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Foot Problems: Finding the Right Shoes


Footwear plays a large role in the development of foot and toe problems such as bunions, calluses and corns, and hammer, claw, and mallet toes. Shoes that don’t fit properly make these conditions worse and more painful. But wearing the right shoes may help keep foot problems from becoming worse.

  • A comfortable, well-fitted shoe offers you the best chance of:
    • Relieving pain in the foot or toe that is caused by a deformity or joint problem.
    • Preventing a foot or toe problem from getting worse.
    • Preventing a toe joint problem from returning after corrective surgery.
  • Before shopping for shoes for your foot problem, ask your foot doctor for recommendations.

How do I find the right shoes?

For some people, the only acceptable option is a sandal or athletic shoe that doesn’t rub on an existing bunion, callus or corn, or hammer, claw, or mallet toe. You may also be able to have a cobbler make changes to your shoes to make them more comfortable. But most people will be able to find a shoe that causes little or no pain and allows them to function.

Before shopping for new footwear, ask your foot doctor for recommendations specific to your needs.

Consider the following when shopping for footwear:

  • Try on shoes at the end of the day, when your feet are at their largest due to normal swelling.
  • If you have shoe inserts or orthotics, bring them with you to test them out in various shoes.
  • Shoe size, especially width, may change with age. Having both feet measured ensures a good fit and identifies which foot is larger. Fit your shoes according to how the larger foot feels in the shoe.
  • Stand during the fitting process to get an accurate sense of the fit.
  • Walk around the store to make sure that the shoe fit feels right.
  • If a shoe feels right but isn’t your normal size, pay attention to how it feels. Ignore shoe size.
  • You should not have to “break in” shoes if they fit properly.
  • If a particular shoe fits snugly, the clerk may be able to stretch the shoe for a better fit.
  • If you are at a high risk of falling, ask your doctor what else to think about when you choose a shoe.

When shopping for the right fit, look for:

  • A low heel. Avoid high-heeled, narrow, or pointed-toe shoes. High-heeled shoes increase pressure on the front of the foot and on the toe joints. If you cannot avoid wearing pumps or high-heeled shoes, choose shoes with heels that are no more than 2 in. (5 cm) high.
  • A wide and deep toe box (the area that surrounds the toes). There should be about 0.5 in. (1.3 cm) of space between your longest toe and the end of the shoe. You should be able to wiggle your toes in your shoes.
  • A shoe that has a soft but rigid back to keep your heel from slipping out.
  • A sole that doesn’t hurt. For some people this means a flexible sole that allows your toes to bend as you walk. For other people, a firm sole that helps the joints stay straight is more comfortable.
  • A shoe that allows the ball of your foot to fit snugly into the widest part of the shoe.
  • A shoe with laces, Velcro, or a zipper rather than a slip-on shoe. Athletic shoes are a good choice.
  • Shoes that breathe when your feet sweat. Avoid plastic or vinyl shoes.
  • Shoes that do not have seams that may rub against or irritate the skin over your foot problem.

At home:

  • Wear sandals or soft-leather flat shoes or slippers, or buy an inexpensive pair of cloth shoes and cut a hole over the affected joint.
  • Go barefoot as much as possible (or just wear a sock) unless you have diabetes or peripheral arterial disease or other conditions that decrease the feeling in your feet. People who have these conditions and have limited or no sensation in their feet are encouraged not to go barefoot, because unnoticed injuries to their feet are more likely to become infected.


Current as of:
November 16, 2020

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP – Emergency Medicine
Adam Husney MD – Family Medicine
Kathleen Romito MD – Family Medicine
Elizabeth T. Russo MD – Internal Medicine
E. Gregory Thompson MD – Internal Medicine
Gavin W.G. Chalmers DPM – Podiatry and Podiatric Surgery

Current as of: November 16, 2020

Healthwise Staff

Medical Review:William H. Blahd Jr. MD, FACEP – Emergency Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine & Elizabeth T. Russo MD – Internal Medicine & E. Gregory Thompson MD – Internal Medicine & Gavin W.G. Chalmers DPM – Podiatry and Podiatric Surgery

7 Shoe Mistakes You’re Making (And How to Fix Them)

From your $2 flip-flops to your $150 stilettos or running shoes, not all shoes are created equal—no matter the price or brand name. If you’ve ever peeled off your heels during a long day at work or taken off your tennis shoes after a long run only to find blisters or an ingrown toenail, you know your shoes can lead to pain if you’re not careful.

“Improper footwear can stress the back, knees, hips and feet by placing them in an unnatural position and cause improper alignment and function of joints, tendons and ligaments up the body,” said Allison Rottman, DPM, a podiatrist with Banner – University Medicine in Arizona. “Muscles in the lower and upper legs may have to work harder when shoes do not fit properly, and this causes fatigue and pain.”

Wearing proper footwear can not only help prevent foot pain, but it can also be good for your body, and dare we say, soles (get it?). Like with many things in life, your shoe choice matters.

Here are 7 common shoe mistakes and how you can fix them.

1. You try shoes on in the morning

When you try on shoes, it’s best to wait until later in the day rather than first thing in the morning. Why? “The longer you’re awake and standing, the more your feet and legs tend to be swollen,” Dr. Rottman said. “Many who buy shoes don’t account for any swelling that naturally occurs and can accidentally buy shoes that are too tight.”

Takeaway: The next time you need to run out for a pair of shoes, wait until later in the day.

2. You’re wearing the wrong size shoe

The shoe size you were say 20 to 30 years ago may not be the same size you are today. But you swear you’re still a size 7.5; why is it the 8.5 fits better? Did your feet grow that much? Probably, said Dr. Rottman.

“As we age, our feet tend to lengthen and shoe sizes go up because tendons and ligaments stretch out and lose elasticity,” she said. “Certain weight fluctuations and medical conditions can cause changes to shoe sizes as well. As a result, a lot of people end up wearing larger shoe sizes later in life.”

Takeaway: It’s important to make sure your shoes have enough room to allow for natural feet swelling and allow room so your toes don’t hit the end of the shoe—which can damage toenails irreversibly. For running shoes particularly, Dr. Rottman suggested going up about half a size or even a full size, if your feet get very swollen.

3. You’re still wearing those worn-down shoes

They may be your favorite, but those shoes you bought 5, 10, 20 years ago are doing you more harm than good. Many of us only throw our shoes out when the sole is worn down or a heel falls off but waiting this long can be a pain.

