A spacer element for use in an orthopedic or prosthetic device includes a first region including first and second fabric layers spaced by a first compressible padding layer, a second region including first and second fabric layers spaced by a second compressible padding layer, and a third region including the first and second fabric layers adjacent one another. The first region is separated and spaced from the second region by the third region. The first padding layer has a greater density than the second padding layer, such that the first padding layer is less firm than the second padding layer.