• Effective Plantar Fasciitis Exercises: 12 Ways to Relieve Pain and Heal

    Medical information provided by Josh White DPM  /  July 17, 2024
    Ever experience a tightness or discomfort in the arch of your foot, especially in the mornings or after standing for a while? This could be plantar fasciitis, a common condition affecting the tissue that supports your arch, called plantar fascia.  Plantar fasciitis is the inflammation of the plantar fascia, which typically stems from overuse, strain, or injury. It manifests as a deep, stabbing foot and heel pain, particularly pronounced in the mornings or after prolonged standing [1]. While anyone can develop plantar fasciitis, it's more common in people who: Carry extra weight. Participate in activities like running or dancing. Prolonged standing on hard surfaces.  Age can also be a factor, with a slightly higher prevalence observed among individuals aged 40 to 60 [2]. The power of plantar fasciitis stretches and exercises The good news is, that plantar fasciitis can be effectively managed through targeted plantar fasciitis exercises designed to provide pain relief, enhance flexibility, and facilitate healing. Simple plantar fasciitis stretches that focus on the foot and calf muscles can significantly reduce tension, offering pain relief and steady symptom improvement over time [1]. Regularly incorporating these plantar fasciitis exercises into your routine can be a powerful tool for managing  preventing plantar fasciitis from recurring. Exercise plays a pivotal role in addressing the underlying causes of plantar fasciitis. Stretching and strengthening plantar fasciitis exercises mitigate pain, boost flexibility, and foster healing by alleviating strain on the plantar fascia, leading to substantial improvements in pain management and  function in the affected foot. To help you get started, here are some of the best exercises for plantar fasciitis treatment you can try to help manage your plantar fasciitis symptoms effectively. 12 Plantar Fasciitis Treatment Exercises 4 Stretching Exercises for Plantar Fasciitis      1. Calf Stretch Steps to follow Stand facing a wall and put your hands against it, at shoulder height. Step back with the leg that has the issue, but keep it straight. While keeping both heels on the ground, bend the front knee and push your hips forward. Maintain this position for 15-30 seconds. Do this 2-3 times. How it helps Stretches the calf muscles, reducing tension on the plantar fascia. Enhances Achilles tendon flexibility.      2. Heel Raise Steps to follow Using a wall or sturdy surface for support, stand with your feet shoulder-width apart. Lift your heels slowly until you stand on the balls of your feet. Hold this position for 5-10 seconds Slowly lower your heels back down. Do this 10-15 times. How it helps Reduces pressure on the plantar fascia. Strengthens calf muscles and the Achilles tendon. Improves both balance and stability.       3. Towel Stretch Steps to follow Sit on the floor with your legs extended. Wrap a towel around the ball of the foot with plantar fasciitis. Grab the ends of the towel with both hands and, keeping your knee straight, gently pull your foot towards you. Maintain the towel stretch position for 15-30 seconds. Do this 2-3 times. How it helps Very helpful in reducing morning pain and stiffness. Gives the plantar fascia and Achilles tendon a good stretch. Enhances flexibility in the foot and calf muscles.      4. Plantar Fascia Stretch Steps to follow Sitting down, cross the foot with plantar fasciitis over the opposite knee. Grab hold of the base of your toes and pull them back towards your shin. Hold this position for 15-30 seconds. Do this 2-3 times. How it helps Relieves pain and tightness in the arch. Targets and lengthens the plantar fascia. Improves the plantar fascia’s flexibility. 4 Strengthening Exercises for Plantar Fasciitis      1. Toe Curls Steps to follow Sit with feet flat on the floor. Position a small towel on the floor in front of your feet. Grab the towel with your toes and pull it towards you. Do this 10-15 times. How it helps Strengthens the small muscles in the foot. Gives you an arch support boost. Minimizes plantar fascia strain.      2. Marble Pickup Steps to follow Sit with feet flat on the ground. Put 10-15 marbles and a container on the floor. Pick up each marble with your toes and place it in the container. If you don’t have that many marbles, use one marble and repeat the process 10-15 times. How it helps Enhances flexibility and coordination of the toes. Increases strength in the foot muscles. Provides additional support to the arch.      3. Towel Scrunches Steps to follow Sit comfortably with your feet flat on the floor. Lay a small towel flat on the ground beneath your feet. Use your toes to gather and draw the towel towards you Do this 10-15 times. How it helps Relieves tension in the plantar fascia. Strengthens the foot muscles supporting the arch. Enhances stability of the feet.     4. Calf Rises Steps to follow Stand with your feet positioned shoulder-width apart, using a nearby wall or sturdy surface for balance if needed. Rise onto the balls of your feet by lifting your heels slowly. Hold this position for 5-10 seconds before gently lowering your heels back down. Repeat this movement 10-15 times. How it helps Improves strength in the calf muscles and Achilles tendon. Helps alleviate strain on the plantar fascia. Enhances overall balance and stability. 4 Balance and Stability Exercises for Plantar Fasciitis      1. Single-Leg Stand Steps to follow Stand close to a wall or stable surface for support. Stand on one foot while stabilizing yourself with the opposite foot. Stay in this position for 20-30 seconds and then switch to the other foot. Do this sequence 2-3 times for each foot. How it helps Enhances overall balance and stability. Strengthens the muscles in the feet and ankles. Improves body awareness and coordination.      2. Balance Board Exercises Steps to follow Position yourself on a balance board with your feet apart at shoulder width. Shift your weight in various directions - side to side and front to back - to stabilize yourself. Do this exercise for 1-2 minutes, gradually extending the duration as your proficiency improves. How it helps Improves overall balance and coordination. Strengthens the muscles in your feet and ankles. Enhances your sense of body awareness (proprioception).       3. Heel-to-Toe Walk Steps to follow Stand with your toes pointing forward, heels almost touching. Step forward, placing your heel directly in front of the toes of your other foot. Walk this way in a straight line, ensuring your heel touches the ground before your toes with each step. Do this for 1-2 minutes. How it helps Enhances balance and stability. Strengthens muscles in the feet and lower legs. Improves coordination.       4. Lunges Steps to follow Start by standing with your feet about hip-width apart. Step one leg forward, bending both knees until they form about a 90-degree angle. Your front knee must be directly above your ankle. Return to the starting position by pushing back up. Do this 10-15 times on each leg. How it helps Improves overall balance and coordination. Increases strength in the muscles of the legs and feet. Promotes better flexibility in the hips and ankles.  Tips for Effective Exercise The main goal of these exercises is to relieve plantar fasciitis pain. They should not cause discomfort or pain. If you experience any discomfort or pain while doing these exercises, it's best to stop and consult with your healthcare provider. Be sure to also understand the signs plantar fasciitis is healing, as well as plantar fasciitis vs heel spurs to make sure these exercises are, in fact, helping your specific injury. If possible, aim to do the stretching exercises up to three times a day: in the morning, at noon, and in the evening. Finally, while the objective is to stretch, strengthen, and improve stability in your affected foot, it’s best to work on both sides for better balance. Enhance Your Recovery with Orthofeet's Specialized Footwear To complement the exercises covered, incorporating the right footwear is crucial for effective recovery and long-term foot health. Orthofeet offers a specialized selection of orthopedic footwear designed to support those dealing with plantar fasciitis. Check out our plantar fasciitis shoes for women, plantar fasciitis shoes for men, or even our plantar fasciitis sandals to discover footwear that combines style, comfort, and therapeutic benefits, helping you maintain an active lifestyle without pain. References Medical News Today. Plantar fasciitis: Causes, symptoms, and treatments. Medical News Today website. Updated on October 24, 2023. Accessed June 16, 2024. https://www.medicalnewstoday.com/articles/324353 American Academy of Orthopaedic Surgeons. Plantar Fasciitis and Bone Spurs. OrthoInfo website. Last reviewed in August 2022. Accessed June 16, 2024. https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs/
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  • How to Prevent Plantar Fasciitis: Tips for Avoiding Foot Pain

    Medical information provided by Steven Gershman DPM  /  July 17, 2024
    “Plantar fasciitis (PF) is a common cause of heel pain that affects up to 10% of the US population and accounts for approximately 600,000 outpatient visits annually,” write Carlton J. Covey, MD and Mark D. Mulder, MD [1]. So, in other words, A LOT of people experience this foot condition in their lifetime, which begs the question: is there a way to prevent plantar fasciitis? Introduction to plantar fasciitis prevention Let's back up a bit and quickly discuss what plantar fasciitis actually is. Plantar fasciitis is the inflammation of the plantar fascia, a thick, robust connective tissue linking the heel bone to the bases of the five toes. This tissue supports the arch and stabilizes the foot. “Unlike muscles or tendons, it cannot stretch when pulled or stressed,” says Dr. Steven Gershman, DPM, to Orthofeet. Dr. Gershman explains that although there is no way to completely prevent plantar fasciitis, there are ways to reduce your risk and preventative measures you can take. Knowing the risk factors can help you prevent this foot condition to begin with. Understanding the causes and risk factors of plantar fasciitis Ever wondered why plantar fasciitis strikes some people but not others? A review published in Oxford Academic sheds some light [2]. They identified several factors that can increase your risk of developing plantar fasciitis. Here's the rundown: Ever wondered why plantar fasciitis strikes some people but not others? A review published in Oxford Academic sheds some light [2]. They identified several factors that can increase your risk of developing plantar fasciitis. Here's the rundown: Biological factors Age, sex, and weight all play a role. Pregnancy can also put extra strain on your feet. Foot structure Flat feet, high arches, or an abnormal walking pattern can affect how your weight is distributed, impacting the plantar fascia. Shoes  Loose, thin-soled shoes and shoes lacking arch support or cushioning can leave your feet vulnerable. High heels can also be problematic. Activities  Certain exercises like long-distance running, ballet, or high-impact aerobics put a lot of stress on your plantar fascia. Occupation Jobs that require prolonged standing can also increase your risk. Science Direct adds to this list, mentioning specific activities, such as long-distance running, ballet dancing, and dance aerobics, that can put stress on the plantar fascia [3]. Now that you understand the risk factors, let's get to the best part: what can you do to avoid plantar fasciitis? 7 Preventive measures for plantar fasciitis Proper footwear selection  "Plantar fasciitis is a very common diagnosis, but it can be prevented," says Dr. Gershman, who believes wearing supportive shoes and using inserts is the best way to reduce the risk and avoid plantar fasciitis. And research backs him up.  A study that investigated the impact of shoes worn daily by people with plantar fasciitis on foot health [4], found that "the majority (83.2%) of the people wear inappropriate shoes, whereas only 16.8% wear the recommended shoes." The study concludes that " the majority of the diagnosed cases wear inappropriate shoes with minimal heel height, thin sole, and hard insole without any built-in arch support." Arch support Built-in arch support acts like a bridge for your plantar fascia, preventing it from over-pulling on the heel bone insertion. In addition, the proper insole for plantar fasciitis helps reduce arch drop, which can lengthen your foot and stretch the fascia. It also reduces overpronation (your foot rolling inward with each step) and minimizes tension on the fascia, ultimately providing pain relief. Studies support this approach. A study [3] found that "The use of shoe orthoses with a medial longitudinal arch and metatarsal pad may be used as a preventive or treatment strategy for plantar fasciitis."  Cushioning Shoes for plantar fasciitis prevention should also provide excellent cushioning with every step. Think of a soft landing pad for your heel - that's the kind of impact absorption you want. Memory foam or other materials that conform to the contours of your foot offer the best comfort and support. These cushioning features help distribute pressure more evenly, reducing strain on the plantar fascia. A study published in the Journal of Family Medicine and Primary Care reinforces this concept. The study concluded that shoes with cushioned insoles effectively reduce strain on the plantar fascia, helping to prevent plantar fasciitis [4]. Proper Fit  Dr. Gershman emphasizes the importance of proper shoe fit, stating, "The shoes need to fit correctly, as I often find patients wearing shoes too short or too tight". This can have negative consequences, affecting the big toe joint function and potentially damaging the plantar fascia. As Dr. Gershman further explains, overpronation caused by poor shoe choices can also contribute to the problem. The good news is that finding the right fit can make a big difference. Dr. Gershman has seen patients experience significant improvement in just a few weeks "from just purchasing new, more appropriate shoes that fit well". Here's another key point: many people need extra depth and width in their shoes to allow for unrestricted toe movement and prevent pressure points. Flexible upper materials that conform to the unique shape of each foot are also very helpful. Opting for specially designed plantar fasciitis shoes can be a great investment to prevent and manage the condition. Stretching and warm-up techniques Exercise plays a key role in managing plantar fasciitis. Stretching and specific warm-up exercises can help provide pain relief, improve flexibility, and promote healing by alleviating tension in the plantar fascia. This can lead to significant improvements in pain management and overall foot function. The Journal of Family Practice even highlights research showing that "plantar fascia-specific stretching (PFSS) significantly reduces or eliminates heel pain compared to traditional stretching movements, and is beneficial for treating chronic heel pain" [1]. Here are some effective plantar fasciitis exercises to get you started. Toe stretches Cross your affected leg over your other leg. Use one hand to gently grasp your toes on the affected foot. Slowly bend your toes and ankle upwards as far as feels comfortable, stretching the arch and calf muscle. Optional: with your other hand, gently massage the arch of your foot to release any tension. Hold this stretch for 10 seconds, then relax.  Repeat this 2-3 times per minute for 2-4 sessions throughout the day.  Calf raises Stand on a step with a small towel rolled up and placed under the balls of your feet for added support. Hold onto something sturdy for balance. Push through the balls of your feet, slowly raising your heels as high as you comfortably can. Don't drop your heels! Slowly lower yourself back down to the starting position without resting at the bottom. Aim for 3 sets of 15 repetitions, performed twice a day on alternate days (so, every other day). Rolling a ball underfoot Find a frozen water bottle, lacrosse ball, or tennis ball. Place the ball on the floor and slowly roll the bottom of your affected foot back and forth over the ball for 5-10 minutes. Apply gentle to moderate pressure as you roll. Gradual increase in physical activity Here's the key to preventing plantar fasciitis: avoid overloading the plantar fascia. Sudden spikes or too much stress on this tissue can trigger inflammation and pain. You can keep your feet healthy and active by gradually increasing your physical activity. Here are some helpful tips. Start slow Begin with low-impact exercises like walking or cycling. These activities build endurance without straining your feet. Increase gradually  Raise activity intensity and duration by no more than 10% per week to allow your body to adapt to the new demands. Warm-up Dedicate 5-10 minutes to a light warm-up before any activity. This could include gentle stretches or light cardio to prepare your muscles and fascia for movement. Stretch and strengthen regularly Regularly performing specific stretches and strengthening exercises for your feet and calves is crucial. Improved flexibility and support in these areas go a long way in preventing plantar fasciitis. Listen to your body This is your most important tool! If you feel foot pain or discomfort, especially in your arch or heel, reduce activity. If you’ve had issues with the condition in the past, make sure to learn the signs plantar fasciitis is healing to monitor your progress and avoid potential regression. Cross-train Vary your activities (swimming, yoga, strength training) to avoid overloading any one muscle group, including your feet. Rest and recover Allow your body adequate time to recover between high-impact activities to prevent an overuse injury Maintaining healthy body weight Keeping a healthy weight is a big win for your feet, especially the plantar fascia. The more you weigh, the more pressure your feet are under. This extra pressure can lead to inflammation and pain in the plantar fascia. The benefits of a healthy weight Less stress on the arches Shedding extra pounds translates to less strain on your arches. This helps keep plantar fasciitis symptoms at bay. Proper foot mechanics Maintaining a healthy weight helps your feet function and align properly, preventing abnormal stress on the plantar fascia. Tips for managing your weight Diet Eat a balanced diet that includes plenty of fruits, vegetables, lean proteins, and whole grains. These foods provide the nutrients your body needs to stay strong and healthy. Be mindful of portion sizes to avoid overeating. Limit your intake of sugary drinks and foods high in unhealthy fats.        2. Exercise Aim for at least 30 minutes of moderate-intensity exercise most days of the week. Choose activities like swimming, cycling, or walking. These are gentle on your feet while still providing a great workout. Do some strength training that targets your legs and core to improve overall foot health and support. Foot care and hygiene Taking good care of your feet is essential in preventing plantar fasciitis. Here's why regular care matters: Cleaning and moisturizing  Regularly washing your feet with soap and water removes dirt and bacteria that can lead to infections. Foot infections can cause inflammation and discomfort, potentially worsening plantar fasciitis.  Moisturizing keeps skin healthy and prevents dryness and cracking, which can alter your gait and put extra strain on the plantar fascia. Proper grooming Keeping toenails trimmed straight across prevents ingrown nails that can cause pain and gait changes. Altered gait can put extra stress on the plantar fascia. Additionally, wearing clean, moisture-wicking socks helps keep feet dry and reduces the risk of fungal infections. Fungal infections can also lead to inflammation and discomfort, aggravating plantar fasciitis.   Conclusion: Enhance Your Foot Health with Orthofeet Proper orthopedic footwear is crucial for preventing plantar fasciitis and managing related conditions like heel spurs. At Orthofeet, our range of products—including plantar fasciitis shoes for women, plantar fasciitis shoes for men, and plantar fasciitis sandals—are designed to provide the support, cushioning, and fit essential for foot health. These products not only aid in managing plantar fasciitis but are also effective for conditions such as heel spurs. For a deeper understanding of how these conditions differ and overlap, explore our detailed article on Plantar Fasciitis vs Heel Spurs which offers insights into their distinct and interconnected impacts. References  [1] Carlton J. Covey, MD and Mark D. Mulder, MD. Plantar fasciitis: How best to treat?. The Journal of Family Practice. September 2013. Accessed June 18, 2024. https://cdn.mdedge.com/files/s3fs-public/Document/September-2017/6209_JFP_Article1_0.pdf [2] E. R. Waclawski, J. Beach, A. Milne, E. Yacyshyn, D. M. Dryden. Systematic Review: Plantar Fasciitis and Prolonged Weight Bearing. Oxford Academic. 17 February 2015. Accessed June 18, 2024. https://academic.oup.com/occmed/article/65/2/97/1488760 [3] Robert A. Werner MD MS, Nancy Gell MPH PT, Anne Hartigan MD, Neal Wiggerman MS, William M. Keyserling PhD. Risk Factors for Plantar Fasciitis Among Assembly Plant Workers. ScienceDirect. February 2010. Accessed June 18, 2024. https://www.sciencedirect.com/science/article/abs/pii/S1934148209016207 [4] Umar Haddaya, Idrees Wajeeha, Umar Wardah, Khalil Anish, Rizvi Zuhair A. Impact of Routine Footwear on Foot Health: A Study on Plantar Fasciitis. Journal of Family Medicine and Primary Care. July 2022. Accessed June 18, 2024. https://journals.lww.com/jfmpc/fulltext/2022/07000/impact_of_routine_footwear_on_foot_health__a_study.74.aspx. 