“Wearing worn-out shoes can lead to foot pain from plantar fasciitis, tendonitis, stress fractures and shin splints,” Dr. Rottman said. “This is because worn-out shoes lack the padding and support needed to protect our feet from damage. Worn-out soles of shoes from foot striking patterns can lead to unnatural gait as well which further exacerbates this problem.”

Takeaway: Depending on your activity level and the type of shoes you are wearing, you should consider replacing them between 6 to 12 months. If you really love your shoes, consider resoling them, or purchase two pairs of the same shoe to extend their shelf (or shoe) life.

4. You walk around barefoot

Are your shoes off as soon as you walk in the door? For some, taking your shoes off feels great, but for others, it can be a real pain. Standing barefoot on surfaces like tile and hardwood floors can put undue stress on your feet causing or making pain worse over time.

“Walking for long periods of time without padding and support, especially on hard surfaces, can lead to blistering, stress fractures, shin splints and overuse injuries, like tendonitis and plantar fasciitis,” Dr. Rottman said. “In addition, you can put your feet at risk for waterborne infections and athlete’s foot if you walk in and around pools.”

Walking barefoot around the house (and outdoors!) can also put your feet at risk for stepping on sharp objects, stubbing toes, breaking toes and injuring toenails, since they are not protected by shoes. “And those with diabetes, neuropathy and peripheral vascular disease should be especially careful as any injury from stepping on something can lead to severe infection,” Dr. Rottman cautioned.

Takeaway: Purchase shoes just for indoor use and wear flip-flops or sandals in and around public pools, spas and other moist environments.

5. You’re wearing improper footwear for your activity

You might think it doesn’t hurt to wear your sneakers to go hiking, but you’d actually be teetering on the edge of foot pain or an ankle sprain. And walking across New York City in flip-flops may be a big flop after several blocks. That’s because not every shoe is meant for every activity, but it’s a common mistake many people make.

“Wearing shoes that are not right for the given activity make you prone to all manner of problems from blisters to broken bones, sunburn, trauma from stubbing the toes or things falling on parts of feet that are exposed,” Dr. Rottman said.

Takeaway: Minimize your risk of these problems and more by wearing the correct shoe for what you will be doing. If you’re going hiking, Dr. Rottman advised wearing hiking boots or high-top shoes for added ankle support, especially where trails are rocky. For sneakers and flip-flops, make sure you can’t easily bend them in half or twist the sole around easily. These are markers that the shoe or flip-flop is not very supportive.

6. Your high heels are too high

Speaking of wearing improper footwear. Your cute high heels may be a fashion necessity, but they can wreak havoc on your feet with bunions, hammer toe, plantar fasciitis and more.

Takeaway: If you’re vertically challenged or love the look, Dr. Rottman shared a few workarounds you can try and still keep your feet happy:

  • Wear round-toe shoes, so your toes have more wiggle room.
  • Avoid stilettos.
  • Look for high heels with a block heel or wedge, less than 2 inches in height.
  • Limit the time you are walking around in them.
  • Don’t forget strappy sandals. There are so many cute supportive sandals out there these days.

7. You don’t wear shoes with arch support

Do you overpronate or underpronate? Generally, most of us fall somewhere in this spectrum—we are either more flat-footed or have high-arched feet. While for some, knowing or not knowing this isn’t a big deal, but as we age and go through other body-changing life events, it can be especially important to know.

Takeaway: If you’re feeling discomfort, tingling or pain in your toes, heels or balls or arches of your feet, talk to your health care provider or a podiatrist. You may need to purchase shoes or over-the-counter inserts that provide you additional heel or arch support.

Don’t let foot pain get you down

If you’re experiencing any consistent pain or discomfort, schedule an appointment with your health care provider or podiatrist who can help address your issues. To find a Banner Health doctor near you, visit bannerhealth.com.

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Flat Shoes Can Cause Foot Problems for Women: Stavros Alexopoulos, D.P.M.: Podiatry

We’ve written before about the problems associated with wearing high heels for long periods (see our blog on the risks of wearing high heels).

But switching from high heels to just any type of flat shoe may not be the right solution. Some types of flats potentially can cause foot health problems.

Flat Shoes May Cause Many Foot and Toe Problems

  • Wearing tight shoes with pointy toes – even with flat heels – puts too much pressure on toenails. This can cause the nails to bend and become ingrown into surrounding tissue. Ingrown toenails can also be hereditary and may be caused by improper nail trimming, fungal infections and trauma. Make sure that flat shoes have plenty of wiggle room for the toes. Chronic ingrown toenails should be evaluated and treated by a qualified foot doctor.
  • Heel pain caused by wearing flat, non-supportive shoes may be plantar fasciitis, or inflammation of the plantar fascia. This thick tissue runs along the bottom of the foot from the heel bone to the toes. Wearing flat, unsupportive shoes like ballet slippers and flip flops may also cause the arches to drop and tendons and ligaments to overstretch or even tear. If you wear flat shoes, make sure they have sturdy soles with adequate support.
  • Walking with flat shoes that have thin, unsupportive soles causes excessive pressure on your heel bones. This can lead to blisters on your Achilles tendon when the back of the shoe rubs repeatedly against your heel. Surprisingly, this problem often results from a lack of sole support. Choose low-heeled or block-heeled shoes instead of those that are completely flat. Shoes with sturdy, thick heels that are not too high may be better for your foot health than shoes that are completely flat.

You Can Wear Flats and Be Comfortable

If fatigue and pain from wearing flimsy, flat shoes persists, please call Stavros O. Alexopoulos, DPMfor an examination. We’ll address any problems we see and discuss appropriate footwear. Custom-fitted orthotics that are made just for you can help make flat shoes more comfortable and healthy for your feet.

Limiting the time that you wear flat shoes, just as you should limit your time in high heels, can allow you to wear your favorite slipper shoes in comfort.

Let Us Help with Any Foot or Ankle Pain

Dr. Alexopoulos, board certified podiatrist can help with any foot-related pain or problem, from recommending the right shoe to addressing chronic foot and ankle pain. Many treatments and surgeries can be addressed right here in our office. Please call our Chicago office at (773) 561-8100 or request an appointment via the website. Call us today to wear your fashionable flats in comfort!


Stavros Alexopoulos
One of Chicago’s top podiatrists, Stavros Alexopoulos, DPM, treats routine to complex foot and ankle issues. Dr. Alexopoulos is currently accepting new patients at My Chicago Foot Expert located near Ravenswood, North Park, and Jefferson Park.

What your shoes can tell you about your feet

Each foot has 26 bones, 33 joints, and more than 100 muscles, ligaments and tendons. “The feet are quite complex and no two are a pair,” explains Emma McConnachie, podiatrist and spokesperson for The College of Podiatry. “There are plenty of issues that can occur, and podiatrists see a wide range of foot and lower-limb concerns.”

