how do you know what size to get?

This is from the product description/specifications: Specifications: Available in several sizes:. X-small: women's 3.5. Small: women's 5.5-8. Medium: men's 6-8, women's 8.5-10. Large: men's 8.5-11, women's 10.5-13. X-large: men's 1.5-14, women's 13.5 plus. For some reason, it only showed up when I selected large - but I've learned from other things that sometimes different information shows up under different options. I wear a size 10 shoe, but I ordered the large. Because the bulky cast pushed my foot forward, it was the right decision. Toes came right to the front edge.

Can this be worn instead of "the shoe balancer" to level the opposite foot while wearing a fracture/walking boot. what is the height ?

No. You could wear it INSTEAD of the boot you have though. What you're calling a fracture/walking boot is medically called a CAM boot, for Controlled Ankle Motion. Wearing two will likely cause you to fall and it would be extremely difficult to walk.

is there padding or cushion on the bottom

This boot has some cushioning, but not a lot.

How do you know if you are ordering a women's or a men's size?

There is no men's or women's. It's a cast. It's unisex. Each size fits a range of men's and women's shoe sizes and the vast majority of women will need medium and the vast majority of men will need large.

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Darco Slim Line Cast Boot, Medium

Product ID: 288314978

Details

Brand
Darco
Size
Medium (Pack
Specific uses for product
Fracture
Use for
Feet
Age range (description)
Adult

🔒Universal closure

🦵Stability support

⚖️0.6 lbs lightweight

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NZ$199

Duties & taxes included

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Description

Step into comfort! 👣

TRUSTED BRAND - Darco - a name synonymous with quality and care.
UNIVERSAL FIT - Accommodates larger casts and bandages effortlessly.
LIGHT AS A FEATHER - Weighs only 0.6 pounds for easy mobility.
STABILITY REDEFINED - Higher ankle strap ensures maximum stability.
COMFORT MEETS PROTECTION - Square toe design for added room and protection.

The DarcoSlim Line Cast Boot is designed for adults, featuring a square toe design that acts as a protective bumper while providing ample room for larger casts and bandages. Weighing just 0.6 pounds, this boot combines lightweight comfort with a higher ankle strap for enhanced stability, making it the ideal choice for recovery.

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NZ$199

Duties & taxes included

In stock

Sold byAmazon Cook IslandsDelivered byDesertcartCustomer service byDesertcartReturns14 days · 30 with PRO

Buyer Protection · Full refund if your order doesn't arrive as described.

Desertcart purchases this item on your behalf and handles shipping, customs, and support to Cook Islands.

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Weight	0.6 Pounds
Units	1 Count
Brand	Darco
Age Range Description	Adult