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  • Plantar Fasciitis vs. Heel Spurs: Understanding the Key Differences

    Medical information provided by Josh White DPM  /  July 17, 2024
    Heel pain can interfere with your daily activities and be quite uncomfortable. Two common causes of this discomfort are plantar fasciitis and heel spurs. Although they often coexist, they are distinct conditions. Here’s a closer look at plantar fasciitis vs. heel spurs. Introduction to plantar fasciitis and heel spurs Plantar fasciitis is an inflammation of the plantar fascia, the thick band of connective tissue that runs along the bottom of your foot, supporting the arch and connecting your heel to your toes.  On the other hand, heel spurs are calcium deposits that form bony protrusions on the underside of the heel bone. These spurs can sometimes be seen on X-rays, though they may not always cause pain themselves [1]. Understanding the differences between plantar fasciitis vs. heel spurs is crucial for effective treatment and pain relief. And while heel spurs and plantar fasciitis usually occur together, they require different approaches for management and recovery [1]. Both conditions can significantly impact daily life, causing foot pain and discomfort that limit mobility and participation in physical activities. The pain is often described as a sharp, stabbing sensation, especially in the morning or after long periods of inactivity, which can evolve into a dull ache with continued movement [1][2].  Managing these conditions typically involves a combination of rest, stretching exercises and physical therapy, proper footwear, weight management, and, in some cases, medical interventions to alleviate pain and promote healing. So, when you look at plantar fasciitis vs. heel spurs, you can find many similarities, but there are also differences. What is plantar fasciitis? We've already established that plantar fasciitis is an inflammation of the plantar fascia, the thick band of soft tissue that runs along the bottom of the foot. This foot condition, typically caused by overuse or strain, leads to sharp pain, especially noticeable in the mornings.  What are heel spurs? Heel spurs, as mentioned earlier, are bony protrusions caused by calcium deposits building up on the underside of the heel bone over several months. They are often associated with plantar fasciitis, but don't directly cause foot pain in all cases. When they do cause pain, it's often linked to the inflammation associated with plantar fasciitis [1]. Symptoms and causes: heel spur versus plantar fasciitis Symptoms and causes of plantar fasciitis The soft tissue called the plantar fascia absorbs high stresses during activities like walking, running, and sports. Excessive pressure can damage or tear the plantar fascia, leading to inflammation and heel pain [1]. Risk factors for plantar fasciitis include:  New or increased physical activity Shoes that don’t fit well and lack support and cushioning Repetitive high-impact activities such as running or dancing Prolonged standing on hard surfaces Anatomical issues like flat feet or high arches Tight calf muscles Obesity Age (most common in people aged 40 to 60) [2] Symptoms typically include pain on the bottom of the foot near the heel, which is most severe with the first few steps after getting out of bed or after a long period of rest. Plantar Fasciitis pain often decreases after a few minutes of walking but may return after prolonged activity [1].  Symptoms and causes of heel spurs Heel spurs typically result from strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Athletes who run and jump frequently are particularly susceptible to heel spurs [2]. Risk factors for heel spurs include:  Abnormal walking gait Running or jogging on hard surfaces Poorly fitted shoes lacking proper arch support Excess weight and obesity.  Additional factors associated with plantar fasciitis, such as increasing age, diabetes, prolonged standing, and having flat feet or high arches, also contribute to the development of heel spurs [2]. Heel spur versus plantar fasciitis: diagnosis and treatment options Doctors diagnose plantar fasciitis and heel spurs primarily through a combination of medical history review and physical examination.  During the examination, doctors look for specific signs such as a high arch or flat foot, areas of maximum tenderness on the bottom of the foot just in front of the heel bone, and limited dorsiflexion in the ankle [2]. To diagnose plantar fasciitis, doctors perform a physical examination that often includes direct pressing (palpation) of the inner part of the heel bone, known as the medial calcaneal tubercle, which usually causes severe pain if the foot condition is present. This pain is generally localized at the origin of the central band of the plantar fascia, without significant pain on compression of the heel bone from side to side [3]. Additionally, doctors ensure that symptoms are not due to other conditions such as Achilles tendinitis, calcaneal stress fractures, or plantar nerve entrapment [2]. Imaging tests can also be used in the diagnosis. X-rays are commonly used to rule out other causes of heel pain, such as fractures or arthritis, and they can also reveal heel spurs, which may develop due to prolonged tension on the insertion of the plantar fascia [2]. However, since heel spurs do not directly cause plantar fasciitis pain, removing them is usually unnecessary for treating plantar fasciitis. In rare cases, if initial treatments fail or if there is concern about other potential issues, an MRI may be ordered [2]. Non-surgical treatments Rest and ice Resting the affected foot and applying ice can help reduce inflammation and pain [2]. Anti-Inflammatory medications Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can alleviate pain and inflammation [2]. Physical Therapy  Performing calf muscle and plantar fasciitis exercises is critical. Physical therapists may also use techniques like ultrasound therapy to promote healing [2]. Orthotics and supportive shoes Custom orthotic devices and shoes with  specialized insoles for plantar fasciitis and extra cushioning provide additional arch support and cushioning, helping to distribute pressure more evenly across the foot [2].  Night splints A night splint stretches the plantar fascia while you sleep, reducing heel pain. Though initially uncomfortable, night splints are highly effective for treating plantar fasciitis [2].  As you go through the recovery process, be sure to look out for key signs plantar fasciitis is healing to make sure your recovery process is working as intended.     Surgical treatment options For severe cases that do not respond to non-surgical treatments, surgery may be considered. Surgical options include: Plantar fascia release  This procedure involves cutting a part of the plantar fascia ligament to relieve tension and inflammation [2]. Heel spur removal  Although heel spurs are not the direct cause of plantar fasciitis, in some cases, they may be removed during surgery if they contribute to the patient's discomfort [2]. Prevention strategies Proper footwear Arch support Choose shoes with built-in arch support to prevent over-pulling on the heel bone insertion, reduce arch drop, and minimize tension on the plantar fascia. Shoes with support for the inner arch (medial longitudinal arch) and metatarsal pads can be particularly effective for both prevention and treatment of plantar fasciitis [1]. Cushioning Ensure your shoes have excellent cushioning to absorb impact and distribute pressure evenly across the foot. Materials like memory foam conform to your foot’s contours and reduce strain on the plantar fascia, which is crucial for preventing both plantar fasciitis and heel spurs [4]. Proper fit Wear shoes that fit correctly, avoiding those that are too short or too tight, as improper fit can negatively impact the big toe joint function and damage the plantar fascia. Shoes with extra depth and width for toe movement and flexible upper materials are ideal [4].  Consider our specially designed options to ensure you're choosing the best footwear for plantar fasciitis prevention and treatment. Our plantar fasciitis shoes for women and plantar fasciitis shoes for men offer the essential arch support and cushioning needed to protect your feet. These shoes are not only effective in managing symptoms but also stylish, blending functionality with modern design. Stretching and warm-up techniques Regular stretching and warm-up exercises are essential in preventing plantar fasciitis and heel spurs. Plantar fascia-specific stretching significantly reduces or eliminates heel pain and is beneficial for treating chronic heel pain.  Warm-up exercises help to prepare your muscles and fascia for activity, reducing the risk of injury [1][4].  Physical activity Avoid sudden spikes in physical activity to prevent overloading the plantar fascia. Start with low-impact exercises and gradually increase the intensity and duration by no more than 10% per week. Consistent warm-up routines and specific stretches for the feet and calves can improve flexibility and support.  Listening to your body and incorporating rest periods between high-impact activities are also crucial for preventing overuse injuries [2]. Healthy body weight Maintaining a healthy weight reduces stress on the arches and ensures proper foot mechanics. Extra weight puts more pressure on the feet, leading to inflammation and pain in the plantar fascia. By keeping your weight in check, you minimize the strain on your feet, helping to prevent plantar fasciitis    Conclusion: Taking Steps Towards Better Foot Health Overall, understanding the distinctions between plantar fasciitis and heel spurs is crucial for effectively managing heel pain. By staying informed and proactive about foot health, you can take significant strides toward maintaining comfort and mobility. Enhance your care by getting plantar fasciitis shoes at Orthofeet, designed to provide targeted support and relief. References  Rick Ansorge. Heel Spurs and Plantar Fasciitis. WebMD. August 28, 2022. Accessed June 19, 2024. https://www.webmd.com/pain-management/heel-spurs-pain-causes-symptoms-treatments   American Academy of Orthopaedic Surgeons. Plantar Fasciitis and Bone Spurs. OrthoInfo website. Last reviewed in August 2022. Accessed June 19, 2024. https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs/   Stephen L. Barrett, DPM., Robert O'malley, DPM. Plantar Fasciitis and Other Causes of Heel Pain. American Family Physician. April 15, 1999. Accessed June 19, 2024. https://www.aafp.org/pubs/afp/issues/1999/0415/p2200.html   Umar Haddaya, Idrees Wajeeha, Umar Wardah, Khalil Anish, Rizvi Zuhair A. Impact of Routine Footwear on Foot Health: A Study on Plantar Fasciitis. Journal of Family Medicine and Primary Care. July 2022. Accessed June 18, 2024. https://journals.lww.com/jfmpc/fulltext/2022/07000/impact_of_routine_footwear_on_foot_health__a_study.74.aspx.     