Pain or discomfort is often the first sign of a foot problem, but for many people, the clues are in the shoes.

The sole of the problem

If you notice that the soles of your shoes wear down more markedly or quickly on one side than the other, it can be a sign that the pressure on your feet is being distributed unequally.

This doesn’t necessarily mean there’s anything wrong. However, while plenty of people experience no symptoms as a result of an uneven wear pattern, others get quite severe problems like pain, often in the big toe and sometimes dispersed to the ankle, or even up to the knee and hip.

“If your foot has a very low or high arch, it can cause different wear patterns in your shoes. Even one damaged joint can completely change things and it’s unique to the patient,” McConnachie says.

“Where the patient is reporting an issue, or where there is an uneven wear pattern, we would usually carry out a gait analysis – also known as a biomechanical assessment – to look at how the body is working.”

This involves examining the structure and mechanics of the feet and lower limbs, how they function and move together when you’re standing and walking, and whether they could be contributing to pain or discomfort.

If so, the solution might be as simple as wearing insoles or having custom-made orthotics to balance the unequal pressure on your feet.

Wear and tear

Comfortable footwear can help to keep your feet in tip-top shape, so it stands to reason that if your shoes don’t fit properly – especially if they pinch and rub – they can cause you all manner of trouble.

Shoes that are too small, tight or poorly cushioned can lead to small lumps of hard skin (corns), larger areas of thickened, rough skin (calluses), and blisters, all of which can be bothersome though not serious. “The shoes can wear through to the end where the toes are pushing against the fabric, and this is often accompanied by a thick and damaged nail or ingrown toenail,” McConnachie adds. Over-the-counter remedies from a pharmacy will often be sufficient to treat minor ailments like these.

If the footwear fits

Ill-fitting shoes, and certain styles of footwear, can also cause more serious problems and have a significant impact on your day-to-day life.

Plantar fasciitis is pain around the bottom of the heel and arch of your foot, caused by straining the part of the foot than connects the heel bone to the toes, called the plantar fascia.

It’s often linked with activity – you might be more likely to get plantar fasciitis if you’ve recently started walking more or running, or working out on a hard surface – but it can also be caused by shoes that have insufficient cushioning or support.

A similarly painful foot complaint, Morton’s neuroma, is frequently the consequence of wearing high heels and tight, pointy shoes. Caused by inflammation of or damage to a nerve in between two (usually the third and fourth) toes, the main symptom is shooting or stabbing pain in the bottom of the foot, and sometimes a burning sensation in the area.

Bunions, on the other hand, are not caused by ill-fitting shoes – the cause is unknown, although there may be a genetic element. But these protruding bony lumps on the inside of the big toe often become more painful if you wear shoes that are too narrow and have a particularly hard sole.

Footwear woes

If your foot troubles come and go, you’ll probably get away with continuing to wear the shoes of your choice.

However, if pain becomes hard to bear and problem feet are impacting your daily life, it might be time to ditch the stilettos and winklepickers in favour of a more sensible style.

“If you suffer from problems with your toes, such as corns or ingrown toenails, then avoid a narrow toe box, which is the front of your shoe,” McConnachie says. “Yes, your toes really will slide forward into the pointy parts of your shoes! Even slight compression can cause problems, and I often see patients in my clinic suffering as a result of wearing shoes that are narrower than their forefoot.”

If this is the case, try wide-fit shoes. But as McConnachie points out, a ‘wide fit’ is simply wider than other shoes in a particular range and doesn’t necessarily mean they will fit if you have a wider foot, so having your feet measured properly is important.

She adds that our footwear needs are as unique as our feet, but we can all help to protect our feet by following some simple advice.

“Good support is key, and you should aim for shoes that have a good arch support and a way of staying on across the middle of your foot, such as straps or laces. This helps avoid straining your feet or clawing your toes to keep shoes on,” she comments.

“If you wear insoles or orthotics, then look for shoes that have a removable liner as this makes them fit more easily.”

Diabetes and Foot Problems | NIDDK

In this section:

Foot problems are common in people with diabetes. You might be afraid you’ll lose a toe, foot, or leg to diabetes, or know someone who has, but you can lower your chances of having diabetes-related foot problems by taking care of your feet every day. Managing your blood glucose levels, also called blood sugar, can also help keep your feet healthy.

How can diabetes affect my feet?

Over time, diabetes may cause nerve damage, also called diabetic neuropathy, that can cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores. Cuts and sores can become infected.

Diabetes also can lower the amount of blood flow in your feet. Not having enough blood flowing to your legs and feet can make it hard for a sore or an infection to heal. Sometimes, a bad infection never heals. The infection might lead to gangrene.

Gangrene and foot ulcers that do not get better with treatment can lead to an amputation of your toe, foot, or part of your leg.
A surgeon may perform an amputation to prevent a bad infection from spreading to the rest of your body, and to save your life. Good foot care is very important to prevent serious infections and gangrene.

Although rare, nerve damage from diabetes can lead to changes in the shape of your feet, such as Charcot’s foot. Charcot’s foot may start with redness, warmth, and swelling. Later, bones in your feet and toes can shift or break, which can cause your feet to have an odd shape, such as a “rocker bottom.”

Charcot’s foot can cause your feet to have an odd shape, such as a “rocker bottom.”

What can I do to keep my feet healthy?

Work with your health care team to make a diabetes self-care plan, which is an action plan for how you will manage your diabetes. Your plan should include foot care. A foot doctor, also called a podiatrist, and other specialists may be part of your health care team.

Include these steps in your foot care plan:

Tips to Take Care of Your Feet

Check your feet every day

You may have foot problems, but feel no pain in your feet. Checking your feet each day will help you spot problems early before they get worse. A good way to remember is to check your feet each evening when you take off your shoes. Also check between your toes. If you have trouble bending over to see your feet, try using a mirror to see them, or ask someone else to look at your feet.

Look for problems such as

  • cuts, sores, or red spots
  • swelling or fluid-filled blisters
  • ingrown toenails, in which the edge of your nail grows into your skin
  • corns or calluses, which are spots of rough skin caused by too much rubbing or pressure on the same spot
  • plantar warts, which are flesh-colored growths on the bottom of the feet
  • athlete’s foot
  • warm spots

If you have certain foot problems that make it more likely you will develop a sore on your foot, your doctor may recommend taking the temperature of the skin on different parts of your feet. A “hot spot” can be the first sign that a blister or an ulcer is starting.

