I'm not a trail runner, just a hiker. But I have a moderately narrow heel and midfoot and high arch. While my fingers are not narrow and have become sensitive to small or low toe boxes over the years. Most shoes don't feel supportive and like the pain support isn't quite where it should be. These shoes are perfect. I ordered 7.5 and am glad I did. I can often fit a generous 6.5, but I usually wear a medium size 7. I highly recommend ordering a half size up to have enough toe room in this narrow shoe. Addendum to the review: I took these shoes with me on a 3 week trip to South America and absolutely loved them. In the Revane jungle, they performed very well on slippery, muddy trails, but were slippery on wet, hard surfaces. They were perfect for full day walks in Lima as well as various hikes to the ruins through the Sacred Valley and all the other places we visited. But then again, they were slippery on wet hard surfaces. They are truly custom made. All in all, I couldn't ask for a better, more comfortable pair of shoes to run all day, almost every day. I don't mind being a little careful on hard wet surfaces if I don't have to worry about slipping in mud, sand or slush. Night, my legs don't hurt.
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