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  • 8 Best Shoes for Stroke Patients

    Medical information provided by Josh White DPM  /  April 15, 2024
    Stroke, a major cause of disability worldwide, often results in impaired mobility and is closely associated with an increased risk of falls. The repercussions of falling can be severe, ranging from fractures to hospitalization, nursing home admission and even death. Surprisingly, poor footwear choices have been identified as a significant factor contributing to up to 50% of falls in the elderly. According to a study published on Oxford Academic, footwear choice significantly impacts the walking patterns of stroke patients during their recovery phase, with closed fitting shoes demonstrating superior performance compared to regular slippers or going barefoot. The research further concludes that many stroke patients are often unaware of the importance of selecting appropriate footwear. Addressing this gap in knowledge by providing targeted education on suitable footwear options for stroke recovery could potentially enhance gait quality and mitigate fall risks among individuals recuperating from stroke. In light of all this, to help you find the perfect shoes for post-stroke gait and balance, we've curated a list of handpicked shoes that can support your feet, legs and posture throughout your journey. What are the best shoes for stroke patients? Best tennis shoes for stroke patients  Women’s Nira Why you’ll love it Simply slip your foot in and go – it's that easy! Constructed with fancy orthotic insoles that realign your feet   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: turquoise, light gray, black    Tired of shoes that feel like a chore to wear? It’s time for comfort. Designed with a keen understanding of post-stroke needs, these shoes prioritize support and stability from the ground up.  Nira is constructed with fancy orthotic insoles that work wonders, realigning your feet and ensuring your posture stays on point, alleviating foot pain.  But that's only the beginning. Ease of wear is paramount, especially when you're recovering from a stroke. Nira's slip-on design lets you ditch the struggle of laces and tangled footwear. Simply slip your foot in and go – it's that easy!  Life can be unpredictable, so it's a relief to know these shoes are water-repellent and a breeze to clean. No more worrying about unexpected spills or puddles. Plus, the generous toe box provides ample breathing and wiggle room for swollen feet, bunions, or hammertoes, ensuring a comfortable fit for all.  Step inside Nira, and you'll find a world of comfort waiting for you. Soft padding and a stretchy knit upper conform to your foot like a custom made sock, eliminating pressure points and ensuring a snug fit that feels soft and gentle on your feet.  Below, the thick, shock absorbing soles minimize impact on your joints, while the slightly curved design allows for natural movement with each step. Plus, the rubber outsoles offer exceptional grip on any surface, so you can walk with improved confidence. Feedback from users “Best shoes EVER! These shoes are amazing. Slipped my feet in and that's all she wrote. So very comfy. I walked almost 3 miles before my feet started to tell me to stop...LOL that is the BEST. I bought another pair in black.” Dee Coulson Shop Nira Men’s Monterey Bay Why you’ll love it Soles that offer advanced grip and improved stability Easy on-off with discrete Velcro tabs on either side   Specs Sizes: 7-14 Widths: Standard (D) - Extra Extra Wide (6E) Upper materials: microfiber and fabric Available colors: white, black   If you’re looking for a reliable partner in stability, the Monterey Bay sneakers may be your solution. Designed with a focus on supporting those with fallen arches, these lace free wonders are a game changer for all day comfort.  Monterey Bay's innovative design features a tie-less closure system that also offers a customizable fit, thanks to two Velcro tabs on either side used to open and close the shoe. This feature is especially beneficial for persons with mobility issues, who may find traditional laces challenging to manage.  Still, breathability is just as important as ease of closure. The aerated material of the uppers allows for optimal airflow, keeping your feet cool and dry throughout wear. This is helpful for everyone, but especially for those with sensitive feet, keeping infections and odors at bay.  Now, let's talk about the premium orthotic insoles. These insoles, complete with anatomical arch support, work wonders for foot and heel pain relief while realigning your foot and entire body posture.  This proactive approach to foot health is complemented by the wide toe box, which alleviates pressure on the forefoot and toes, allowing them to splay naturally.  Inside, the sneakers offer a soft, padded fabric interior with no overlays, ensuring superior protection against irritation and providing an extra layer of comfort for sensitive feet.  And finally, the cushioning sole with a mild rocker design enhances ease of walking, adding a spring to each step, while the rubber outsole provides advanced grip and excellent stability, instilling confidence with every stride. Feedback from users “Perfect shoe for a stroke patient. These shoes are non-skid, and with Velcro openings are very easy to slide on and off. They give great support for a person learning to walk again. The wide toe box is more comfortable for his swollen toes.” Dan Fontenot Shop Monterey Bay Best slip on shoes for stroke patients  Women’s Kita Why you’ll love it Thanks to a hidden spring mechanism, slipping your foot in is effortless Stretch knit upper wraps around your unique foot shape   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: black-black, black, blue, gray, rose, white   The revolutionary design of the Kita sneakers prioritizes hands-free convenience, transforming the way you put on and take off your shoes.  Gone are the days of fiddling with laces – thanks to a hidden spring mechanism, slipping your foot into these sneakers is effortless and intuitive, and the back of the shoe gently embraces and molds to your foot with a reassuring bounce.  Balance and stability are crucial for stroke survivors, and the Kita sneakers excel in this regard. Their slip resistant outsoles offer reliable traction on a variety of surfaces, ensuring you can move with confidence and poise throughout your day.  The stretch knit upper of these sneakers wraps around your unique foot shape, ensuring a snug and comfortable fit that hugs your unique foot shape. Breathable material keeps your feet feeling fresh and cool, even during long days, while professionally cushioned and ergonomic orthotic insoles provide shock absorption and support for every step.  But Kita doesn't stop at comfort. Ergonomic soles with a mild rocker design and minimal heel-to-toe drop make walking easier and alleviate strain on the forefoot, promoting a more natural gait. With extra depth, wider widths and removable footbeds, these sneakers can accommodate AFOs or other devices, ensuring a customized fit. Feedback from users “I love the Kita. Very comfortable. I suffered from a stroke and have limited mobility and hand function. I am able to handle the shoe without assistance. Love the no tie shoe laces. The shoe look beautiful.” Teresa N. Shop Kita Men’s Rex Why you’ll love it No need to tie laces or bend down to put your shoes on Water repellent uppers keep your feet dry in any condition   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: stretch fabric Available colors: blue, black   At the heart of these casual shoes lies a hidden spring in the rear, allowing for easy on and off without the need to bend down and tie laces repeatedly. The rear part of the shoe moves down as your foot enters, securing it in place for a snug fit. No more struggling with laces or worrying about bending down repeatedly.  On top, water repellent uppers keep your feet dry in any condition and simplify cleaning, adding an extra layer of convenience to your routine. The stretchable knitted upper material also molds to the contours of your feet, ensuring a customized and pressure-free fit for added comfort. Premium orthotic insoles with anatomical arch support, which are also removable, contribute to realigning your foot and entire body posture. This not only relieves heel and foot pain, but also enhances sensory awareness, helping you maintain balance.  Inside, the soft, padded fabric interior eliminates irritation, providing superior protection for sensitive feet. This feature is particularly beneficial for those requiring gentle, irritation-free footwear. The cushioning sole with a mild rocker improves the ease of walking and adds a subtle spring to your step, enhancing overall comfort. With a rubber sole providing advanced grip and excellent stability, you can walk confidently, addressing concerns related to balance and stability. Feedback from users “My husband is recovering from a massive stroke, we cannot get him out shopping for shoes. We certainly appreciate the option to have two sizes delivered for him to try. These shoes work out very well as he cannot use his right side, needless to say his caregiver and I like them as much as he does. They are attractive, comfortable and warm. Thank you.” Tamara Popoff Shop Rex Best slippers for stroke patients Women’s Lorin | Men’s Vito Why you’ll love it Patented slip-on system eliminates ensures a hassle-free wear experience Loosen or tighten the strap on the interior side to adjust fit   Specs Sizes: women 5-12 | men 7-14 Widths: women Standard (B) - Extra Wide (2E) | men Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: Lorin - light brown, bordeaux, black | Vito - olive, black   Regular slippers may not be the best footwear choice after a stroke, but the Lorin and Vito are not your regular slippers. Designed with convenience and comfort in mind, Lorin and Vito slippers offer innovative features to make time spent indoors more manageable.  The patented slip-on system eliminates the need for bending down or using hands to put on or take off these slippers. A built-in spring bends to allow foot entry, then bounces back to secure it, ensuring a hassle-free experience. The result: simply slip your foot in and go! For those requiring a customized fit, you can loosen or tighten the strap on the interior side of the slipper to adjust accordingly.  Equipped with premium orthotic insoles featuring anatomical arch support (removable), the Vito and Lorin slippers go beyond conventional footwear. These features realign the foot and entire body posture, promoting optimal support and reducing the risk of imbalance, crucial for individuals recovering from a stroke. Alleviating pressure on sensitive areas and allowing enough room for the toes to spread naturally, these slippers provide a non-binding fit, making sure your feet aren’t squeezed in.  The soft suede water repellent upper ensures a dry environment, while the faux fur interior keeps feet warm and comfy. A plush microfiber insole top cover adds an extra layer of comfort, keeping your feet dry from within. The lightweight cushioning sole, with its outdoor shoe construction and featuring a mild rocker, improves the ease of walking. It softens impacts, alleviates stress on joints and enhances the overall walking experience.  Crafted from high quality rubber, the soles improve surface grip and maintain stability, providing confidence with each step. Feedback from users Lorin  “Awesome Slippers! Absolutely LOVE these slip on hands free slippers! Sooo comfortable and well made. Will buy more when needed.” Sandra Ekblom Shop Lorin Vito “Nice indoor footwear. I really needed the handsfree slippers for a long time due to limited mobility. I'm glad it is available now…These have been sturdy enough to allow me to use comfortably and with my own arch supports from my regular shoes due to plantar fasciitis. Best slippers I have ever found.” Timothy Ross Shop Vito Best boots for stroke patients Women’s Florence    Why you’ll love it Two hook and loop straps allow the boots to fully open up for easy foot insertion slip resistant rubber sole with a unique tread design offers excellent traction   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather Available colors: camel, brown, black, taupe   Crafted with both practicality and style in mind, Florence boots offer a winning combination for women on their recovery journey.  The anatomical arch support reduces pronation, guides the foot into its proper alignment and function, and improves gait. With added heel cushioning to protect the sensitive heel bone, these boots enable women to maintain their balance and step confidently without compromising foot health.  Designed with a rocker bottom sole, the Florence brings a subtle spring-like quality to each step. This innovative feature minimizes walking effort, making these boots an invaluable choice for women experiencing foot discomfort post-stroke. Putting them on is effortless with two hook and loop straps across the ankles. These straps allow the boots to fully open up, facilitating effortless stepping into the boots while ensuring a secure and customized fit tailored to the unique shape of each woman's foot. Crafted from soft, non-binding leather with sealed seams, these boots are entirely waterproof, guaranteeing dry and warm feet even in wet conditions. In addition, the design allows enough room for AFOs and other foot devices. The lightweight, slip resistant rubber sole with a unique tread design offers excellent traction, improving confidence and stability when navigating winter's surfaces. Furthermore, the ankle support provided by these boots enhances stability even further. Feedback from users “These boots were nice and warm and I got lots of compliments on them. I have been recovering from a stroke and I’m able to get my foot into the foot bed better. I don’t even have to use an AFO splint. I love your shoe bed, very very comfortable.” Brenda Casper Shop Florence Men’s Ryder Why you’ll love it Two zippers at the heel offer hassle-free on-off wear Enhance stability and balance with ankle support   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: brown, black   Featuring two zippers at the heel, these boots offer hassle-free on-off wear. Simply unzip the back to open the boot wide, effortlessly slide your foot in, and zip it back up for a snug fit.  The lightweight boots come equipped with premium orthotic insoles, complete with anatomical arch support for enhanced comfort and support. These cushioned insoles can be easily removed to accommodate orthotics, ensuring proper alignment of the foot and entire body posture throughout the day. Designed with a specialized rubber sole featuring a clever tread design, the Ryder boots offer improved steadiness on various surfaces. The lightweight, ergonomic and cushioned sole incorporates a mild rocker bottom, reducing the effort required during walking for a more comfortable stride.  The wide and tall toe box allows toes to move freely and rest in their natural position, making it ideal for those with bunions, hammertoes, swelling feet and other foot conditions. Meanwhile, the soft leather upper provides a relaxed fit, while the seam-free fabric interior ensures protection for even the most sensitive feet. The boots are also biomechanically engineered to provide optimal ankle support, enhancing overall stability and comfort. This feature is particularly beneficial for individuals dealing with balance issues, ensuring a more secure and stable stride. Feedback from users “My husband has some issues with his feet from a stroke. Hammer toes and range of motion. The ease of putting these on is wonderful and he loves the support and comfort they give him all day on his feet!” Stalvey S. Shop Ryder What shoes should a stroke patient wear? According to Dr. Josh White, DPM, “Stroke patients principally need to be able to easily put on shoes and ensure they fit properly.” He adds that, “If there is difficulty using one hand, slip on styles might be most beneficial. If the foot lacks muscle support, it might benefit from a brace that would need to fit into the shoe. Also, the affected foot might become smaller than the other, necessitating adjustability of fit.” More specifically, what follows is a detailed list of recommended footwear features for post-stroke.  Stability and cushioning It’s best to choose shoes designed to offer stability and ease the discomfort associated with various foot conditions. Effective cushioning is essential, whether indoors or outdoors, as it reduces impact on feet and joints and lowers the risk of injury. Arch support Built-in arch support encourages proper foot alignment, reducing strain on weakened muscles and enhancing overall stability during walking. Lightweight construction Choose lightweight shoes to enhance the walking experience and reduce muscle fatigue. Lighter shoes make lifting the feet easier, which is particularly important for stroke recovery patients. Mild rocker design A mild rocker design allows a smoother, more controlled rolling motion from heel to toe. Curvature of the rocker bottom soles fosters a more natural gait, reducing effort during each step and practically propelling the foot forward. It also ensures even pressure distribution, offering comfort and reducing strain for post-stroke individuals. Room for AFOs or braces Ensure shoes have sufficient width to accommodate AFO devices or braces. Look for extra depth, generous toe space, wider widths, stretch or flexible uppers, and removable insoles for comfortable fit with devices. Adjustable for personalized fit Choose shoes with adjustable features like straps or laces for secure fit and to prevent foot slippage. Adjustable elements cater to individual needs and provide a stable sensation while walking. Comfort and breathability Shoes with breathable uppers or features promote moisture evaporation to maintain foot health and prevent infection and odor. Taller shaft for ankle support Consider shoes with a higher shaft for added ankle support, enhancing stability and reducing the risk of falls and ankle sprains.
