The Orthofeet Blog

Introduction to foot arch problems Your feet are the foundation of your body, but sometimes that foundation cracks. Foot deformity problems, like flat feet and fallen arches, aren’t just a pain point—they can throw off your whole-body balance and cause different issues. Normally, your foot has a built-in shock absorber: the arch. This curve is a team effort, with muscles, ligaments, and tendons working together. The posterior tibial tendon is especially crucial as it provides the main support for the arch. When this support system weakens, the arch can start to sag or disappear completely [1]. This can lead to flat feet or collapsed arches. Although you can use these terms interchangeably, they're different conditions. Flat feet are like a birthmark – you’re born with them. Collapsed arches are more of a process, developing over time.  Understanding the differences between a collapsed arch vs flat feet is crucial for proper diagnosis and treatment. So, let’s get to know each condition better.  What are flat feet? Congenital flat feet, also known as pes planus, form when the arches of the feet do not develop properly from childhood. This condition, present from birth, can lead to an improper formation of the foot arch.  While flat feet often do not cause immediate issues, they can result in discomfort and other complications as you get older [2]. This is particularly relevant when considering how your feet impact knee pain and hip pain, as improper foot alignment can transmit undue stress up the kinetic chain, affecting these larger joints and potentially leading to broader musculoskeletal issues.  Understanding what causes flat feet helps identify the right interventions and whether flat feet shoes for women or flat feet shoes for men might be necessary. Signs and symptoms of flat feet Flat feet can show up in various ways that might impact your daily life. Here are some common signs to watch out for: Easily tired feet If you’ve got flat feet, you might notice your feet getting tired quickly after standing or walking for a long time [2]. Arch or heel pain Pain in your arch or heel, especially after being active, is a common issue with flat feet [2]. Swollen feet You might experience swelling around the inside of your ankle or in your feet, especially after being on your feet for a while [2]. Difficulty moving the foot Flat feet can make it harder to move your feet smoothly, leading to stiffness or less mobility [2]. Back and leg pain The way your feet align, or misalign in this case, can impact your legs and lower back, leading to discomfort and affecting your posture and the way you walk [2]. Visible arch changes in children In young kids, flat feet might look like flexible flat feet, where the arch shows up when they’re on their tiptoes but disappears when they’re flat on the ground. This usually improves as they grow [1]. Challenges in physical activities Engaging in physical activities can be particularly challenging for those with flat feet due to improper foot alignment, which can cause increased discomfort and reduce efficiency. This is especially evident in activities like running with flat feet, where the lack of proper arch support can lead to faster fatigue and a higher risk of injury. Causes of flat feet Flat feet can form from a mix of genetic and developmental factors. Genetic factors Flat feet are often something you’re born with. This condition can be inherited and happens because the arches don’t develop as they should [2]. Developmental factors As mentioned earlier, flexible flat feet are pretty common in young children. When they stand, their feet might look flat, but you’ll see a bit of an arch when they go on their toes. Usually, the arches form properly as they grow [1]. What are collapsed arches?  Now, let’s look at collapsed arches vs flat feet. Flat feet from collapsed arches, also known as fallen arches or acquired flatfoot, are different from congenital flat feet because they develop later in life. Instead of being present from birth, collapsed arches happen due to weakening or damage to the tendons that support the foot’s arch. Signs and symptoms of collapsed arches You might notice several signs if you have collapsed arches, such as: Pain along the bottom of your foot and in the ankle, especially after being active [1]. Trouble standing on tiptoes or a noticeable flat appearance of your feet. Heel and arch pain similar to plantar fasciitis, along with swelling in the ankle. Uneven wear on your shoes, and blisters or calluses from shoes that don’t fit well [1]. Causes of collapsed arches According to Dr. Josh White, DPM, “One of the main causes of collapsed arches is posterior tibial tendon dysfunction.”  He explains that the tibialis posterior is a muscle in the lower leg. “The tendon from this muscle runs behind the inside bone on the ankle, across the instep, and attaches to the bottom of the foot. It helps hold up the arch and stops the foot from rolling over. Sometimes, this tendon gets stretched and inflamed, leading to a condition called posterior tibial tendon dysfunction (PTTD) or acquired adult flatfoot. Most people just call this condition fallen arch or collapsed arches.” Collapsed arches can also be caused by: Injury or wear and tear Overuse, injuries, or chronic stress on the foot can weaken the arch. Health conditions Issues like rheumatoid arthritis, nerve problems, obesity, diabetes and even pregnancy can increase the risk of collapsed arches. Age As you get older, the tendons that support your arch may lose strength and elasticity, leading to a collapse over time. Diagnosing flat feet and collapsed arches Spotting the signs of collapsed arch vs flat feet and getting the right treatment is key to keeping your feet healthy.  Pain along the inside of your foot and ankle, especially near the posterior tibial tendon, is a common sign, particularly if it gets worse with high-impact activities. You might also feel pain on the outside of your ankle due to the heel bone shifting outward when the arch collapses, often with swelling in the area [3]. To medically diagnose flat feet, doctors follow a few steps to understand how your feet are working, why you might be having problems, and what factors are contributing to your condition. Physical examination Observation Your healthcare provider will check your feet while standing and sitting, looking for a flat arch that appears when you stand but disappears when you’re off your feet. They’ll also look for overpronation, such as the ‘too many toes’ sign, and compare both feet for differences [3]. Touch assessment The doctor will gently press on different parts of your feet to find any tenderness or unusual findings [3]. Flexibility check The doctor will move your foot around to see if your flat feet are flexible or stiff [3]. Muscle strength evaluation You might be asked to do exercises like standing on your toes so the doctor can assess the strength of the muscles that support your arch [3]. Walking analysis How you walk can give clues about your foot condition. The doctor will look for signs of overpronation or limping that might point to underlying issues [3]. Imaging tests If the physical exam doesn’t give a clear picture, you might need additional imaging tests: X-rays These images show the structure of your foot bones and can help spot any skeletal problems. CT scans CT scans offer detailed views of your bones and joints, useful for diagnosing more complex issues. MRI scans MRI scans provide detailed images of soft tissues like tendons and ligaments, showing problems not visible in other scans. Electromyography (EMG) This test checks the health of your muscles and the nerves controlling them, helping to identify any nerve-related issues [2]. Treatment Options Non-surgical treatments For many people, non-surgical methods can effectively manage both flat feet and collapsed arches, and help prevent further issues. Supportive shoes and orthotics Wearing a well-fitted, supportive shoes can make a big difference in comfort. Extra Wide shoes and shoes for flat feet can provide relief, especially if you’re experiencing pain. Custom arch supports and orthotics help spread pressure evenly across your feet and improve alignment. They can also boost your gait and balance [2][4]. Physical therapy Physical therapy is a great way to ease pain and boost foot flexibility. Tailored exercises and stretches can strengthen weak muscles and enhance balance, targeting the specific needs of your condition [3]. Weight management If weight is a factor, adopting a healthy diet and regular exercise can help take pressure off your arches and improve symptoms. Losing weight can significantly reduce the strain on your feet [3]. Surgical interventions If non-surgical treatments don’t do the trick or if the condition is severe, surgery might be an option. Children Surgery for children with flat feet is usually only considered if they have a more rigid form of the condition that doesn’t improve with other treatments. In such cases, surgery might be needed to fix the structural issues [3]. Adults For adults with severe flat feet or conditions like posterior tibial tendon dysfunction that don’t respond to non-surgical treatments, surgery might be recommended. Surgical options can range from separating fused bones (if that’s the cause) to repairing damaged tendons and ligaments [2][3]. Prevention and management There are ways to help keep flat feet and collapsed arches from getting worse and to manage them. Here are some tips, including advice from Dr. White. Recognize the symptoms early Sharp, burning pain in the arch and heel. Swollen ankles. Difficulty standing on tiptoes, jumping, or running. Pain in the calf, knee, or lower back. Perform arch-strengthening exercises Dr. White says foot exercises for flat feet are aimed at strengthening the arches and can help prevent collapsed arches. Here are a couple of examples he suggests: Wrap a towel around the sole of your foot, extend your leg, and hold for 30 seconds. Stand barefoot on a hard surface, flex your feet to activate the arch muscles without rolling your feet or pressing down your toes. Wear proper footwear Choose sturdy shoes that help stabilize the foot. Ensure shoes can accommodate orthotic insoles and braces. Use supportive orthotic insoles Orthotics help support the arches and compensate for overpronation. These insoles help distribute weight more evenly across the foot, reducing strain and pain.  As Dr. White suggests, "Wearing proper foot orthotics and fallen arches insoles, together with fallen arches shoes, can help reduce strain on the posterior tibial tendon and alleviate pain and inflammation."   