Cover a blister, cut, or sore with a bandage. Smooth corns and calluses as explained below.

Wash your feet every day

Wash your feet with soap in warm, not hot, water. Test the water to make sure it is not too hot. You can use a thermometer (90° to 95° F is safe) or your elbow to test the warmth of the water. Do not soak your feet because your skin will get too dry.

After washing and drying your feet, put talcum powder or cornstarch between your toes. Skin between the toes tends to stay moist. Powder will keep the skin dry to help prevent an infection.

Smooth corns and calluses gently

Thick patches of skin called corns or calluses can grow on the feet. If you have corns or calluses, talk with your foot doctor about the best way to care for these foot problems. If you have nerve damage, these patches can become ulcers.

If your doctor tells you to, use a pumice stone to smooth corns and calluses after bathing or showering. A pumice stone is a type of rock used to smooth the skin. Rub gently, only in one direction, to avoid tearing the skin.


  • cut corns and calluses
  • use corn plasters, which are medicated pads
  • use liquid corn and callus removers

Cutting and over-the counter corn removal products can damage your skin and cause an infection.

To keep your skin smooth and soft, rub a thin coat of lotion, cream, or petroleum jelly on the tops and bottoms of your feet. Do not put lotion or cream between your toes because moistness might cause an infection.

Trim your toenails straight across

Trim your toenails, when needed, after you wash and dry your feet. Using toenail clippers, trim your toenails straight across. Do not cut into the corners of your toenail. Gently smooth each nail with an emery board or nonsharp nail file. Trimming this way helps prevent cutting your skin and keeps the nails from growing into your skin.

Have a foot doctor trim your toenails if

  • you cannot see, feel, or reach your feet
  • your toenails are thick or yellowed
  • your nails curve and grow into the skin

If you want to get a pedicure at a salon, you should bring your own nail tools to prevent getting an infection. You can ask your health care provider what other steps you can take at the salon to prevent infection.

Wear shoes and socks at all times

Wear shoes and socks at all times. Do not walk barefoot or in just socks – even when you are indoors. You could step on something and hurt your feet. You may not feel any pain and may not know that you hurt yourself.

Check the inside of your shoes before putting them on, to make sure the lining is smooth and free of pebbles or other objects.

Make sure you wear socks, stockings, or nylons with your shoes to keep from getting blisters and sores. Choose clean, lightly padded socks that fit well. Socks with no seams are best.

Wear shoes that fit well and protect your feet. Here are some tips for finding the right type of shoes:

  • Walking shoes and athletic shoes are good for daily wear. They support your feet and allow them to “breathe.”
  • Do not wear vinyl or plastic shoes, because they do not stretch or “breathe.”
  • When buying shoes, make sure they feel good and have enough room for your toes. Buy shoes at the end of the day, when your feet are the largest, so that you can find the best fit.
  • If you have a bunion, or hammertoes, which are toes that curl under your feet, you may need extra-wide or deep shoes.1 Do not wear shoes with pointed toes or high heels, because they put too much pressure on your toes.
  • If your feet have changed shape, such as from Charcot’s foot, you may need special shoes or shoe inserts, called orthotics. You also may need inserts if you have bunions, hammertoes, or other foot problems.

When breaking in new shoes, only wear them for a few hours at first and then check your feet for areas of soreness.

Medicare Part B insurance and other health insurance programs may help pay for these special shoes or inserts. Ask your insurance plan if it covers your special shoes or inserts.

Protect your feet from hot and cold

If you have nerve damage from diabetes, you may burn your feet and not know you did. Take the following steps to protect your feet from heat:

  • Wear shoes at the beach and on hot pavement.
  • Put sunscreen on the tops of your feet to prevent sunburn.
  • Keep your feet away from heaters and open fires.
  • Do not put a hot water bottle or heating pad on your feet.

Wear socks in bed if your feet get cold. In the winter, wear lined, waterproof boots to keep your feet warm and dry.

Keep the blood flowing to your feet

Try the following tips to improve blood flow to your feet:

  • Put your feet up when you are sitting.
  • Wiggle your toes for a few minutes throughout the day. Move your ankles up and down and in and out to help blood flow in your feet and legs.
  • Do not wear tight socks or elastic stockings. Do not try to hold up loose socks with rubber bands.
  • Be more physically active. Choose activities that are easy on your feet, such as walking, dancing, yoga or stretching, swimming, or bike riding.
  • Stop smoking.

Smoking can lower the amount of blood flow to your feet. If you smoke, ask for help to stop. You can get help by calling the national quitline at 1-800-QUITNOW or 1-800-784-8669. For tips on quitting, go to SmokeFree.gov.

Get a foot check at every health care visit

Ask your health care team to check your feet at each visit. Take off your shoes and socks when you’re in the exam room so they will remember to check your feet. At least once a year, get a thorough foot exam, including a check of the feeling and pulses in your feet.

Get a thorough foot exam at each health care visit if you have

  • changes in the shape of your feet
  • loss of feeling in your feet
  • peripheral artery disease
  • had foot ulcers or an amputation in the past1

Ask your health care team to show you how to care for your feet.

When should I see my health care provider about foot problems?

Call your health care provider right away if you have

  • a cut, blister, or bruise on your foot that does not start to heal after a few days
  • skin on your foot that becomes red, warm, or painful—signs of a possible infection
  • a callus with dried blood inside of it,which often can be the first sign of a wound under the callus
  • a foot infection that becomes black and smelly—signs you might have gangrene

Ask your provider to refer you to a foot doctor, or podiatrist, if needed.

Clinical Trials

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Health (NIH) conduct and support research into many diseases and conditions.

What are clinical trials, and are they right for you?

Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.

What clinical trials are open?

Clinical trials that are currently open and are recruiting can be viewed at www.ClinicalTrials.gov.


[1] American Diabetes Association. Microvascular complications and foot care. Diabetes Care. 2016;39(Suppl. 1):S78.

AllCare Foot & Ankle Center: Podiatry

Unless you’re a free spirit or a full-time beach dweller, chances are you’re going to wear shoes from time to time. But not all shoes are created equal—the best shoes can keep your feet healthy and provide them with proper support and alignment, while the worst shoes can set your feet back years, causing pain, discomfort, and structural damage.

In this blog, The Dallas podiatrists and AllCare Foot & Ankle Center will talk about the worst shoes for your feet, and how the shoes you wear can either raise or lower the risk of foot and ankle ailments.


High Heels

No surprise here—high heels are, by far, the worst shoes for your feet—perhaps worse than going barefoot altogether. High heels originated way back in the 1500s (for men and women) and have since grown into a symbol of female empowerment and eroticism. But regardless of their social and cultural relevance, they can do a great deal of damage to your feet—biologically and cosmetically.

