The Orthofeet Blog

Don't ignore your toes when they cry out for help. The world can be cruel to them, especially when they have to face it in ill-fitting shoes.  What your toes actually need is the correct environment for them to fit without being squeezed, move about freely and proper protection, which they won’t get if you end up buying the wrong shoes. Whether you have a specific foot condition, or if your feet are model material,  wearing shoes designed without consideration of the forefoot can cause more harm than not. Here is everything you need to know about how to find shoes that fit you correctly, protect your toes and help alleviate existing foot conditions.  Where should your toe be in a shoe? Your longest toe should be about half an inch, which is about the width of your finger, from the front of the shoe.  Here's an age-old trick that still works like a charm when you’re looking for a pair of shoes that protect and fit your toes properly:  Place your thumb between your big toe and the tip of the shoe. Your thumb should be able to press down all the way to the bottom of the shoe, without any toes getting in the way. If this doesn’t happen, try a larger size. While standing up, spread and wiggle your toes to make sure they have enough room to move comfortably. Now, try standing on your toes to make sure that your big toe’s bend matches the shoe bend. If you feel the joint of your big toe is either before or after the shoe bend, it’s not a good fit.  Always try on and buy shoes towards the end of the day after your feet have been through activity. Even if you don't suffer from edema or swelling, your feet, including toes, will be different after many hours on your feet.  Make sure to try on shoes with the pair of socks you usually wear or intend to wear with these shoes. There's nothing more annoying than trying shoes with a pair of thin store peds and liners, only to come home and realize they are too tight with your thicker athletic socks.  What is the toe box of a shoe? The technical name for the part of the tip of the shoe is toe box.  The toe box gives your toes protection from impact and if you choose shoes with the right toe box for your feet, it will give your toes enough room to move comfortably. It’s worth knowing that the width span of your toes should be wider than the balls of your feet. Do your shoes know this? Many do not.  Here are some other toe box realities to keep in mind:  Worst case scenario of an ill-fitting toe box Cramping or crushing, leading to blisters, corns, calluses, ingrown toenails and even black toenails. And if you already suffer from a foot condition, such as hammertoes or bunions, an ill-fitting toe box can not only be painful, but also worsen your condition. Love your toes, but don't ever let them get hugged too tightly.  The best kind of toe box to look for The one that offers extra depth and has a stretchable, breathable upper as well as a soft, padded interior that conforms to your foot’s unique shape, keeps your feet dry to ward off bacteria build up and odors, and prevent irritation. Not all toe boxes are actually boxy The word “box” may be misleading, because toe boxes come in a wide variety of shapes and styles. The right toe box style is individual and depends on your specific foot shape and whether or not you have any foot conditions, but it should always be long and wide enough to accommodate your toes comfortably.  Toe boxes to avoid Unless they are wide enough, avoid toe boxes with pointed toes, often found in dress styles, pumps and ballet flats..If your feet are not shaped in a pointed manner, how can they possibly fit a pointed toe shoe?  This pointed style will prevent your toes from lying flat and can cause many conditions described above, including metatarsalgia - pain and inflammation in the metatarsal bones and in the ball of the foot.  The only shoes not to feature a toe box Open toe shoes, sandals and flip flops. Since toe box refers to the enclosure for your toes, open toe shoes that expose your toes do not have a toe box. This means that most warm weather closed toe shoe styles or ones designed to wear during the summer months are ideal for your toes, and allow maximum toe movement.  Should my toes touch the end of my shoes? If the shoes are too short for your feet, your toes might rub against the edge of the toe box, exacerbating existing foot problems, such as hammertoes, and causing injuries and even deformities.  On the flip side, if the toe box is too big, aside from making you more prone to accidents and falls, the natural foot reaction would be to try to keep the shoe on your feet by scrunching up the toes. This could result in bunions (which is ironic, because you might think that wider shoes would provide some relief from bunions), as well as hammertoes. In addition, shoes that are too big could also apply excessive pressure on your toes and balls of the foot, causing corns, calluses and metatarsalgia, and disrupting your natural stride.  So, no, your toes should not touch the end of your shoes. More specifically, you should leave at least half an inch between your toes and the end of the shoe.  What does a big toe box mean?  A big toe box, more commonly referred to as a wide toe box, means the shape of the front of the shoe is generous, round, tall, and does not taper at the ends - basically resembles the shape of a foot.   The size of the toe box is also relative to the width of the shoe. So, for example, an extra wide width shoe will have a much bigger toe box than a medium width shoe. As you go up in width, every aspect of the shoe is bigger and wider. Quality shoe brands offer shoes not only in various length sizes, but also in a variety of widths, to accommodate all types of foot shapes and widths, including ones that are on the wider side.  What foot conditions need a big toe box?  First and foremost, a wide toe box is perfect for people who need wide width shoes. However, even if you don’t have any foot issues, it is always recommended to wear shoes designed with a round and wide toe box. In addition, a big toe box can alleviate and even eliminate a long list of foot conditions, including: Hammertoes Bunions Plantar Fasciitis Achilles tendonitis Diabetes and Diabetic Neuropathy Swollen feet Gout Mortons Neuroma Arthritis A wide toe box also gives you enough space to insert custom orthotics in case you need them. To shop for wide toe-box shoes click here

When you work long hours or simply spend most of your day on your feet, you come to expect foot pain and discomfort as an inevitable consequence.  But, when this foot pain starts to interfere with how well you work and prevents you from going about your daily activities, you need a better solution that can protect your feet from the pain that results from standing for long hours. When people start to feel pain or avoid certain activities, they often blame themselves, the activity, the intensity at which it was performed, or even the environment.  However, they tend to overlook the item that is directly related to their pain and that is the type of shoes they wear.  If you feel foot pain after spending long hours on your feet, start by looking at your shoes. Most probably, they are either too small and narrow,  not designed with the necessary features to keep you pain-free, or both. What are the best shoes for standing on your feet all day?   Here are the design features you should look for in shoes that are recommended for people who stand all day. Orthotic support is crucial for protecting your feet from long hours spent standing. Orthotic insoles support the arch, cradle the heel and provide the best chances for keeping your feet in line with the rest of the body. Basically, with the right orthotic support, you will feel like you’re standing on a cloud, even when the surface under your feet is concrete. They also guarantee a comfortable fit, but most importantly will prevent injuries and new foot conditions from developing.  Superior cushioning made from unique materials that provide the very best shock absorption and comfort. This includes insoles made from foam that conforms to your foot shape for a truly customized fit and comfort. The placement of the materials is also important, with more cushioning needed in the heel and around the metatarsal heads.  Upper materials that stretch are an important feature because they provide the necessary give when your feet swell while relieving any further pressure on the foot. Supple leather is also a good material to look for in a shoe, as it provides more stability and durability. Shoes with soles designed to facilitate foot motion. A minimal heel-to-toe drop and mild rocker soles are the best, as they prevent the transfer of weight to the forefoot area, which can cause pressure on the foot.  Adjustability. Why? A truly comfortable fit depends on finding the right shoe for your foot size, width, and shape. No two feet are the same! Shoes with adjustable features from hook and loop straps, to laces, bungee cords, and zippers allow the wearer to adjust the fit of the shoe to their particular needs, while also ensuring a secure fit and stability. Wide widths are geared for people with feet that are not the standard medium (B), which is what most footwear companies manufacture. Having a choice in width availability ensures the wearer finds a shoe that fits their foot shape the best. Only shoes that come in varying widths can do this. Wide widths are also helpful when it comes to preventing swelling in the feet.   With that in mind, here is our list of the best 7 shoes for prolonged standing. They are all designed with the features listed above, yet each shoe has its own unique qualities. Best Walking Sneakers   Men's Edgewater | Women's Coral     Their highlight stretch uppers are perfect for long days on your feet, as both shoes stretch and really take the shape of your foot, accommodating potential foot swelling, as well as large bunions and hammertoes. The fabric uppers coupled with the soft, ultra-padded interiors, which are also seam free, make them comfortable for a long day spent standing and perfect for sensitive feet. These shoes can fit almost any size and foot shape, as they are available from a medium to extra extra wide width (6E for men, 4E for women). If you need to free up even more room to insert a custom orthotic or braces, the insole can be removed easily. They are available in plenty of colors to suit any season and outfit. Shop Coral Shop Edgewater Best Working Boots Men’s Granite They may look like regular work boots, but the Granite boots are fully orthopedic, which means that even though you spend long hours on your feet you won’t experience pain during or at the end of the day.  The upper is designed with waterproof leather , sealed seams and a gusseted tongue to prevent any liquids from seeping in, while the rubber outsole is slip resistant even on oily surfaces. There is even a neat ladder grab feature on the sole with notches that help catch ladder steps for greater stability.  These shoes are also impact, compression and electrical hazard resistant.  Available in widths ranging from Standard (D) to Extra Wide. Shop Granite   Best shoes for standing all day on concrete   Men’s Cobalt| Women’s Moravia   The waterproof uppers of the Moravia women’s shoes make sure your feet are dry, while the extra roomy toe box will allow your toes to spread out comfortably.  The men’s Cobalt work shoes are also constructed with a durable upper, made from non-abrasive high density fabric to take you through the toughest and messiest days on your feet Similar to Moravia, the Cobalt boots also have a roomy toe box, with the added feature of composite safety toe to protect your feet.  Although they have increased safety features, they are super lightweight compared to others, thanks to the unique materials and ergonomic rocker bottom sole. The rubber outsole of the Cobalt work boots is slip resistant, while the outsole of the Moravia shoe offers advanced grip and superior stability.  Both shoes are designed with a cushioning insole that works wonders to reduce fatigue and alleviate stress on your feet and legs. In addition, the soft, seam free padded interiors in both styles  will eliminate any irritation and feel comfortable against the skin.    The shoes are available in widths ranging from Medium to Extra Wide.   Shop Moravia   Shop Cobalt   Best Shoes for Nurses Men's Lava | Women's Francis   For a healthcare professional that stands all day, the right shoes can make all the difference between a good shift and an unbearable one.  To start, the no-tie bungee lace closure of the men’s Lava and women’s Francis sneakers is both fully adjustable and allows you to slip in and out of them easily and quickly.  Both shoes are constructed with a special rubber sole and tread design that provides increased traction and grip on any surface, which is extremely important for settings that deal with spilling liquids.  Thanks to their unique materials, both shoes are breathable and allow air flow to circulate and keep your feet healthy, while the removable orthotic insole is made with a breathable, soft top cover that wicks away moisture. The air pocket under the heel and foam cushioning under the foot will make you feel like you're walking (or standing) on a cloud. And finally, both shoes are designed with a lightweight ergonomic sole that makes them super light on your feet. Available in extended widths ranging from narrow up to extra extra wide. Shop Lava Shop Francis Why do your feet hurt after standing for a long time   Even when you stand still, your feet and leg muscles continue to work because they need to constantly adjust to the surface so that your body keeps its balance and stability.  This may surprise you, but standing still can actually be harder on the legs and feet than moving around or walking. Since the muscles never get a break - compared to walking, for example, where the muscles get some rest as the legs alternate - this specific muscle function can cause significant foot and leg fatigue. In addition, when you stand in one spot for prolonged periods it interferes with the ability of the blood to move back up the legs after delivering oxygen to the feet. The blood starts to pool in the feet and lower legs, causing swelling and pressure on the tissues.  The strain on the muscles, swelling, and pressure on surrounding tissues are the reasons you feel pain after prolonged standing. How to protect your feet while standing at work   There are a few tricks you can try to prevent or decrease the effects of prolonged standing. Shift your weight from one foot to the other to give your muscles some rest. Place one foot on a small stool and alternate your feet, to distribute the weight load on the legs.  Wear compression socks to improve blood circulation in your feet and legs.  Wear supportive shoes, preferably with orthotics, to help align the feet, legs, and body, so that the leg and foot muscles don’t have to work so hard.   How do you keep your feet from hurting when standing on concrete?   Concrete and other hard surfaces can put pressure on the foot and especially the plantar fascia - the ligament that supports the muscles and arch, and runs under the arch, connecting the heel bone with the base of the toes - causing it to swell, which can cause heel pain.  Throw in the painful effects of prolonged standing and you have the perfect recipe for significant foot and leg pain. The problem with your current shoes   There can be several reasons why your current shoes aren’t providing the comfort you need for long days on your feet. They flex too much, or not in the right places. A shoe that flexes where the foot won't, or a foot that needs to flex where the shoe doesn’t, is a recipe for disaster in terms of both immediate and future foot problems. You need a shoe that flexes with your foot in all the right places, but not too much. If you can twist the shoe or do a 90-degree bend, then it probably doesn’t have enough support. A shoe that flexes in the right place supports the natural movement of the foot, making it easier to walk while providing adequate motion control.  They are too rigid. Support is important, but a shoe that is too rigid in the sole or upper can lead to blisters, excessive swelling, bursitis and pain in the achilles tendon. A shoe that is rigid will make walking more difficult and overwork the joints and muscles, and that can ultimately lead to injuries. Flexibility and support are crucial. No orthotic footbed. Shoes with just a flat insert are not going to provide the necessary support and cushioning needed for long days on your feet. Only an orthopedic insole will support the arch and relieve potentially painful stress on the foot. Orthotic inserts will also align the body and help you stand (and walk) without your ankles and feet rolling inwards. Upper materials. Shoe uppers made from inadequate materials that don’t hold the foot in place, and ones that aren’t able to stretch with your foot, will only add more pressure to the feet and cause discomfort, pain, and potential foot problems. You need a shoe that is designed with materials that will provide stability but will also be flexible enough to accommodate swelling after long hours on your feet. Opt for flexible materials such as fabrics or soft leathers that will conform to your foot shape.  The wrong width. A narrow width and pointy shape will cram your foot and especially your toes into a space that is just too small for them, meaning increased pressure on the feet. This can lead to bunions, hammertoes, corns, and calluses, and also aggravate existing foot conditions. When your toes don't sit in the proper position, they also don't function as they should, which translates to issues with gait (the way you walk). Shoes with a wide toe box that is also round in shape provide the most comfortable fit. Materials that don't promote breathability. If your shoes aren’t constructed from the right materials they won’t provide the adequate airflow your feet need and without that cooling effect, sweating becomes an issue. Sweaty feet can lead to odor, bacteria, and fungus, which can aggravate and contribute to future foot issues. Shoes that breathe are critical for long hours spent on your feet, both for foot health and comfort at the moment.  