How to choose the right shoes Choosing the right shoes is key for managing flat feet and collapsed arches. Dr. White points out the features to look for. Premium orthotic insoles Shoes with good orthotic insoles provide solid arch support, helping to align your feet properly and reduce overpronation. This is crucial for keeping your foot structure and function in check. Firm heel counter A firm heel counter is important because it keeps your heel in place and gives extra support to your foot. It helps cut down on overpronation and eases strain on your foot. Supportive soles Make sure the soles of your shoes offer firm support and don’t collapse under your arch. Supportive soles help keep your foot's natural shape and prevent your arch from flattening further. Extra depth design Shoes with extra depth give a more relaxed fit, allowing for better toe movement and fitting custom orthotics. This feature is especially useful if you need more space because of foot conditions or orthotic inserts. Removable insoles Shoes with removable insoles are great because if you need custom orthotics you can easily swap them out. This customization makes it easier to address specific foot issues. Stretch uppers As flat feet can lead to overpronation, this increases pressure on the foot and can cause bunions and corns. A flexible upper material adapts to the foot's unique shape, reducing pressure and friction on sensitive areas. This helps alleviate discomfort and prevent further irritation.   =================   [1] Beth Roybal (medically reviewed by Carol DerSarkissian, MD). What Are Fallen Arches?. WebMD. January 12, 2023. Accessed July 24, 2024. https://www.webmd.com/pain-management/what-are-fallen-arches   [2] Adam Felman (medically reviewed by Adam Hotchkiss, DPM). What To Know About Flat Feet. Medical News Today. Updated January 12, 2024. Accessed July 21, 2024. https://www.medicalnewstoday.com/articles/168608   [3] Marc A. Raj, Dawood Tafti, John Kiel. Pes Planus. National Library of Medicine. Updated May 23, 2023. Accessed July 21, 2024. https://www.ncbi.nlm.nih.gov/books/NBK430802/   [4] Ewa Bednarczyk, Szymon Sikora, Aneta Kossobudzka-Górska, Krzysztof Jankowski, Yunuhen Hernandez-Rodriguez. Understanding Flat Feet: An In-Depth Analysis Of Orthotic Solutions. Science Direct. March 2024. Accessed July 2024. https://www.sciencedirect.com/science/article/pii/S2773157X23001224#bib5  

Flat feet and running are often intertwined, but the fact of the matter is that you might not even know you have flat feet. About a quarter of us do [1], but many of us live blissfully unaware. That’s the good news. The bad news? For some, those missing arches can turn running from a joy into a painful ordeal, as well as walking or standing for long periods [2].  Whether you’re battling shin splints and other foot issues or just feeling achy after your runs, your flat feet might be the culprit. Here's everything you need to know about flat feet and running, and how to keep your feet happy and healthy while you hit the pavement. What are flat feet? So, what exactly are flat feet, also referred to as fallen or collapsed arches? Although often referred to interchangeably, it's important to understand the distinctions between collapsed arches and flat feet, as each condition affects individuals differently. Imagine your foot as a complex puzzle with bones, muscles, tendons, and ligaments all working together to create an arch—the curve that gives your foot its foot shape [3]. Understanding what causes flat feet is crucial as it can vary from genetic factors to environmental influences like footwear and lifestyle. When your arch is flattened, or there’s barely one at all, that’s when we talk about flat feet. It’s like your foot is missing a crucial support system. This can throw off your body’s alignment, putting extra stress on your ankles, knees, and even hips [3]. Learn more about how your feet impact your knees and hips and the broader implications of foot structure on body mechanics. While it’s normal for babies to have flat feet (their arches usually form as they grow), flat feet in adults can be a different story. Sometimes, it’s just how your foot is built. Other times, it can be caused by weakened tendons, injuries, body weight, or underlying health conditions like arthritis or diabetes [2]. It’s also worth noting that there are different types of flat feet.  Flexible flat feet are the most common. Often starting in childhood, they are characterized by an arch that disappears when standing but reappears when lifting the foot. This type usually doesn't cause foot pain. Rigid flat feet don't have an arch, even when you lift your foot. This is often caused by an underlying condition. Acquired flat feet develop over time, usually due to issues with the tendons or ligaments in your foot, including conditions like posterior tibial tendon dysfunction [2]. Understanding the type of flat foot you have can help determine the best course of action for managing any discomfort or potential complications while running. To sum it all up, let’s break it down. Flat feet: Your arch is low or nonexistent. Why it happens: Various factors, including foot structure, weight, weakened tendons (often due to age or injury), and underlying health conditions like arthritis, diabetes, or cerebral palsy. Impact: Can affect your body’s alignment and lead to discomfort, particularly for those who are active or overweight. Types of flat feet: Flexible, rigid and acquired flat feet. How do flat feet impact running?  If you’re running with flat feet, your foot might hit the ground differently than someone with a normal arch. This change in how your foot lands, called a foot strike, can throw off your entire running form. Instead of absorbing the shock of each step, your foot tends to flatten out and roll inward (a condition called overpronation). This extra force can ripple through your body, from your ankles to your hips, leading to pain and fatigue.    Think of the connection between flat feet and running like running on uneven ground; your body is constantly trying to adjust and compensate. This extra effort can wear you down faster and make it harder to maintain a good pace. Common challenges for runners with flat feet Running with flat feet can present some unique obstacles. Let's go over some of the most common challenges you might face. Pronation issues As mentioned earlier, one common issue for flat-footed runners is overpronation – that’s when your foot rolls inward too much. This can put extra stress on your ankles, knees, and even your back. It’s like running with a constant wobble; not only is it inefficient, but it can also lead to injuries if you’re not careful [4]. Overpronation, combined with the pressure from flat feet, can also lead to other foot problems. This inward roll of your foot can contribute to the development of bunions, while the pressure that leads to the constant rubbing of your feet against your shoes can cause corns and calluses. Reduced shock absorption Running with flat feet can change how your body moves when you run, and not always in a good way. Imagine your foot as a shock absorber; when it’s flat, that cushioning is off, mainly due to overpronation (yes, this one again), and the impact from each stride can be harder on your joints [4].  Inefficient shock absorption can also compromise your endurance, affecting long-distance running capability. Increased injury risk  While having flat feet doesn’t automatically mean you’re doomed to injury, it does increase your risk. Repeated stress on the wrong parts of your foot can lead to problems down the line.  In fact, one research found that running with flat feet increases the risk for shin splints and patellofemoral pain syndrome, which is a common condition among runners [4].  Tips for running with flat feet Running with flat feet can be challenging, but with the right approach, you can still enjoy your favorite activity. We’ve put together some tips to help you run comfortably and safely. Choose supportive shoes Investing in the right footwear is crucial for flat-footed runners. Look for shoes with strong arch support and stability features to help control overpronation and reduce stress on your feet. Women's shoes for flat feet and men's shoes for flat feet are specifically designed to meet the unique needs of runners who require that extra support. Why are orthopedic shoes the best footwear for this condition? They're designed to provide the necessary support that flat-footed runners need. Use custom orthotics Custom orthotics or flat feet insoles can provide additional support and help distribute pressure evenly across your feet. These shoe inserts can be especially beneficial if you experience persistent pain or discomfort.  Dr. Josh White, DPM, suggests, "Wearing proper foot orthotics and fallen arches insoles, together with fallen arches shoes, can help reduce strain on the posterior tibial tendon and alleviate pain and inflammation." Strengthen your feet Foot exercises for flat feet include building foot muscle strength which can improve arch support and overall foot stability. Different exercises, like towel curls and marble pickups, can help strengthen the muscles in your feet and ankles.  For example, Dr. White suggests wrapping a towel around the sole of your foot, extending your leg, and holding for 30 seconds, as well as standing barefoot on a hard surface and flexing your feet to activate the arch muscles without rolling your feet or pressing down your toes. Focus on proper form Maintaining good running form is essential for all runners, but it's especially important for those with flat feet. Aim for a midfoot strike, landing softly on the middle of your foot to absorb shock and reduce stress on your heels and arches. Avoid heel striking, as it can contribute to overpronation and increase your risk of injury. Footwear: enhancing running comfort The right shoe can make all the difference in your comfort and performance. Running with flat feet requires specific footwear considerations to ensure comfort, support, and injury prevention.  Here's how shoe design addresses the unique needs of flat-footed runners. Combating overpronation   As we’ve noted earlier, flat feet are prone to excessive inward rolling (overpronation) during running. Shoes for flat feet incorporate built-in anatomical arch support to counteract this motion. This keeps your ankles, knees, and hips properly aligned, promoting a more efficient and healthy running stride. Enhanced cushioning  The lack of arch structure in flat feet can place additional stress on other parts of the foot with each stride. Running shoes for flat feet prioritize ample cushioning throughout the sole, particularly in the heel area. This absorbs shock and reduces pressure on your feet, minimizing fatigue and potential pain. Promoting a smooth stride  A rocker bottom design can be a game changer for a flat-footed runner. This subtle curvature in the sole encourages a smooth rolling motion during your foot strike, lessening pressure on your flat feet and promoting a more natural running gait. Accommodating orthotics  For some runners with severely flat feet, custom orthotics may be necessary for additional support. Shoes designed for flat feet often have removable insoles to create space for these inserts, ensuring a comfortable and customized fit. Addressing bunion and corns concerns  Seeing as flat feet can sometimes contribute to the development of bunions, corns and calluses, running shoes for flat feet often feature a soft, stretchable upper material. This flexible upper material gently conforms to your unique foot shape, helping to alleviate pressure on these sensitive areas, preventing further discomfort. Alleviate shin splints According to Dr. White, running shoes can also help alleviate shin splint symptoms, a common issue for flat-footed runners. Look for shoes with ample cushioning, a stable sole, and good arch support to reduce impact and prevent overpronation, key factors in shin splint development. Remember, while shoes can help alleviate shin splint symptoms, they're not a the sole solution. Gradual increases in running mileage, proper stretching, strength training, and rest are also essential for recovery. It's advisable to consult with a healthcare professional for personalized guidance.  ==================== [1] Ewa Bednarczyk, Szymon Sikora, Aneta Kossobudzka-Górska, Krzysztof Jankowski, Yunuhen Hernandez-Rodriguez. Understanding Flat Feet: An In-Depth Analysis Of Orthotic Solutions. Science Direct. March 2024. Accessed July 2024. https://www.sciencedirect.com/science/article/pii/S2773157X23001224#bib5   [2] Chitra Badii (medically reviewed by Timothy Gossett, M.D.). What You Should Know About Flat Feet. Healthline. Updated November 6, 2019. Accessed July 29, 2024. https://www.healthline.com/health/pes-planus   [3] Adam Felman (medically reviewed by Adam Hotchkiss, DPM). What To Know About Flat Feet. Medical News Today. Updated January 12, 2024. Accessed July 21, 2024. https://www.medicalnewstoday.com/articles/168608   [4] Phattarapon Atimetin, MD. Flat Feet — A Problem for Runners. Samitivej Hospitals. Feb 25, 2019. Accessed July 29, 2024. https://www.samitivejhospitals.com/article/detail/flat-feet   [5] Emily Cronkleton, Medically reviewed by Gregory Minnis, DPT, Physical Therapy. Exercises for Flat Feet. Healthline. April 19, 2023. Accessed July 23, 2024. https://www.healthline.com/health/flat-feet-exercises   

Although we’re here to discuss foot exercises for flat feet, we want to quickly explain that flat feet (pes planus), also known as collapsed or fallen arches, is a condition where the arch of the foot is flattened, causing the entire sole to come into complete or near-complete contact with the ground.  This foot condition can develop over time or be present from childhood. It is quite common, affecting about one in four people [1]. While some may experience pain and discomfort, particularly during long periods of standing or physical activity, others may not notice any symptoms at all. Understanding what causes flat feet is crucial because it helps in choosing the right treatment and exercises, which are essential for strengthening and supporting the foot arch. This, in turn, alleviates discomfort and improves overall foot health. Introduction to foot exercises for flat feet Targeted foot exercises for flat feet can help improve strength and flexibility in the feet and ankles, making a significant difference in how your feet feel and function day-to-day. In fact, research has shown that regularly doing foot exercises can lead to better foot alignment and gait after just a few weeks [2].  Consistent practice not only enhances foot mechanics but also positively impacts how your feet impact your hip and knee pain, maintaining proper body alignment and reducing joint strain. Simple routines, like the short-foot exercise, have been particularly effective in correcting foot alignment and preventing injuries related to flat feet [3]. Effective exercises for flat feet  To help you start strengthening your foot muscles, here are nine simple foot exercises for flat feet that you can easily do at home. By targeting key muscles, these exercises will support your arches and keep your feet feeling strong and healthy. 1. Arch lifts Stand with your feet inline with your hips. Keeping your toes in contact with the floor, roll your weight to the outer edges of your feet. Lift your arches as high as possible, then release your feet back down. Perform 2–3 sets of 10–15 repetitions [2]. 2. Short foot Stand on a flat surface with your feet shoulder-width apart.  Tighten your midfoot by drawing the ball of your foot towards your heel, engaging your arch without curling or lifting your toes.  Keep your toes firmly pressed into the ground.  Perform 2–3 sets of 20 repetitions.  As you become more adept, you can try doing this exercise while standing on one leg to further challenge your balance. 3. Toe curls Sit up straight in a chair with both feet flat on the floor. Curl up your toes as if trying to grab the floor, then use your toes to drag your foot forward. Make sure the movement comes from your toes, not your legs. Continue for as long as comfortable with each foot. 4. Heel raises Stand with both feet flat on the floor; use a chair or wall for support if needed. Push up onto the balls of your feet to raise your heels off the floor. Hold the heel raise for a few seconds, then lower your heels back down. For added difficulty, place a small object between your ankles and hold it during the movement. Complete 3 sets of 10 repetitions daily. 5. Toe lifts Stand and press your right big toe into the floor while lifting your other four toes. Press the four toes into the floor and lift your big toe. Repeat each movement 5–10 times, holding each lift for 5 seconds. Switch to your left foot and repeat [2]. 6. Ankle inversions Secure an exercise band around a stable object. Wrap the other end of the band around the inside of your foot. Move your foot inward and upward against the band’s resistance. Repeat 5-10 times. Switch to your other foot and repeat. 7. Towel scrunches Sit comfortably in a chair with a towel placed under your feet, pressing your heels firmly into the floor to stabilize your feet. Use your toes to grip and scrunch the towel, pulling it toward you. Hold the scrunch for a few seconds, then relax your toes and release the towel. Ensure the ball of your foot remains in contact with the floor or towel throughout the exercise, focusing on strengthening your foot's arch. Perform 2–3 sets of 10–15 repetitions for each foot [2]. 8. Marble pickup Sit with your feet flat on the ground. Place 10-15 marbles and a container on the floor. Use your toes to pick up each marble and place it in the container. If you don’t have enough marbles, use one marble and repeat the process 10–15 times. 9. Calf stretches Stand and lift your heels as high as you can, using a chair or wall for balance if necessary. Hold the upper position for 5 seconds, then lower your heels back to the floor. Perform 2–3 sets of 15–20 repetitions. Holding the upper position, pulse up and down for 30 seconds [2]. Creating a routine Establishing a consistent exercise routine is key to getting the most out of your foot exercises, so we’ve prepared some tips to help you build and maintain a routine. Frequency Aim to do these exercises 3-4 times a week. Regular practice will help you see better results and strengthen your feet more effectively. Duration Each session should last about 15-20 minutes. This time frame is enough to complete your exercises without feeling rushed or overextended. Consistency and patience It may take a few weeks of regular exercise before you start to see improvements, so be consistent with your routine. Continue doing the exercises even after you notice progress to maintain your gains [2]. Progression As you build strength and endurance, gradually increase the number of repetitions and the intensity of your exercises. This gradual progression will help you continue to improve and prevent plateaus. Body awareness Developing a deeper awareness of your body can help you adjust your posture and movements during daily activities. Pay attention to how you stand, move, and position your body, making small adjustments as needed to correct imbalances [2]. Professional advice If you experience pain while standing or walking, consult with your doctor. You may also benefit from orthotics or physical therapy to support your foot health [1]. Additional tips for managing flat feet To effectively manage flat feet and alleviate associated discomfort, consider these practical solutions. Supportive footwear Choose shoes that offer excellent arch support and cushioning.  A well-fitted, supportive shoe can make a significant difference, especially if you experience flat foot pain. Extra Wide shoes may also provide additional relief. Custom-designed arch supports and orthotics are beneficial as they help distribute pressure more evenly and enhance alignment, which can improve your gait and balance [4][1]. Healthy weight Maintaining a healthy weight is crucial for reducing stress on your feet. Excess weight can increase the pressure on your arches and worsen flat feet symptoms. Adopting a balanced diet and engaging in regular exercise can help manage your weight and ease foot strain [5]. Low-impact activities Add low-impact activities such as swimming or cycling to your routine. These exercises minimize strain on your feet while providing a good workout, helping to improve overall fitness without putting excessive pressure on your arches.  For additional guidance on maintaining foot health while running, explore our guide on running with flat feet. This can help you manage pressure on your arches more effectively, ensuring a balanced approach to overall fitness. Collapsed arch vs flat feet—though often used interchangeably, understanding the differences between these conditions is vital for appropriate management. Collapsed arches may require more targeted support and treatments compared to more flexible flat-foot conditions. How footwear complements exercises for flat feet Many exercises for flat feet, such as marble pickup and towel scrunches, are best done barefoot. But other exercises, like heel raises and calf stretches, can be enhanced with supportive orthopedic footwear.  Why are orthopedic shoes the best footwear? They are designed to provide the necessary support and cushioning that flat feet need to prevent discomfort and enhance alignment.  Here's how choosing the right shoes can boost the effectiveness of your flat feet exercises. Enhanced stability for targeted exercises Flat feet shoes with built-in anatomical arch support provide a stable platform for performing foot exercises. This helps isolate the targeted muscles and ensures you're working on strengthening them effectively, rather than compensating for a lack of arch support. Improved proprioception (body awareness) A well-cushioned sole with a firm structure can enhance your body awareness during exercises. This improved proprioception allows you to feel how your feet are interacting with the ground and ensure you're performing the exercises with proper form for maximum benefit. Reduced fatigue and improved endurance Exercises for flat feet can sometimes lead to discomfort, especially when done on hard surfaces. Shoes with a rocker bottom design can help by promoting a smoother rolling motion during movement, reducing fatigue and allowing you to extend your exercise sessions. Reduced pressure on sensitive areas A soft, stretchable upper material can be incredibly helpful during exercises. It conforms to your unique foot shape and relieves pressure on areas prone to issues like bunions and hammertoes. This allows you to focus on strengthening your arches without additional discomfort. Finally, the right footwear doesn't just support your exercises; it benefits your feet throughout the day. Features like removable flat feet insoles for custom orthotics and extra heel support ensure continuous comfort and proper alignment, further maximizing the impact of your foot exercises.  