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  • Signs your Plantar Fasciitis is Healing

    By Steven Gershman DPM  /  April 15, 2024
    The plantar fascia is a strong piece of connective tissue, functioning as a ligament that connects the heel bone to the bases of all five toes. It provides support to the arch and acts as a stabilizer of the foot. Unlike muscles or tendons, it cannot stretch when pulled or stressed. Plantar fasciitis is characterized by painful micro tearing of the fascia fibers. Contrary to its name, it is not a true inflammation but rather damage to the collagen fibers that make up the plantar fascia ligament, resulting in small tears. This condition can occur at the insertion point of the heel bone (resulting in severe heel pain) or anywhere along the fascia toward the ball of the foot. Typically, the pain worsens upon initial weight bearing after periods of rest, such as upon waking in the morning or after prolonged periods of sitting. Causes of Plantar Fasciitis There are multiple causes of plantar fasciitis: Overpronation with arch drop  Tight calf muscles and Achilles tendon Overuse from high intensity physical activities like sports Abnormal foot biomechanics Increased weight over time such as obesity  Poorly made or worn out shoes. Treatment Options Treating plantar fasciitis effectively requires a multifaceted approach, focusing on alleviating the foot pain, reducing inflammation, and addressing the underlying causes. Here's a deeper dive into some of the most effective treatment options: Shoes and Inserts - The first step in treating plantar fasciitis is often improving footwear. Orthofeet supportive footwear has a firm and stable heel counter that helps control heel motion and reduce pronation, effectively alleviating the severe heel pain and supporting healing. Stretching Exercises - Stretching the calf muscles and Achilles tendon can significantly help in managing plantar fasciitis. Regularly performing plantar fasciitis exercises such as calf stretches, towel stretches, and plantar fascia stretches can reduce tension in the fascia, promoting healing. Physical Therapy - A physical therapist can guide you through specific exercises designed to strengthen the muscles of the foot and lower leg, improving overall foot mechanics and reducing strain on the plantar fascia. Techniques such as manual therapy, taping, and ultrasound therapy can also provide relief. Steroid Injections - In cases where conservative treatments do not provide sufficient relief, steroid injections may be considered. These injections can help reduce inflammation and pain quickly. However, they are generally reserved for more severe cases due to potential side effects. Orthotics - Custom orthotics or over-the-counter insoles can provide additional support and cushioning, helping to correct abnormal foot mechanics and distribute pressure more evenly across the foot. Orthofeet's BioSole Gel inserts are an excellent option, offering a non-custom orthotic solution that effectively reduces pronation and alleviates the sharp pain associated with plantar fasciitis. Severe Cases: Walking Boots and Surgery - For severe cases that do not respond to conservative treatments, more intensive interventions may be necessary. Wearing a walking boot can immobilize the foot, allowing the fascia to heal by reducing strain and preventing further injury. Plantar fasciitis surgery is considered a last resort and is typically reserved for cases where all other treatments have failed. Surgical options might include plantar fascia release, where the fascia is partially cut to relieve tension and allow for healing.   How long does it take for plantar fasciitis to heal? The answer varies greatly, ranging from a few weeks to many months. Generally, the longer a person has plantar fasciitis, the longer it may take to heal. So, it is better to treat it as soon as possible. In some cases, if detected early, plantar fasciitis can become painless within a week or two with the use of better shoes and insoles. Sometimes, it can become painless with a steroid injection within a few days, though this is uncommon. If plantar fasciitis persists for many months before treatment begins, it may take months for the condition to heal. In addition, the underlying cause can impact healing time. For instance, if weight is the issue, it can take quite some time until it is resolved. On the other hand, if overpronation is the cause, proper plantar fasciitis shoes and inserts can heal it fairly quickly, as in weeks. How can you tell if plantar fasciitis is getting better? It all comes down to the plantar fasciitis symptoms. When the pain improves, you are getting better. Typically, the pain felt later in the day tends to improve before the pain experienced upon waking, though this isn't always the case. Since there are no external signs, such as swelling, to gauge improvement, healing is assessed based on the intensity of the foot pain and eventual absence of pain. Here are some key signs plantar fasciitis is healing: Improved Pain Levels One of the most telling signs of healing is a noticeable reduction in pain levels. Initially, you may find that the sharp, stabbing pain you experience in the morning or after periods of rest begins to diminish. Over time, the pain will become less intense and more manageable. As the condition improves, you might find that pain occurs less frequently and is not as severe. Resumption of Normal Activities Another positive indicator of healing is the ability to resume normal activities without discomfort. When you can walk, stand, or engage in your daily routine without experiencing significant pain, it's a good sign that your plantar fascia is healing. You may find that you can gradually increase your activity levels without triggering a flare-up of symptoms. This gradual return to normalcy is a strong indicator that your treatment plan is working. Tracking Progress Keeping track of your progress can provide valuable insights into your healing journey. Consider maintaining a pain journal where you record your daily pain levels, activities, and any treatments you are using. This can help you identify patterns and track improvements over time. You may notice that your pain is less severe or that it subsides more quickly after periods of activity. This consistent reduction in pain intensity and duration is a clear sign of recovery.By monitoring these signs, you can gauge your progress and adjust your treatment plan as needed. Remember, healing from plantar fasciitis can take time, but with the right approach, you can get back to enjoying a pain-free life. Find relief from plantar fasciitis with Orthofeet’s footwear Plantar fasciitis is a very common diagnosis, but there are ways to prevent plantar fasciitis. Wearing proper plantar fasciitis shoes for women and men, as well as using inserts is the best way to reduce the risk of developing plantar fasciitis. Orthofeet plantar fasciitis insoles and shoes are a great choice and the recommendation of my office in many cases. I wear them myself, as does my wife. Orthofeet shoes and inserts are highly recommended by my office in many cases, and I personally wear them, as does my wife. They serve as an excellent treatment modality for plantar fasciitis. These products are well-made and biomechanically appropriate, effectively reducing pronation and other abnormal biomechanical forces. The firm and stable heel counter helps control heel motion and reduces pronation. Our plantar fasciitis shoes for men and women are also deep enough to accommodate inserts or orthotics if needed. All footwear comes with a supportive insert, and Orthofeet also manufactures a true non-custom orthotic, called BioSole Gel, which is highly effective for plantar fasciitis. Shop Plantar Fasciitis Shoes
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  • 10 Best Shoes for Hypermobile Feet (Ehlers Danlos Syndrome)

    Medical information provided by Josh White DPM  /  April 04, 2024
    Navigating the world with hypermobile feet, particularly in the context of Ehlers-Danlos Syndrome (EDS), presents a unique set of challenges. From the intricacies of the foot's biomechanics to the array of conditions it may encounter, finding suitable footwear becomes not just a matter of comfort but a crucial aspect of managing foot health. The National Institute of Health defines Hypermobile Ehlers-Danlos syndrome as “an inherited connective tissue disorder that is caused by defects in a protein called collagen. It is generally considered the least severe form of Ehlers-Danlos syndrome although significant complications can occur.” Research suggests that “The hypermobility type is the most common variety [of EDS], with an estimated prevalence of 80–90% of all cases. Its classical symptoms are hyperextensible skin, joint hypermobility frequently associated with limb pain and joint dislocations, and blood vessel and tissue fragility.” In their article, Professor Anthony Redmond and Associate Professor Dr. Heidi Siddle* note that individuals with EDS are more susceptible to sprains and strains, experiencing these injuries more frequently and severely due to their hypermobility. Rapid movements near the end of a joint's stable range can trigger such incidents. They also mention that individuals with hypermobile joints due to EDS or hypermobility spectrum disorder often report worse lower limb pain and greater lower limb disability compared to the general population. This article will explore the best footwear options for increased comfort and support for those with hypermobile feet, and addressing common questions. What type of shoes are best for hypermobile feet? According to podiatrist Dr. Josh White, “Hypermobile feet are best accommodated by shoes that provide superior support and have enough depth to accommodate a custom molded orthotic device.”   Dr. White also advises that “It’s best when the middle section of the sole extends broadly beneath the arch. In addition, the heel counter should be firm enough to resist squeezing from side to side.” Best shoes for hypermobile feet (EDS) Best Walking shoes for hypermobile feet Women’s Coral Why you’ll love it Stretch material that wraps the foot securely and adjusts to its contours Removable insole allows for the insertion of custom orthotics   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: white, black, no-tie black, gray, sandy, blue, lavender, turquoise, wool gray   These sneakers are crafted with a stretch material that wraps the foot securely, adjusting to its contours and providing a personalized fit for various foot shapes and sizes. This stretch material is also breathable, promoting air circulation to prevent sweaty feet and the unpleasant odors and potential infections and irritations that can bring.  While most Coral versions are designed with regular laces, the no-tie black version features a bungee lace closure. This provides a quick and easy on-and-off experience, greatly appreciated by those managing mobility issues or leading hectic lifestyles. One notable feature of the Coral sneakers is the wide and deep toe box, which alleviates pressure on the toes and forefoot. This toe friendly design prevents toe rubbing and minimizes the risk of irritations, wounds and calluses, contributing to overall foot comfort. It also allows the toes to splay naturally, which can improve stability. Equipped with a built-in arch support, the Coral offers enhanced support and alignment for the foot, virtually correcting your stride and reducing pain.  The removable insole allows for the insertion of custom orthotics, ensuring personalized comfort and support tailored to individual needs. Designed with a cushioning sole that combines air and foam technology, the Coral sneakers provide a soft and comfortable walking experience, minimizing the impact on the feet and reducing strain. And yet, with all these foot health features, the Coral is still comfortably lightweight, so you won’t need to exert extra effort to lift your feet as you walk.  Feedback from users “EDS, planters fasciitis, pronation…Wow! Amazing shoes, I'm an RN and I'm on my feet for 12 hours. They even look cute! I have the inserts and the arch boosters in. Only shoes I've ever put on and my ankles didn't immediately bow in. Very happy customer.” Jessica Udasi Shop Coral Men’s Tilos Why you’ll love it Just slip your foot in and the back wraps comfortably around your heel Thick soles provide maximum cushioning at the heel and ball of the foot   Specs Sizes: 7-14  Widths: Standard (D) - Extra Wide (4E) Upper materials: stretch knit Available colors: gray, olive, blue   Tilos sneakers can be a lifesaver for anyone who’s feet are more sensitive and need some extra care. They're all about comfort and ease. No more fumbling with laces - Tilos slip right on, perfect for mornings when you're running late or if bending down is tricky. Just slip your foot in and a hidden spring at the back bends and then recoils to wrap comfortably around your heel, ready to go. The stretchy upper material hugs your foot like a comfy sock, and there's plenty of cushioning in the sole to absorb shock with every step. The thick sole provides maximum cushioning at the heel and ball of the foot, while the enhanced rocker facilitates foot motion and adds spring to your step.  The wide toe box gives your toes just the right amount of wiggle room, no more feeling crammed in. Plus, inside, the soft, padded fabric interior ensures superior comfort and protection for sensitive feet. But Tilos aren't just comfy, they're supportive too. They have built-in arch support, and there's even a removable insole you can customize for extra support if needed. This could be a big help when you deal with foot pain or instability. The soles are grippy to keep you more stable as you walk, and the material repels water so you can wear them rain or shine, mud or brine.  Feedback from users “Great shoes!!! I have never had a pair of ‘sneaks’ that are as comfortable as these! Planning to buy other OrthoFeet products in the future! I have spent more than the cost of your shoes on footwear that sits in my closet and never gets worn because those sneakers are NOT comfortable in the least. Whoever said spending more was the only way to get a better shoe was dead wrong! You guys rock!!!!!!!!” Myron Slobin Shop Tilos Best slippers for hypermobile feet Women’s Lorin | Men’s Vito Why you’ll love it Advanced supportive features that go way beyond the average indoor footwear Shock absorbing soles ease stress on your joints   Specs Sizes: women 5-12 | men 7-14 Widths: women Standard (B) - Extra Wide (2E) | men Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: Lorin - light brown, bordeaux, black | Vito - olive, black   Imagine kicking back at home with your feet feeling like they're on cloud nine. That's the feeling Vito and Lorin slippers aim to create. No need to bend over to put them on – their innovative slip-on design lets you slide your foot in with ease, perfect for lazy mornings, cozy evenings, and anyone with mobility challenges. These slippers go beyond your average indoor footwear. They are designed with a supportive system that starts with built-in arch support, crucial for anyone who needs a little extra stability. The support continues with a lightweight, cushioned sole with a slight curve that feels like walking on air. It mimics your natural walking motion and absorbs shock, potentially easing stress on your joints. Vito and Lorin slippers also prioritize a personalized fit. An adjustable strap lets you customize how snug they feel, ensuring a comfy experience for your unique feet. Cramped toes become a thing of the past with their roomy design that allows for natural toe movement. The focus on comfort extends beyond functionality. Soft, water-repellent materials keep your feet dry and cozy, while the plush insole and seamless, faux fur interior feel like a luxurious hug. Finally, the improved grip rubber soles keep you more confident and stable with every step around the house. Feedback from users Lorin  “Was skeptical about how easy and doable the hands free part would be but I am SOLD! Love’em! I may never buy the regular tie shoes again. So easy to slip on and the heel part is still firm on my foot when walking. I want more!!” Marie Hewitt Shop Lorin Vito “Best slippers ever! I have been looking for slippers for a while, but nothing seemed to work due to my wide high arched feet. That was until I got my Vito Hands-Free slippers, my feet are now doing great. I was a little worried about the hands-free working with my very high arches. The hands-free work reasonably well, which surprised me. They keep my feet toasty in my cold home office.” Corey Anderson Shop Vito Best boots for hypermobile feet  Women’s Heidi Why you’ll love it Specially designed insole keeps your feet aligned and comfortable Slip resistant sole provides excellent traction so you can walk with peace of mind   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather  Available colors: taupe, black   With the Heidi boots on your feet, you’ll feel like you're walking on sunshine, right down to your toes. These boots are designed for that kind of all day comfort, especially for those with sensitive feet or in need of a little extra support. First up, ditch the cramped toe feeling! The Heidi boots are designed with an ultra soft leather upper and a roomy toe box, a big deal for anyone with bunions, hammertoes, or other foot problems. This design relieves pressure and lets your toes move freely throughout the day. Putting them on and taking them off is a breeze too. Say goodbye to struggling to pull boots on – the Heidi boots are equipped with a convenient inner zipper for easy slipping on. Plus, an adjustable buckle lets you customize the fit around the ankles for extra support and a secure feeling. Built-in arch support works in tandem with a specially designed sole to keep your feet aligned and comfortable all day long. The sole even has a slight rocker design, which adds a little spring to your step and makes walking feel effortless. Plus, for confidence on any surface, the slip resistant sole design provides excellent traction so you can walk with peace of mind. Inside, the Heidi boots feel like a cozy hug for your feet. The soft, padded fabric lining feels gentle and there are no irritating overlays, so you can wear them for hours without any worries. And the cherry on top: the Heidi boots are so stylish, you’ll never guess they are also good for your feet and legs. Feedback from users “OMG! I absolutely love these boots. I wanted a boot that I could wear with leggings that looked good and felt good. I am so thankful that this boot was made. I always thought that these reviews were not from real customers, but I can honestly say now I know they are. Thank you! Thank you! Thank you! OrthoFeet is the most comfortable shoes I have ever found for my bunion and overall foot comfort!” Jeannette Baugher Shop Heidi Men’s Verno Why you’ll love it Slip-on wear eliminates traditional boot-wearing hassle  The combination of solid midsoles and slip resistant soles provide exceptional stability   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: black, brown   Verno boots are a great choice for anyone who's tired of the struggle with traditional footwear. No more awkward contortions and bending – Verno's ingenious slip-on system lets you simply step right in, eliminating the hassle and allowing you to conquer your day with ease. And it achieves this convenience without sacrificing a stylish laced-up look. These boots pamper your feet from the moment you slip them on. The wide toe box provides more than enough space, accommodating even swollen feet or protrusions comfortably. This ensures a pain free and comfortable experience, letting you move freely without restrictions. Comfort with Verno goes beyond just feeling soft. Equipped with premium orthotic insoles featuring removable arch support, these boots help realign your feet and prevent overpronation. This can alleviate pain and promote overall foot health. Stability is key, and Verno delivers. The combination of a solid midsole and a slip resistant outsole forms an unwavering partnership, providing steadfast support on any terrain. Even with the low heel design that encourages a natural walking motion, you'll stay sure footed and confident on any surface. Plus, the boots offer great ankle support for added confidence. Crafted with water repellent materials and a soft, padded interior, the Verno boots prioritize your comfort and protection. The non-binding leather upper keeps your feet comfortable, while the cushioning sole with a slight rocker adds a spring to your step and makes walking easier. Feedback from users “Most comfortable boots I've ever owned! I suffer from foot neuropathy and hammer toes in both feet. The relief I have gotten since wearing these has been nothing but phenomenal! My hammer toes no longer rub up against the top of my boots. For the money, you will find nothing finer. I wear a size 13 ex. wide (not an easy size to find) and when these wear out I will not hesitate to purchase another pair. Thank you so much for this exceptional product.” Peter Zukis Shop Verno Best casual shoes for hypermobile feet Women’s Quincy Why you’ll love it Designed with slip-on functionality in mind. Moisture wicking insole that’s anatomically designed to support your arches.   Specs Sizes: 5-12 Widths: Medium (B) - Extra Wide (2E)  Upper materials: stretch knit Available colors: gray, black, blue   Designed with slip-on functionality in mind, slipping into the Quincy shoes is easy. Just open the instep strap, slide your foot in, and adjust the strap to your desired snugness. With included spacers that can be placed under the insole, you can also customize the interior fit for added security, ensuring your foot stays in place without any slipping. Featuring a stretchable neoprene upper and a soft, padded interior, the Quincy casual shoes offer a comfortable fit that accommodates any foot shape. The wide toe box gives your toes space to move naturally, reducing the likelihood of discomfort associated with cramped toes. What sets the Quincy shoes apart is their focus on arch support. The moisture wicking insole is anatomically designed to support your arches, ensuring your feet are pain free and comfortable even during extended periods of standing. For those needing extra support, the shoes come with an optional arch booster, providing that additional boost whenever needed. Underneath, the cloud like sole of the Quincy shoes works wonders. It absorbs pressure and impact, allowing you to walk longer distances with ease while reducing strain on your feet and joints. Feedback from users “So happy - [you] might want to try if you have EDS. My daughter has Ehlers Danlos Syndrome and has short flat wide feet. I took her to buy some shoes (Skechers, which I love) but they weren't wide enough and didn't fit. She has had so much trouble finding anything to fit. She was almost in tears. I went home on a mission to find her some good shoes. And I found these. She loves them and they fit!!” Christine G. Shop Quincy    Men’s Pierre Why you’ll love it Hands free wear eliminates the need to bend or tie laces Premium orthotic insoles with anatomical arch support   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: smoke white, black   The Pierre sneakers are designed with both effortless comfort and support in mind. First thing’s first: get the laced-up look without ever tying laces again. The Pierre sneakers are built with a hidden spring in the back that allows you to just slide your foot in, while it gently closes around your heel – no bending required. It's simple, convenient and lets you get on with your day without giving your shoes too much thought. Crafted from top quality leather, the Pierre are stylish yet surprisingly comfortable. You won't feel squeezed by a stiff construction – the wider toe box gives your toes the room they need to breathe and move freely throughout the day. And there’s more. The Pierre sneakers have special insoles, packed with cushioning layers and designed with a built-in arch support, that helps you maintain good posture and prevent foot pain. Plus, the sole of the shoe has a slight curve that helps you roll smoothly from step to step.  