Being able to walk and maintaining stability can be very challenging when you have MS, but the right shoes can help. That’s why we’ve prepared a list of some of the best shoes for people with MS.  If you want to learn more about the disease, how it affects your feet and which footwear features you should look for if you have MS, simply scroll down or continue reading.  What are the best shoes for MS patients? All the footwear that made our list are orthotic shoes that were biomechanically engineered with unique comfort features, providing an extremely advanced solution for a long list of foot conditions, including those caused by MS. Best MS shoes for women            1. Joelle The highly flexible and aerated stretch fabric upper of the Joelle shoes provides a pressure free fit, and keeps your feet dry throughout the day to prevent the build up of bacteria and fungi. This is especially beneficial if your MS symptoms include numbness in the foot. The stretch fabric also forms to the specific shape of your foot, providing a comfortable customized fit. Furthermore, the no-tie elastic lace offers a relaxed fit that gently follows every curve of your foot. The adjustable strap across the instep makes these shoes easy to get on, and the elastic laces will stretch over your feet, where needed. The premium orthotic insoles offer anatomical arch support that realigns the foot and the body posture, making it easier to walk and maintain stability.  Shop Joelle          2. Francis With its stretchable uppers and soft protective interior, the Francis no-tie sneakers offer a 4 way stretch that will expand or contract on your feet, depending on your foot size and shape.  The uppers are also breathable, promoting air flow to keep your feet dry and healthy.  Thanks to the bungee toggle, tying laces becomes a thing of the past and on-off wear is super quick and easy.  And there’s more. The rubber outsole gives you excellent stability and advanced grip; the premium orthotic insoles with anatomical arch support help realign the feet, legs and body posture; the cushioning system cradles and supports your feet as you walk; and the foam padded forefoot and padded collar at the heel constantly protect the most vulnerable areas of your feet. Shop Francis         3. Siena If you’re looking for lightweight boots that support your feet, the Siena boots could be perfect for you. The mild rocker design helps propel the foot forward as you walk, with minimal joint motion and effort, while the cushioning soles absorb impact as you walk.   The boots are designed with a side zip and adjustable strap, making it easy to put them on and take them off, and allowing for adjustments in fit. The soft fabric protective interior that’s padded with foam eliminates friction and offers superior protection. At the same time, the soft, waterproof and flexible leather upper eliminates pressure on the foot and keeps it dry at all times and in all weather conditions.  Last but certainly not least, the slip-resistant soles provide advanced grip and stability on various surfaces. Shop Siena          4. Florence Waterproof boots that are as stylish as they are cozy. The gusseted tongue and the sealed seams prevent water from seeping in, while two hook and loop straps allow an extremely wide opening, making it very convenient to put them on and take them off, and allowing you to adjust the fit to your individual foot shape, ensuring your feet don’t slide around.  The special rubber of the sole, as well as the sole’s unique tread design that channels liquids away from the shoe, allow extra traction and grip while you walk on any type of surface. There’s also a shock dispersing insole and antimicrobial top cover that keep your feet healthy and provide relief.  Finally, the front shape of the boot is generous, promoting biomechanical movement and providing plenty of space for the toes to move, without being squeezed.  Shop Florence Best MS shoes for men         1. Sprint While these sneakers look like regular lace shoes, they are designed with innovative tieless laces that have a hidden strap. This allows you to effortlessly put the shoes on and easily take them off.  You only need to tie the laces once, and from that point on you can use the strap. What’s more, these straps are on both sides of the shoe, providing greater adjustment as well as easier access.  And that’s not the only customization feature that makes sure these sneakers are just the right fit. With the heel strap, the back of the shoe can be made more roomy or snug to fit the foot shape, even if you have braces.  In addition, the thick cushioning insole and the shock dispersing sole make sure your feet and body are fully supported as you walk, and the breathable upper material provides a truly non-binding fit.  Shop Sprint         2. Zodiac Thanks to their classic design, the Zodiac shoes are a great choice for a wide variety of occasions.  These casual men’s shoes are constructed with a rubber outsole that provides advanced grip on every surface, while the soft leather upper and wide toe box eliminate pressure on the feet.  With the hook and loop strap, closure is both easy and adjustable, making on-off wear a breeze.  With the Zodiac shoes, your feet will always be protected and supported, thanks to the removable anatomically designed insole and mild rocker.  Shop Zodiac         3. Alamo The Alamo sneakers are made with full grain leather uppers that are both highly durable and soft enough to provide a pressure free fit.  The two straps allow a highly customized adjustability and make it super convenient to take them off or put them on. Like all the other shoes on our list, the tread design of the rubber outsole of the Alamo sneakers provides advanced grip and allows you to walk with advanced stability, and the anatomical orthotic insoles offer superior support and cushioning all day long.  Shop Alamo         4. Ryder  Although you can’t tell just by looking at them, these innovative boots are perfect for those who need quick and convenient on-off wear. Yes, they have laces, but there are also two hidden zippers at the heel, so you only need to tie the laces once and never again!  By pulling down the zippers in the back, you create a wide opening that allows you to effortlessly slide your foot in.  The built-in advanced orthotics support the foot and control its rolling inwards to maintain an aligned body, while the mild rocker design allows proper foot motion and improves walking. The seam free and padded interior creates a protective environment for the feet, and the wide and round toe box gives the toes enough room to naturally move around.  Shop Ryder   What is MS?   Multiple sclerosis (MS) is a chronic, often disabling disease of the brain, spinal cord and the optic nerves - all of which make up the nervous system that basically controls everything we do. “MS is an autoimmune disease in which the body’s immune system attacks and destroys myelin, the covering of nerve fibers, which is critical for their function. This interferes with the transmission of electrical signals between the brain, the spinal cord and other parts of the body,” explains podiatrist, Dr. Josh White. “The cause of MS is unknown.” This disruption can cause a variety of unpredictable symptoms, such as paralysis, numbness, tingling, pain, blindness and more. Over time, the disease can cause permanent nerve damage. The effects of MS on your feet and legs   “As a result of the body attacking the myelin sheath, plaque and lesions start hitting the nervous system,” says Dr. White. “At this point, people may start feeling pain in their feet, legs and the rest of the body.”  Unlike other conditions that cause pain in the legs and feet, such as neuropathy caused by diabetes, the nerve damage from MS is not only painful, but also makes walking very difficult, leading to gait (your walking pattern) related foot problems.  Seeing as MS also causes vision problems, people with MS may not notice foot problems at the early stages, when they are easiest to treat, which can lead to complications. Another possible and common effect of MS is foot drop (or drop foot) - an MS symptom caused by weakness in the ankles or a disruption in the leg-to-brain nerve pathway.  Foot drop makes it more difficult to lift the front part of the foot to the angle needed for walking, causing the foot to hang and the toes to drag on the ground and making it very difficult to maintain stability. Stairs, uneven surfaces and curbs can become a real challenge when you walk with foot drop. Many MS patients lift their legs higher to compensate for the foot drop and avoid dragging their feet on the ground, which can be very tiring.  Further down the line, foot drop could lead to other problems, such as lower back pain and poor balance.  The good news is that quality, light weight and well fitting shoes can support the foot and allow it to be held in a more natural walking position.  In addition, there are some treatments available to people with foot drop, such as physiotherapy that strengthens the foot and ankle muscles, and FES (functional electrical stimulation) that helps position the leg in a more natural walking angle.   Can people with MS wear high heels?   Although the right heel height can vary from person to person, it’s best to avoid heels higher than 2 inches. Shoes with higher heels might make it difficult for you to walk and cause you pain.  In addition, high heels can add to the balance issues that are a common MS symptom. “If high heels are very important to you, it’s best to discuss your options with your MS neurologist,” says Dr. White.    The design features to look for in your MS footwear   Here are some tips that will help you shop for the best shoes for MS. A good fit. People with MS need to find shoes that fit them well and right away, instead of buying shoes that don’t fit properly in the hopes that they will gradually break them in. Well fitting footwear will provide support to your feet and legs, helping with balance issues, pain and foot drop. If the shoes are too small, they might restrict blood flow to the feet and if they are too large, you won’t be stable.  Shoe depth. Extra depth shoes are higher, which means they provide better support, fit better and leave enough room for custom orthotics and braces.  Tread design. The tread is the pattern of the outsole that can help prevent slipping and falls. Naturally, since MS affects your balance, it’s best to look for shoes that offer better traction. Shoe weight and flexible materials. If you have MS related muscle weakness, look for a light-weight shoe made from flexible materials, because it requires less energy and effort to lift the legs when you walk, thus reducing the risk of falling.  Heel counter. Look for shoes with a firm heel counter. Mules, slip-ons, flip-flops and similar backless shoes can slip off the heels, as they require toe strength and a good sensory feedback that many MS patients lack.  Secure fastening. If your MS makes it harder for you to tie your shoes, opt for styles that offer velcro fasteners or no-tie elastic laces. This can also allow you to adjust the fit to your specific foot contour and size.