With options like flat feet shoes for women and flat feet shoes for men, each pair is tailored to meet the specific anatomical differences, guaranteeing optimal support for anyone looking to effectively manage their flat feet condition.     =====================   [1] Ewa Bednarczyk, Szymon Sikora, Aneta Kossobudzka-Górska, Krzysztof Jankowski, Yunuhen Hernandez-Rodriguez. Understanding Flat Feet: An In-Depth Analysis Of Orthotic Solutions. Science Direct. March 2024. Accessed July 2024. https://www.sciencedirect.com/science/article/pii/S2773157X23001224#bib5   [2] Emily Cronkleton, Medically reviewed by Gregory Minnis, DPT, Physical Therapy. Exercises for Flat Feet. Healthline. April 19, 2023. Accessed July 23, 2024. https://www.healthline.com/health/flat-feet-exercises    [3] Kazunori Okamura, Kengo Fukuda, Sadaaki Oki, Takeya Ono, Satoshi Tanaka, Shusaku Kanai. Effects Of Plantar Intrinsic Foot Muscle Strengthening Exercise On Static And Dynamic Foot Kinematics: A Pilot Randomized Controlled Single-Blind Trial In Individuals With Pes Planus. PubMed. September 29, 2019. Accessed July 23, 2024. https://pubmed.ncbi.nlm.nih.gov/31590069/   [4] Adam Felman (medically reviewed by Adam Hotchkiss, DPM). What To Know About Flat Feet. Medical News Today. Updated January 12, 2024. Accessed July 23, 2024. https://www.medicalnewstoday.com/articles/168608   [5] Marc A. Raj, Dawood Tafti, John Kiel. Pes Planus. National Library of Medicine. Updated May 23, 2023. Accessed July 21, 2024. https://www.ncbi.nlm.nih.gov/books/NBK430802/  

Flat feet, also known as pes planus, are a fairly common condition that can affect people of all ages. In essence, it occurs when the foot arch either collapses over time or never develops properly during childhood. This means that when you stand, most or all of your foot touches the ground, as opposed to having a visible arch. Affecting roughly one in four people, flat feet are a surprisingly common condition. While some experience foot pain and discomfort, particularly during prolonged physical activity, others may not even know they have them [1]. Understanding what causes flat feet and their implications is crucial for maintaining foot health and overall mobility, so we've put together this article to explain the potential consequences and explore effective treatment options and tips for keeping your feet healthy. Causes of flat feet   An in-depth analysis of flat feet orthotic solutions reveals that a weakened ligament and tendons in the foot leads to the collapse of the arch [1].  But what causes flat feet and this flattening of the arch? Here are the various factors that can contribute to this condition. Genetic and developmental influences Inherited predispositions  Flat feet can be passed down through families [2]. Genetics plays a role in foot-bones development, though the exact mechanisms are not fully understood. It's important to note that flat feet are common in infants due to their developing arches. Most children develop normal arches by age 5 or 6, but some may not [3]. Natural foot structure Some people simply don't develop fallen arches because of their inherent foot structure, which is often a familial trait [2]. Medical conditions affecting the arch Rheumatoid arthritis and arthritis These conditions can weaken the joints in the foot, including those that support the arch. This weakening can lead to a flattening of the arch [2]. Nervous system or muscle diseases  Conditions like spina bifida, muscular dystrophy, or cerebral palsy [2] can affect the nerves and muscles that control the feet, leading to flat feet. Tendonitis The posterior tibial tendon is crucial for maintaining the arch and damage to it can cause flat feet. This damage can be caused by tendonitis (inflammation) or dysfunction  [2]. Physical conditions Specific conditions where bones or tissues in the foot abnormally connect can lead to flat feet. For example, tarsal coalition is a condition that causes the bones of the foot to fuse together abnormally, resulting in stiff and flat feet [2]. Injury and trauma taking their toll Tendon injuries Posterior tibial tendon injuries, such as complete tears or ruptures, are often caused by overuse or sudden trauma, weakening the support structure of the foot and resulting in flat feet [2]. Foot and ankle injuries Various injuries to the bones or tendons of the foot and ankle [2] can disrupt the arch's structure and contribute to its collapse. Previous fractures Fractures in several key areas of the middle part of the foot (midfoot) or the back part of the foot (hindfoot) can increase the risk of developing flat feet later in life, especially if they don't heal properly. Improper healing, where the broken bones don't mend in the correct position, is called malunion and can contribute to a flattened arch [3]. Understanding the distinctions between collapsed arches vs flat feet is crucial to comprehending how each condition uniquely impacts individuals, affecting everything from daily activities to specific health outcomes. Lifestyle and age-related factors Age-related wear and tear The natural aging process can lead to anomalies [2] such as a decrease in arch height and rigidity. Weight  Studies found a significant link between overweight and obesity and flat feet [5].  Knee pain In older adults, flat feet are linked to frequent knee pain and damage to the cartilage in the inner part of the knee joint [4].  Learn how your feet impact your knee and hips and the broader implications of foot structure on body mechanics. Pregnancy Hormonal changes and weight gain during pregnancy can cause developmental anomalies [2] potentially flattening the arches, sometimes permanently. Please note that this list is not exhaustive. If you suspect you have flat feet or experience related pain, consulting a healthcare professional is crucial for proper diagnosis and treatment. Flat feet symptoms Now that we’ve covered what causes flat feet, let’s look at the symptoms.  While some people with flat feet experience no problems, others may encounter various symptoms that can affect their daily activities [2]. Here's a breakdown of how flat feet can manifest. Pain and discomfort 1. Location Flat feet can cause pain in various areas of the foot, most commonly in the arch and heel. This pain often stems from strained muscles and ligaments that struggle to support the arch properly [2]. 2. Beyond the foot In some cases, abnormal stresses placed on the feet due to flat arches can lead to pain in the connected joints, such as the ankles, knees, hips, and even the lower back [2]. For those who love running but struggle with flat feet, our dedicated blog on flat feet and running offers invaluable tips and best practices to help manage and alleviate symptoms, ensuring a more comfortable and effective running experience. Swelling Flat feet can sometimes cause visible swelling along the inner ankle or arch of the foot [2]. This inflammation is often a response to the additional stress placed on those tissues. Altered gait Flat feet can lead to a condition called overpronation, where the ankles roll inward excessively when walking or standing. This can affect your overall posture and gait, making walking or running feel uneven or awkward [2]. Foot exercises for flat feet offer methods to improve foot health and gait. Impact on daily life The symptoms of flat feet can translate to various challenges in daily activities. Discomfort during prolonged standing or walking Flat feet can make standing or walking for extended periods uncomfortable due to pain and fatigue in the feet, upper and lower leg [2]. Difficulties in certain sports Activities that put a lot of stress on the feet, such as running or jumping, may be more difficult or painful for people with flat feet [2]. Uneven shoe wear The uneven distribution of weight across the foot in flat feet can cause shoes to wear down unevenly, requiring more frequent replacements [2]. Diagnosing flat feet The diagnosis involves a few steps that help doctors understand how your feet are working, why you might be having issues and what causes flat feet in your case. Physical Examination The first step is a physical exam, where the doctor will take a close look at your feet and how you walk. Inspection  The doctor will check your feet while you're standing and sitting. They'll look for a flat arch when you're standing, which might disappear when you're off your feet. They'll also look from behind to see if you have what's called the ‘too many toes’ sign, indicating overpronation. They compare both feet to see if there's a difference between them [3]. Palpation The doctor will feel around your feet, pressing on areas like the posterior tibial tendon, the sides of your heel, and the bottom of your foot to check for any tenderness or issues [3]. Range of motion (ROM) By moving your foot around, the doctor can see if your flat feet are flexible or rigid. They might use the Hubscher maneuver (or Jack test) to see if they can change the shape of your foot [3]. Muscle strength testing You'll likely be asked to do some simple moves, like standing on your toes, to test the strength of certain muscles, especially the ones that help support your arch [3]. Gait assessment The way you walk (your gait) can tell a lot about your feet. The doctor will watch for signs like overpronation or a limp, which could indicate pain [3]. Imaging Tests If more information is needed, the doctor might order some imaging tests: X-rays These give a clear picture of your bones. CT scans  These provide detailed images of the bones and joints. MRI scans These are great for looking at soft tissues like tendons and ligaments. Electromyography (EMG) This test checks the health of your muscles and the nerves that control them [2]. Treatment options for flat feet Managing flat feet can be straightforward, with several treatment options available, ranging from simple treatments to more involved medical procedures for severe cases. Conservative treatments For many people, conservative treatments can effectively manage flat feet and prevent complications. Supportive shoes and orthotics Wearing well-fitted, supportive shoes can make a big difference. Extra Wide shoes and shoes for flat feet can provide relief, especially if you're dealing with pain. Custom-designed arch supports and orthotics can help distribute pressure more evenly across your feet and improve alignment [2]. Orthotics can also improve your gait and balance [1]. Flat Feet Insoles are a key component in providing necessary support and comfort. Physical therapy Physical therapy can be a great way to reduce pain and increase foot flexibility. Exercises and stretches specifically designed for your needs can strengthen weak muscles and improve your balance [3]. Pain management Over-the-counter pain relievers like NSAIDs can help manage pain and inflammation. Ankle braces might also be useful for added support and to reduce inflammation until your symptoms get better [2]. Lifestyle changes If weight is a contributing factor, losing a few pounds through a healthy diet and regular exercise can ease the pressure on your arches and improve your symptoms [3]. Surgical interventions If conservative treatments aren’t enough, or if your condition is more severe, surgery might be an option. Children Kids usually don’t need surgery for flat feet unless they have a more rigid form that doesn’t respond to other treatments [3]. Adults Surgery might be considered for adults with severe flat feet or for issues like posterior tibial tendon dysfunction that don’t improve with other treatments. Procedures can range from separating fused bones (if that's the cause) to repairing damaged tendons and ligaments [2][3]. Specific conditions If you have arthritis or a ruptured tendon, a mix of insoles and pain relievers might help manage your symptoms. If these don’t work, surgery could be the next step to fix the foot problem [2]. With the right treatment, you can manage flat feet effectively, reduce pain, and improve your quality of life. Early and proper treatment can help you stay active and avoid foot-related complications down the road [1]. Footwear solutions for flat feet support Orthopedic footwear can be your partner in maintaining healthy, happy feet. The right shoes can provide essential support and significant relief for those with flat feet.  