Steps At first, insert the removable pressure relief plugs in the appropriate holes where relief is needed. Then insert stretcher in shoe. LENGTH STRETCH : Turn the round plastic handle in clockwise direction until you begin to see surface pressure showing on shoe. WIDTH STRETCH : Turn the metal crank handle in clockwise direction until you begin to see surface pressure showing on shoe. WAIT FOR THE BEST RESULTS: Leave shoe stretcher in place for at least 24 hours. REMOVE STRETCHER FROM YOUR SHOE: Turn handles in counterclockwise direction. NOTE: In order to avoid damage of your shoes and the stretcher,DO NOT OVERSTRETCH!!!