So, you are about to purchase new shoes and have heard about neutral vs. overpronation shoes. Which do I buy? Which is better? What do I need? Does it really matter? Let's start with a short tutorial on what exactly is pronation, what causes overpronation, and why it even matters. What is pronation? Pronation is actually a 3-plane motion of the foot that begins at the sub-talar joint under the ankle. Mainly it involves the heel rolling inwards or medially, the arch drops and the foot becomes looser or more flexible. It is an important and normal component of the gait cycle, beginning when the heel contacts the ground. When there is too much pronation (as in many things too much can be bad for you), too little or abnormal pronation, problems can arise. What is the reason the foot pronates? There are two main reasons for pronation. When the foot pronates, it provides natural shock absorption. This is the most important reason the foot pronates. Pronation makes the foot go from fairly stiff as it hits the ground, to looser and more flexible as it fully contacts the ground. This provides shock absorption so the back, knees and feet aren’t hit with the full impact of the body weight hitting the floor. This loosening of the foot also allows the foot to be able to adapt to uneven surfaces as we walk or run. What causes overpronation of the foot? By far the number one cause of overpronation is loose hypermobile feet. Basically, if you start with loose joints in your feet you will pronate too much. Loose feet are generally a result of loose ligaments. Ligaments go from bone to bone crossing joints and are what hold the foot together. When they are too loose or stretched out, they allow too much motion throughout the foot. The foot becomes almost like a loose bag of bones. Loose ligaments are usually something you are born with but can also occur after pregnancy or certain injuries. In addition, overpronation can occur with some congenital foot deformities or after an injury that damages bones or joints. What are the consequences of overpronation? Sometimes nothing! Many people overpronate and never even know it or suffer any damage or symptoms of it. On the other hand (or foot), some people suffer multiple injuries including: Tendon overuse injuries Inflammation pain Fatigue Joint damage Arthritis Ankle sprains Slow chronic changes in foot structure leading to bunions and hammertoes Nerve injuries Overpronation Treatment and Prevention  Assuming you are suffering from pain caused by overpronation, reducing it should be very helpful. The best way to diagnose whether your foot, leg or back issues are from overpronation is via a trained professional evaluation. Any of these problems could be from overpronation, but they could also be due to something else entirely. The best treatment for overpronation related pathology is orthotics for overpronation which are specially made insoles that are inserted inside the shoe. To truly stop overpronation and treat the associated problems arising from it is best to couple the orthotics with a men's or woman's overpronation shoe. In reality you are not just treating overpronation but controlling the underlying cause and the associated injury or pathology. This requires a well-made shoe and an orthotic. They work synergistically. Orthotics for overpronation should have the following features: Anatomical arch support that aligns the body and keeps the foot in a ‘neutral position’ Deep heel cup that cradles the foot and reduces pressure under the heel Ample cushioning to absorb and disperse shock forces from heel to toe What is an overpronation shoe? Generally, it is a shoe that first and foremost is a motion controlling shoe, as pronation is motion. The shoe needs to be stable and firm with a solid heel counter (the piece in the back of the shoe) to control heel motion that is a major component of pronation. In addition, the midsole (the material between the outer sole and the shoe itself) needs to be firm and usually have extra firm material on the medial side or inside. Many companies have their own unique patented add-ons to better control motion. All these add-ons are geared to stopping the overpronation while still allowing normal amounts of pronation. Orthofeet shoes are biomechanically designed with an orthotic insole that provides the optimal level of arch support and helps prevent the foot from excessively rolling inwards. This fundamental feature positions the foot correctly which in turn aligns the hips, knees and legs, minimizing injuries and providing total body pain relief. Constructed with a thick layer of foam, Orthofeet overpronation shoes provide exceptional cushioning from the ball-of-foot through the heel area for all day comfort and protection. The lightweight ergonomic sole improves mobility and smooths every step you take. After 30 plus years of practice and years of marathon running with loose overpronating flat feet I believe that motion control or pronation controlling shoes can be very useful. Combined with orthotics they provide the best control of motion even with severe flat foot. It is also important to remember to replace your shoes often as the shoe ages it loses its motion control ability. Shoes should be replaced at least once a year or more often in hard use. Other Recommendations for Overponation Treatment Rest Strengthen your foot muscles through toe curls, heel raises, and other exercises to improve foot support, stability and shock absorption. Do not walk barefoot – Always wear proper fitting and supportive shoes Avoid running or other high-impact sports

Why does someone with diabetes need special socks?         While not all diabetics are required to wear diabetic socks, people with diabetes have sensitive feet and suffer from various foot conditions and need to protect their feet more than others. Diabetic socks have unique design features, not found in regular socks, that safeguard the diabetic foot from developing additional problems and help keep it comfortable and healthy. Wearing the appropriate pair of socks is just as important as wearing diabetic shoes!   The majority of people with diabetes suffer from diabetic neuropathy and peripheral vascular disease. Neuropathy causes one to lose feeling in the legs and feet by damaging the nerves. Without proper functioning nerves, one cannot sense if something is too hot or too cold or if they have a cut or sore on their feet. Not knowing this can lead to serious infections and complications. Peripheral vascular disease causes the blood vessels to become narrow, decreasing the blood flow to the legs and feet. Decreased blood flow slows down healing of any cuts or sores which increases the chance of developing ulcers. Shop Now for Diabetic Socks What are diabetic socks?  Diabetic socks are specially designed to decrease the risk of foot injury, to offer maximum blood flow, and keep the feet dry. The best diabetic socks should have the following features: Seamless: Even the tiniest protrusion can have a severe impact on the diabetic foot. Socks with seams can rub against the skin and can cause blisters or ulcers, which may be harmful for diabetic feet.The best diabetic socks are seamless and knitted with inverse linking, which keeps the ends of the toe-linking thread outside rather than inside the sock. Non-constricting: The fit of diabetic socks should be loose, non-constricting and have a super stretch design. In fact, they should be loose to the point where you barely feel them!.Tight socks can inhibit circulation, which might be challenging for those who suffer from circulatory issues. Padding: Extra padding and cushioning for sensitive areas help prevent injury and enhances comfort. Normally the extra padding runs along the bottom of the sock, around the toes, and at the heel of the foot. These areas of the foot are usually susceptible to the most shock forces during activities and therefore need to be protected even more. Warmth: Diabetes can cause blood vessels to restrict, decreasing circulation to the feet. Diabetic socks should be made from fabrics that keep feet warm and help improve blood circulation. White Sole: A white sole is important for people with compromised sensation, as it helps alert wearers to a draining wound. Stains from infections, open cuts and sores that require immediate attention will be very visible on a white sole. Moisture-wicking: Many socks today are knitted with special yarns that are infused with advanced technology to help maintain a healthy foot. Synthetic yarns such as polyester and nylon are able to move moisture out of the sock and quickly dry up. A dry foot environment helps prevent skin infections and keeps feet comfortable for long periods. Anti-microbial: Good diabetic socks are treated with anti-microbial technology to prevent the growth of bacteria and fungi in the moisture-prone regions of the foot, keeping it healthy. Eliminating bacteria and fungi also eliminates the bad odors in your feet! Soft yarns: Diabetic socks are often made from finer texture fabrics that feel super soft against the skin.  Shop Now for Diabetic Socks Since diabetic socks are designed with many special features that make them better than regular socks, it is not surprising that people who do not suffer from diabetes wear them too! HOW TO CARE FOR DIABETIC SOCKS   It is highly recommended you wear a fresh clean pair of diabetic socks every day. This will ensure your feet remain clean and dry and allow you to see whether you have any new draining wounds that need attention. The best diabetic socks can be washed with your regular load of laundry, preferably on a warm cycle. It is recommended not to use chlorine bleach and fabric softeners as these chemicals are harsh and will shorten the life of the socks. They can be dried in the dryer on a low heat setting. Check your socks regularly for any holes, rips or loose threads as any protrusion can cause harm to the diabetic foot. OTHER WAYS TO CARE FOR YOUR DIABETIC FEET   In addition to wearing diabetic socks, a diabetic should wear diabetic shoes that provide extra protection and comfort for their sensitive feet. The best diabetic shoes should have the following features: Protective Interior: soft, seam free linings with no protruding stitching. Non-Binding Uppers: soft and with no overlays to eliminate pressure points. Stretchable Uppers: provide extra protection since they conform to the contours of the unique diabetic foot shape and help ease pressure points. Orthotic Support: with anatomical insoles that provide superior arch support, conform to the contours of the foot and reduce pressure on the bottom of the foot. Extra-Depth Design: ensures a loose fit that does not apply pressure on the sensitive foot. This design also accommodates custom orthotics comfortably. Deep Toe-Box – the best diabetic shoes should have higher toe area, offering extra room and creating a pressure free environment. Multiple Widths – diabetics should wear wide width shoes to avoid a non-constricting foot environment. Functional Soles - lightweight soles with an ergonomic design that facilitates mobility and improves foot motion. ORTHOFEET, A COMPANY SPECIALIZING IN DIABETIC SOCKS AND SHOES   Orthofeet, an orthopedic footwear company, biomedically designs the best diabetic shoes, diabetic insoles and diabetic socks. The products help alleviate the symptoms associated with diabetes, provide the utmost protection for feet and offer soothing comfort from heel to toe. Orthofeet’s diabetic sock collection consists of a variety of styles and colors including ones with extra padding for more sensitive feet, extra roomy socks that provide a comfortable fit for wider legs as well as styles with all around padding from the toe area up to the welt of the sock. All the socks are seam free, loosely knitted and cushioned to provide essential comfort and protection. The collection is available in extended sizes designed to fit shoes from size 4 all the way to a size 15! To explore the Orthofeet diabetic sock collection, click here. The Orthofeet diabetic shoe collection includes men’s and women’s styles: walking shoes for diabetes, sandals for diabetes, casual shoes for diabetes, boots for diabetes, dress shoes for diabetes and much more. Features include a seam free interior, wide shoe shape, extra depth and multiple widths with some styles available in extra extra wide. All Orthofeet shoes are certified by Medicare and qualify as therapeutic shoes under code A5500 of the Diabetic Shoe Bill. To view the collection, click here.