Here's what to look for when selecting footwear specifically designed to manage this condition. Arch support is king  Look for shoes with built-in anatomical arch support. Proper arch support helps reposition the bones in your foot back to a healthy arch position and distributes your body weight more evenly [1]. It also helps prevent your foot from rolling inward (flat feet overpronation) and keeps your ankles, knees, and hips aligned. Some specialty shoe brands even offer additional arch-boosting inserts for customized support. Removable insoles for customization  If you have severely flat feet or other foot conditions, you might need special orthotics. Opt for shoes with removable insoles to create space for these custom inserts. Extra depth makes room for comfort  Orthotics and arch supports add volume inside the shoe. To avoid a cramped feeling, choose footwear with a deeper design that comfortably accommodates a shoe insert. Stretchy uppers for bunions and hammertoes  Flat feet can sometimes lead to bunions and hammertoes. A shoe with a soft, stretchable upper will gently hug your foot's unique shape, preventing further pressure on these sensitive areas. Cushioned soles for all-day comfort  Comfortable support starts from the ground up. Choose shoes with a well-cushioned sole that provides ample shock absorption and spring with every step. Heel support for pain prevention  The lack of arch support in flat feet puts extra strain on other parts of your foot, including the heel. Opt for shoes with additional cushioning in the heel area to help promote a more natural gait pattern and evenly distribute pressure across the foot [1]. Rocker bottom for a smoother stride   A shoe with a slight rocker bottom can help facilitate your foot's natural rolling motion during walking. This can reduce fatigue and minimize pressure on your flat feet. Why are orthopedic shoes the best footwear? These shoes offer numerous benefits tailored to address foot conditions like flat feet, providing critical support where it’s most needed. Specialized options like flat feet shoes for women and flat feet shoes for men cater specifically to the anatomical differences between male and female feet, ensuring that each individual receives the optimal support and comfort necessary for managing flat feet effectively.  ==================== [1] Ewa Bednarczyk, Szymon Sikora, Aneta Kossobudzka-Górska, Krzysztof Jankowski, Yunuhen Hernandez-Rodriguez. Understanding Flat Feet: An In-Depth Analysis Of Orthotic Solutions. Science Direct. March 2024. Accessed July 2024. https://www.sciencedirect.com/science/article/pii/S2773157X23001224#bib5   [2] Adam Felman (medically reviewed by Adam Hotchkiss, DPM). What To Know About Flat Feet. Medical News Today. Updated January 12, 2024. Accessed July 21, 2024. https://www.medicalnewstoday.com/articles/168608   [3] Marc A. Raj, Dawood Tafti, John Kiel. Pes Planus. National Library of Medicine. Updated May 23, 2023. Accessed July 21, 2024. https://www.ncbi.nlm.nih.gov/books/NBK430802/   [4] K. Douglas Gross, David T. Felson, Jingbo Niu, David J. Hunter, Ali Guermazi,5 Frank W. Roemer, Alyssa B. Dufour, Rebekah H. Gensure, Marian T. Hannan. Flat Feet Are Associated With Knee Pain and Cartilage Damage in Older Adults. July 10, 2012. Accessed July 23, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087845/   [5] Tri Suciati, Msy Rulan Adnindya, Indri Seta Septadina, Poppy Putri Pratiwi. Correlation Between Flat Feet And Body Mass Index In Primary School Students. IOP Science. 2019. Accessed July 23, 2024. https://iopscience.iop.org/article/10.1088/1742-6596/1246/1/012063/pdf

Introduction to bunions Bunions, or Hallux Valgus in doctor speak, are more than just a fashion hurdle. These bony bumps at the base of your big toe, caused by a joint misalignment, can be painful and very uncomfortable.  Often passed down through families, bunions are especially common in women due to biological factors, and if left unaddressed, the discomfort and inflammation they often cause typically worsen over time. Dr. Steven Gershman, DPM, explains that bunions are formed at the joint where the first metatarsal bone meets the big toe. This joint, which bears significant weight and force during movement, becomes misaligned, causing the first metatarsal to protrude outward. This protrusion, accompanied by a fluid-filled sac (bursa) and soft tissue swelling, forms the characteristic bump of a bunion.  But, not all bunions are created equal.  Why understanding different types of bunions matters Recognizing and identifying the different types of bunions is essential for tailoring treatment and management strategies effectively. Bunions can develop in different locations on the foot, with varying causes and symptoms. Understanding the specific type of bunion you have allows you and your podiatrist to: Target the root cause Different types of bunions have different underlying causes. Knowing the cause helps in developing a treatment plan that addresses the root issue, not just the symptoms. Alleviate symptoms Treatment approaches can vary depending on the type of bunion. Some might benefit from orthotics or specific exercises, while others might require different interventions. Prevent further complications Early intervention and proper management can help prevent bunions from worsening and causing additional discomfort or limitations.  Identifying different types of bunions Bunions can manifest in various forms, each with unique characteristics and locations on the foot. Here are the main types of bunions you might encounter. The common bunion The typical bunion, medically known as hallux valgus, forms on the inner side of the foot at the big toe joint. This condition causes the big toe to veer towards the smaller toes, creating a noticeable bump on the inside of the foot.  As mentioned above, this misalignment occurs as the first metatarsal bone shifts outwards, creating a bony protrusion that can become inflamed and painful due to friction and pressure from shoes. Tailor’s bunion (bunionette) Tailor’s bunion, or bunionette, appears on the outside of the foot at the base of the little toe. Unlike the common bunion, which affects the big toe, a bunionette forms on the fifth metatarsal bone.  This condition is often caused by wearing shoes that don’t fit correctly or engaging in activities that press the little toe inward towards the other toes. The resulting pressure creates a similar bony bump and associated discomfort, although in a different location than the typical bunion [1].  Bunion with hallux limitus A bunion with hallux limitus involves a bunion accompanied by reduced flexibility and movement in the big toe. This condition leads to stiffness and pain in the toe joint, making it uncomfortable and difficult to walk. Hallux limitus can progress to hallux rigidus, a more severe form where the joint loses all mobility, further complicating movement and increasing pain levels [2]. Addressing the bony bump caused by bunion deformity is crucial for alleviating bunions and reducing associated discomfort. Effective bunion treatment may also address issues like an ingrown toenail on the second toe or little toe, which can sometimes occur as a complication from improper footwear.  Causes and contributing factors From genetic predispositions to lifestyle choices, various elements contribute to this common foot condition. Genetic predisposition Are bunions genetic? Yes! Genetics play a significant role in the development of bunions, including: Family history If your family has a history of bunions, you are more likely to develop them. A study found that bunion deformities are present in at least two family members in 90% of cases [3]. Inherited foot structures Specific foot shapes and structures, such as excessive pronation or flat feet, can increase the risk of bunions. Joint flexibility According to Dr. Gershman, women tend to have more flexible joints and ligaments, which can exacerbate any existing biomechanical flaws, leading to bunion formation. H3: Footwear and lifestyle choices The type of footwear and lifestyle choices significantly impact bunion development and progression. These include: Ill-fitting shoes Wearing shoes that are too tight, narrow, or have high heels, and no cushioning insoles with arch support can increase the pressure on your big toe joint, pushing it out of alignment and contributing to bunion formation. Wearing wide-fit shoes or stretching your shoes wider can help alleviate foot pain and reduce the risk of further bunion formation by decreasing pressure on the affected area. Narrow toe boxes Shoes with a narrow toe box force the toes into an unnatural position, exacerbating the misalignment. High-impact physical activities High-impact sports and activities that put excessive pressure on the feet can lead to or worsen bunions. Weight Maintaining a healthy weight is important, as excess body weight increases the pressure on your feet, particularly on the big toe joint, thereby increasing the likelihood of developing bunions [5]. H2: Treatment options Bunions can significantly impact your daily life. Thankfully, there are a number of treatment options you can explore to manage your bunion and regain foot health. H3: Non-surgical treatments Non-surgical approaches and home remedies for bunions focus on managing bunion symptoms and slowing down their progression. Bunion pads Gel pads can cushion and protect the bunion from friction and irritation caused by footwear [6]. Bunion socks These bunion socks are designed with a built-in separator to keep the big toe from rubbing against the other toes, reducing irritation. The best ones are made with soft materials that wick away moisture. Appropriate footwear Choosing shoes with a wide toe box, wider width, quality cushioning and good arch support can alleviate pressure on the bunion and improve comfort [6]. Explore our shoes for bunions, including specialized collections of shoes for women with bunions and men's shoes for bunions, designed to provide the necessary support and ease discomfort. Foot exercises Specific bunion exercises such as toe stretches and foot strengthening exercises, can help maintain flexibility and strengthen the muscles around the affected area [5]. Cold therapy Applying ice packs wrapped in a thin towel to the bunion area can reduce inflammation and relieve pain [6]. Pain relievers Over-the-counter medications like NSAIDs can help manage pain and inflammation associated with bunions [6]. Activity modification Opting for low-impact activities that reduce stress on the feet, such as swimming or cycling, can alleviate symptoms [5]. Foot elevation and rest Elevating and resting the feet regularly can reduce swelling and discomfort [5]. Foot massage Regularly massaging the feet and gently moving the big toe can improve circulation and reduce stiffness [5].   