We designed Dr. Scholl's Bunion Cushions with Hydrogel technology specifically for people who have painful bunions, and want discreet cushioning. Why it Works: A bunion is a painful enlargement caused by swelling of the big toe joint. Heredity, poorly fitting shoes, and abnormal motion of the feet are some major causes of bunions. Dr. Scholl's Bunion Cushions with Hydrogel technology delivers all-day bunion pain relief by shielding bunions from shoe friction and shoe pressure. How to Use: Step 1: Remove backing film marked “Step 1” and place center (adhesive side down) over bunion. Step 2: Remove backing film marked “Step 2”, remove blue tab and firmly smooth down adhesive edge to skin. Step 3: Replace when strip begins to loosen.