The rubber outsole provides excellent grip on the ground, giving you the confidence to move around more freely and securely. Finally, the inside of the Pierre shoe feels like a little comfort zone for your feet. Lined with soft, padded fabric with no irritating bumps or stitches, you can focus on your day without any distractions from discomfort. Feedback from users “Great slip on dressy shoes. Shoes came in a week. Fit well. Large toe area so plenty of room. Insoles work well with the arch support. This is my 3rd pair of shoes and a pair of boots. Great product and will recommend it to everyone with foot problems.” Harry Frisby Shop Pierre Best sandals for hypermobile feet Women’s Malibu Why you’ll love it Innovative instep strap opens on both sides of the sandal Contoured arch support and stretchy interior padding foam   Specs Sizes: women 5-12; men 7-14 Widths: women Standard (B) - Wide (D) | men Standard (D) - Extra Wide (4E) Upper materials: stretch knit Available colors:   The Malibu sandals are like a breath of fresh air for your feet, especially during the warmer months when showing off those pedicured toes becomes a must. Good open toe sandals should be constructed with anatomical arch support and lots of padding. In addition, since open-toe designs lack material coverage, it's crucial for them to incorporate plenty of straps to provide foot stability and customization. The Malibu sandals perfectly embody these principles: a classic design with advanced adjustability features for comfort and stability. With three points of adjustment, including straps at the heel, toe, and an innovative instep strap that opens on both sides, finding your perfect fit is quick and effortless.  The unique two-way strap allows for easy access and adjustment, catering to those who may struggle to reach the outer part of the shoe. It not only enhances convenience but also provides more flexibility in fit, accommodating varying preferences. What sets the Malibu sandals apart is their contoured arch support and stretchy interior padding foam, ensuring comfort and alleviating discomfort.  The curve of the insole fills the space under the arch to support it, and ensures the tendon is not strained and stretched when you walk. The deep heel cup cradles the heel and disperses shock under the fat pad with heel strike. The sole has a unique rocker bottom shape that ergonomically moves your foot with little effort and less joint movement, resulting in a smoother and easier walking experience for those dealing with foot pain. Feedback from users “Awesome! Love my new sandals. My feet feel great! I have fibromyalgia and EDS and, besides my feet feeling great, I feel much more stable walking. Have already ordered a pair of athletic type shoe too!” Patricia Schaefer Shop Malibu Men’s Clearwater Why you’ll love it Adjustable fit thanks to bungee cord, heel strap and two-way instep strap Fully cushioned, ergonomic soles support both the arch and the entire foot   Specs Sizes: 7-14 Widths: Standard (D) - Extra Extra Wide (6E)  Upper materials: stretch knit Available colors: brown   The Clearwater sandals allow full adjustability without the need to deal with fiddly buckles. Thanks to an innovative two-way strap system designed with everyone in mind, these sandals cater to those with limited mobility or those who prefer securing sandals from the inside. It also has a bungee cord and adjustable heel strap. This lets you find the perfect fit for both comfort and stability on any terrain. No more awkward adjustments – just slide them on and feel confident with every step. Still, the design features go beyond just feeling good. The fully cushioned, ergonomic soles support both the arch and the entire foot, effectively absorbing shocks with each step. This strategic design can potentially alleviate pain not just in your feet, but also in your legs and back. Think of it as having a supportive foundation with every step, contributing to your overall well being. The Clearwater sandals also strike a perfect balance between protection and breathability. The closed toe design keeps your feet secure from bumps and scrapes, without feeling restrictive. Thanks to the soft leather upper and strategically placed cutouts, your feet stay cool and ventilated even on hot days.  Plus, the interior is completely padded, eliminating any rubbing or irritation. Feedback from users “Because of my wide foot (6W) and bunion, I am very limited in which sandals I can buy, that are comfy and don't hurt my feet. I tried 3 or 4 others, but keep coming back to Clearwater. One of the most comfortable sandals/shoes I have ever worn. I wear them as shoes sometimes. This is my third pair and I'll be buying more if they are available.” Ronald Jaffray Shop Clearwater Do orthotics help hypermobility? “Functional foot orthotics can improve foot joint alignment and biomechanics,” says Dr. White. He goes on to explain, “The normal foot functions as a rigid lever during the propulsive phase, and a mobile adapter at heel contact and during the first half of the stance phase of gait. Foot orthotics can help the hypermobile foot function more effectively in performing these primary functions.” Do compression socks help with EDS? According to Dr. White, Ehlers Danlos Syndrome causes joint hypermobility and is associated with postural instability. “Compression garments have been found to provide improved proprioception and thus can help improve balance,” he says. “Additionally, people with EDS are at increased risk for Raynaud’s Syndrome. Compression socks can improve circulation and reduce the foot pain associated with Raynaud’s.” *Professor Anthony Redmond is Head of Clinical Biomechanics and Physical Medicine, and Dr. Heidi Siddle is Associate Professor and NIHR Clinical Lecturer, both from the Leeds Institute of Rheumatic and Musculoskeletal Medicine
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  • Best Compressions Socks for Lymphedema

    Medical information provided by Josh White DPM  /  March 21, 2024
    Feeling the squeeze? If you're dealing with lymphedema, you know the importance of keeping things moving. Compression socks can be a game-changer, offering that extra bit of support to manage swelling and keep you comfortable.  But, with so many options out there, finding the right pair can feel overwhelming. Not to worry, we've done the legwork (pun intended) to bring you a guide to the best compression socks for lymphedema.  By the way, if you’re also looking for shoes for lymphedema, podiatrist Dr. Steven Gershman has some guidelines for you.  Firstly, Dr. Gershman emphasizes the challenges of fitting shoes for those dealing with severe foot swelling, stating, "As the feet are often swollen severely, shoes are often hard to fit." In mild cases, he recommends shoes that are "extra deep with a wide, round toe box," noting that "Extra Wide or even Extra Extra Wide width shoes are required."  For severe cases, Dr. Gershman suggests stretchable shoes in those widths as the only viable option to accommodate the swelling effectively. Do compression socks help with lymphedema? According to podiatrist Dr. Josh White, the answer is yes.  “Compression socks are a fundamental treatment for lymphedema”, he stresses. “Compression is best achieved following massage to help the body dissipate and absorb excessive fluid buildup.”  Dr. White adds that “Manual Lymphatic Drainage (MLD) uses soft stretching of the skin of the affected area to assist with fluid resorption. It’s best to put on compression socks just after the swollen area has been massaged.” What are the best compression socks for lymphedema? Mid-calf compression Available in compression levels of 18-25 mmHg and designed with an anatomical shape that adjusts to the natural curves of the foot and leg, these mid-calf compression socks ensure gradual compression from the foot to the mid-calf, with targeted compression in the midfoot region. This precise compression helps enhance circulation and diminish swelling, two critical factors in lymphedema management. Constructed from a soft blend of materials, these socks offer both comfort and durability, ideal for individuals seeking long lasting support. The stretchy fabric adapts seamlessly to body movements, preventing any bunching up or slipping down to maintain consistent compression throughout the day. These socks also feature additional padding at the heel and ball of the foot, effectively reducing friction and minimizing the risk of blisters. This is particularly beneficial for people who experience heightened sensitivity or discomfort in these areas due to prolonged periods of standing or engaging in strenuous activities. To further enhance comfort and minimize irritation, the socks are designed with a seamless interior, eliminating any potential for chafing or rubbing. If you have sensitive skin, this will provide it with the care and protection it needs. Shop mid-calf compression socks   Knee-high compression Available in two compression levels - 15-20 mmHg and 20-30 mmHg - these knee-high compression socks offer versatility to meet varying compression needs. But their true ingenuity lies in their unique design. Offered as a two piece set, these knee-high compression socks present a very smart and practical solution for those managing lymphedema. If you have any experience with knee-high compression socks, you already know too well how taxing it can be to put them on and take them off. To complicate matters further, mobility issues or weakness in the hands can make this task almost impossible. The unique two part system design of these socks, which includes an ankle sock and separate calf sleeve, provides the perfect solution to this challenge, making them easy and effortless to wear. Featuring a calf shape that conforms to the natural contours of the leg, these socks provide gradual compression from the foot to the knee, fostering improved circulation and blood flow, essential for lymphedema management. The customizable nature of the two piece system allows you to mix and match your compression levels, sizes and colors to accommodate your unique foot and calf measurements, ensuring a personalized fit and optimal compression. Within, the seam-free interior prioritizes comfort and protects sensitive feet from potential irritation. Crafted from soft microfiber threads, the socks offer flexibility and adaptability to the unique shape of the foot and leg. In addition, extra padding at the heel and ball of the foot provides superior cushioning for added comfort throughout wear. Shop knee-high compression socks How many hours a day should you wear a compression sock for lymphedema? “It’s best to wear compression socks as much as possible, particularly when the legs are in a dependent position,” says Dr. White. How long should compression socks be worn for effective lymphedema management? Dr. White explains that wearing compression socks for as long as possible is the most effective way to manage lymphedema because “The sleeve provides support and comfort, and helps the muscles to provide gentle pumping with movement”. He also recommends that the skin should be watched for evidence of irritation and kept adequately moisturized.
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  • 6 Best Surgeons Shoes for Operating Room

    Medical information provided by Josh White DPM  /  March 14, 2024
    As a surgeon, enduring marathon sessions in the operating room is par for the course. However, overlooking the importance of proper footwear can turn these sessions into a grueling ordeal. You may be all too familiar with issues such as throbbing arches with every step, protesting heels, blisters forming like miniature mountains, a back contorted in discomfort, or legs yearning for relief. In other words, it's a relentless battle against discomfort just to carry out your duties. Without exaggerations, the right shoes are one of the unsung heroes of every operating room, providing essential support for your feet and easing the burden with their advanced features. What truly sets these shoes apart is their comfort—they envelop your feet in a soothing embrace, allowing you to focus solely on the task ahead. So, it’s time to bid farewell to foot discomfort and embrace pain-free surgery with the right pair of surgical shoes. Your feet—and your focus—will thank you for it. What type of shoes are best for surgeons?  When considering the ideal footwear for surgeons, it's essential to prioritize key features to ensure comfort and support during long hours in the operating room.  First and foremost, focus on arch support and shock absorption - they form the cornerstone of foot comfort. These attributes work together to protect your feet and legs from fatigue and discomfort. Shock absorption. Similar to the importance of shock absorption and cushioning in the best shoes for healthcare workers, these features are crucial for surgeons as they help alleviate the strain of being on your feet for extended periods. When looking for shoes, focus on those with high quality outsoles and well padded midsoles - they will prove to be your reliable allies throughout your shifts. Arch support. Arch support is important as it provides stability and comfort, akin to a gentle embrace for your weary feet. Look for footwear that properly supports your arches, allowing you to experience the sensation of walking on clouds, aligning your overall body posture and preventing pain and discomfort. In addition to these essential features, consider the benefits of slip resistant or improved traction, fluid repellent and lightweight shoes with enough toe room. These features contribute to a smoother and more comfortable work experience, allowing you to navigate the demands of the job with ease and confidence. And finally, since surgeons spend long hours on their feet, investing in the best shoes for standing all day, which emphasize foot support and health, is paramount. By choosing shoes that prioritize arch support, shock absorption and cushioning, along with additional features tailored to your specific needs, you will be surprised how you can significantly improve your comfort levels. What are the best operating room shoes? Men’s Tilos | Women’s Nira  Why you’ll love it Smart slip-on feature allows for lightning fast wear Water repellent, flexible uppers adjust to your foot shape and keep feet dry   Specs Sizes: men 7-14 | women 5-12 Widths: men Standard (D) - Extra Wide (4E) | women Standard (B) - Extra Wide (2E) |  Upper materials: stretch knit Available colors: Tilos - gray, olive, blue | Nira - turquoise, light gray, black   These shoes are designed by people who understand the importance of support for feet, especially when they bear the full body weight for hours on end, from their arches all the way up their backs. That's why the men’s Tilos and women’s Nira shoes are equipped with fancy orthotic insoles that realign your feet and keep your posture on point. Say goodbye to foot pain after a long surgery - just pure comfort. Plus, they slip on easily for lightning fast wear - perfect for those times when every second counts. They're also water repellent and simple to clean, because let's face it, things can get messy in the OR. If you ever dealt with swollen feet, bunions, or hammertoes, you know the struggle. Tilos and Nira have a wide toe box that gives your feet some breathing room, like a comfy hug for your poor, overworked toes. The insides are just as comfortable, with soft padding and a stretchy knit upper that conforms to your foot like a sock. No pressure points, just pure comfort. Standing for hours takes a toll on your feet. The thick soles of these sneakers absorb shock and minimize impact. In addition, the soles are slightly curved to help your foot move naturally with each step. Finally, the rubber outsoles provide excellent grip. No more slipping around the OR – you can focus on what matters, saving or improving lives, without your shoes letting you down. Feedback from users Tilos  “Love it! Great fit, very comfortable” Derek G.  Nira “The Nira’s are perfect! I’ve tried a few other styles, but this has them beat hands-down. Not only are they step[-in] but they do feel like you’re walking on a cloud and they have great arch support. Waiting for more colors to come out but these I think are going to be my go to for sneakers, and just in time for my cruise.” Shari Romero Shop Tilos Shop Nira Men’s Pierre  Why you’ll love it Slide your foot in, and a spring bends and then recoils, no bending or lace-tying required Made from top quality leather that's both stylish and provides a non-binding   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: white, black   Here's why the Pierre sneakers might become your new best friend. First off, forget about fumbling with laces. The Pierre is constructed with a clever slip-on system featuring a hidden spring in the back. Simply slide your foot in, and the spring bends and gently closes around your heel, no bending, no fuss.  The shoe is made from top quality leather that's both stylish and non-binding. No more feeling squeezed by stiff shoes, your feet will thank you for the extra wiggle room. At the bottom, the Pierre's sole has a slight curve that helps you roll from step to step effortlessly. The rubber outsole grips the floor, so you can move around more confidently. Going beyond comfort, the Pierre sneakers are designed with your long term health in mind. They have special insoles with built in arch support that helps keep your posture on point. This can be a lifesaver, preventing foot pain and preventing various foot issues. Surgeons often deal with swollen feet, as well as conditions such as bunions and hammertoes. The Pierre shoes understand that poorly fitting footwear can exacerbate and even cause such problems, which is why they have a wider toe box that doesn't cram your toes and gives your feet some breathing room. Inside, the shoe is lined with soft, padded fabric. There are no weird bumps or stitches to irritate your feet. It's like a little comfort zone for your feet, allowing you to focus on your work rather than on any discomfort. Feedback from users “I like the first pair l purchased for work, after a few days wearing them my back and knee pain is gone. I can actually feel the support it is giving me when l walk. I just recently purchased a pair of dress [shoes] when l go out. You will be getting more customers, l am [recommending] to my relatives and friends. How wonderful they are.” Thomas Harris Shop Pierre Women’s Talya Why you’ll love it Made from top notch rubber that clings to the floor, preventing slips and falls Ergonomically designed soles with just the right amount of cushioning   Specifications Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: soft synthetic leather Available colors: white, lavender, black   These sneakers are all about grip. The outsoles are made from top notch rubber that clings to the floor like nobody's business. Think navigating a wet floor with socks on – not happening! With Talya sneakers, you can move confidently around the OR, no matter how slippery things get. But grip is just the tip of the iceberg. Talya sneakers are comfort champions too. They have these amazing insoles that feel like they were custom made for your feet. Plus, the soles are ergonomically designed with just the right amount of cushioning. This prevents foot pain, even after marathon surgery sessions. Here's another reason surgeons love these shoes: the wide toe box. No more feeling like you're cramming your toes into tiny torture chambers. They'll have room to wiggle and breathe, keeping your feet happy all day long. And because things get messy in the OR, Talya sneakers are built for it. The uppers are both flexible and water repellent. So whether you're scrubbing in or rushing between cases, your feet will stay comfy and dry. Plus, if you do manage to spill something, cleaning these stain resistant shoes is a breeze – just a quick wipe down and you're good to go. Feedback from users “I am a nurse and am frequently on my feet twelve hours a day. I have wide feet and plantar fasciitis. These shoes keep my feet comfortable until the end of my shift.” Laila Payne Brown  Shop Talya   Men’s Yari | Women’s Kita Why you’ll love it Extra grippy outsole provides full stability, allowing you to navigate any surface Breathable uppers keep your feet cool and fresh, even during long surgeries   Specs Sizes: men 7-14 | women 5-12 Widths: men Standard (D) - Extra Wide (4E) | women Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: Yari - blue, white, black, gray | Kita - black-black, black, blue, gray, rose, white   When you're rushing out the door at the beginning of your shift or when you’re on call, the last thing you need is to waste time putting on and tying your shoes. Enter the Yari and Kita sneakers – these lifesavers have a hidden spring surprise in the back. Slide your foot in, and whoosh, the spring gently secures your foot. No time wasted, no hassles. But these shoes are more than just convenient. They've got your back (by way of your feet) when it comes to safety. The outsoles are extra grippy, so you can navigate those sometimes messy OR floors with confidence. No more surprise slips or unwanted slides – just steady footing to get the job done. And because surgeons are on their feet all day, comfort is key. Yari and Kita sneakers feature cushioned insoles with arch support that feels amazing. These cushioned insoles help bolster your arches, keeping your feet comfortable throughout your shift. Whether you have high arches or simply want to prevent future foot pain, these insoles will be good to your feet. Feedback from users Yari “These shoes have really helped my husband. He is on his feet all day as a photographer and has been having feet, knee and back issues. He started wearing these shoes and in a matter of days he felt so much better. And as an added bonus, the sole inserts have helped him walk more balanced so he won't unevenly wear holes in his shoes.” Pamela Morgan Kita “Love!! These shoes are AMAZING! I am a pharmacy technician in a very busy retail store and these shoes [are] the best shoes ever...my feet feel great and I finally feel like actually doing something when I arrive home from work! Thank you OrthoFeet!” Debra Bjorling Shop Yari Shop Kita   What type of shoes are best for surgeons?  When considering the ideal footwear for surgeons, it's essential to prioritize key features to ensure comfort and support during long hours in the operating room.  “Surgery can entail standing for hours on end and often is associated with the feet getting wet,” says Dr. Josh White, DPM.  “The best shoes provide cushioning and support, and offer adjustability of width to accommodate any swelling. It’s best that the uppers are water resistant and the soles slip resistant. Slip on styles are also preferable as once scrubbed in, it is not possible to tie one’s laces.” In line with Dr. White’s recommendations, the following footwear features work together to protect your feet and legs from fatigue and discomfort. Shock absorption. Similar to the importance of shock absorption and cushioning in the best shoes for healthcare workers, these features are crucial for surgeons as they help alleviate the strain of being on your feet for extended periods. When looking for shoes, focus on those with high quality outsoles and well padded midsoles - they will prove to be your reliable allies throughout your shifts. Arch support. Arch support is important as it provides stability and comfort, akin to a gentle embrace for your weary feet. The best shoes for standing all day are those that properly support your arches, giving you the feeling of walking on clouds, aligning your overall body posture and preventing pain and discomfort. Slip resistant, fluid repellent. Uppers made from fluid repellent materials, as well as slip resistant soles or those that offer improved traction will help you maintain balance and dryness in every scenario in the operating room.  Weight and toe box. Lightweight shoes with a wide and round toe box can prevent foot and leg fatigue and foot pain.
