Therapeutic footwear includes upper and lower portions formed of resilient material sized and shaped to fit beneath and above a foot of a user. The upper portion is hingedly attached to the lower portion. A removable pouch is formed of flexible, permeable material and sized and shaped to fit beneath the foot above the lower portion. The pouch contains at least one of aromatherapy and thermal reservoir materials. A cavity is located between the upper portion and the lower portion and is sized and shaped to receive the removable pouch. Stitching through the removable pouch at least partially divides the compartment into at least two subspaces to control movement of the contents. When the removable pouch is heated or cooled and placed in the cavity, the footwear will heat or cool while providing aromatherapy benefits. The footwear includes an outer sole formed of resilient material and suitable for outdoor use.