By placing the heel higher than the toe, all the force of your weight is shifted to the toes, pressing them downward and increasing the likelihood of developing bunions (a bony bump on the big toe), hammertoes (when a toe is permanently bent downward), and ingrown toenails. Throw in a genetic predisposition for developing these conditions, and you’re almost guaranteed to have some sort of foot problem if you wear high heels regularly.

But the problems don’t stop there. Wearing high heels for years, decades, or an entire lifetime places extreme stress on the ankles and toes, which can cause tendonitis in the ankle, spurs and pinched nerves in the heel (Morton’s neuroma), and even stress fractures of bones of the foot. This doesn’t even factor in the idea that every time you wear heels, you’re just asking for a sprained ankle.

Ultimately, high heels can (and will) cause problems for your feet if worn too often. Save those heels for special occasions, and make more supportive shoes your go-to for everyday use.


While high heels will always be atop our list of the worst shoes for your feet, flips flops come in a close second. While we could complain all day about how the slapping sound of flip flops is one of the most annoying parts of the human experience—the negative effects they can have on your body are much more bothersome.

While they make for great locker room shower shoes, flip-flops offer little to no arch support, which can cause or aggravate plantar fasciitis, and can contribute to pain, discomfort, and misalignment of your neck, back, and hips.

The lesson here? Save your flip-flops for the locker room and the beach, and stick to more supportive for everyday use.


What do flip-flops and flats have in common? No support, plantar fasciitis, and spine-related ailments. You get the idea.

Shoes That Don’t Fit Right

According to WebMD, nine out of 10 women are wearing shoes that are too small. While there’s no way to figure out if this “statistic” is valid or not, an important fact remains: women (and men) who wear shoes that are too small run a higher risk of developing calluses, corns, bunions, and blisters due to the constant rubbing of tight shoes against the toes and feet. Ill-fitting shoes can also increase the risk for arthritis as well. The bigger problem here? Some kids are spending lifetimes wearing ill-fitting shoes, which can put them at risk for foot-related problems and developmental deformities as they grow older.

Learn More From Your Dallas Podiatrist

If you’re concerned about how your shoes are affecting your feet, or what kinds of shoes you should wear to protect to them, pay a visit to the podiatrists at AllCare Foot & Ankle Center. With years of experience and the best in podiatric care, we can help you find the best solutions for your feet and your lifestyle—and with locations in Arlington and Dallas proper, getting the care you need is easier than ever before! Schedule an appointment with AllCare Foot & Ankle Center today!

Women Solve Your Painful Shoe Problems in North Seattle

Have you ever purchased a shoe that caused foot pain? You’re not alone. While problems with high heels and stilettos have been all over the internet, there are many other women’s shoes that can put your feet in jeopardy. Different shoes can cause different kinds of foot pain. Learn about the culprits and the solutions you can use to prevent painful foot problems.

Tight Shoes, Short Shoes, and Narrow Toed Shoes

Tight or short shoes can cause your feet to hurt. But they can also increase your risk for ingrown toenails and fungal toenails. When the toenail is pushed against the front of the shoe, hiking boot, or ski boot it can become ingrown. Shoes that are too tight or too short can cause damage to the nail plate, making it easier for fungus to set up shop. Narrow toed shoes can lead to Morton’s neuroma, bunions, and hammertoes.


  • Get your feet measured every time you shop for shoes. It’s very common for adults to experience an increase in shoe size.

  • Buy shoes that give you enough wiggle room in the toe box.

Flat Shoes

In the last several years, ballet flats and other flat shoes have been all the rage. Many people have gotten the message that heels are bad, so they’ve flocked to buy shoes at the other end of the spectrum. But very flat shoes can be almost as bad as heels, particular for people with flat feet. They can increase your risk for plantar fasciitis and Achilles tendonitis. When walking or engaging in other activities such as dancing or running the arch flattens out causing the plantar fascia to stretch beyond its limits causing micro tears, inflammation, and pain.


  • Avoid flat shoes if you have flat feet, low arches, or any other foot problems.

  • Buy flat shoes that have some arch support such as the Rockport Cobb Hill Mary Jane Flat.

Flip Flops

Flat flip flops with no arch support can lead to a myriad of foot problems for women. Flip flops were only meant to be worn at the beach, swimming pool, and locker and shower room. Unfortunately flip flops have become extremely popular and women wear them for long walks and for other activities that require a much more supportive shoe. The constant gripping at the toes to keep the shoe on, the flatness and lack of support, and absence of protection make flip flops problematic for women to wear off the beach. They can cause blisters, hammertoes, Achilles tendonitis, neuromas, heel pain, and worsen bunions. Their dearth of support can also lead to sprained ankles.


  • Choose a flip flop with great support such as a Vionic sandal.

  • Even better, buy a water sandal which has foot support and straps.

Flexible Shoes

Flexible tennis shoes and other shoes like them certainly look comfortable. But looks can be deceiving. Flexible shoes are fine if you’re walking no further than your mailbox or going food shopping. But a walk or run around Green Lake is a non-starter as flexible shoes offer no support; they can easily bend in half and be twisted from side to side. Women who’ve had problems with their feet in the past or have flat feet or high arches should not wear these types of shoes. I’ve had many patients come in with heel pain who were wearing them.


Pumps or Rigid Back Shoes

Pumps can be problematic for women. They can cause a bony enlargement on the back of the heel called Haglund’s deformity or so called “pump bump”. Any shoe with a rigid back can cause this problem to develop.


  • Avoid stiff backed shoes; instead look for shoes with a soft back such as a Munro Traveler.

  • Use heel lifts and heel pads can help with the irritation.

  • Get custom orthotics from a podiatrist to control foot motion and change how the foot sits in the shoe.

Flatform Shoes

Flatform shoes are half platform shoes, half flats–supposedly the look of high heels with the comfort of flats. They sound good, in theory. However, flatforms are inflexible so your foot can’t do what it was intended to do which is flex when you walk. This makes them very unstable. When you can’t walk properly you’re more likely to fall and end up with an ankle sprain or fracture.


You can still buy a shoe with a platform as long as your foot rolls forward properly. Fortunately there are now rocker shoes beyond the Hoka sports shoe that can meet that need. A good example are shoes made by Alegria.