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  • How To Tell If You Have Wide Feet?

    By Steven Gershman DPM  /  March 10, 2024
    Do you often wonder, "How do I know if I need wide shoes?" If you've experienced tight-fitting shoes, discomfort, or foot pain, you may have wide feet. Identifying the signs of wide feet is essential to ensure you're wearing the right shoes for your comfort and foot health. In this blog, we'll explore the common indicators of wide feet, offer advice on shoe fitting, and discuss the best shoes for men and women with wide feet. Signs you may have wide feet If the shoe size you are wearing is too narrow, you will see and feel some telltale signs. Firstly, your shoes will feel too tight, and your toes and forefoot will be cramped. This can lead to foot pain, especially if you suffer from specific foot conditions like flat feet or swollen feet. If this happens, consider shoes for flat feet or shoes for swollen feet to relieve discomfort. The small toe may rub against the inside of the toe box or feel pinched against the side, indicating that your shoes might be too narrow. When the shoe is too tight, the toes can get jammed together, causing pain, corns, and calluses between them. This pressure can also lead to bone spurs on the sides of the toes. To avoid these issues, switch to a wider shoe with adequate room and cushioning. If you're dealing with bunions, try shoes for bunions for a more comfortable fit. To understand the difference between bunions and bone spurs, check out our guide on bunions vs. bone spurs. Another sign that your shoes are too narrow is when your outer foot protrudes over the outsole while standing or when there's noticeable bulging from the toe box. Ideally, when you stand in your shoes, the foot should fit smoothly within the confines of the footwear without any visible bulge. If these signs are familiar to you, it's time to consider wider shoes to avoid further foot problems. Should I go up half a shoe size if I have wide feet? If the shoe is too narrow, opt for the next size up, regardless of its numerical value. Many people need a wider fit, and if the shoe doesn't indicate its width size, it's likely a Medium. To ensure a wise shoe size choice, consider trying on different widths to find the best fit for your foot width. If a Medium size feels too tight, try switching to a Wide size. If the Wide size still feels constricting, consider an Extra Wide or Extra Extra Wide for the widest part of your foot. By selecting the correct shoe size and width, you can ensure comfort and avoid foot problems caused by narrow shoes. Orthofeet offers shoes in all widths, ranging from Medium to Extra Extra Wide. in addition, Orthofeet shoes provide extra depth and feature a round, roomy toe box, offering more room and comfort. Tips for Choosing the Best Wide Width Shoe To find the perfect shoe fit, consider the following: Foot Size: Measure your foot size regularly, as it can change over time due to age, weight fluctuations, or foot health issues. Measure your foot at the end of the day, when it's at its largest, to get the most accurate size. Shoe Sizing: Use a size guide to determine your ideal shoe size and ensure proper fit without causing foot problems. If the shoe is too tight, try a larger size, wider width, or consider stretchable shoes for added flexibility. Foot Health: Choose a comfortable shoe with supportive interiors and cushioning to prevent foot pain, especially if you have flat feet or swollen feet. Arch support is critical to reduce strain on your feet, while a wide toe box prevents pressure on your toes. Purpose of the Shoe: Consider the intended use of the shoe. For everyday wear, you may need more cushioning and flexibility, in which case orthopedic walking shoes or arch support shoes might be ideal. For formal occasions, you might prioritize style while ensuring a comfortable fit, like in dress shoes for women. Selecting shoes that suit your specific needs will help you find the perfect balance of comfort and style. By following these tips and choosing the right shoes, you can maintain good foot health and avoid the discomfort associated with wearing shoes that are too narrow. Why Choose Orthofeet for Wide Feet If you've realized you have wide feet and need shoes that offer comfort, support, and room to breathe, Orthofeet is the perfect choice. We specialize in creating comfortable shoes that accommodate a variety of foot conditions, including wide fit and extra-wide feet, without compromising on style or quality. Our wide shoes for women and wide width shoes for men are designed with innovative comfort features to ensure you get the support you need for all-day wear.
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  • 10 Best Podiatrist Recommended Shoes for Supination or Underpronation

    Medical information provided by Steven Gershman DPM  /  March 03, 2024
    Welcome to our guide on the best shoes for supination or underpronation.  Later on, we'll hear from Dr. Steve Gershman, DPM, who's got some helpful tips on dealing with supination. But for now, let's start with arguably the most interesting part: our shoe recommendations tailored specifically for supination. What are the best shoes for supination or underpronation? From firm lateral support to cushioned insoles, each recommendation aims to provide optimal comfort and stability for those with supinating feet. Best running shoes for supination  Women’s Kita | Men’s Yari Why you’ll love it Uppers that move with your feet and contour to their unique shape Slip-resistant soles add a crucial element of stability   Specs Sizes: men 7-14 | women 5-12 Widths: women Standard (B) - Extra Wide (2E) | men Standard (D) - Extra Wide (4E) Upper materials: stretch knit Available colors: Kita - white, black-black, black, blue, gray, rose | Yari - white, blue, black, gray   Despite their traditional lace closure, these sneakers revolutionize convenience. Thanks to a hidden spring mechanism at the back, slipping your foot in becomes easy, eliminating the hassle of tedious lace tying rituals and even the need to bend over. Simply slide your feet in and you're ready to roll. Designed with a focus on aligning your feet with your overall body posture, these sneakers come complete with professionally cushioned and ergonomic orthotic insoles, complemented by premium arch support. This dynamic duo works wonders in easing foot pain and discomfort, providing a solid foundation for every step you take. With a spacious toe box, the Kita and Yari ensure a snug fit without any pressure, accommodating your feet all day long. The dependable slip-resistant outsoles offer stability on any terrain, boosting both safety and confidence with every stride. Wrapped in stretch knit uppers, both sneakers offer a tailored fit, embracing the unique contours of your feet while allowing for natural movement. This cozy hug delivers not only comfort but also firm support, effortlessly adapting to any swelling or protrusion. And last but not least, the breathable upper material ensures continuous airflow, warding off infections and keeping unpleasant odors at bay. Feedback from users Kita “WHY DID I WAIT SO LONG? I love my OrthoFeet shoes! I could not stand on my feet for more than an hour without being in pain. All my life I walked with supination, wearing down the outsides of my shoes. Because of that, comfort was always short-lived. I also dealt with flat feet, hammer toes on the left foot, high instep (especially on the right foot), narrow heels and wide feet. It had gotten to the point where I sometimes changed my shoes 3-4 times daily when needing to be active in order to stay on my feet. The supination made everything uncomfortable since the outside of the heel always wore down. In the past, whenever possible, I bought Sketchers for comfort.  I finally gave in when having the chance to go on a trip overseas, to try a pair of the pull-on Kita sneakers from OrthoFeet. I kicked myself for not doing this years ago! Between using the arch supports and the comfortable inserts, I was able to walk over 2 miles shortly after getting them without tiring out. One day while canning, I spent the entire day of about 10 hours ON MY FEET without pain! Tired, yes...but foot-pain, NO! Needless to say, I bought a second pair :) Thanks OrthoFeet!” Karen Schmidt Shop Kita Yari “My feet suffer from over supination (my feet roll outward), metatarsalgia, plantar fasciitis, high arches and advanced arthritis in my ankles. First off, the hands-free feature of these shoes is legit. It works just like it should. I've always used my shoes like this to begin with, but that leaves the back of the shoe wrinkly, worn, and soft (which makes slipping them on more difficult). These shoes are totally hands-free and feel very sturdy. I've used them everyday for a month now. I really appreciate that Orthofeet shoes come with spaces and high arch boosters. Most of us probably have custom orthotics, but while waiting for my new ones, I've been using the high arch booster with a spacer and these shoes feel great. There's plenty of room for my orthotics as well! The most unique feature of this shoe, by far, is the wide toe box. I have wide feet, but they're not wide enough for typical Wide sized shoes, because my feet's width is pronounced in the ball of my foot, not the heel. …I got these [in] Medium…and they have been perfect. Snug around my heel, but it doesn't squeeze the life of the ball of my foot. Johnny Sanabria Shop Yari Best slippers for supination  Women’s Charlotte Why you’ll love it Anatomical arch support cradle the arch and aligns the foot Easily adjust the fit with the strap across the instep   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather  Available colors: brown, black, taupe   While these shoes are designed for indoor wear, they feature premium orthotic insoles and anatomical arch support that take center stage, cradling the arch and realigning the foot to correct gait issues like supination. With each step, they minimize the effort required for walking, resulting in smoother and less painful strides, even while you’re home. Furthermore, the wide toe box offers ample room for toes to stretch and move freely, ensuring a snug yet pressure-free fit for feet of all shapes and sizes. It effortlessly accommodates any swelling or protrusions, ensuring comfort throughout the day. These slippers feature a specially crafted minimal rocker bottom sole, designed to significantly reduce heel impact and alleviate heel pain while diminishing foot and leg fatigue. Coupled with lightweight ergonomic soles and air cushioning at the heel, they provide a soft and supportive walking experience indoors. To allow adjustability, the Charlotte slippers feature a wide strap across the instep, offering easy customization and a secure fit. In addition, the back lip at the heel adds convenience and provides extra protection for your heels. And the cherry on top? The soft, padded faux fur interior keeps your feet luxuriously cozy and warm, adding an extra layer of comfort to these exceptional slippers. Feedback from users “Money Well Spent! I have had a lifetime of issues with my feet, including bone deformity, supination, fractures and plantar fasciitis. These are the only slippers I have even had that actually help the plantar fasciitis and offer an overall reduction in foot pain. I wear them all day and have washed them several times and they continue to provide what I need.” Dawn Gallagher Shop Charlotte Men’s Vito Why you’ll love it Insoles that actively realign your foot and entire body posture Soles that provide excellent surface grip and ensure stability   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: olive, black   Expect to slip into these slippers effortlessly, thanks to their patented slip-on system. With a built-in spring mechanism, they bounce back to secure a snug fit, eliminating the need for bending or struggling with your hands. Once comfortably nestled in the Vito slippers, you can easily adjust the strap on the interior side for a personalized fit, ensuring maximum comfort tailored to your liking. Another feature that sets the Vito slippers apart is their premium orthotic insoles with removable anatomical arch support. These insoles actively realign your foot and entire body posture, providing optimal support and helping to correct supination. Now, let's talk about the sole. Lightweight yet sturdy, it features a mild rocker design that elevates your walking experience to a new level of ease. Not only does it soften impacts, but it also alleviates stress on your joints, making each step more comfortable. Crafted from high-quality rubber, the soles provide excellent surface grip, ensuring stability and confidence with every stride. And let's not forget about the soft suede, water-repellent upper, which keeps your feet snug and dry, complemented by a cozy faux fur interior for added warmth and comfort. Designed to alleviate pressure on sensitive areas, these slippers offer a non-binding fit that allows natural toe splaying. Plus, they're crafted to accommodate custom orthotics, ensuring personalized comfort for your unique needs. Feedback from users “Awesome as advertised! My husband loves his Orthofeet shoes! It's hard to find slippers that provide arch and ankle support, but these shoes fit the bill. He loves that slip right on without having to use a shoehorn, too. Highly recommend Orthofeet!” Karen Minton Shop Vito Best boots for supination  Women’s Siena Why you’ll love it Cushioning sole creates a more natural and smoother gait Water-repellent leather uppers keep wetness at bay   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather Available colors: taupe, black, brown   Let's take a walk in the Siena boots. Picture yourself slipping into these boots effortlessly, thanks to the side zip and adjustable strap that ensure a snug yet flexible fit. Whether your feet are swollen or not, the wide toe box accommodates any fluctuations in size, providing comfort throughout the day and ankle support. As you step inside, you'll immediately notice the padded, seam-free interior, designed to prevent irritation and envelop your feet in softness. No more worries about discomfort as you go about your day. Now, let's talk about venturing outside. The water-repellent leather uppers keep wetness at bay, ensuring your feet stay dry and protected in any weather condition. Plus, the non-binding fit allows your feet the space they need to move naturally, without any restrictions. Walking in the Siena boots feels like floating on air, thanks to the cushioning sole with a mild rocker design. This feature creates a more natural and smoother gait, making each step feel lighter and more effortless. And when it comes to traction, you can trust the slip-resistant sole of the taupe version to keep you steady on various surfaces. Meanwhile, the black and brown versions feature a quality rubber sole with a unique tread design for improved stability and traction. But let's not forget about style. The cozy and stylish faux fur detailing adds flair to your look, while also providing an extra layer of comfort and warmth. With the Siena boots, you can stay stylish and comfortable all day long, without compromising on functionality or ease of wear. Feedback from users “Nice looking. Keeps my feet stable. I supinate and [these boots] provide pain relief. I found the perfect shoe for me.” Maria Gonzales Shop Siena Men’s Hunter Why you’ll love it Each element works together to realign the feet and body, ensuring a more natural gait Packed with orthopedic features, but feel very light on your feet   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather and synthetic Available colors: olive, brown, black   Despite their lightweight construction, these boots pack a punch with orthopedic features aimed at providing optimal support and stability. From anatomical arch support to supportive cushioning in the sole, each element works together to realign your foot and body posture, ensuring a more natural and balanced gait. The minimal heel drop reduces the need for excessive dorsiflexion during walking, making it easier to maintain a smooth stride. Meanwhile, the mild rocker bottom sole adds to the improved walking experience, making each step feel effortless and comfortable. Designed for outdoor functionality, the rubber lug outsole offers exceptional traction and stability, making the Hunter boots suitable for a wide range of activities and terrains. Crafted with soft, waterproof or water-resistant uppers, these boots keep your feet dry and comfortable even in challenging conditions. The seamless construction on the inside ensures a soft and irritation-free contact with the skin, while the padded heel collar offers extra cushioning for sensitive areas. With their wide last design and extra depth, the Hunter boots provide a pressure-free fit, accommodating with ease various foot conditions, such as hammer toes, claw toes or swelling, and AFOs. Feedback from users “AWESOME! I can't believe how comfortable these are right out of the box. No break-in needed. I have supinated and very wide feet. These shoes make me walk normally again and pain free. Worth every penny and more. Don't hesitate to buy.” Craig Swift Shop Hunter Best casual shoes for supination  Women’s Joelle Orthotic insole distributes pressure, alleviating stress and correcting your gait Stretchable knitted uppers provide a customized fit   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: gray, black   The Joelle story starts with a wide, round toe box, offering enough room for your feet to spread and move naturally. No more feeling cramped or constricted, just a comfortable environment for your feet to thrive in. As you step into these shoes, the stretchable knitted uppers gently mold to the contours of your feet, providing a customized fit that moves harmoniously with you throughout the day. These uppers also allow for constant airflow, keeping your feet fresh and free from infections and odors. Delving deeper, you'll discover the orthotic insole, meticulously designed to support your arches and heels. This powerful feature evenly distributes pressure, alleviating stress on your feet and correcting your gait, providing much needed relief for those dealing with supination. As you continue your journey, the lightweight sole becomes your foot's ally, absorbing shocks and cushioning each step. With reduced impact on your feet, you can enjoy greater comfort and ease as you go about your day. To complete this tale, a Velcro strap across the instep offers practicality and adaptability, ensuring a secure fit and allowing you to adjust as needed. Feedback from users “Bought these for my daughter who has high arches, which causes her difficulty sliding her feet into laced sneakers. The adjustable strap and stretch fabric make it easy for her to put them on. The wide toe box and supportive sole help with her underpronation (supination) and keep her better balanced on her feet, which has reduced her foot and back pain.” Mary Lynne Shop Joelle Men’s Leo Why you’ll love it Soft leather uppers and a wide toe box prevent squeezing Built-in, removable arch support promote optimal posture and stride   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: soft leather Available colors: brown, black   With their good looks and durable, flexible leather upper, Leo ensures your walking comfort wherever you go.  