Few of us are strangers to lower back pain. In fact, as many as 80 percent of people have back pain at some point in their lives and half of all workers experience back pain symptoms each year, according to the American Chiropractic Association.  Not only that, but back pain ranks as the number two reason people see a doctor Can foot pain and back pain be related? Sometimes, the cause of your back pain is obvious, like a sports injury or bending the wrong way. Other times, however, the reason might be surprising, like when the culprit turns out to be your feet and improper footwear. When you walk, you put the force of as much as five times your body weight on each foot. If the foot doesn't absorb that shock or redistribute it properly, you can develop problems elsewhere. Often, this occurs in people who have flat feet, when the arch appears to be flattened and closer to the ground. Another major cause for back pain is hyper or over pronation. Pronation refers to an inward motion of the foot, which results in collapsed arches and flat feet when you stand, walk or run. There should be mild pronation when you walk and run. It is a necessary motion that allows for the dynamic action of the foot and ankle to reduce impacts on the body while walking and running. The problem arises when there is excessive or over pronation. Shop for Back Pain Shoes   What part of the foot causes back pain? There isn’t one specific part of the foot that causes back pain. The excessive inward motion of the foot that accompanies over pronation is causing the leg to also turn inward, affecting the knees, hip and lower back posture.  This might be compounded when excessive foot pronation occurs only on one foot, since when that foot pronates it shortens the effective length of the leg (the distance between the hip and the floor).  Additionally, because of the excessive foot motion, the muscles on the inside of your leg must work harder to pull your foot up.  Can high arches cause back pain? Yes, another foot problem that can cause back pain is hyper supination, where the feet are rolled outward with what seems to be a high arch.  Hyper supination also causes outward rotation of the legs and extra stress to muscles on the outside of the leg.  Note that over-pronation or hyper supination can also lead to problems in the hips and lower back. Does arch support help back pain?   When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it is possible to reduce knee and hip pain by wearing proper footwear and orthotic insoles to support the arch, as well as improve overall foot function. Shoes with healthy features play a significant role in back pain management. Here are the main features to look for: If the back pain is due to your foot function, shoes with orthotic insoles that provide good arch support can prevent hyper pronation and help align your legs and back properly. Shoes with good cushioning properties can reduce the impacts on the body and back when the foot hits the ground during walking and running. High heels that are over two inches high may increase the risk of lower back pain, as they might impair back posture. However, not all flat shoes are good for your feet. Flats that do not provide any arch support or cushioning may compromise leg and back posture. Get the right fit. Tight shoes can aggravate foot pain and cause gait compensation. Oversized shoes can also impair gait. Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful.  

For some people, eliminating 100% of their foot pain is not always possible with just wearing good and proper fitting shoes, no matter how great they are.  So, what are other measures you can take in order to feel great on your feet and find relief? This is where orthotic insoles, also known as shoe inserts, can help.  There are two types of orthotics - custom or over-the-counter.  Custom orthotics are made to order to the exact shape of your foot and foot ailment. Over-the-counter types can be bought online in shoe stores or pharmacies.  In this blog, we will focus on over-the-counter orthotics. At first glance, an orthotic insole looks like the footbed inside your shoes. However, make no mistake, most of the shoes on the market have a flimsy and thin footbed that doesn’t even come close to a real orthotic.  With today’s advanced technologies and state-of-the-art materials, orthotic insoles have come a long way and can cater to almost any foot problem, fit in any shoe, suit any activity and come in a variety of price points to fit even the conscious spender.  Let’s explore the role of the orthotics, the different types (and there are hundreds!) and what features to look for when purchasing a pair. Best Orthotic Insoles for Women & Men OFG Orthotic Insoles  This orthotic works for most shoes and foot conditions. It provides mild arch support that feels great under the foot, and heel to toe cushioning, and is best suited for shoes with removable insoles.  This orthotic also includes a bonus Arch Booster, which, when placed under the insole, enhances arch support and reduces pressure at the heel and ball of the foot.  Forefoot thickness is ¼” and these orthotics are available in sizes 5 to 12 for women and 7 to 15 for men, while half sizes are also available, so everyone can find a suitable size.  The antimicrobial top layer fabric helps keep the foot dry and odor free.  This is the best insole for walking and everyday activities and it will support and comfort your feet from morning till night. Shop OFG for Women Shop OFG for Men ¾ Length Orthotic Insoles     This unique orthotic fits well in shoes where the footbed is not removable and the shoes are medium and wide width.  While this orthotic provides support to the heel and arch, the toes are free. The supportive shell and foam padded heel seat under the heel work wonders for heel pain and plantar fasciitis, thanks to the unparalleled protection it provides to the fascia and heel.  These highly durable orthotics are very versatile and can be used in almost any shoe type.  Shop ¾ length for Women Shop ¾ length for Men BioSole Gel Dress  Insoles that were specifically designed for women who wear high-heels, ballet flats and other dress shoes with a narrow shape, no extra depth and footbeds that are not removable, making it tough to fit regular orthotics.  This unique orthotic is 3\4 in length and provides anatomical arch support, comfort and pain relief, so wearing heels will feel like you’re wearing sneakers! In addition, the EVA cushioning provides protection for bunions and the lateral side of the foot, and the polyester mesh lining makes sure the feet stay dry and cool.  Available in sizes 5 to 10. Shop BioSole Gel Dress for Women Do orthotic insoles really help? Yes, orthotic insoles keep the foot in its neutral position by providing optimal arch support, preventing over pronation and aligning the foot with the body.  When the body is aligned, the feet, legs, hips and back fall into place, foot pain decreases and the foot and body are less prone to injuries and problems.  Note that good and effective insoles are made from high quality materials that are able to distribute shock forces, prevent them from moving up to the legs and back and provide cushioning, thus softening each step and protecting the foot. How do I know if I need orthotic insoles? Everyone can benefit from wearing orthotics.  If your feet are healthy, you can wear orthotics to prevent both foot and body injuries and future foot problems. If you have a specific problem, orthotics will often be a part of a more comprehensive treatment plan for foot, leg or back conditions, pain or discomfort.  Normally, the goals of such treatments include: Aligning foot and body. Correcting biomechanical foot flaws. Reducing risk of injury. Providing support to the foot. Allowing the foot to function better. Here are some signs that you may need orthotics: You have foot pain. Your feet are swollen. You have heel pain. You have flat feet. You have high arches. You tend to fall and have balance issues. Your shoes wear unevenly. You have a diabetic foot. You have foot conditions such as hammertoes, bunions, plantar fasciitis and more. How do you choose an insole? Orthotics serve many purposes. Some are designed for those who have no foot issues and just want to get comfort and support in their shoes.  Other orthotics are geared for an activity and are constructed with the action of the activity in mind. For example, running orthotics focus on energy return, sock absorption and lightweight materials; while orthotics for hiking need to offer much stability, support and cushioning for difficult terrain.  And then there are orthotics that serve to combat a specific condition, such as diabetes, plantar fasciitis, knee pain and so on. For example, a diabetic orthotic should be constructed with special materials to protect the sensitive foot, which has lost sensation, and offload pressure from specific hot spots.  Here’s what you need to know when you choose your orthotics.   Arch Support. Orthotic insoles usually have one main thing in common and that is their arch support. This can vary, with some having more defined arches than others.  Since feet come in all shapes and contours, such as flat feet, high arched feet and everything in between, it is important to purchase one that fits your specific foot shape.  The best arch support insoles will support the plantar fascia ligament, which connects the heel bone to the base of the toes. The orthotics should keep the foot in a neutral position to prevent it from rolling inwards while you walk, and align the body from the ground up. This helps prevent injuries and ensures the body is moving correctly and biomechanically. This is important because proper biomechanics affect many different parts of the foot, such as alignment of the big toe joint, knees, hips and lower back. When dysfunctional, it can lead to various foot conditions, such as bunions, plantar fasciitis, heel pain, morton’s neuroma, metatarsalgia and more.  Cushioning. Our feet want to experience cloud-like comfort. Cushioning can be achieved by either the type of materials used or the number of layers an orthotic has. Thanks to the cushioning effect of orthotics, your feet will be protected from the hard surfaces you step on and impact forces will be evenly distributed along the foot for a smooth stride.  Materials. Orthotics can be constructed from rigid materials or squishy ones and the materials selected determine the purpose of the orthotic.  Hard materials generally hold up better and provide more control.  Soft materials provide much energy return, disperse shock forces and cushion the foot. They have the ability to offload pressure points when they conform to the exact shape of the foot over time.  Many orthotics are made from a combination of soft and hard materials to create an effective orthotic.  Where the materials are placed also plays an important role. A thick layer of gel or foam pad placed in the heel area at the bottom of the foot is essential for protecting a thinning fat pad due to years of activities, while extra cushioning in the forefoot area is great for providing relief from excess pressure on the ball of the foot.  Top cover. The material that comes in direct contact with the foot is the top cover. Innovative technologies are used to create surfaces that prevent the buildup of bacteria, fungi and odor, and wick moisture away from the foot. This promotes a healthy foot environment, particularly for sensitive feet that have lost sensation from diabetes or neuropathy.  There are even orthotics lined with fur that can fit in boots and help keep feet cozy and warm!  Rearfoot. There are a few different types of rearfoot constructions. However, for most people a cupped heel is the best option as it hugs the heel, providing stability and cushioning to the fat pad, reducing pain in the heel area. Forefoot. Does the orthotic have metatarsal support in the front of the foot behind the toes? The best insoles for metatarsalgia are designed with thick cushioning in the forefoot to help deflect stress from the painful area and provide much needed shock absorption.  Thickness. Depending on the type of shoe you have, the footbed can either be pulled out or is glued to the inside. This will determine the type of orthotic you can insert.  If the footbed cannot be removed, a thinner orthotic is needed to fit a shoe with little or no extra depth. This will ensure your feet still feel comfortable with the added thickness.  If the footbed can be removed, the shoe can probably accommodate a thicker orthotic. The thickness also defines the cushioning as described above.  Length. Orthotic insoles can be categorized to full length or ¾ length.  A full length orthotic extends from the heel to the end of the toes – the full length of the shoe. A ¾ length orthotic usually extends to the ball of the foot area.  Which one you choose depends on whether your shoe has a removable footbed or not. For example, pumps or ballet flats have a narrow shape at the forefoot and do not have a footbed that can be taken out. This creates a tight space and a shorter orthotic is needed.  There are many brands out there that offer good orthotics, but to make it easier for you we have highlighted some of the best insoles for women and men. 

