Dr Jill's Latex Free All Silicone Premier Gel Tube comes in a 4-1/2 in. tube that can be cut to any size and creates a barrier between skin and footwear to help reduce pain. Pure Gel surrounds and protects the toes while excellent cushioning and long-lasting comfort which feels silky smooth against your skin and never gets too tight because it does not have compressive fabric on the outside. Washable and re-usable pads can be used over-and-over again.