The roomy, padded interior with adjustable depth and anatomical arch support provides customizable and irritation-free support, tailored to your unique needs. Step inside these shoes, and you'll experience a cushioned insole, mild rocker design and high-traction outsole, all working together to alleviate pressure on pain points and stabilize every step.  The built-in anatomical, removable arch support not only enhances the shoes' appearance but also ensures proper alignment of your feet with the rest of your body, promoting optimal posture. Crafted with soft leather uppers and a wide toe box, Leo prevents squeezing and allows your toes to spread naturally, preventing added pressure and potential foot damage. With a rubber outsole, Leo keeps you stable and secure at all times, ensuring confidence with every step you take. Feedback from users “Purchased the Leo shoes due to having some plantar fasciitis, spinal alignment issues, and supination troubles. The arch support and cushioning of the Leo shoes has reduced my pain significantly. I even have some pain free days - which I am grateful for. Highly recommended.” James Arbogast Shop Leo Best sandals for supination  Women’s Venice | Men’s Gemini Why you’ll love it Cushioned from heel to toe to provide shock absorption for supinated feet Orthotic insoles that work like foot wizards, dynamically conforming to its contours   Specs Sizes: women 5-12; men 7-14 Widths: women Standard (B) - Wide (D) | men Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: Venice - blue, bone, brown | Gemini - black, brown   First off, let's talk about convenience.  These orthopedic sandals feature a two-way strap system designed for ease of use. Opening the strap from the inner side creates a wide opening, allowing you to slip your feet in and out effortlessly. Adjusting the strap from the inner side is typically easier for most people, while the outer strap allows for fine-tuning the fit. But that's not all - these sandals also come with additional adjustable straps. One at the back ensures your heels stay snugly in place, while the strap across the toe area provides extra love and support for your toes. Now, let's shift our focus to comfort. The premium orthotic insoles in these sandals work like foot wizards, dynamically conforming to the contours of your feet as you walk. This helps spread pressure evenly and provides the customized support you need. And let's not forget about the multiple foam layers in the insoles, offering top-notch cushioning from heel to toe. With a heel-to-toe drop and a toe spring that creates a mild rocker effect, walking feels effortless and comfortable in these sandals. Feedback from users Venice “Best summer shoes I've ever had. The insert is a game changer. Supination is a problem for me. These shoes have an insert that sets my alignment so I walk feeling stable.” Diana Giombetti  Shop Venice Gemini “My husband has square feet and high arches. He's 8 1/2 6E (US). These are the first sandals - or any type of shoe - he's gotten that actually fit the length and width of his feet, plus supply the arch support he needs to be able to wear all day without hurting his feet and ankles.” Dawn S Durall Shop Gemini Everything you need to know about supination Before we delve into the world of supination, also known as underpronation, let's take a moment to discuss overpronation vs. underpronation. "Supination is the opposite of pronation," explains Dr. Gershman in simple terms. "When supinating, the foot generally rolls outward, as opposed to the inward roll seen with pronation. Feet that supinate are far less common than those that pronate. Feet that consistently supinate throughout the gait cycle or remain supinated when standing (inverted or tipped out) are considered pathological or abnormal, as pronation is the norm in stance and gait." According to Dr. Gershman, pronation allows for shock absorption and also allows the foot to compensate for uneven ground. Supination, on the other hand, robs the foot of shock absorption and the ability to handle uneven ground. “Generally, feet that are supinating are more rigid and have higher arches than feet that pronate,” he adds. What type of shoes are best for supination? “For feet that supinate, the shoes need to be firm on the lateral (outside) side to resist the tendency of the foot to roll out," explains Dr. Gershman, who also emphasizes other important design features: The heel counter needs to be very firm, as supination starts at the heel.  Deep, extra depth shoes are crucial, as supinating feet tend to have high arches and need the depth for stability.  The toe box area should be roomy, as the outside toes tend to be pushed against the inside of the toe box.  A cushioned insole is vital, as these feet lack shock absorption. In addition, an anti-supination device can be added to the insole as needed. FAQ Are neutral shoes good for supination? “In general, yes,” Dr. Gershman asserts. . “A well made, solid, neutral last shoe is often the best option for supinators. Accommodations for specific foot types can then be made through different insoles.” Do supinators need arch support? “Often, yes,” explains Dr. Gershman. “If there is a high arch, which is common in supinators, arch support is useful to reduce pressure on the heel and ball of the foot, which can lead to pain and calluses. Arch supports fill in the high arch to distribute weight more evenly across the entire bottom of the foot. In addition, accommodations to the arch support can reduce supination.” How do you reduce supination?  "It depends on the cause of the supination," says Dr. Gershman. "If the cause is just a rigid high arch foot, a well made shoe, as mentioned earlier, combined with a cushioned insole can help. You may want to try an anti-supination device that can be added to the insole and is very helpful. "If the cause of supination is the very common plantarflexed first ray, then the insole becomes critical to accommodate this deformity. A plantarflexed first ray is where the bone behind the big toe sticks out further than the bones behind the lesser toes. If the sole is rigid, it forces the foot to supinate due to rigid ground forces pushing it up and over. If an accommodating insole is made, it can reduce the supination. A custom insole or orthotic is often required, as well as a deep shoe with removable insoles." Why do I Supinate when I walk? According to Dr. Gershman, “Usually, it is due to the structure of the foot. It can be from a rigid high arch foot or an abnormal rearfoot at the joint under the ankle, called the sub-talar joint, or from an abnormal forefoot structure with a plantarflexed first ray, where the bone behind the big toe sticks out, as explained above. “In addition, shoes that are worn out, soft, and unstable can cause supination. Shoes that are worn out on the outside of the sole can cause supination, as can worn-out soft midsole materials. Replacing shoes often can reduce the chances of supination.” Is supination bad for running? “Not necessarily. The rigid foot can provide a good base to push off when running. However, there is a risk of shin splints and forefoot pain associated with supination,” Dr. Gershman warns. “These types of feet are often prone to lateral ankle sprains from running, as the foot tends to roll out, and running exacerbates this. Uneven terrain adds to the issue and should be avoided. “The best answer here is, it depends on the cause of the supination. If well made, stable shoes are worn with the proper insoles to accommodate the cause, then running can be okay,” he concludes. Can tight shoes cause supination? “YES!” Dr. Gershman responds unequivocally. "If the shoe is too tight, it often causes the foot to extend beyond the outsole, particularly on the lateral (outside) side, which can lead to or exacerbate supination. This outward rolling of the foot can be problematic. Therefore, it's crucial to have a roomy, well fitting toe box along with a deep or extra deep shoe to mitigate the risk of supination in feet that are prone to it."
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  • 10 Best Shoes for Insertional Achilles Tendonitis

    Medical information provided by Steven Gershman DPM  /  March 03, 2024
    Welcome to our carefully curated list of the top 10 shoes recommended for insertional Achilles tendonitis. Before we jump into our selection, just a heads-up: you can find in-depth medical insights about this condition further along in the article, courtesy of podiatrist Dr. Steven Gershman.  Now, let's outline the key design features recommended by Dr. Gershman for treating and alleviating insertional Achilles tendonitis, all of which are embodied in the shoes on our list: A solid heel counter to address pronation at the heel bone. A fairly stiff midsole with a solid outsole to provide stability. A deep shoe design to control pronation and accommodate inserts or orthotics commonly used in treatment. A round and wide toe box to promote proper foot alignment during gait.   With that groundwork laid, it’s time for the main event: the list of recommended shoes. Best walking shoes for insertional Achilles tendonitis Women’s Verve Why you’ll love it A hidden fastening system on both sides allows you to micro-adjust the fit  Anatomical arch support and firm heel counter keep your gait in check   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: turquoise, fuschia, black   At first glance, the Verve isn't your typical clunky ortho shoe. They are stylish, with clean lines and pops of color that make you feel put-together, rather than like you’re sacrificing fashion for function. But the magic is really in the fit. The tie-less lacing system is a revelation. No more fumbling with knots, no more uneven pressure points. Just slip your foot in, adjust the heel strap for a snug fit, and you’re ready to roll.  The secret of this sneaker is in its hidden fastening system on both sides, allowing you to micro-adjust the fit to your exact foot shape.  Made from lightweight, breathable material, these sneakers are ideal for any activity. Picture air circulating within the shoe, keeping your feet cool and comfortable at all times. The stretchy construction adapts to your foot shape, providing a pressure free haven for every step. Then there’s the cloud-like cushioning sole, blending air and foam technology to soften every impact, along with anatomical arch support that keeps your gait in check. Feedback from users “The answer to insertional achilles tendonitis. These shoes gave me the first real pain relief in 6 months from insertional tendonitis. Physical therapy was only marginally helpful and these shoes enabled me to walk normally again and reduced the inflammation so it could heal. Now I am able to hike again and not feel crippling pain afterward. The ability to tailor these to my feet by adjusting as needed is amazing. I also bought a pair of the Malibu sandals and they also feel great and enable me to walk painlessly.” Diane Robertson  Shop Verve Men’s Sorrento Why you’ll love it Shoes that understand the importance of proper alignment Built to tackle various terrains with advanced grip rubber outsole   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: soft leather and fabric Available colors: brown, blue-gray   If insertional Achilles tendonitis is your unwelcome companion, the Sorrento walking shoes might just be the answer you've been searching for. These aren't your average clunky hiking shoes. Sure, they're built to tackle various terrains with soft yet firm uppers and advanced grip rubber outsole. But the real magic lies in the comfort and support they offer. First off, forget about pressure points and friction. The seamless, soft interior cradles your feet, even after miles of exploration. Add to that the plush foam padding for a soft, seamless environment. The Sorrentos understand the importance of proper alignment. The removable anatomical insole provides arch support, ensuring your plantar fascia isn't stretched, minimizing that familiar heel pain. Multiple layers of shock absorbing materials and strategically placed air pockets further cushion your steps, taking the stress off your Achilles. And let's not forget efficiency. The optimal heel-to-toe drop and the slightly curved, ergonomic sole work together to propel you forward with every stride, ensuring your feet don't tire easily. Feedback from users “Bought three pairs of shoes. I am a 73 year old woman with a left foot that is larger than the right. Also have problems with bilateral plantar fasciitis and left insertional achilles tendonitis. I buy men's size 8 extra wide. Your shoes have saved my feet. If my feet are happy, I am happy.” Christine McClure Shop Sorrento Best slippers for insertional Achilles tendonitis Women’s Lorin | Men’s Vito   Why you’ll love it Full foot protection indoors and out Keep your feet warm and well supported for more pain-free hours   Specs Sizes: women 5-12; men 7-14 Widths: women Standard (B) - Extra Wide (2E) | men Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: Lorin - bordeaux, light brown, black | Vito - olive, black   Forget the awkward bending to put on slippers. These ingenious slippers feature a patented slip on system, a built in spring gently guiding your foot in and securing a snug fit without you lifting a finger. Then, an adjustable strap lets you personalize the fit, ensuring your foot finds the perfect balance between comfort and security. Step onto the lightweight, cushioned sole, and feel how it softens impacts, taking the pressure off your joints, including your Achilles. Each stride becomes smoother, easier, almost effortless. But true comfort goes beyond just physical ease. The Vito and Lorin slippers understand the link between foot health and overall wellbeing. That's why they come equipped with premium orthotic insoles, featuring removable arch support, that actively realign your foot and posture, ensuring your arches get the support they crave and promoting a healthier body alignment. These slippers are also designed with a non-binding fit, allowing your toes to splay naturally. And if you have custom orthotics, the removable insoles welcome them with open arms. Feedback from users Lorin “Best Slippers ever! I just never can get comfortable slippers that don’t get too big after wearing them and they slide down in the back and you can easily fall down the stairs. I decided to get the Lorin Hands-Free slippers. I love Orthofeet shoes and sneakers so I had nothing to lose. Let me tell you, I love them. They actually have a piece in the back of the slippers that they cannot fold down. They stay on your feet plus help my feet. They are comfortable and help your feet feel refreshed.” Debbie Wiegman  Shop Lorin Vito “Finally! I bought these slippers for my dad because I recently received a pair for myself as a gift and loved them. My dad has struggled with finding slippers that he liked and has gone through dozens of pairs in his attempts to find one he liked. It seemed like there was a new box delivered a couple of times a month from various online orders he placed for slippers, and then returned because he didn't like how they felt. It became a running joke in our house every time a delivery came, I'd ask if he had ordered more slippers. He has now had his Orthofeet slippers for a month and LOVES them! He got rid of all his other ones. We have FINALLY found him a pair of slippers that he likes. He loves the support and the feel. I love mine too! Thank you, Orthofeet!” Nicole Brouillette Shop Vito   Best boots for insertional Achilles tendonitis Women’s Rosel Why you’ll love it Patented hands free technology lets you simply step in and go  Expertly cushioned sole with a mild rocker design softens impacts   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather Available colors: brown, black   No more struggling with laces or bending over. Rosel's patented hands free technology lets you simply step in and go, leaving the fumbling behind. And once your foot finds its home, prepare for pure comfort. The wide toe box and padded interior offer a pressure free environment, even for swollen feet, bunions, hammertoes and other protrusions. But comfort isn't just about plushness. Rosel recognizes the connection between foot health and overall wellbeing. That's why they come equipped with premium orthotic insoles, featuring removable arch support. This isn't just any insole; it actively realigns your foot and posture, helping to correct overpronation and ensuring your arches are supported, potentially alleviating heel and foot pain, including that familiar Achilles ache. Plus, the expertly cushioned sole with a mild rocker design softens impacts and adds a spring to your step, making every walk smoother and more enjoyable. Feedback from users “Several years ago, my feet were crushed in a head on traffic collision in which I was the victim. They were able to save my feet, but I have been in a yearly search for footwear that would relieve my ever changing pain and not inflame my nerve pain issues. I have spent thousands in my search, even purchasing orthotics from a specialist who custom creates them for diabetics who have lost toes or parts of their feet due to the condition. This very expensive endeavour did not bring me any relief.  