Bunions are very common, but that does not mean they are a trivial issue. When bunions are severe, they can evolve into a debilitating condition and even require surgery.  If you have bunions, there are quite a few things you can do to prevent them from deteriorating. What is a Bunion? The medical term for a bunion is "Hallux Abducto Valgus “, or just "Hallux Valgus”. Bunions are a deformity of the big toe area of the foot that looks like a bump on the inside or medial side of the foot, just behind the big toe on the first metatarsal head, and the big toe  angulates toward the second toe. Sometimes, the big toe actually overlaps the second toe or goes under it.  The bump is actually the first metatarsal head that has shifted out away from the foot and widened it.  This bump can enlarge due to inflammation from shoe pressure rubbing on it.  Bunions can cause pain from inflammation, poor shoe fitting, balance issues from biomechanical changes in the foot from the altered anatomy, and other problems. How Do Bunions Occur? Generally, bunions are a result of biomechanical flaws in the foot that are genetic or congenital.  It is common to see bunions go from generation to generation, most commonly in women. Women are more prone to bunions, because they tend to have more flexible joints and ligaments, including in the foot, due to the necessity to give birth. This results in increased motion that allows any biomechanical flaws to be exacerbated, causing shifting of the bones and then bunions. Shoes can also be an issue. In addition, arthritis and other joint and connective tissue disorders can add to bunion formation. Do Bunions Get Progressively Worse? In most cases, bunions get worse gradually only if you don’t wear the right shoes and don’t get any treatment. Adequate shoes are critical to alleviating bunion pain and discomfort, and making sure they don’t become worse.  While shoes alone don't create bunions, they can amplify the underlying biomechanical flaws. Shoe types such as dress shoes, high heels, pointed toe box and slip on shoes are all culprits. 4 Tips On How To Prevent Bunions From Getting Worse First, I want to point out one thing: bunions cannot be prevented if they are a result of a foot structure you were born with. However, the speed of formation and severity of deformity can be affected and slowed. All other causes of bunions can be prevented with proper support and shoes.  The underlying biomechanical issues we are born with are potent and cannot be changed easily. Once we put shoes on at a young age, we fundamentally change the shape and biomechanics of the foot forever.  It’s like orthodontia for the teeth. Shoes immediately put pressure on the forefoot forcing the toes together and pushing the big toe inward, changing the anatomy, including the shape of the bones and the location of the cartilage.  Looking at pictures of feet in some societies that never wear shoes, you can clearly see feet that look dramatically different than the feet that wear shoes. Without shoes, the toes are separated in a way that looks like a hand.  Seeing as bunions can develop into a debilitating condition that might even require surgery, here are some tips on how to treat your bunions correctly, before they become too severe. 1. Don’t wear the wrong shoes 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. That’s why narrow pointed toe box shoes are a major factor.  Unfortunately, many women's shoes are shaped that way for style. High heels are particularly damaging as they force the foot into an altered biomechanical position and jam the forefoot and big toe into the floor, shifting the big toe’s position.  2. Orthotics are important  As noted above, excess motion in the foot is one major cause of bunions and one cause of excess motion is over pronation.  Pronation is a natural motion the foot goes through as we walk and stand that loosens the foot. Pronation rolls the foot inward and drops the arch. This allows shock absorption and adaptation to changes in the terrain, so the foot can deal with uneven surfaces.  In over pronation, the arch drops downward or inward excessively, a common issue in many foot problems. We can treat over pronation and the resulting excess motion it causes with orthotics in the shoes.  Orthofeet designs well-made over the counter orthotics that are designed to support the arch, control over pronation, align the foot and correct the gait. I use a lot of these in practice and they have helped my patients tremendously.  In more severe cases, a true rigid custom orthotic is required. Although there is no definitive proof of this, it is believed by many podiatrists that orthotics started early can significantly alter the severity of bunions and slow down the progression.  3. Know which shoes to look for In addition to orthotics, shoes are the other significant factor in bunion formation and severity. As noted above, shoes that have a narrow or pointed toe box are a major factor in speeding up and increasing severity of bunion formation.  The best bunion shoes should be designed with the following features: Shoes for bunions need to have a wide, round and high toe box. The less pressure on the big toe, the better. Orthofeet shoes have a very round deep toe box with lots of room. I wear them myself, due to the comfort factor and since members of my family had severe bunions and I have the excess pronation and motion that could form bunions. If you already have bunions, the best shoes for bunions should have a round toe box and extra depth for the big toe, often being over or under the second toe. Also, extra depth shoes are critical, because they add stability and reduce motion, and can easily accommodate orthotics. Wide or extra wide shoes also are critical for bunions.  Most shoes found today in big box stores only carry one width, usually medium, which is far from what a bunioned foot needs. The good news is that specialty footwear brands design shoes in extended widths - from narrow all the way up to extra extra wide! In many cases, bunion pain relief is as easy as wider shoes with a round toe box.  The material of the shoes is very important for feet with bunions.  Shoes constructed with tight and unforgiving materials will apply pressure on the bunion, worsen the condition and cause pain. However, shoes made with stretch knit uppers offer a relaxed fit and conform to the contours of your foot, specifically the bunion, to create a pressure free environment.  Supple leathers can also work well. I have many patients with very wide feet from bunions who wear these after failing in most other shoes.   Whatever material they are made of, it is important the upper is free of overlays or stitching across the sensitive bunion area. The interior of the shoe should be soft and padded to offer the utmost protection, preventing any further injury or friction to the painful area. Ideally, a seam free construction is best.  Shoes for bunions should have a low heel or be flat to the ground to avoid forcing the forefoot into the floor, as is the case with heels.   It’s also best to look for shoes that have an ergonomic sole with a mild rocker bottom that facilitates foot motion and transfers weight evenly from the rearfoot to the forefoot. 4. Other Bunion Relief Options Minimizing pain and providing relief is key if you have a bunion and there are other options that are available for those who have minor cases of the condition. Bunions Socks. Bunion socks are not a means to prevent the deformity, but they can provide added benefits, such as separating the big toe from the remaining toes. This ensures the toes do not overlap and rub against each other, causing irritation. Orthofeet also offers bunion socks and they are super comfortable, as they’re made with soft bamboo fibers, offer a non-binding fit and wick moisture away from the foot. Bunion Pads. If you are looking to protect the bunion from anything that touches and rubs against it, bunion pads can help. Note that some pads are medicated with acid in them that can burn the skin. Do not use these! Simple protective pads will do the job just fine. How to Stretch Shoes for Bunions Although not my first choice and not as effective in treating and preventing bunions, there are some who like to make shoes wider for bunions by stretching them.  The one useful device I have in the office to accommodate for the large bump of the bunion on the side of the foot is the Ball and Ring Stretcher. This device pushes out the toe box in one spot only, directly over the bump. Most podiatrists have this device and will be able to stretch your shoes if you bring them in.  But, while stretching your shoes is helpful I want to reiterate that the best solution for people with bunions is to buy special shoes for bunions, like Orthofeet’s bunion shoes, which come with all the design features I mentioned earlier: a wide toe box, soft stretchable uppers and special orthotic insoles that provide arch support, reduce over pronation and help straighten the toes.  See your podiatrist for more information and help with bunions. In the worst cases, surgery can correct bunions permanently. Surgery is the only true bunion corrector as it gets to the root of the problem.  

37.3 million Americans live with diabetes. That's a little more than 1 in 10 of your US friends, neighbors, coworkers, and loved ones. Half of US diabetics also live with nerve damage caused by peripheral neuropathy. Common symptoms include tingling, numbness, extreme sensitivity and pain in the feet and legs. Peripheral neuropathy can result in foot ulcers and issues with bones and joints. If you have diabetes, what can you do to help prevent peripheral neuropathy? Mayo Clinic recommends getting an A1C test at least twice a year, managing blood sugar levels and practicing healthy foot care. How can you make sure your feet stay healthy? Finding the right socks and shoes is a great start. Thankfully, there are many great options available. Keep reading to find the best diabetic socks   Our List of the Best Diabetic Socks 1. Extra Roomy Socks A great solution for those who need a little more space from their socks due to a wider foot, ankle, or calf. The Extra Roomy socks are easy to pull on and won't squeeze calves or feet. The Extra Roomy Socks are made from breathable fabrics with moisture-wicking technology that keep foot odor away. Wearers won't even feel the seams in these socks thanks to their inverse linking design. This means they are completely smooth and seam-free on the inside. So if you see little threads on both sides of the toe area, it's not because they are fraying.  The Extra Roomy Gray Socks are designed to provide extra cushion, protection, and comfort for men and women with diabetes. Extra Roomy are available in a multitude of colors to match any wardrobe: charcoal, white, dark brown, light gray, and dark gray. These socks are available in sizes small to extra-large.  Shop Extra Roomy Socks   2. Padded Sole Socks   For those looking for the ultimate padding and protection, the Padded Sole Sock gives the cushion and comfort you can expect from the best diabetic socks. Just as it sounds, the sock us designed with a thicker material along the entire length, including the heel and forefoot. What’s more, the color of the sole is white which allows the wearer to identify open wounds quickly and easily when they occur. The mid-calf length slides on and off any size foot and calf. The Padded Sole Sock is also made from rayon making it super soft and gentle against the skin. It employs moisture-wicking technology for a healthy foot environment. Dress these socks up or down, just leave a little extra room for the padding in your shoe. The two-toned sock uses interlocking technology to provide a seam-free design. Welcome in soft comfort and keep friction blisters away with the BioSoft Padded Sole Sock. The Padded Sole Socks are available in staple colors: white, charcoal, and dark brown. Shop Padded Socks   3. Casual/Dress Socks       If you are looking for increased comfort and protection, but don’t like the thickness of most diabetic socks, the Casual/Dress Socks are the answer. They are functional and versatile, and easily fit in most dress shoes for men or women. They're still cushioned but are thinner than other casual socks. Since they are a little thinner, the Casual/Dress socks work well during warmer seasons. Their midcalf length is perfect for those who don't want any gaps between slacks or long pants and their socks. These machine-washable socks are made from soft, moisture-wicking materials. Like other diabetic socks, they're anti-microbial, making sure your feet stay healthy.  The white sole will help you track changes to your feet, which is crucial for maintaining a healthy foot and keeping tabs on your diabetes.  Take your pick! Casual/Dress socks are available in charcoal, white, dark brown, light gray and dark gray. Shop Casual/Dress Socks 4. Low Cut Socks     The best diabetic socks don't have to be crew or dress height. These Low Cut Socks offer a discreet way to wear the best socks for diabetic neuropathy. Rayon materials and brushing techniques make the fibers of these socks soft and comfortable. The seamless construction makes them friendly to diabetic feet and will not irritate the skin. These socks are cushioned but still thin and will fit comfortably in dress shoes, sneakers and flats.  The Low Cut Socks are great for those times you don't want a sock showing halfway up your shin. They are designed with a non-slip silicone at the heel to ensure they don’t slip, as well as a slightly higher heel tab, providing extra protection in the heel area. The Low Cut Socks are available in black and white, perfect for any wardrobe and shoe. Shop Low Cut Socks 5. Foot Warmer Socks Podiatrists always recommend protecting your feet and never be barefoot, even when you are at home. But sometimes, you just want to relax on the sofa or to stay in bed and you don’t really need to wear shoes or slippers.  For these times, we recommend the Foot Warmer Socks. They are made with super soft plush material to keep feet cozy and comfortable. Designed with stretch fabric, these socks fit over any foot shape and will expand even when your feet swell. And to ensure feet are kept dry, clean and fungus free, the sock fibers are made with Dry-Plex technology.  Shop Foot Warmer Socks What are the Best Socks for Diabetics to Wear?   From a first glance, diabetic socks might seem like regular socks, but when you look closely you will see special features that accommodate the diabetic foot.   The best diabetic socks should have a good cushion, loose fit and smooth or no seams. They should be easy to put on and take off. The best socks for diabetic neuropathy shouldn't be too restrictive. They should allow for good circulation and blood flow. Socks to help with diabetic neuropathy should also be made of soft and comfortable materials, ideally moisture-wicking and breathable. There are several key features to look for in your diabetic socks for neuropathy  that will help keep your feet comfortable and pain free. Cushion: The best diabetic socks for men and women should have extra padding to offer increased protection to the sensitive foot.  Extra cushioning along the entire bottom of the sock is ideal, but the most important areas are the heel and toe area. These areas are prone to excess pressure when the foot strikes the ground at the heel and lifts off at the toes, which can lead to injuries and foot ulcers. Stretchy and Comfy: Diabetic socks for neuropathy shouldn't be too tight. The best diabetic socks need to be loose-fitting so that they promote blood flow. They should slide on and off easily without bunching up or squeezing any part of the foot and leg. Socks with stretch are best as they can expand when the diabetic foot swells throughout the day. Stay away from excess elastic and other constricting materials.  A good way to tell if your socks are too tight is to see if you develop rings or indentations around the instep, ankle or calf after wearing them for several hours.  