Abstract: In a first embodiment of the invention, an adjustable support insole system is provided for use in a shoe. The system includes a bottom inside layer including a plurality of segments removably attached to a bottom surface of an insole layer, e.g. the top layer. At least one of the sections may be removed to create an empty space directly beneath a corresponding painful area of a foot. Suitable means are provided for removably attaching the removable sections. In a second embodiment of the invention, a first foot-shaped layer is provided together with a second foot shaped layer spaced from the first foot-shaped layer such that a sleeve type arrangement is formed between said first and second foot-shaped layers. An insert having a plurality of fluid filled sacs is provided for insertion into the sleeve arrangement.