I have lived in bouts of incredible pain, until I encountered the Orthofeet sight on my computer! I am so grateful to have found what I call ‘a friend’ in my Orthofeet shoes! They have given me back much of my quality of life. My Orthofeet have provided the comfort, space and support my feet (one in particular) have needed to go about my daily life without interruption. And because my feet are each a bit different in length and width now, the insoles enable me to snug up my right foot while keeping the space needed for my left foot. The frosting on the cake is that they are handsome…I love it when I get comments on my attractive footwear and asked where I purchased them…” Leslie Staanden-Trujillo Shop Rosel Men’s Verno Why you’ll love it Forget about bending over to tie laces and just step in Extra depth, a padded interior and a wide toe box for a pressure-free fit   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: black   Ditch the contortions and awkward bending required by traditional boots. Verno's ingenious slip on system welcomes your foot with a simple step in motion, leaving you free to conquer the day without a fuss.  Picture stepping into a plush, padded sanctuary – the wide toe box comfortably embraces even swollen feet and protrusions, making your life painless and more comfortable. Yet, true comfort goes beyond mere softness. Verno features premium orthotic insoles with removable arch support that is a master of realignment, ensuring your feet don’t overpronate to alleviate Achilles pain.  Stability is paramount, and Verno doesn't falter. The solid midsole and grippy outsole form an unwavering partnership, providing steadfast support on even the most uneven terrain. The low heel design, meanwhile, encourages a natural, balanced walking motion, keeping you sure footed and confident. And finally, there’s also great ankle support that also helps keep you stable on your feet. Feedback from users “Ultimate comfort!!! I love wearing these boots, especially in the rain. They really grip the sidewalk and prevent me from slipping.” Frederick Wright Shop Verno Best casual shoes for insertional Achilles tendonitis Women’s Stroll   Why you’ll love it Stylish shoes that come equipped with premium orthotic insoles Built-in arch support actively realigns your feet   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: suede Available colors: blue, black, taupe   Stroll's chic patterned suede exterior blends seamlessly with its therapeutic features, making them as pleasing to the eye as they are to your feet. But unlike ordinary shoes, Stroll prioritizes optimal support. Imagine stepping into a world of softness. The heel-to-toe cushioning sole, a clever blend of air and foam, cradles your feet with every step, absorbing impact and providing support. The slightly curved sole adds a spring-like feel to your stride, making even long walks feel effortless. But the Stroll shoes know that comfort isn't just about plushness. That’s why they come equipped with premium orthotic insoles, featuring built-in arch support. This isn't just any insole; it actively realigns your foot, addressing issues like overpronation and potentially alleviating that familiar Achilles ache. And if you have insertional tendonitis, you'll appreciate the thoughtful design even more. The wide, round toe box offers enough space for swollen feet, ensuring comfort throughout the day. The extra depth adds to the roomy feel, eliminating any pressure you might experience. Feedback from users “Excellent. I love these shoes. They are very comfortable. My feet never felt so good.” Cindy Bonagurio Shop Stroll Men’s Moreno Why you’ll love it So aesthetically appealing, incredibly supportive Cushioned soles that promote better posture and prevent overpronation Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: brown, black   These shoes won’t pinch or bind your feet. Moreno's soft, water repellent leather embraces your feet in a non-binding fit, a must have for anyone wrestling with insertional tendonitis.  Still, the comfort runs deep. When you step into the Moreno, you'll immediately feel its plush, padded embrace, free from any irritating overlays. Each stride becomes a pleasure, courtesy of the supportive interior lining. Moreno was designed with a deep understanding of the science behind pain relief. That's why they are constructed with premium orthotic insoles featuring anatomical arch support. These insoles help prevent overpronation, actively working to reduce discomfort and promote better posture. And as for efficiency, the cushioning sole with its gentle rocker design doesn't just soften impacts, it actually propels your foot forward with each step, adding a spring to your gait and making walking effortlessly smooth. To help you maintain stability, Moreno’s rubber outsole provides advanced road grip, helping you navigate your day with confidence, pain free. Feedback from users “Love everything about this shoe, quality of leather and craftsmanship. It is so comfortable that my feet don’t hurt anymore.” Edgar Ramirez Shop Moreno Best sandals for insertional Achilles tendonitis Women’s Sahara Why you’ll love it Three comfy straps open completely, welcoming your feet Sandals that are as versatile as they are comfortable   Specs Sizes: 5-12 Widths: Standard (B) - Wide (D) Upper materials: synthetic Available colors: tan, pewter, red, bone, gray, black   You can put the awkward struggle of squeezing your feet into sandals behind you. Sahara's three comfy straps open completely, welcoming your foot with a gentle step-right-in ease. No more contortions, just pure comfort, like a personalized hug for your feet. This innovative design ensures a secure fit, no more slipping out and missing out on the fun. Sahara also knows the importance of support. The soft, foam padding in the uppers is gentle on your feet, while the expertly cushioned soles provide just the right amount of impact absorption. And let's not forget the arches - the strategically designed soles offer supportive comfort, potentially alleviating that familiar Achilles ache and keeping your stride pain free. And the best part? Style doesn't have to take a backseat to comfort. These sandals are as versatile as they are comfortable. Dress them up or down, hit the beach or the bustling city streets - Sahara will keep you looking and feeling good, all day long. Feedback from users “Really helped with my condition, insertional Achilles tendinitis.” Christina C.  Shop Sahara Men’s Clearwater Why you’ll love it Bungee cord, instep strap and heel strap work together to allow customizable fit They look like regular sandals but offer advanced cushioning and support   Specs Sizes: 7-14 Widths: Standard (D) - Extra Extra Wide (6E)  Upper materials: stretch knit Available colors: brown   Say goodbye to fiddly buckles and awkward adjustments. Clearwater's bungee cord, instep strap and adjustable heel strap work together in perfect harmony, creating a personalized, secure fit that prioritizes stability on any terrain. The Clearwater features fully cushioned, ergonomic soles with excellent anatomical support. This isn't just soft padding; it's strategic support that potentially alleviates pain in your foot, leg and even your back, leaving that Achilles ache like a receding tide. Protection is key, too. The fisherman style closed toe design embraces your foot securely, offering protection from bumps and scrapes, while the non-binding fit ensures no unwanted pressure. But protection doesn't mean stuffiness. The breathable stretch knit upper and strategically placed cut outs keep your feet cool and ventilated, ensuring optimal airflow, even on the hottest days. Finally, every inch of Clearwater's interior is padded, offering a gentle embrace that eliminates rubbing and irritation. Feedback from users “These sandals are the most comfortable sandals I have owned. With the double strap system it is very easy to put on and adjust.” Rick Ruder Shop Clearwater What type of shoes are best for insertional achilles tendonitis? Before discussing the ideal shoe type, Dr. Gershman explains, “The Achilles tendon is the large thick tendon on the back of the heel, connecting the posterior calf muscles (gastroc and soleus) to the heel bone (calcaneus). Its primary function is plantarflexing the ankle or foot, but it also plays a role in controlling foot pronation. The gastroc-soleus muscles complex acts as significant pronation decelerators to reduce the speed and extent of foot pronation.” Continuing, Dr. Gershman elaborates, “When the foot overpronates (rolls in and lowers the arch), the calf muscles overwork, exerting tension on the Achilles tendon and its attachment to the heel bone. This can result in inflammation of the Achilles tendon, known as tendonitis, leading to pain at the tendon or heel bone insertion point. Over time, it may cause a spur to develop at the insertion point on the heel bone and bursitis in the area, as there is also a bursa (fluid-filled sac).” In addressing treatment for insertional Achilles tendonitis, Dr. Gershman emphasizes, “It is important to address the underlying issue to prevent recurrence and chronicity of tendonitis.” He further explains, “While there may be medical reasons for tendonitis in some cases, such as inflammatory arthritis, certain bowel diseases, and specific antibiotics, overpronation is the most common cause. Therefore, reducing pronation is a key aspect of treatment. Since shoes form the foundation of support, proper footwear is the initial step in treatment.” Regarding specific shoe features, Dr. Gershman recommends, “The shoe should have a solid heel counter, because this part of the shoe contains the heel bone and talus bone above it, where pronation begins.” He adds, “The midsole should be fairly stiff with a solid outsole for stability. A deep shoe is also crucial for pronation control, along with an insert or orthotic, often necessary for Achilles tendonitis treatment. A round and wide toe box can also contribute to proper foot alignment in gait.” What is the best support for insertional Achilles tendonitis? “A quality shoe is the foundation of support,” reiterates Dr. Gershman. “However, a well made insert or custom orthotic, added to the quality shoe, is often necessary to effectively control abnormal forces from overpronation. A non-custom orthotic is a good starting point to provide support for overpronators. If additional support is needed, a true rigid custom orthotic is required,” he concludes. Is it okay to run with insertional Achilles tendonitis? According to Dr. Gershman, “It’s generally not a good idea. There is a risk of exacerbating inflammation and possibly causing a catastrophic rupture of the tendon or detachment from the heel bone insertion point. Achilles tendons have poor blood supply and heal slowly. Gentle walking is okay, except in severe cases where immobilization in a walking boot may be necessary. In any case, avoid hills when walking.”
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  • What is a Stone Bruise on the Bottom of the Foot or Heel?

    By Steven Gershman DPM  /  February 21, 2024
    A stone bruise is a non-medical term or colloquialism used to describe localized pain on the bottom of the foot in one specific spot.  Understanding stone bruises What is a stone bruise? Wikipedia uses the term ‘metatarsalgia’ to explain in medical terms what a stone bruise is.  Healthline describes stone bruises as either metatarsalgia, or plantar fasciitis or a stress fracture. An article in the American Academy of Podiatric Sports Medicine describes stone bruises as probable metatarsalgia.   The bottom line here is that most resources describe a stone bruise as metatarsalgia. Metatarsalgia is pain at the ball of the foot, where the metatarsal bones connect to the toes or phalangeal bones.   Causes of stone bruises At the metatarsal-phalangeal joints, where the metatarsal bones meet the toes, the metatarsals have heads that are prominent or in effect protrude out, and can be felt when touching the ball of the foot. These are very sensitive to pain. Normally, there is a fat pad that protects the bone heads from impact. However, as we age the fat pad thins and is pushed further toward the toes, losing its protection of the metatarsal heads.   A stone bruise can occur at any of the five metatarsal heads from stepping on a hard object, like a stone, or from constant impact on the area while walking or running. In effect, it is a bone bruise to the metatarsal head bone. Symptoms are sharp pain or ache directly at the impacted area.  In some cases, one of the metatarsal heads can stick out of the bottom of the foot or become enlarged, so it picks up more pressure when walking or running. This is a common area of a stone bruise or metatarsalgia. The large first metatarsal bone is particularly prone to this, as it often protrudes the most and bears the greatest pressure during normal gait. Another type of stone bruise is known as sesamoiditis. Sesamoids are two small round bones located beneath the first metatarsal head. These bones can become irritated when stepping on a hard object or during walking or running. This condition can be quite painful. Yet another type of stone bruise, called a neuroma, can occur at the ball of the foot, or the metatarsal heads, where a nerve becomes pinched. This type of stone bruise causes pain directly at the ball of the foot and can be triggered by stepping on a hard object that irritates the nerve or by wearing tight shoes that squeeze the nerve. In addition, a stone bruise can also manifest at the bottom of the heel. The heel bone, known as the calcaneus, has two bumps or tubercles on the bottom, which bear weight during standing, walking, or running. Either of these bumps can become painful from stepping on a hard object or repetitive impact, resulting in a bruising effect on the bone. All stone bruises cause pain when weight bearing and typically do not present symptoms when off the feet. Therefore, footwear plays a significant role in both the development and treatment of stone bruises. How do you prevent a stone bruise on your foot? Shoes serve as the foundation for our feet. A lack of shock absorption is a major cause of stone bruises. The midsole of the shoe plays a critical role in proper shock absorption. If the midsole is too thin, too soft, or worn out, increased forces will pound on the foot during walking or running. These forces are most pronounced at the heel and ball of the foot and can lead to stone bruises.  Proper fitting shoes are also an important factor. Shoes that are too tight in the toe box can affect the metatarsals, making them more prone to issues like metatarsalgia. A round, wide toe box can reduce the risk of stone bruises. Of course, going barefoot is another potential cause of stone bruises. The foot is left unprotected from the ground, and if the metatarsals or heel bear a lot of weight, it can lead to stone bruises. Preventing stone bruises is possible.  comes down to proper shoes that fit correctly, are wide and long enough, and have well made midsoles and outsoles to protect the feet from ground forces. Keeping shoes too long until worn out is another recipe for stone bruises.  Prevention boils down to wearing proper shoes that fit correctly, are wide and long enough, and have well made midsoles and outsoles to protect the feet from ground forces. Keeping shoes until they are worn out is another recipe for stone bruises. The best shoes also feature superior insoles to add protection to the foot, with some arch support and heel cushioning. If you wear slippers, make sure they have a solid outsole and some inner support. Again, avoid going barefoot. Shoes should typically be replaced yearly. If the outsole is overly worn sooner, then replace them sooner. Worn out shoes are a recipe for foot problems. Orthofeet's solution Orthofeet offers orthopedic shoes that are well constructed to help avoid stone bruises. They feature well made insoles and outsoles for protection. In addition, the toe box is round and wide, going all the way to extra extra wide. The shoes come with insoles that offer arch support and cushioning, along with added heel cushioning. These insoles are removable, allowing for the addition of orthotic insoles if needed. Even Orthofeet’s slippers come with these high quality, removable insoles. I personally recommend Orthofeet shoes to my patients, and I wear them myself, as does my wife and mother. They are the most comfortable shoes I have ever worn.
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