Surgical interventions When non-surgical treatments fail to provide adequate relief, surgery may be considered. If you are experiencing severe bunion pain that isn't alleviated by proper shoe choices and non-surgical treatments, bunion surgery might be necessary to address the issue. Indications for surgery  If bunions severely affect daily activities and non-surgical measures are ineffective, consulting a podiatrist is advisable [6]. Surgical procedures Various surgical options exist depending on the severity of the bunion deformity. These may involve realignment of the bone, removal of swollen tissue, or joint fusion [6]. Recovery expectations After surgery, patients can expect swelling and discomfort for several weeks. Physical therapy may be recommended to regain strength and mobility in the foot [6]. References [1] Bunions (Hallux Valgus). Cleveland Clinic. September 18, 2023. Accessed June 25, 2024. https://my.clevelandclinic.org/health/diseases/14386-bunions-hallux-valgus [2] WebMD Editorial Contributors, medically reviewed by David Zelman, MD. What Is Hallux Limitus?. WebMD. May 01, 2023. Accessed June 25, 2024. https://www.webmd.com/osteoarthritis/what-is-hallux-limitus [3] Carlos Piqué-Vidal MD, María T. Solé MD , Jaume Antich MD. Hallux Valgus Inheritance: Pedigree Research in 350 Patients With Bunion Deformity. ScienceDirect. 25 April, 2007. Accessed June 25, 2024. https://www.sciencedirect.com/science/article/abs/pii/S1067251606005308 [4] Yi-Hsiang Hsu, Youfang Liu, Marian T Hannan, William Maixner, Shad B Smith, Luda Diatchenko, Yvonne M Golightly, Hylton B Menz, Virginia B Kraus, Michael Doherty, AG Wilson, Joanne M Jordan. Genome-wide association meta-analyses to identify common genetic variants associated with hallux valgus in Caucasian and African Americans. Journal of Medical Genetics. Accessed June 25, 2024. https://jmg.bmj.com/content/52/11/762.short

whiBunions can be a real pain, literally. Although there is no way to actually shrink bunions, there are natural approaches to manage discomfort and potentially reduce their severity.  This article explores some effective ways to alleviate the pain and discomfort caused by bunions and prevent bunions from getting worse. Introduction to bunions What is a bunion?  A bunion, medically referred to as Hallux Abducto Valgus or Hallux Valgus, is a deformity of the big toe area of the foot. It appears as a prominent bump on the inside or medial side of the foot, just behind the big toe on the first metatarsal head. This bump is essentially the first metatarsal head that has shifted away from the foot, causing the big toe to angle towards or even overlap the second toe. This protrusion can enlarge due to inflammation caused by the pressure and friction from shoes. As a result, bunions can lead to pain, poor shoe fitting, balance issues due to biomechanical changes in the foot, and other complications. The primary cause of bunions is typically biomechanical flaws in the foot, which are either genetic or congenital. These flaws can lead to the bones shifting and forming bunions.  You may be asking, “Are bunions genetic”? The condition tends to run in families, and most commonly affects women. Women are more prone to bunions because they have more flexible joints and ligaments, which is necessary for childbirth but also increases foot motion, exacerbating any biomechanical flaws. Addressing bunions early can help alleviate symptoms and prevent the condition from worsening. Recognizing symptoms  Recognizing the symptoms of bunions is essential for early intervention. Typical signs include: A visible bump on the side of the big toe joint that may or may not hurt Swelling, redness, and inflammation around the big toe joint Corns or calluses at the tip of the affected toe, or at bottom of the second or third toes  Persistent or intermittent pain in the area of the big toe Restricted movement of the big toe or the entire foot Changes in the shape of the foot, making it difficult to find shoes that fit comfortably. In fact, this discomfort in footwear might be the very first sign you notice “It’s important to remember that the symptoms of a bunion are progressive. You may never develop all of them, and you certainly won’t develop all of them at once,” write Suzanne M. Levine, DPM [1].  The role of proper footwear in bunion prevention Wondering how to shrink bunions naturally? You should know that proper footwear plays a significant role in managing the severity of bunions and alleviating associated symptoms.  If the problematic area of the bunions is jammed in the shoe, as is the case with shoes that are too tight, the forefoot is pushed forward into the toe box. This crowds the toes, applies pressure on the big toe, exacerbates the defective foot structure, and worsens the symptoms of bunions. Podiatrist Dr. Steven Gershman explains that “Although preventing bunions is not possible, shoes can and do affect the severity of the anatomical changes that occur in bunion formation and the associated symptomology. Basically, the more the shoe forces the big toe toward the second toe and allows excess motion, the worse the deformity.” While tight shoes are a major culprit, other footwear choices can also exacerbate bunions. This includes high heels, narrow pointed shoes, and spending long hours on your feet wearing inappropriate shoes. Proper footwear is crucial, especially considering the different types of bunions. Selecting the right shoes & recommended shoe features When choosing shoes for bunions, it’s essential to focus on features that alleviate pressure on the big toe and create adequate space. For those looking into how to shrink bunions naturally, consider the following shoe features. Wide, round, and high toe box The best shoes for bunions should have a spacious toe box that is wide, round, and high. This design minimizes pressure on the big toe and allows for comfortable movement. Extra depth  Shoes with extra depth are beneficial as they offer additional room for the big toe. Extra depth also provides stability and reduces motion, making it easier to accommodate orthotics. Extra width Opt for Wide or Extra Wide shoes. Many specialty footwear brands offer extended widths, from Narrow to Extra Extra Wide, which are essential for relieving bunion pain. Soft and stretchable materials  Shoes, such as our men’s shoes for bunions and women’s bunion shoes, are made with stretch knit uppers or supple leathers are ideal as they conform to the contours of your foot, creating a pressure-free environment around the bunion. Ensure the upper material is free of overlays or stitching across the sensitive bunion area to avoid irritation. Low heel or flat Shoes should have a low heel or be flat to prevent forcing the forefoot into the ground. High heels exacerbate bunion issues by increasing pressure on the toes. Ergonomic sole Look for shoes with an ergonomic sole featuring a mild rocker bottom. This design helps facilitate foot motion and evenly distributes weight from the rearfoot to the forefoot, reducing stress on the bunion area. Orthotic insoles Prefer shoes designed with orthotic insoles to support the arch, control overpronation and the excess movement it causes, and align the feet to correct the gait and prevent pressure on the bunion. Home remedies for bunion relief Finding relief from bunion pain doesn't always require medical intervention. Incorporating simple home remedies into your routine can help manage symptoms and improve foot health. Here are some effective strategies to alleviate discomfort and prevent further complications. Exercises to Strengthen Foot Muscles Short foot  Sit or stand with your heel and the front of your foot on the ground Shorten your foot by pulling the base of your toes toward your heel without curling your toes Hold for 5 seconds. Repeat until muscles feel tired Toe spread out  Sit or stand with your heel and the front of your foot on the ground Lift and spread your toes Push your little toe down and out toward the floor Push your big toe down toward the inside of the foot Hold for 5 seconds. Repeat until muscles feel tired Heel raise  Stand with your knees slightly bent Elevate your arch while keeping your heel turned in Raise your heel off the floor while keeping pressure on your big toe Hold for 5 seconds. Repeat until muscles feel tired Note: Perform all bunion excersices daily and barefoot. Progress from sitting to standing on both feet, and finally to standing on one leg [2]. Ice therapy Apply ice to the bunion for 20 minutes several times a day to reduce swelling. Wrap the ice in a thin cloth before applying it to the skin. Epsom salt soak Soak your feet in warm water with Epsom salt to soothe them and reduce inflammation. Non-surgical approaches to managing bunions Bunions can often be managed without surgery using devices that relieve pressure and correct foot alignment. Using aids such as a bunion pad, shoe inserts, bunion socks, and toe spacers can provide significant relief from bunion discomfort and help correct foot alignment. These include bunion pads, splints, and custom orthotics. Bunion Pads Bunion pads protect the bunion from friction and pressure, preventing irritation and pain. Non-medicated pads are recommended to avoid skin burns. Bunion splints worn at night help realign the big toe, reducing pain and misalignment.  Bunion Splints and Socks Bunion socks separate the big toe from other toes, minimizing friction and irritation. Made from soft, moisture-wicking materials, they offer added comfort. The role of orthotics  Orthotics are crucial in bunion treatment, especially for managing overpronation, which causes excess foot motion. Orthotics support the arch, control overpronation, and correct gait, providing significant relief.  In severe cases, custom rigid orthotics may be needed. Many podiatrists believe that early use of orthotics can reduce bunion severity and slow progression. Lifestyle adjustments for bunion management Making thoughtful lifestyle modifications can play a significant role in managing bunion symptoms and preventing their progression. Taking proactive steps such as wearing proper footwear and maintaining a healthy weight can help prevent bunions and bunion pain from developing. Here are some effective adjustments to incorporate into your daily routine. Diet and weight management Keeping your weight within a healthy range reduces the pressure on your feet and big toe joints, minimizing the risk of bunions developing or worsening. Suitable activities Choose activities that are gentle on your feet and avoid those that put excessive pressure on your toes. Walking on soft surfaces and swimming are excellent options.  