The purpose of cushioning feet, preventing them from aching or hurting is definately done with these great cushions. I personally perfer not to have anything between my toes and just place the cushion where needed. I find if I place it outside my sock, it sometimes slips from the intended area. Inside my sock, it usually stays where it should. I guess you could velcrow or fasten it in some way, if you wore them with socks always.
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https://www.amazon.com/Metatarsal-Pads-Cushions-Forefoot-Insoles/dp/B076VQJKQB