High Heels and Stilettos

Even with all the bad news about how bad high heels and stilettos are, you might still wonder why? While some women can get away with wearing these types of shoes infrequently, daily wear can increase your risk for ball of foot pain including bunions, neuromas, and hammertoes. When wearing high heels your weight is placed primarily on the ball of the foot which places a lot of stress on the metatarsals, the toes, and the nerves. Constant high heel wear can also shorten your calf muscles putting you at greater risk for plantar fasciitis.


  • Limit your high heel wear by walking to work in lower heeled shoes.

  • Carry lower heels shoes with you so you can switch if you need to.

  • Wear heels that are one inch or lower

  • Wear heels with a rounded toe box to prevent added pressure on your toes

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

90,000 Do your legs hurt? Here are 12 unexpected reasons for this

If a girl has pain in her legs, there is always a reason. And here are 12 reasons, among which at least half will surprise you.

1. You are wearing too high heels.

Yes, this is a very common reason. Heels with a height of more than 6.5 cm cause an increase in pressure on the lower part of the foot seven times or more, and in general, absolutely all muscles and ligaments of the leg are subjected to stress. There is nothing healthy in heels and no, it “will not go away by itself.”Super-high and super-thin heels should only be worn on special occasions, and in everyday life, lower and wider ones should be preferred.

2. You are too fond of tapered socks

Too narrow socks on shoes, loved by many girls, lead to the formation of bursitis of the thumb. It can be removed and is generally non-refundable – if the pair of shoes that caused it are sent to the trash bin or sold.

3. You are wearing the wrong shoes.

Uncomfortable and uncomfortable shoes are not just uncomfortable – they can cause problems with your feet.The most different and the most unexpected, so doctors strongly advise against enduring discomfort. Sooner or later, it will develop into medical problems.

4. You don’t stretch

Foto: Shutterstock

Legs need to be stretched, especially if you are actively involved in sports. Otherwise, there is a risk of earning plantar fasciitis, or, more simply, foot inflammation. Legs should be stretched before each session of “sports activity” – whether it’s going to the gym or “running” through the malls for the whole day.

5. You have lost or gained weight

Any change in weight, up or down, affects the muscles and body fat in the leg. In practice, this means that the once-in-a-time shoes cease to fit and become corny uncomfortable. And we have already said everything about uncomfortable shoes.

6. You hurt your knee, hip or back…

… and your gait has changed significantly. If the weight is transferred only to one leg or even to one part of the leg, it inevitably begins to suffer from a high load and “rewards” the wearer with pain or at least blisters.The good news is that these problems are temporary, provided you heal your knee, back, or any part of your body that caused you to change your gait and limp.

7. You just had a pedicure

Foto: Shutterstock

If a piece of nail is left carelessly during pedicure, it can grow into a big problem that will start to cut into the skin in an uncomfortable place. So the pedicure must be done carefully and carefully, leaving no chance for the “rotation” of the nails.

8. You have diabetes

Any autoimmune disease causes circulation problems, spontaneous limb pain and infections. If all other problems are put aside, and the pain persists, go to the doctor.

9. You started to play sports.

Sudden, persistent, severe exertion causes “stress” both in the muscles of the legs and in the joints, especially if the sports shoes are not chosen correctly or carelessly. If you have recently started to play sports or tried a new program and your legs “answered” you with a rather unpleasant pain – slow down and think about other shoes.

10. You have a really flat leg or high instep

Foto: Shutterstock

“Excessively flat” legs or high leg lifts can cause incorrect weight distribution and inflammation in certain areas. There are relatively few people who suffer from this – and suffer from almost any standard pair of shoes – but they are. The only thing they can do is see a podiatrist. No, you won’t be forced to wear ugly wooden shoes, they will cost you special orthopedic insoles.

11. You have a standing job

Yes, no matter what other smart articles say, but if sedentary work kills people, then standing work kills their legs. Standing for 8-10 hours every day is very unhealthy for the legs. Try to wear the most comfortable shoes, and if you suffer from inflammation, then consult a doctor, they are all removed with fairly affordable medicines.

12. You are pregnant!

Congratulations! And yes, we are serious – suddenly appearing pain in the legs can be a sign of pregnancy, or rather hormonal changes in the body.Preparing for a difficult period in a woman’s life, he begins to work a little differently, which can cause swelling of the legs. By the way, the change can be permanent, so although the swelling will go away after the baby is born, the foot size will still increase slightly and you will have to look for new shoes.

90,000 German scientists have found that the wrong shoes can even have a headache

Why can a head hurt? German scientists recently completed a series of experiments and found out that – including, and from problems with legs.When walking, our feet experience a shock overload of 20 G. This is three times more than astronauts tolerate on landing.

If it were not for the lifting of the foot, which extinguishes this overload, then every step, and every day each of us makes about 10 thousand steps on average, would threaten us with a concussion. If not everything is in order with the legs, then the load on the head increases sharply. Because of the pain.

Where are the problems with your legs? From the wrong shoes – sneakers, but, above all, stilettos. According to the most recent data, more than half of Russian women wear shoes that deform their feet, spoil their posture, and simply harm their health.In most countries of the world, ladies wear high heels only as a last resort – to go to the theater, to a restaurant. And in everyday life, no matter what sacrifices beauty demands, they don’t make these sacrifices and, first of all, wear something comfortable.

Elena’s friends don’t have to flip through glossy magazines to find out what shoes are fashionable to wear this season. At any time I am ready to give a lecture about each new collection. You can always find the best models in her wardrobe. He says it’s a disaster if he doesn’t buy 2-3 pairs of shoes in a month.

Lena goes to shoe stores as if she were going to work. Moreover, the fashionista retains her attention exclusively at the counters, where the shoes are with high heels. He thinks that this is the only way to keep a man “under the thumb.”

Elena Rubashkina: “Heels … in them a woman looks slimmer, taller, if she is small, and more beautiful, probably. And it seems to me that men like it when a woman walks in heels.”

But such beauty is likely to require sacrifice. Every second fashion model ends up with heavy legs syndrome.

Maria Nikitana, model: “In addition, there is such an occupational disease – why a model under 25 is varicose veins. This is because the girl very often and very often walks in high heels.”

Every lover of heels can see a doctor with a foot disease. Varicose veins can occur if you constantly walk on ten-centimeter stiletto heels.

At risk are women who take hormones, pregnant women and those who have to stand or sit for a long time at work.In these cases, doctors say, only a small heel is allowed. For all other ladies, it is best to choose shoes with medium heels.

Dmitry Lishov, phlebologist: “The heel should be quite stable, evenly distribute the load on the foot, in height – 5-6 centimeters. If, while wearing heels, you have any complaints: heaviness in the legs, swelling, varicose veins – this is of course worth seeing a doctor. ”

Avoiding varicose veins is easy if you take the advice of your doctors.It is best to plan a trip to a shoe store in the afternoon. In the evening, the legs swell, and a pair of shoes purchased in the morning may be small. Shoes should be tried on first while standing, then sitting. For a good model, the thumb should not touch the toe of the shoe.