Remove Excess Moisture: Socks with moisture-wicking technology are a must for keeping your feet clean and dry. If your feet perspire, bacteria and fungi can build up, which also causes odor, and you could end up with ulcers and other issues.  Making sure your feet stay warm and dry is vital in a good pair of diabetic socks. Soft Material: Socks should be made from soft material that won't irritate your skin. Breathable and comfortable fabric keeps your feet healthy and dry.  Seamless: While seams may not seem like a big deal, they have a role in choosing the best diabetes socks of 2022.  Neuropathy causes one to lose sensation at the feet, which means that even a tiny thread can lead to skin irritation, causing ulcers, sores and other issues. Socks with seams have the potential to restrict blood flow, so it's best to go seamless. Bacteria Prevention: As mentioned earlier, the best diabetic socks are made from materials that prevent bacteria. Excess bacteria can lead to infection. It's important to use materials with antibacterial or antimicrobial properties Keep Warm: Extreme temperatures can be hard on the feet. Those with neuropathy are more sensitive to temperature extremes. The best socks for diabetics should keep the feet warm. Why should diabetics wear white socks?   Seeing as diabetics tend to develop a variety of foot problems, it’s recommended that they take their foot care seriously and wearing white socks can help them do that.  Most diabetics have reduced sensitivity in their feet, which means they may not feel wounds or injuries such as cuts, scrapes, bruises and more. If such injuries aren’t treated, it could lead to infection and complications.  The logic behind white socks is simple: they allow diabetics to easily notice blood or discharge from wounds and injuries they may not feel, and treat them as early as possible. When should you wear diabetic socks?   If you are diabetic, you may benefit from only wearing diabetic socks when: Your feet are frequently moist or sweat often. Your foot’s color or temperature changes. You experience foot irritation, wounds, blisters, fungal infections or nerve damage. Still, it’s important to note that even if you don’t experience any of these problems and you are diabetic, it’s a good idea to wear diabetic socks when you’re traveling, spending long hours on your feet and physically active.  How long can you wear diabetic socks?   Diabetic socks are socks with extra and unique features compared to regular socks, so you’ll only benefit from wearing them! This means that anyone can wear diabetic socks and for as long as they want. If you need diabetic socks, you should wear them daily and change into a fresh pair every day.  Which is better, compression socks or diabetic socks?   It’s best to consult with a doctor to determine whether or not compression socks are a good solution for you.  While both socks have health benefits, they are quite opposite in what they are designed to do.  The aim of diabetic socks is to prevent irritation, protect your feet and prevent moisture and pressure, in a non constricting  fit.  The aim of compression socks is to keep swelling and fluid retention at bay by pushing the blood up the leg, prevent blood clots and protect the feet from infections and sores. Diabetic socks are not tight-fitting like compression socks, which are typically recommended to diabetics with circulation problems and swelling. Keep Your Feet Healthy Wearing the right socks plays a big part in keeping feet healthy. If you have diabetes, you can take additional steps to stay on top of your foot health. Daily Foot Checks Check your feet every day. If you can't see the bottoms of your feet, use a mirror or ask a loved one to check them out for you. You could have a small cut or blister you're unable to feel, especially if you have neuropathy. Your feet should be clear of cuts, scrapes, or blisters. If you notice any of these things on your feet, make sure they're healing properly. Always contact your doctor right away if something on your feet is different or shouldn't be there. Not Too Dry Feet that get too dry can crack, which leaves more risk for infection. Apply a thin layer of moisturizer to your feet as often as you and your doctor decide necessary, to keep your feet healthy. There's no one-size-fits-all answer to how often your feet may get dry. Skin dryness varies with each person, climate, and season. Talk to your doctor about a daily foot routine that works best for your situation. Tidy Nails are Happy Nails Keep your toenails trimmed. Never cut your nails too short. It is best to cut them to the shape of the end of your toes. Don't cut them straight across or curved down the sides. If you can't reach or see your toenails clearly, arrange to have a podiatrist clip them. You should keep these regular appointments. Never attempt to clip your own toenails if you have difficulty seeing them or reaching them. This could cause you to accidentally cut your skin, leaving you susceptible to infection. Barefoot is Not Best If you have diabetes, you should wear good-fitting socks and shoes at all times. If you don't like wearing outdoor shoes in the house, invest in a pair of slippers with arch support and cushioning.  Going barefoot can cause stubbed toes or cuts. This, as we know, leaves you at risk for infection. Sitting Down? Feet up! Keep your feet elevated to encourage good circulation. If you're sitting down, elevate your feet on an ottoman, chair, or stack of pillows. Wiggle your toes and move your feet while they're elevated. Keeping good circulation helps fight off neuropathy. And Don't Cross 'Em Crossing your legs for long periods of time decreases blood circulation. Remember to keep your legs uncrossed as much as possible, to promote better blood flow. Don't Take Matters into Your Own Hands (or Feet) If you notice corns or warts on your feet, don't try to remove them yourself. Over-the-counter products can burn your skin. Instead, call your doctor. Your medical professional will be able to prescribe the best treatment for your situation.  Foot-Friendly Fitness Make sure to keep your exercise foot-friendly. This looks different for everyone. Check with your doctor to see what kinds of physical fitness are best for you. Fresh and Clean Wash your feet daily with warm water and soap and make sure the water isn't too hot. After you clean your feet, pat them dry and apply lotion to the bottoms only. Lotion between your toes could lead to infection. Get Into a Groove Foot health practices are much easier when they become routine habits. Try to establish a foot routine.  Check your feet when you're getting dressed in the morning and again before you go to bed. Also, write podiatry appointments on your calendar and arrange a way to get there if you can't drive yourself.  The Right Shoes  Wearing shoes and socks that fit well is vital to good foot health.  Diabetic shoes are not like ordinary shoes and are designed with unique features to keep sensitive feet protected, comfortable and pain free.  Look for shoes from brands that offer solutions for foot conditions, including diabetes. The best diabetic  shoes  are meticulously designed with innovative features to offer maximum comfort and protection. A premium orthotic insole, thick cushioning, a soft and gentle seam free interior, wide toe box and much more are special features that are best for diabetics. Finding the right shoes is half the battle, but getting them to fit your feet perfectly is another challenge.  Most shoe brands only offer the standard width and a narrow silhouette, which most times do more harm than good. A good orthotic shoe brand will offer extended widths, up to extra extra wide, to accommodate wide or swollen feet, as well as bunions and hammertoes. The same goes for your socks. Find the best diabetic socks for you by paying attention to fit and materials. Make sure the socks you're wearing pair well with your shoes. Thinner (but still cushioned) socks are better for dress shoes. Thicker socks are more appropriate for sneaker-style shoes. What's the Point? Avoid shoes with pointed toes or a slim shape. Those with diabetes should also avoid high-heeled shoes and shoes without support. Try instead to find shoes with built-in orthotic support and padded cushion. Shoes that feature straps or laces will be easier to adjust to your comfort level and fit. Note that  shoes with straps in multiple places offer a custom fit to any foot shape. The more straps, the better. In this day and age, you don’t have to compromise on looks and it is possible to find fashionable orthotic shoes that are also healthy for your feet. After all, you shouldn't have to choose one over the other.  When To Worry  Staying on top of your health is important. Sometimes, you shouldn't wait to address changes or symptoms with your doctor. According to the CDC, you should contact your doctor right away if you experience any of the following symptoms. Color or temperature change in your feet Foot pain, tingling, or burning Cracked or dry skin on or around your feet An ulcer, blister, sore, corn, or any other type of foot sore An ingrown toenail Hair loss on your legs, toes, or feet Any type of fungus-looking infection (like Athlete's foot) Yellow toenails Foot shape changes over time Any loss of sensation: hot, cold, touch Pain in your legs or cramping in your buttocks, thighs, or calves during physical activity Cramps or pain in legs, calves, thighs, or backside while engaging in physical activity  Leaving any of these symptoms untreated could lead to serious complications. It's important to address any of these symptoms with your healthcare provider immediately. 

If you have bunions, you already know that too-tight shoes are an open invitation to lots of pain and discomfort.  And to make matters worse, they will exacerbate the condition. If you own a pair of shoes that are too narrow for your feet and you suffer from bunions, you have two options: Stretch them so that they fit you more comfortably. Purchase shoes that are specifically designed for feet with bunions. How to Stretch Shoes for Bunions Take it to a shoemaker Naturally, shoemakers or shoe repair shops are skilled in stretching shoes, using professional tools and machines. Unfortunately, these shops are becoming more and more rare, but if you can find one in your area it can be a good solution.  Use a professional shoe stretching tool Shoe stretchers usually come with a liquid or spray that you apply on your shoe before you insert the stretcher into it. Stretching liquids and sprays are available for a variety of shoe materials - fabric, leather and vinyl - and they loosen up the material, making the stretching process more effective.  Once you insert the stretcher, you need to twist its widening handle to expand the shoe. Then, leave the shoe stretcher inside the shoe for 24 hours, until your shoes are wide enough.  Apply heat This simple method is best used on shoes made from leather or suede, because other materials could be ruined by the heat.  Before heating your shoes, put on a thick pair of socks and slip your feet into your shoes. Then, take a hair dryer, turn it on high and point the hot air toward the tight areas of your shoe. Continue blowing the hot air, while simultaneously stretching the shoe by wiggling and flexing your feet and toes.  Once you’ve shut off the dryer, continue wearing your shoes with the thick socks for a little longer. Spray rubbing alcohol. First, mix 50% water with 50% rubbing alcohol and spray or rub it on your shoes. Next, wear the shoes immediately after treating them with the alcohol, repeating the process if necessary. However, don’t overuse the spray as it could damage the shoe fabric. This method works best on natural fabrics. Stuff your shoes with potatoes or wet newspapers. Take a potato large enough to stretch out your shoe, or wet newspapers that have expanded to a size large enough to stretch out your shoe, and insert them into your shoes.  After two days, your shoes should be stretched out enough.   Insert a bag of ice Fill freezable plastic bags with water, put them inside your shoes. Make sure the bags are completely sealed! Then, put the shoes in the freezer overnight. As the water freezes, it will expand and stretch out your shoe. When you remove the shoes and take out the bag in the morning, let your shoes dry before trying them on. Shop Now for Bunions Shoes Do tight shoes make bunions worse?  The short answer is: yes! The more detailed answer is that bunions are usually caused by genetic or congenital biomechanical defects in the foot. Bunions are more common in women, because their joints and ligaments are more flexible, resulting in increased motion. This excess motion exacerbates the faulty foot structure, causing bones to shift and resulting in bunions.  Bunions can also develop due to other foot conditions, such as flat feet and abnormal bone structure.  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.  “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,” explains Dr. Steven Gershman, a podiatrist. “Basically, the more the shoe forces the big toe toward the second toe and allows excess motion, the worse the deformity”. Still, tight shoes are not the only culprit and there are other causes that can make things worse for your bunions: High heel shoes and narrow pointed shoes that also crowd the toes.  Spending long hours on your feet.  Foot conditions such as arthritis, overpronation, flat feet and more.  Can shoes be stretched to accommodate bunions? Bunions create a bump on the interior side of the foot, just under the big toe, angulating the big toe toward the second toe. Naturally, this bump adds width to the foot and can become larger due to pressure applied by the shoe.  So basically, bunions don’t only cause pain and even balance issues, but can also make it hard to find shoes that fit properly.  Stretching shoes to accommodate bunions can help and you can even find good stretchers that push the toe box in one specific spot, directly over the bump of the bunion.  But, although stretching can help, the width of the shoe is not the only factor to take into account when looking for shoes that are best for bunions. Why it's better to buy shoes for bunions rather than stretch them? We’ve already established that increased motion in the foot is a major cause of bunions, while various foot conditions, such as overpronation, can make matters worse. So, buying shoes that help address these issues can also help your bunions. More specifically, good quality orthotics that support the arch, align the foot, help straighten the toes and correct the gait, can treat overpronation and the increased motion it causes, and therefore alleviate bunion symptoms, pain and discomfort. Moreover, using orthotics in the early stages of bunions is believed by many podiatrists to significantly slow down the progression of the bunions.  But orthotics are not the only design feature that can treat and even prevent bunions. Look for the following design features and shoes: Wide enough front to accommodate your toes and bunions comfortably. The best toe box for bunions is wide, high and round, with extra depth for the big toe. Extra depth shoes also allow you to insert custom orthotics if you need to, and help reduce excess motion.  Wide width shoes that, together with the deep toe box, can make all the difference to your bunions, provide relief and prevent the bunions from getting worse.  Shoes made from a stretchy material that eliminates pressure on the bunions. The best pressure-free material would be one that can not only stretch, but also conform to the contour of your foot and bunion.  Shoes with straps or laces that allow you to adjust the fit if you need to, because the size of your bunion can change over time and even during the day.  Low heels or flat shoes that don’t push your feet into the ground, applying pressure on your toes.  Ergonomic sole, preferably with a mild rocker bottom that decreases joint movement and disperses the pressure evenly across the foot.  Finally, here’s a tip on how to lace shoes for bunions.  Use the bunion step-over technique. With this technique, you simply bypass the eyelet that overlays your big toe joint. This lacing method significantly minimizes the pressure on the bunion.

