These shoes have wide box so he is able to stretch his feet more and and not have the top of the shoe compress into his feet especially when they swell from the gout flare ups and attack.
These shoes are great because he has to use a cane and walker and he ends up having to drag his foot because sometimes it hurts to bad to actually walk on it.
These shoes have good grip and that is what I wanted for him so he would not slide.