDS) - One Pair

Pedifix Metatarsal Shoe Cushions #PFP90 Vibram The black plastic nodules canPedifix Metatarsal Shoe Cushions #PFP90 Just place these durable foam cushions in shoes to instantly absorb shock and reduce pressure on the ball of foot area. Adhesive backed pads help prevent calluses and stop feet from sliding forward in shoes. Extra protection for thin soled footwear. Comfort and Protect Ball of Foot Absorb Shock and Prevent Calluses Keep Feet from Sliding Forward