No matter how the shoe is designed, fit is always the best way to achieve comfort. When trying on shoes, wear them around the store for a short walk and make sure that each part of the shoe fits your foot. Evaluate the arch, toe, heel, and ball of the foot separately. Each part of the shoe matters when it comes to comfort. Be sure you choose the shape, style, height, and width that fits well. You can also use inserts or pads, such as an arch support, to create a more customized fit. Wear what fits well and feels great — always!
Overall thoughts: While I did appreciate the cushion this provided, the pads kind of pushed my feet out in a weird way and made my foot do that overflowing loaf thing on one side. I thought maybe this would've worked better had my shoe been bigger, but as it was, I still had a little room in the back, so I don't think it would've actually made a difference. This definitely made the experience of wearing the heels better since it provided some arch support, but it wasn't a lifesaving experience.
Consider a lower or more comfortable style. Choose a thicker and more stable heel like a platform, wedge, or chunky heel to provide more support and weight distribution. Shy away from pointed-toe styles if you have wide feet or toes, opting for round or almond-shaped instead. You can also buy heeled boots or heels with ankle straps to help support your ankles.