Oksana, sales assistant: “It is very important to choose the correct size. the heel was fixed. “

All doctors unanimously say the heel is a necessary thing, when walking, the leg should roll, but with an absolutely flat sole it is problematic. This is where the heel comes to the rescue, but a small one. The optimal one is the one whose height is 1/14 of the length of the foot, that is, no more than 2 centimeters. That is why doctors use men’s shoes and sneakers as an example for women.

The popularity of heels came after the Second World War. Then there were stilettos that helped women grow 10 centimeters in an instant.Not a single fashionista could refuse this. Historians later wrote: “Hairpins have ruined the floors of all museums in the world, and the legs of a whole generation of women.”

Alexander Vasiliev, fashion historian: “Women try to stand out very much, for this they need overlay elements, for example, false nails, breasts, and, of course, heels, which are the same element that changes a woman’s figure – her height and proportions “.

However, now there is a new turn in the history of heels. In Europe, women have abandoned them – there is already a conviction that you can look your best on a flat sole.In Russia, only fashion models have shown no interest in stilettos. High-heeled shoes are just work shoes for them. And at the first opportunity, they immediately put on sneakers. Report by Andrey Sannikov.

Presenter: “Together with the editor of” Fashion “of one of the popular glossy magazines, Anna Karabash, we pick up this burning topic for all women and not at all meaningless for men. Anna Vladimirovna, are heels fashionable now or not?”

Anna Karabash: “Heels are always fashionable.These are the classics that cannot go out of style. This is one of the forms of existence of shoes. Accordingly, they cannot go out of style by definition. You can talk about which heels are in fashion or which are not in fashion. We can say that thin, very high heels are clearly not in fashion. Straight thick heels are in fashion. I think that the wedge heel is in fashion, the platform is in fashion. In fact, such rather aggressive forms of heels are in vogue now. “

Presenter:” In general, what kind of shoes are in fashion now? Am I talking about the color, the shape of the noses, the material from which this is all made? “

Anna Karabash:” Better even start about what kind of shoes are out of fashion.Italian footwear, loved by many of our women, is not in vogue and is variously decorated with palettes, drawings, some small jewelry, they simply do not need to be worn again. It’s not in vogue. Pure, solid colors are in fashion. Lacquered texture, patent leather are in fashion. And the leopard print is in fashion. “

Host: And the shape of the nose?

Anna Karabash:” Now we need to buy sharp-toed shoes, meaning, of course, womens. Pointed-toed flat pumps can be worn very well, without a heel at all.Looks great with trousers. Looks very cool with dresses. “

Host:” So the fashion for round noses has already passed? “

Anna Karabash:” Well, you can’t say harshly that it passed. Because in fact, in many collections we still see round toes, but these are very specific brands that make absolutely amazing shoes and you can immediately see that this is a cool thing. In general, if we talk about fashion as a mass phenomenon, yes, we can say that you can no longer buy round noses. “

Presenter: “And now, please, everything is the same: noses, heels, color – about men’s shoes.”

Anna Karabash: “If we talk about men’s shoes, I think that the dominance of the same Italian shoes with very long pointed toes also needs to be stopped somehow, to stop wearing it, because, in my opinion, a man in such shoes are becoming nothing more or less like a drug lord. It’s, well, well, like, bad taste is already simple. Rounded, slightly rounded, rounded, but sharp nose – this can be interesting. “

Presenter: “What do you need to buy now for those who cannot spend too much, but want to buy such a thing that would not quickly go out of fashion?”

Anna Karabash: “If you mean women, I would recommend shoes made of crocodile skin or shoes made of snake skin, or, well, something like that with such a texture on high heels that are not very thin, not very sharp, with a little – a little round nose. This form will always be beautiful. This is a classic of the genre, it always looks expensive and respectable.

As for men, I think that you can buy suede shoes that look very thoroughbred and in fact, in contrast to the fact that many people think that this is not a wearable thing, but it wears well. If properly cared for, it sometimes even wears better than leather shoes. It doesn’t show the stains so much. “

Presenter:” Do such concepts as fashionable and convenient combine? “

Anna Karabash:” Yes, of course, they are combined. And in fact, the main thing is to be comfortable.Because if it is not comfortable, then the gait is already very spoiled, if you mean heels, especially girls who like to walk in heels. If a girl is uncomfortable, you can see it right away. It looks terrible. And in fact, it would be better if she walked on flat, in the same ordinary suede loafers and would look great. “

What shoes can cause?

Pain can literally disrupt the normal course of things, linking every step with unpleasant sensations in your legs, and you will not be able to maintain the same active lifestyle.

Learn how different types of shoes can cause pain in your feet and what you can do to fix the problem.

Walking and running shoes

Good walking and running shoes should provide additional support to the foot to minimize pressure on the feet and avoid heel pain or plantar fasciitis. The best shoe for solving this problem is one that maintains and evenly distributes pressure to the surface of the foot.

When it comes to sports shoes, it is important to remember that there is a huge variety of their types: in a good sports store they will always help you choose the right model for certain sports loads.

Special sports insoles help reduce stress on the foot, relieve pressure on joints and prevent joint pain. They allow you to exercise for longer and enjoy an active lifestyle.

High-heeled shoes

The fashion for high heels has firmly entered our life. Unfortunately, many of us, with countless pairs of high-heeled shoes, simply don’t wear them. Why is this happening? Yes, all due to the fact that many women believe that wearing high-heeled shoes is a torment for their feet.

Whichever pair you choose, it is important that it is comfortable for your feet. When shopping, remember to try on both feet, not just one (most of us have one leg larger than the other!) 1

Make sure you can move all of your toes freely while walking.

Work professional footwear

From police officers to construction workers, many spend a lot of time on their feet during the working day.For some, this involves wearing special professional footwear. This type of footwear can lead to fatigue in the legs and at the end of the working day, so it is very important to choose the right pair.

If you are on your feet all day, Active Gel Insoles can help you. To minimize the risk of heel inflammation 2 , work shoes should also have good foot support.

Shoes wear out over time – it’s a fact. It doesn’t matter if you work out, dance or work out in the gym.For example, professional athletes are advised to change their shoes every 5-6 months. 3 Luckily, resting your favorite pair of shoes more often will help you last longer.

Remember, choosing the right pair of shoes is very important, so always try on boots on both feet.

