VIVA is a full length leather orthotic insole, German hand-made elegant, durable and high quality vegetable tanned cowhide leather. VIVA has a "universal" foot bed for all shoes and boots. The orthotic features a semi-rigid longitudinal arch and plantar vault, a built-in orthopedic metatarsal pad for the latitudinal arch (metatarsal) and a substantial heel cushion. The orthotic is has breathable natural leather tanned with herbal extracts to create a healthy climate inside of the shoe or boot. Highly effective, purifying active carbon filter works to prevent foot odor. Awarded the American Podiatric Medical Association (APMA) Seal of Acceptance for promoting foot health.