If you’re looking for a new pair of sandals this summer, you may be paying attention to the most popular styles, hoping they will also have the added feature of comfort.  While there is a lot to consider in terms of style, whether it be color or upper design, there is even more to consider when it comes to comfort and how well the sandals fit your feet. Although most conventional brands don’t focus on comfort features, which makes finding good fitting sandals quite difficult, luckily, there are sandals that check both boxes - fashion and practicality: orthopedic sandals.  To make it easier for you to find these custom-designed shoes, we listed our picks for the best 5 orthopedic sandals for women this year.  The sandal styles we picked are cute and can pretty much pair with any outfit, but most importantly, they will keep your feet comfortable and protected from foot and back problems that can occur during increased outdoor activities in the summer months. Our Picks for the 5 Best Women’s Orthopedic Sandals #1 The most comfortable sandal for walking: Malibu The quarter strap design offers the most foot support holding the foot in the back and front.  These quarter strap sandals are perfect if you’re looking for a comfortable, supportive sandal with an extra airy design. The recently redesigned outsole is now made with special rubber and unique tread design that increase traction and grip, allowing you to feel confident on any surface. These open-toed sandals have ample adjustability with three straps across different areas of the foot: The forefoot strap incorporates stretch and can accommodate bunions and hammertoes by gently stretching and conforming to the unique foot shape, without applying further pressure. The middle strap is an innovative two-way strap system that enables you to open and close the sandal from either the inside or outside of the shoe. This creates a wide opening for easy on/off wear. It is also convenient for those who have trouble bending down to reach the outside of the shoe. And of course, the strap allows you to adjust the fit according to your particular instep. Narrow feet and feet with low insteps can shorten the straps even more by replacing them with the extra shorter tabs included. The heel strap is cushioned, soft and stretchable, allowing you to adjust the grip around the heel to prevent slippage, perfect for feet with a wide forefoot and narrow heel. On the flip side, the strap can be loosened to accommodate AFOs and braces that require more space, making them the best sandals for AFOs and braces.   The Malibu style features an orthotic insole designed to alleviate heel pain and plantar fasciitis, while supporting the arch and the ball-of-the-foot. For those who need additional arch support, an Arch Booster is included and can be placed under the orthotic insole to further enhance support. The Malibu sandals are available in wide and extra wide widths too. Shop Malibu Sandals #2 The best sandals for arch support: Clio   With their soft and thin toe-post and advanced Orthofeet technology, the Clio toe-post sandals offer the ultimate solution for women looking for arch support without compromising on style.  The Clio flip-flop style sandals feature premium orthotic insoles with anatomical arch support that makes walking that much more comfortable. In addition, this advanced feature improves the alignment of the foot and body for better posture and together with the firm heel counter, also improves stability.  The Ortho-Cushion system features an ergonomic sole with mild rocker design that propels the foot forward, so you can expect to feel like you’re walking on a soft cloud. The added bonus of these toe-post sandals is that they have a strap on either side of the foot that allows you to fully customize the fit for a better grip, while the rubber outsole prevents slippage and allows you to walk freely.  The soft straps are padded with foam and are ideal for sensitive feet with diabetes, neuropathy and arthritis, while the thin and equally soft toe-post prevents irritation and blisters between the toes.  Finally, the Clio sandals are available in a wide range of widths, including wide-width, and come in two colors: brown and black.  Shop Clio Sandals #3 The best sandals for older women: Laguna Slip into cloud-like comfort with the Laguna sandals, a fisherman style that keeps your toes out of sight and offers additional protection with plenty of space in the forefoot for those that have bunions, hammertoes and swollen feet.  These sandals are designed to support the foot on long walks, absorbing shock forces and decreasing stress and strain on your body, so you can continue to be active pain free. Innovatively designed with a removable anatomical orthotic insole, they will support your arch, cradle your heel and provide the ultimate cushioning from heel to toe.  The Laguna sandals will also correct your gait and prevent your foot from rolling inwards when you walk, making them the best sandals for those who struggle with overpronation. A completely seam free interior offers gentle contact against the skin and eliminates rubbing and blisters. Every part of this sandal features thick interior padding that gently protects sensitive feet and is an optimal choice for neuropathy, diabetes and arthritis.  The bungee cord and heel strap, together with their stretch fabric uppers, offer a customized fit, which accommodates all types of feet, including swollen, narrow and feet with different insteps. A closed back and heel counter provide extra coverage, prevent heel slippage and are perfect for those with a narrow heel. Laguna is available in a peach, gray and blue and in standard, wide and even extra wide widths.  Shop Laguna #4 The best sandals to wear for plantar fasciitis: Amalfi The Amalfi leather sandals are both flattering and unbelievably comfortable, featuring lightweight cushioning soles and orthotic insoles with multiple cushioning layers that prevent shock forces on the heel, thus reducing plantar fasciitis symptoms. The Ortho-Cushion system also helps to alleviate pain on the foot, knees, hip and back.  With plenty of straps to adjust the fit and an extra wide (2E) option means there is no pinching and no foot spillage, which means the, Amalfi sandals are perfectsandals are also the perfect sandals for wide feet. By easily adjusting the three forefoot straps and the two-way strap (a total of 5 adjustable straps!), you can effortlessly make sureadjust the sandals to the right fit for you just right. This works perfectly for a wide range ofany foot shapes. So, if you happen to have any combination, such as a bunion and narrow instep or vicevise versa, you can achieve a perfect fit.  The two-way strap system enables fastening and unfastening on both sides of the sandals, which makes it much easier to put them on and take them off.  The sandals also feature soft straps with extra foam padding that prevent irritation and provide superior comfort for sensitive feet. Ready to walk comfortably in style? All that’s left for you to do is to choose the Amalfi you like best: black or camel.  Shop Amalfi Sandals #5 Best orthopedic sandals for back pain: Hydra The beautifully designed Hydra sandals, which are available in blue, gray and brown, feature state-of-the-art technology that eases back pain and many other foot ailments. The advanced orthotic insoles offer anatomical arch support that re-aligns the foot, leg and back posture by preventing the foot from rolling inwards, while the cushioning soles soften every step and absorb much of the shock, preventing it from reaching the back.  In addition, to help control overpronation the sandals feature a firm heel counter and wide soles that also improve stability.  The foam padded leather upper protects the feet from irritation and enhances comfort even further, and the two adjustable straps (strap across the toes and instep) and two-way strap system allow you to fully customize the fit and to effortlessly put the sandals on and take them off.  Customizing the fit holds the foot properly in place and this offers stability and helps keep the feet and body in a neutral position, minimize pressure on the joints and prevent or ease back pain. If you need enhanced arch support, you can add our Arch Booster under the orthotic insoles and improve the alignment of the leg and lower back all the more.  Hydra is made with soft suede upper, giving it a refined classy look that is suitable for everyday or special occasions.  Shop Hydra Sandals How Should I Choose the Best Orthopedic Sandals for Women? When you start shopping for a new pair of orthopedic sandals for women, it’s important to know what features will make all the difference.  What type of footbed do they have? Most shoe companies only include in their shoes a simple and relatively flat footbed that does not even classify as an insole. Orthotic insoles are completely different and are designed to help alleviate pain associated with diabetes, plantar fasciitis, bursitis, arthritis, flat feet and other common foot conditions. With no exception, all women’s orthotic sandals should also have these orthotic insoles built in. Is there a break-in period? Most shoes that are not orthopedic shoes or are not designed with advanced comfort features are likely to have a break-in period until your feet adjust to them. Make sure you keep this in mind if you are planning on wearing new sandals out and about in the first few weeks. However, if you are purchasing a pair of orthopedic or orthotic sandals, a break-in period will not be necessary and you can start wearing the sandals from day one. What width are the sandals? Since most sandals are only manufactured in one width, usually medium, many of us unfortunately end up wearing something that is too narrow for our feet. This is not only uncomfortable but can lead to many painful foot problems over the long run. If you don’t know what width to purchase, you can get measured in a full-service comfort shoe store that usually offers this service. For the growing number of people purchasing online, many online retailers share a sizing chart with measurements as well as include fit information for specific footwear. Adjustability features? Straps, laces and elasticized cords are extremely important if you want to customize the fit to your specific foot type. The more adjustable options a sandal has, the more comfortable your feet will be. Closed-toe or open-toe? Decide whether you want closed or open-toed sandals. Open-toed sandals will have more breathability and will be more comfortable in extra hot conditions. However, closed toe sandals are a great option for those who need added protection for sensitive feet or might not feel comfortable showing their toes and feet. Closed toe sandals are also good for more rugged and adventurous activities. Are they waterproof or slip-resistant? These features are extras but can be important depending on the type of activity you will be doing. Which sandals can you wear with orthotics? Sandals can sometimes be tricky to use with custom orthotics, since they generally have an open upper design and one piece footbed that prohibits the insertion of a custom insert. However, there are a few brands out there that offer sandals with a unique design, making them orthotic-friendly. Look for ones that have: Adjustable forefoot and back straps, because they allow you to customize the fit of the sandal to the orthotics and the depth and width of your feet.  Extra depth and removable insoles are key. Your sandals will feel very tight (not to mention odd looking) if you need to place a custom orthotic on top of an existing footbed. Plus, they won’t stay in place if the sandal is an open toe style. Sandals with removable insoles will allow you to insert your own and offer a comfortable fit.  Closed toe (preferably) that can hold the orthotics in place. Closed toe sandals have a construction that is similar to shoes and can more easily accommodate custom orthotics.  Can sandals cause heel pain? Wearing the wrong type of sandals can cause many issues, including foot and heel pain, and even lead to foot problems. This is usually because most sandals are designed with a flat, thin and non cushioned footbed.  Normally, heel pain is associated with conditions such as plantar fasciitis, caused by an inflammation of the ligament running along the bottom of the foot, and flat feet, where the arches on the inner side of the feet are flattened.  In both cases, the best solution is sandals that offer good arch support and cushioning. This can be achieved by wearing sandals that have built in orthotics with a defined arch, in addition to thick padding that runs along the entire length of the sandal. Why are my current sandals so uncomfortable? Most footwear companies just don’t focus on advanced quality features so their sandals may feel thin, flat, and uncomfortable. When the biomechanics of the human body Is not taken into consideration in the design of shoes and sandals, they will lack adequate support and will start hurting your feet over time. Sandals should include orthotic insoles, a cushioning footbed, a sturdy sole, made from durable and breathable upper materials and be available in wide widths to accommodate different foot types. If you have sensitive feet or a specific foot conditions such as diabetes or arthritis, other features will be essential to keep your feet healthy. Seam free linings, extra depth, and padded interiors are a few examples. A good pair of shoes and sandals would mean that that you don’t even realize they are on your feet!