Elevate your feet When sitting down, elevate your feet to reduce swelling and alleviate pain. Rest your feet Take regular breaks to rest your feet throughout the day, especially after prolonged periods of standing or walking. Massage your feet Regularly massage your feet and manually move your big toe to keep the tissues soft and the toe flexible. Rolling a tennis ball under your foot is an effective way to massage it [4]. When to seek professional help While home remedies and lifestyle adjustments can significantly alleviate bunion symptoms, there are times when professional medical advice is necessary. Recognizing these signs can help prevent further complications and ensure you receive the appropriate treatment. Persistent pain If you experience ongoing pain that doesn't improve, it's time to consult a podiatrist. Persistent discomfort may indicate that your bunion is progressing and requires professional intervention. Interference with daily activities When bunions begin to interfere significantly with your daily activities, such as walking, exercising, or wearing shoes comfortably, seeking medical advice is crucial.  Visible deformity If the bunion becomes increasingly noticeable or if you observe significant changes in the shape of your foot, it’s advisable to get a professional evaluation. on whether a surgical treatment may be more effective in correcting the deformity. If conservative measures fail to provide adequate bunion pain relief, a podiatrist might recommend bunion surgery as a more definitive bunion treatment. Swelling and inflammation Persistent swelling, redness, or inflammation around the bunion area that does not subside should be assessed by a healthcare professional. Limited mobility If your big toe’s mobility becomes restricted or if you experience stiffness that affects your foot's overall function, a podiatrist can offer treatments to improve movement and reduce discomfort. References [1] Suzanne M. Levine, Susan Jacoby. Your Feet Don't Have to Hurt: A Woman's Guide to Lifelong Foot Care. July 15, 2014. Accessed June 23, 2024. [2] Deydre S. Teyhen, PT, PhD, Editor. Bunion: Strengthening Foot Muscles to Reduce Pain and Improve Mobility. Journal of Orthopaedic & Sports Physical Therapy. June 30, 2016. Accessed June 23, 2024. https://www.jospt.org/doi/10.2519/jospt.2016.0504 [3] Sarah Charmley. What are some natural treatments for bunions?. Medical News Today. February 10, 2022. Accessed June 23, 2024. https://www.medicalnewstoday.com/articles/natural-bunion-treatment [4]  The Healthline Editorial Team. Minimize, Manage, and Prevent Bunions. Healthline. March 8, 2019. Accessed June 23, 2024. https://www.healthline.com/health/how-to-get-rid-of-bunions  

Understanding bunions: causes and impacts Bunions. Those knobby nuisances that turn finding cute shoes into an Olympic feat. But beyond literally cramping your style, bunions, also known as Hallux Valgus in the medical world, can be a real pain in the... well, foot. These bony bumps at the base of your big toe form when the joint gets misaligned. Often, it's thanks to faulty biomechanics you inherited from your lovely family, yes, bunions are genetic, while women are especially prone to bunions because of, well, biology. Individuals with flat feet are particularly susceptible to developing bunions, as the lack of arch support can exacerbate the misalignment of the big toe joint.  But, just because bunions are common doesn't mean you have to suffer. Here's the thing: bunions left unchecked can become real troublemakers, causing pain and inflammation, and making even comfy slippers feel like torture devices. The good news? Early intervention is your best friend. By taking charge early on, you can potentially prevent the pain and deterioration, and keep your feet happy. This is where bunion exercises become your best friends. Specific exercises designed to strengthen your foot and realign things can make a big difference. Consulting a physical therapist can provide personalized foot exercises that target bunion pain and offer effective pain relief. These exercises are particularly beneficial depending on the different types of bunions you might be dealing with. Essential exercises for bunion management Here's your arsenal of bunion exercises and bunion stretches to mitigate pain and discomfort, and keep your feet feeling happy. 1. Toe (bunion) stretches The goal: Improve flexibility and reduce tension Sit comfortably and gently pull your big toe upwards for 10 seconds, then push it down for another 10.  Repeat these bunion stretches 10 times on each foot. 2. Toe circles  The goal: Improve mobility and circulation While seated, lift one foot and use your hand to make gentle circles with your big toe, 10 times clockwise and 10 times counter-clockwise.  Repeat on the other foot. 3. Toe curls The goal: Strengthen toe and foot muscles Sit with your feet flat and scrunch your toes down as if grabbing the floor. Hold for 5 seconds, then release.  Repeat 10-15 times on each foot. 4. Foot flexes The goal: Improve flexibility and stretch under-foot muscles and tendons Sit with one leg extended, point your toes away for 5 seconds, then flex your foot back for another 5.  Repeat 10-15 times on each foot. 5. Heel raises  The goal: Strengthen the muscles in the feet and calves   Stand with your feet shoulder-width apart and slowly lift your heels off the ground, balancing on your toes for 3-5 seconds. Lower your heels back down slowly.  Repeat 10-15 times.  6. Marble pickup The goal: Improve dexterity and flexibility Sit comfortably and use your toes to pick up marbles one by one, placing them in a container.  Do this for 5 minutes with each foot. 7. Towel scrunches The goal: Strengthen the muscles in your toes and feet  Place a towel on the floor and use your toes to scrunch it towards you.  Repeat 10-15 times with each foot.  8. Resistance band toe pulls The goal: Strengthen and improve flexibility in the toes Wrap a resistance band around your toes and gently pull them apart, hold for 5 seconds, then release.  Repeat 10-15 times on each foot. 9. Toe spreaders The goal: Reduce pressure on bunions and improve toe flexibility Use toe spreaders or simply your fingers to gently spread your toes apart. Hold the position for 10 seconds.  Repeat 10-15 times on each foot. 10. Arch lifts The goal: Strengthen inner foot muscles, and improve stability and support Sit comfortably with your feet flat on the floor. Lift the arch of your foot while keeping your toes and heel on the ground. Hold for 5 seconds, then lower the arch back down. Repeat 10-15 times on each foot. Remember, consistency is key. Aim to do these bunion exercises daily or a few times a week to see the best results in managing your bunions. Combining these exercises with techniques to shrink bunions naturally can provide comprehensive relief. Integrating supportive tools in bunion care Bunions caused by foot structure may be unavoidable, but Dr. Steven Gershman, DPM, tells us that "The speed of formation and severity of deformity can be affected and slowed." This means incorporating supportive tools into your daily routine can make a significant difference in managing bunions and them from worsening. Here's how some key tools can become your allies in bunion care. Supportive footwear Dr. Gershman emphasizes the crucial role of proper footwear: "Shoes can and do affect the severity of the anatomical changes that occur in bunion formation".  He highlights the dangers of narrow, pointed-toe shoes and high heels, which force the big toe inwards and contribute to the deformity. Instead, opt for orthopedic shoes or shoes with wide-toe boxes that allow your toes to splay naturally. Specifically, consider investing in shoes for bunions, shoes for women with bunions, or men's shoes for bunions to ensure proper fit and support. Orthotics provide targeted support to the foot, promoting proper alignment and reducing excessive motion that can exacerbate bunions.  Dr. Gershman recommends orthotics "designed to support the arch, control over pronation, align the foot, and correct the gait." He finds good over-the-counter orthotics very helpful for many patients. In severe cases, custom orthotics might be necessary.   While research is ongoing, "it is believed by many podiatrists that orthotics started early can significantly alter the severity of bunions and slow down the progression," says Dr. Gershman. When selecting orthotics for bunion relief, consider the severity of your condition.  For severe bunions, prioritize orthotics with ample support and cushioning. Look for options with substantial arch support to distribute pressure evenly across your foot and metatarsal padding specifically designed to cushion the bunion area and reduce pain. Breathable materials are also key to prevent sweating and keep your feet comfortable throughout the day [1]. How to use bunion socks, and toe spacers While not a preventative measure, bunion socks offer valuable relief, especially for those with mild bunions. These socks have a separator built-in, keeping the big toe from rubbing against other toes and reducing irritation. Look for comfortable, soft materials that wick away moisture. Bunion pads are also helpful, offering a simple solution to protect the bony bump from friction and irritation caused by shoes or other objects. Dr. Gershman warns against medicated pads with acid, which can damage the skin. Opt for simple, protective pads instead. Using a toe separator or toe spacer can aid in bunion correction by realigning the big toe joint, with combined toe stretches, which can significantly alleviate foot pain and prevent further bunion formation. By incorporating these supportive tools into your routine, you can effectively manage bunion discomfort and potentially slow down their progression. Talk to your podiatrist to determine the best approach for your individual needs. References [1] Russell Pate, Pedorthist. Expert Advice: Picking The Right Orthotics For Bunion Relief. The Shoe Doctor. Accessed June 23, 2024. https://theshoedoctor.biz/expert-advice%3A-picking-the-right-orthotics-for-bunion-relief  

