The toe up support was extremely helpful with the Performance Dog knee brace i purchased for my 9 yr old boxer. My dog did not have a foot drop but initially when wearing the brace she needed that support until her leg healed. I had contacted Animal Ortho Care before purchasing braces and this was recommended. with the knee brace. So glad I purchased. My dog is currently brace free and running around…NO surgery! Praise GHod and thank you Animal Ortho Care!