RAKUNA orthopedic pumps, made in Japan, with a comfortable 4E width and stylish design. - Brand: RAKUNA - Model: Orthopedic Pumps - Size: 24.5cm - Width: 4E - Country of Manufacture: Japan Thank you for viewing. I purchased these, but they were too small and I haven't worn them. I only tried them on indoors, so there is no sign of wear, but I have attached heel blister pads to the upper part of the heels. They can be easily removed.