What is edema?               There are many types of Edema, but they are all characterized by buildup of fluid in the tissues of the body causing swelling. It is commonly called "fluid retention" and is often seen in the extremities and as such it is known as "peripheral edema". Edema can also be seen in the face, lungs, and abdomen. This blog mainly will deal with peripheral edema in the lower extremities, i.e., the lower legs, ankles, and feet. Generally, edema in the peripheral tissue is categorized as either pitting or non-pitting. Pitting edema is diagnosed by pushing on the area of swelling and seeing if there is an indentation or pit in the tissue. It usually lasts for a few seconds. With non-pitting edema, which is more severe edema, the tissue is so firm it doesn't indent when pushed on. It is like a water balloon filled fully. The fluid is body water or natural/isotonic saline, not blood. Edema causes In the legs the veins have valves that operate as "check valves" to prevent blood from going down to the feet due to gravity. Heart pumping action pushes blood through arteries down to the feet. The blood needs to return to the heart for re-circulation through veins. However, there is no true pump pushing the blood up the legs. Blood pressure through the system and the leg muscles contracting pushes the blood up the leg veins while the valves prevent backflow down against gravity. Incompetence of the valves allows blood to pool in the legs and feet eventually leading to edema and swelling. When blood stagnates or pools in an area, water leaches out of the blood into the surrounding tissue. Valve incompetence can occur due to the following reasons: As we age Standing in one place for many hours Sitting with the feet down on the floor for many hours Varicose veins which in many cases is a genetic weakness in the valves Regardless of the cause, as the valves in the legs become incompetent, the blood pools and causes swelling which puts pressure on the veins dilating them and further hindering the valves from working efficiently leading to more swelling. It is a vicious cycle. Besides vein issues, edema can be caused by a variety of other problems that can affect both legs. Heart disease: is a major cause, specifically congestive heart failure or CHF. As the heart begins failing as a pump, fluid will stagnate in areas like the legs and lungs and cause swelling/edema. Also, there is less blood going to major organs like the kidneys causing fluid retention. Kidney disease: causes fluid retention and edema as the kidneys can't eliminate enough fluid. Liver disease: causes edema in the legs and abdomen especially if there is cirrhosis. Specific medications: calcium channel blockers and beta blockers can have peripheral edema as a side effect and is seen often in the ankles and lower legs. Sodium: salt in the diet is another culprit in edema. Salt causes fluid retention which manifests as edema. Alcohol: causes dilation of the veins which leads to edema. Susceptible people will have widespread vaso-dilation of the face, arms and legs when consuming alcohol. Eventually the veins stay dilated with chronic edema resulting. Another type of edema is lymphedema. It is often quite severe with large swollen legs or arms. Usually it is single limb. Lymphedema is often a genetic issue but can also be caused by cancer treatment and surgery. The lymph system which is part of the immune system is compromised causing swelling. Symptoms of edema   Swelling is the big symptom of edema. In this blog I will specifically discuss leg swelling, ankle swelling, and foot swelling. But other symptoms ay also present themselves, such as the ones below. Discoloration to the skin: In the lower legs and ankles when the edema is caused by incompetent veins, changes occur to the skin. Chronic edema often leads to a brownish or reddish discoloration of the skin on the front of the shins and down to the ankles. This discoloration is due to hemosiderin deposits. Hemosiderin is a pigment from the iron/hemoglobin in the blood that leaches out of the blood into the tissue and skin. It permanently stains the skin. I tell my patients it is "rust deposits" from the iron in their blood. With edema there is fluid pressure in the tissue that builds up forcing the iron into the tissue and skin especially as the blood stagnates or pools. Hemosiderin is a good indicator that the edema is affecting the skin and problems are going to occur if not dealt with and stasis dermatitis can then occur. Skin inflammation: Stasis dermatitis is an inflammation of the skin causing a rash which itches, burns, and can be painful. In severe cases, stasis dermatitis can cause breakdown of the skin resulting in open wounds or ulcers that are painful and can become infected with resulting in cellulitis. Skin thickening: Chronic edema can also cause thickening of the skin in the lower legs from the inflammation. This is permanent. The skin becomes thick, irregular, rough and almost elephant like in texture. It often drains fluid or weeps chronically and can blister. Neurological disorders : Another issue with edema is neurological. Edema causes pressure in an enclosed space where the nerves run down to the feet from the legs. The nerves become compressed causing pain and or numbness in the feet. It is similar to diabetic neuropathy. Swelling: Swelling of the feet from edema makes it difficult to wear shoes as the feet are simply too large to fit shoes. Many of my patients with edema come into the office wearing worn stretched out slippers or shoes way too large and stretched out. How to treat and prevent edema   Treatment of Edema will depend on what triggers it. Some treatments are simple and can be done on your own at home while others will require medical intervention. Elevation of the feet and legs: As gravity is one of the main culprits with edema, elevation of the legs/feet is a mainstay in treatment. Sitting for long periods with the feet down on the floor can cause or add to edema. Many older patients sit a lot at home with their feet on the floor. I recommend a recliner to them. Basically, elevation of the legs higher than the waist, as in a recliner, works. With the feet higher than the waist, gravity works to pull the fluid back toward the heart. Elevating even higher where the feet are higher than the heart is better BUT often uncomfortable and not practical.   Compression Stockings: This is the real treatment for edema. By putting pressure up the legs, the fluid is pushed back from the lower areas up to the upper legs and midsection where it is pumped back to the heart. Pressure needs to be graded so it is highest down near the ankles and gradually lessens going up the legs. Support hose up to the knee at least are the mainstay in treatment. There are several strengths of hose starting from mild compression over the counter type all the way up to prescription higher pressure stockings. Prescription stockings need to be custom fitted carefully by a trained professional. These need to be applied when first getting up in the morning before getting out of bed and worn until bedtime. People who stand a lot in one place at work and have the tendency toward edema or varicose veins should consider wearing support hose to reduce the chances of severe edema with its permanent damage. Compression Wraps: In severe cases of edema such as in stasis dermatitis, or when ulcers occur or with lymphedema it is often required to wrap the legs in heavy compressive dressings. This is done first by a medical professional and can be followed at home by a nurse or the patient. Often several layers of wrap are used, and it is cumbersome. However, in many cases this is the only way to control the fluid and the damage. Prevention is still the best treatment here as once the edema reaches this point it often becomes a chronic issue of wrapping the legs.  Avoiding Salt: Reducing salt in the diet can help reduce fluid problems and edema. I have had patients with leg edema who ate pizza daily and swelled up. Reducing the pizza in the diet in those cases reduced the swelling. Limiting Alcohol: Reducing alcohol also makes a big difference. I have seen remarkable changes in the edema in patients who took my advice in this area. For the other issues causing edema, patients should work with their medical professional to best manage the condition. In many cases the edema will improve as the medical issue is stabilized. If medication side effects are causing edema, talk to your prescriber about it and how to manage the side effects. Shoes for Edema   As written about earlier, shoes can become an issue with edema resulting in swollen feet and ankles. Shoes for people with swollen feet and ankles can help prevent further swelling and pressure and enable people to function normally. Edema shoes should have the following features: Stretchable to accommodate the increased size and the constant changes in size that can occur from day to day and during the day. Usually fabric uppers that incorporate stretch are able to do this best. This type of shoe conforms to your unique foot shape and size and creates a pressure free environment for the feet. Orthofeet manufactures stretchable shoes that serve this purpose well. I have recommended these shoes often for edema and many diabetics.  Multiple adjustability features are important as they allow you to customize the fit to your particular foot shape. Straps, laces and bungee cords in various locations, such as the heel, instep and forefoot can be loosened to accommodate a swollen foot. The more adjustability the shoe has the better it will fit your feet and accommodate the swelling.  Wide widths are especially helpful with edema. Most brands only design shoes in medium width (B) which is way too narrow and constricting for a swollen foot. Not only will your foot not be able to fit into them, but if they do, it will further exacerbate the condition. Many orthopedic brands such as Orthofeet offer extended widths that go up to 6E! Extra depth from the heel to toe area provides more space for the expanded foot and makes a comfortable foot space.  Shoes designed with a round and wide toe box are always recommended since they allow the toes to flex and extend properly. The generous space prevents the formation of bunions and hammertoes and offers a pressure free environment for swollen toes. This will eliminate or reduce friction and rubbing between the toes which can lead to calluses, blisters or other serious problems. Orthotics built directly in the shoes can provide added benefits for edema in the feet. Swelling in the ankles may impact your gait. Orthotics are designed to support the arch and align the body from the ground up.  Many patients with swollen feet prefer to wear slippers as their design is usually less constructing and structured and are fairly stretchable. However, most slippers often lack the support and protection of well-made orthopedic shoes. If opting for a slipper, a quality one that not only stretches but has some support is critical. Poorly made slippers can lead to falls and often severe injury and don't protect the feet from objects on the ground or furniture. As mentioned above, I recommended Orthofeet shoes to many of my patents and wear them myself. It is an orthopedic footwear company that specializes in designing shoes for swollen feet. All the shoes, including the edema slippers, are designed with built in orthotic insoles, extra depth, a round toe box and are available in wide widths. The edema styles are made with stretch uppers and several adjustability features to achieve a perfect fit. Socks for Edema   Have you ever experienced rings around your ankles and legs after removing your socks? Wearing the right type of socks for edema can also be critical in managing symptoms. Edema socks are uniquely designed with a non-binding and non-constricting shape and yarns to eliminate pressure. Orthofeet also offers socks for swollen feet that are made of viscose rayon fabric and are super soft against the skin. Finally, edema as in all medical issues, is best managed early. If you start noticing swelling near your ankles or pitting skin or marks such as rings around the lower legs when you remove socks, it is time to start thinking of edema and how to control it. Many of the changes that can occur with edema later are permanent. So, prevention is so critical. When in doubt, talk to your medical provider about it.