Therapeutic Shoes

Orthoses, Walkers and Bandages

Positioning Devices

Insole Systems and Accessories


HeelWedge Off-loading Shoe HeelWedge®
Off-loading Shoe

Movies Orthopaedic Devices, Orthopedic Shoes - Preventive Care, Postoperative Care, Diabetes and Woundcare, etc

Puzzle Insole®
Modular Insole

Modular insole developed for plantar pressure redistribution.
Specific use after forefoot and midfoot-operations.

Special insloe for targeted pressure relief. Plantar pressure redistribution after foot operations

Compatible with:

MedSurg Healing Shoe
MedSurg Pro® Healing Shoe
Relief Dual® Off-loading Shoe

3 women sizes:
WS (34 - 36,5), WM (37 - 38,5), WL (39 - 41)

4 men sizes:
MS (39 - 41), MM (41,5 - 43), ML (43,5 - 45),
MXL (45,5 - 47)

multi-zone, mult-indication pressure relief

Modular Insole for targeted pressure relief, after forefoot and midfoot surgical procedures
Orthopaedic Shoes, Orthopedic devices, Ankle Brace, Orthosis, Tapes


Small Toe Module (narrow)
›  tailor'sbunion
›  jones fracture
Large Toe Module (wide)
›  osteotomy: austin, scarf, akin, youngswick, etc.
›  arthrodesis: lapidus, MTP joint and base joint of the large toe
Middle Module
›  weil and / or helal osteotomy I - IV
›  morton'sneuroma
›  hammertoe, tailor'sbunion corrections
›  PIP arthrodesis


›  used after forefoot and midfoot surgical procedures
›  module insole system for selective plantar pressure relief


›  interchangeable components
›  insole is designed for use with the right or left boot
Diabetes, Woundcare, preventive care, ankle orthosis, orthopaedic shoes, orthopaedic devices

Plantar pressure measurement Puzzle Insole® Modular Insole:

Pressure measurement Neutral Pressure measurement Puzzle Insole in MedSurg Pro Pressure measurement Puzzle Insole in Relief Dual
a b

From left to right: Neutral (Ballet-Style Shoe) vs.
a) Puzzle Insole® in MedSurg Pro® Healing Shoe
b) Puzzle Insole® in Relief Dual® Off-loading Shoe

to increase view please click at the scans

Scale: (N / qm2):

For detailed information on pressure redistribution:
You can download the biomechanical analysis from DARCO here

Diabetes, Woundcare, preventive care, ankle orthosis, orthopaedic shoes, orthopaedic devices


The Puzzle Insole® allows an effective offloading of the plantar aspect of the foot by simply replacing the modules. Both EVA-foam soles only differ in grade of shore-stiffness. Three replaceable modules (little toe module, hallux module, and centerpiece) can be exchanged individually depending on the most different indications.

Download: Typical indications will be found in our product flyer

Puzzle Insole modular Insole Puzzle Insole modular Insole Puzzle Insole modular Insole
Great Toe Module

Visit our product demonstration video:

Tapes Therapeutic Shoes Orthoses Walker Bandages Positioning Devices Insoles

Further Information:

Download: User Manual Puzzle Insole® (PDF)
Download: Flyer "The original Puzzle Insole® by DARCO - for targeted pressure relief" (PDF)
Download: Insole-Flyer "Pressure relief with DARCO insole systems" (PDF)
Call by E-mail: Literature Puzzle Insole®
Download: DARCO Product Catalogue "Orthopaedic Devices and Shoes" (PDF)
Your direct Contact at DARCO

Product information in German language you will find in the German version
of our internet precense at "Orthopädische Hilfsmittel und Schuhe"

Orthopedic devices and shoes by DARCO

Do you need further information?

The intention of our website is to offer you an accurate picture of the scope, character and quality of our product range. DARCO products are available in the groups Therapeutic Shoes, Orthoses, Walkers and Bandages, Positioning Devices, Insole Systems, Accessories and Tapes.

Should you require further information, please visit the "DARCO Info-Center".

The section "DARCO" provides you with background information and facts on our company.
For more special information please subscribe for "DARCO Europe E-Journal".

Here you will find our contact details
−  We are looking forward to answering your questions!