Introduction to bunions Bunions – those bony bumps that can form at the base of your big toe – are more common than you might think. Podiatrist Steven Gershman describes a bunion as a "bump on the inside (medial side) of the big toe joint". This occurs when the joint at the base of your big toe, where the first metatarsal bone meets the big toe, starts to misalign. As Dr. Gershman explains, a bunion develops when this first metatarsal bone "slides out away from the second metatarsal" over time. This creates the protruding bump you see and feel. The big toe itself also gets pushed towards the second toe, causing the joint to twist. Bunion formation can lead to significant foot pain as the misalignment of the big toe often causes increased pressure on smaller toes, which may contribute to heel pain and overall discomfort. Sometimes, this area might also become inflamed and swollen, with a sac filled with fluid (bursa) forming around the bump. Bunions can be a real nuisance. Finding comfortable shoes becomes a challenge as the bunion causes the foot to widen and the big toe gets pushed towards the second toe, potentially crowding and deforming it. On top of that, the displaced big toe can crowd and deform your second toe. All that begs the question: what causes this condition? Are bunions hereditary or is there more to the story? Genetic factors in bunion development Bunions are quite common among adults, with women being more susceptible than men. Dr. Steven Gershman attributes this to women typically having "more flexible joints and ligaments". This flexibility can play a role, but genetics are a major contributing factor as well. Inheriting specific foot shapes and structures can make you more prone to bunions [1]. These inherited traits can influence how your foot distributes weight and moves, potentially contributing to the misalignment that leads to bunions. Are bunions genetic? Research is ongoing to fully understand the complex genetics of bunions. One study found a strong hereditary component, with bunion deformities present in at least two family members of 90% of the cases studied [2]. This suggests bunions may be passed down through generations. Another study suggests multiple genes might be involved, interacting with sex hormones and influencing various biological pathways linked to osteoarthritis and skeletal development [1]. These pathways might explain why some people are more prone to bunion formation. While many factors contribute to bunions, understanding your family history and genetic predisposition can be helpful.  To further explore how different types of bunions may be influenced by genetics, read our detailed guide on Exploring the Different Types of Bunions. Prevention and management strategies For a new patient experiencing bunion pain, understanding the factors contributing to a developing bunion can be crucial for effective management. Preventative footwear choices Choosing the right orthopedic bunion shoes can play a significant role in preventing bunions, shrinking bunions, or keeping them from getting worse. Here's a guide to picking footwear that prioritizes your foot health. Spacious toes Look for shoes with a wide, round toe box. This gives your toes ample wiggle room and prevents them from feeling squished together, which can irritate the bunion joint. For a range of footwear designed to accommodate bunions, check out our women’s shoes for bunions and men’s bunion shoes tailored for your comfort and health. Depth  Extra depth in the toe box provides space to accommodate a bunion comfortably, allowing the big toe to sit naturally, even if it overlaps slightly with the second toe. Width Standard width shoes just won't cut it. Opt for wide or extra wide options. Many specialty footwear brands offer a wider range of widths to ensure a proper fit that doesn't pinch your bunion. Materials Stiff, unforgiving materials are a big no-no. Opt for shoes with a more flexible construction, like those made from stretch knit uppers. These materials conform to the shape of your foot, including the bunion area, creating a pressure-free environment. Supple leathers can also be a good option.  Avoid shoes with bulky overlays or seams right over the bunion, as these can create irritation. Choosing wide-fit shoes or stretching your own shoes for bunions can help alleviate discomfort and prevent further bunion deformity and bunion formation. Heel height Wearing high heels can exacerbate foot pressure and contribute to developing a bunion. Choose shoes with a low heel or flats. Elevated heels force your foot forward, placing extra pressure on the forefoot and potentially worsening bunions. Sole support Look for shoes with an ergonomic sole that promotes natural foot motion. A mild rocker bottom design can help distribute weight evenly across your foot, reducing stress on the forefoot. Insole support It’s best to wear shoes with an orthotic insole that offers arch support, helping to control overpronation and realign the feet with the rest of the body to avoid putting excessive pressure on the bunion. Exercises and foot care  While bunions can't be reversed with exercise alone, incorporating specific bunion exersices and foot care practices into your routine can strengthen your feet, improve flexibility, and potentially slow the progression of bunions. Here are some tips. Exercises Toe points and curls  Sit comfortably with your feet flat on the floor. Slowly point and curl your toes, working on flexing the muscles in your feet. Aim for 20 repetitions of pointing and curling, repeated in 2-3 sets for each foot. Toe spreads While seated, place one foot flat on the floor. Keeping your heel grounded, lift and spread your toes as wide as possible. Hold for a few seconds, then relax. Repeat 10-20 times per foot. Toe circles Sitting in a chair, lean forward and gently grip your big toe. Make small circles with your toe, going clockwise 20 times, then reverse direction for another 20 circles. Repeat this 2-3 times for each toe [3]. Foot care At the end of each day, especially if you typically spend long hours on your feet, treat yourself to a warm foot soak. Add a few tablespoons of Epsom salts to a warm basin of water and soak your feet for 20-30 minutes. This can help reduce inflammation and promote relaxation [3]. Treatment options for bunions Non-surgical treatments Surgery isn't always necessary. Here are various non-surgical treatment options you can explore to manage bunion pain and discomfort. Cold therapy If your bunion is inflamed or irritated, applying cold therapy can help reduce pain and swelling. Wrap an ice pack in a thin towel and apply it to the bunion area for 15-20 minutes at a time. Repeat several times a day as needed. Pain relievers Many people find relief with over-the-counter (OTC) pain relievers that can help manage pain and inflammation associated with bunions [3]. Padding Over-the-counter gel pads can be placed directly on the bunion to protect it from rubbing and irritation caused by shoes [3]. Shoe inserts Podiatrists might recommend padded shoe inserts to help distribute pressure more evenly as you walk. This can help prevent your bunion from worsening [3]. Diet and weight management Maintaining a healthy weight reduces stress on your feet and big toe joints, potentially slowing bunion progression [4]. Activity choice Opt for activities that are gentle on your feet, such as walking on soft surfaces or swimming [4]. Foot elevation When resting, elevate your feet to reduce swelling and pain [4]. Foot rest Make sure to rest your feet regularly throughout the day, especially after you’ve been on your feet for some time [4]. Foot massage Regularly massage your feet and gently move your big toe to maintain tissue flexibility and reduce stiffness [4]. When surgery is needed If conservative treatments aren't effectively managing your bunion pain and impacting your daily activities, consulting a podiatrist is crucial. They can assess your situation and determine if surgery might be the best course of action. The primary goal of bunion surgery is to alleviate pain and restore normal function to your toe.  Podiatrists have various surgical options available, and the choice often depends on the severity of your bunion. Here's a brief overview of some common procedures. Bunionectomy For less severe bunions, a bunionectomy is typically recommended by the American Podiatric Medical Association. This procedure involves removing the bony bump that characterizes a bunion. Osteotomy An osteotomy surgery is recommended in more complex cases and involves cutting the bone in your big toe and realigning the joint to its proper position. Arthrodesis If you have severe arthritis alongside your bunion, a podiatrist might recommend an arthrodesis. In this procedure, the arthritic joint surfaces are removed and screws, wires, or plates are used to stabilize the bones while they heal in a corrected position [3]. Recovery time after bunion surgery varies depending on the specific procedure performed. Generally, you can expect some swelling, discomfort, and limitations on weight-bearing activities for several weeks. Your podiatrist will provide detailed recovery instructions, including physical therapy recommendations to regain strength and flexibility in your foot [3].  References [1] Yi-Hsiang Hsu, Youfang Liu, Marian T Hannan, William Maixner, Shad B Smith, Luda Diatchenko, Yvonne M Golightly, Hylton B Menz, Virginia B Kraus, Michael Doherty, AG Wilson, Joanne M Jordan. Genome-wide association meta-analyses to identify common genetic variants associated with hallux valgus in Caucasian and African Americans. Journal of Medical Genetics. Accessed June 25, 2024. https://jmg.bmj.com/content/52/11/762.short [2] Carlos Piqué-Vidal MD, María T. Solé MD , Jaume Antich MD. Hallux Valgus Inheritance: Pedigree Research in 350 Patients With Bunion Deformity. ScienceDirect. 25 April, 2007. Accessed June 25, 2024. https://www.sciencedirect.com/science/article/abs/pii/S1067251606005308 [3] Sara Lindberg. 10 Simple Exercises for Bunion Relief and Prevention. Healthline. July 9, 2019. Accessed June 25, 2024. https://www.healthline.com/health/bunion-exercises [4]  The Healthline Editorial Team. Minimize, Manage, and Prevent Bunions. Healthline. March 8, 2019. Accessed June 23, 2024. https://www.healthline.com/health/how-to-get-rid-of-bunions  

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/

“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. 

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 collection of plantar fasciitis footwear includes shoes for every occasion, whether it’s ladies’ boots for plantar fasciitis or men’s plantar fasciitis sandals. 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.     

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 [product-tile="/products/nira-hands-free-black"] 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   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 Men’s Monterey Bay [product-tile="/products/monterey-bay-610-white"] 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 Best slip on shoes for stroke patients  Women’s Kita [product-tile="/products/kita-hands-free-shoe-black"] 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. Men’s Rex [product-tile="/products/rex-hands-free-black"] 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 Best slippers for stroke patients Women’s Lorin | Men’s Vito [product-tile="/products/lorin-bordeaux"] 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 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 Best boots for stroke patients Women’s Florence  [product-tile="/products/florence-waterproof-camel"] 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 Men’s Ryder [product-tile="/products/ryder-black"] 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. 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.