I ordered this for my Mom because she has a Hammer toe that causes her a lot of pain. While this is painful at first after she has worn it a lttle bit it seems to be helping some. I think it will just take some getting used to and getting it in the right place. It fits really tight which I think is causing more pain. My mom has a very small size 5 foot and these are tight so if you have a bigger foot/toes you will not like it bacause it is going to cut off your blood flow. WE will keep working with it and seeing if we can get it to help more. This packages does come with 4. #RankBoosterReview #Sponsored #Zinnor https://www.amazon.com/Pack-Straightener-Protector-Spacers-Alignment/dp/B078LRRL6H?th=1