New in box. Works for moderate foot drop. The foot wrap is available for another 30 dollars so it works with laced up shoes, sandals, and bare feet. see link for further info https://www.amazon.ca/Ossur-Foot-up-Brace-X-Large-Black/dp/B00302U04G/ref=sr_1_1_sspa?dchild=1&keywords=ossur+foot+up&qid=1631376696&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEyODczQk9PRlRIVVMzJmVuY3J5cHRlZElkPUEwODYyMjQ0MzU5Vk80R084Q1BCOCZlbmNyeXB0ZWRBZElkPUEwMDM3Mjk1Mk03T0cyM1NNMlc0OCZ3aWRnZXROYW1lPXNwX2F0ZiZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU=