I have Psoriatic Arthritis and the impacting had on my feet / toes has been the worst. I have dropped my rating from 5 to 4 stars, but overall I still highly recommend these headphones. The sound is very good under water and they are comfortable to wear while swimming since nothing is stuck in your ear. If you are thicker in the middle, it will take you about a month to see results. These shoes were higher in the heel than described. That feeling of theyre going to fall off! Im normally a size 7-7. These luxury black and white swabs are already a big hit with two different guests who have stayed over. (See my picture attached)I returned the 9. It is just barely useable.