Insoles are a great way to provide extra support for your feet and add comfort while walking.

1 http: //www.foot.com / site / professional / foot-facts

2 http://sectionhiker.com/plantar_fasciitis_hiker/

3 http://greatist.com/fitness/how-often-should-i-replace-my-running-shoes

90,000 Women who wear uncomfortable shoes in their youth leads to foot diseases in old age

Diseases of the legs in women in old age mainly occur because in their youth, the fair sex wear uncomfortable shoes.

Every mom (and almost every dad) tells their young daughter: “Don’t wear high-heeled shoes! This deteriorates posture, this will hurt your legs, it is very harmful! ” But can some ghostly prospective harm compete with the need to go dancing today? The answer is obvious.Therefore, unfortunately, it is unlikely that scientific research in this area can seriously affect the minds and hearts.

September 26 15:42

But in vain. Study published in Arthritis Care & Research shows that

It is the wearing of uncomfortable shoes by ladies in youth that leads to the development of foot diseases in old age.

It is interesting that men are not subject to this tendency. They did not find a clear correlation between uncomfortable shoes and painful sensations in the feet.

Pain in feet and toes is one of the 20 most common reasons for visiting a doctor in patients aged 65–74 years. Such pains can be symptoms of rheumatic arthritis, diabetes mellitus, gout, as well as the consequences of sprains, muscles, bruises and fractures.

To study the effect of footwear on the occurrence of pain in the legs, researchers at the Boston University School of Health studied a group of 3,372 people over 50 years of age – 1,472 men and 1,900 women.They were observed for six years between 2002 and 2008. During this time, they were regularly interviewed for pain, aches, or cramps in their legs. Symptom onset data were then categorized into nail pain, forefoot, hindfoot, heel, arch and arch. In addition, the study participants described in detail what kind of shoes they wore during their lives, conventionally divided into five periods: 20-29 years old, 30-44 years old, 45-64 years old, 65-75 years old, and over 75 years old.Shoes were classified as good (sports and casual sneakers), medium (boots, rubber-soled shoes, work boots) and harmful (high-heeled shoes, sandals and slippers).

September 22 14:35

According to the survey, 25% of the sample (19% of men and 29% of women) suffered from pain in the legs almost constantly.Moreover, in women, pain in the hindfoot was invariably associated with wearing harmful shoes. The situation among men was, of course, better: only 2% of them explained that they wear uncomfortable shoes. Therefore, the choice of footwear in men, of course, is not a determining factor in foot diseases.

Based on this data, doctors (for the hundredth time) recommend that women avoid uncomfortable shoes or at least do regular exercises for the legs, which could neutralize the negative effects of these shoes.

Well, maybe the ice will break. Not so long ago, British unions have declared war on heels. They estimate that high-heeled shoes are causing the loss of two million workdays a year, costing the national economy £ 300 million, and are demanding the elimination of dress codes that require stiletto heels.

They rightly note that heels are very harmful, and not only for the feet, but also for the knees and pelvic bones. The developing transverse flat feet from wearing heels leads to a change in hormonal levels, weakness of the ligaments and joints.Heels also cause constant strain on the leg muscles (calf, femur, and pelvic). As a result, blood circulation in the legs worsens, this manifests itself in edema, pain and the development of varicose veins. As you can see, there is a whole bunch of diseases here.

It should be noted that in Europe struggling with heels, they are generally less common than ours. One of the reasons, perhaps, is the cobblestone streets in a number of cities – it is almost impossible to walk on them in heels. But the Moscow “mirror” asphalt is quite disposed to this.That does not negate, of course, the recommendations of the doctors.

90,000 In a big way. How does footwear affect health?

Heel – no more than 6 cm. And no flat sole!

Everybody knows that high heels are bad for the feet. But they are not the only ones who spoil the feet and joints. What kind of footwear to choose to avoid health problems? AiF.ru together with Roskachestvo addressed this question to traumatologist-orthopedist, Ph.D., head of the Center for Foot and Ankle Surgery of the City Clinical Hospital No. 17 of the Moscow Health Department Armen Petrosyan .

– From a health point of view, it is important that the shoe design ensures correct foot position and gait biomechanics. In this regard, every part of the shoe is important: the height of the heel, and the quality of the sole, cape, heel, instep support … But the main criterion is that the shoes should be comfortable, fit tightly around the foot, but not squeeze it and, conversely, not hang out.

Natural material

The best option is shoes made from natural materials: leather, suede, nubuck, textiles. This is important not even in terms of foot health, but for the prevention of diaper rash and fungal diseases.Leatherette shoes keep air out of the feet and prevent natural heat exchange. If you are buying such shoes, make sure that at least the lining is made of genuine leather or textiles.

More details

What should be the cape and backdrop?

It is undesirable to choose shoes with a narrow cape. These shoes cause a painful bone to form on the big toe (hallux valgus). How quickly it appears depends on the hereditary predisposition.

Important! The heel of the right shoe should be closed. In this case, the backdrop can be quite soft, but should keep its shape well.

What to consider when trying on?

Don’t buy shoes or boots in the morning. By the evening, the legs swell slightly, so the shoes may be tight. Examine your shoes carefully during fitting. Make sure there are no internal seams that could traumatize the skin. Choose shoes with soft, flexible soles. Keep in mind that the thicker and stiffer the sole, the worse the inner muscles of the foot work.Bend the shoes in your hands, bringing the toe closer to the heel counter. The outsole will bend easily in quality shoes. While walking, you should slightly feel the toe of the shoe with your toes, but not rest against it. It is good if the shoes have built-in instep supports: insole or half insole. Their task is to maintain normal arches of the feet and prevent the development of flat feet.

About stiletto heels, platform and ballerinas

Now about heels. The optimal heel height should be 2 to 6 cm. Anything higher or lower is harmful.High heels increase the load on the foot many times over, especially on the forefoot. In this case, blood circulation is disturbed, the possibility of depreciation decreases. Over time, this can lead to arthrosis and arthritis of the small joints of the foot, transverse flat feet, problems with the knee joints and the spine. Of course, if you wish, you can wear stiletto heels and ballet flats, but you should not do this all the time.

As for platform shoes, they are not harmful to the feet by themselves.But only if the heel is 2-6 cm higher than the toe. If this condition is not met, when walking on the platform, the ligaments and muscles of the foot remain without “work”, which can lead to flat feet. In addition, shoes on a high platform (as well as on a stiletto heel) are traumatic: it is easy to twist your foot on them.

Shoes without heels are not suitable for everyday wear. In it, the load on the foot is not distributed correctly. A flat sole cannot absorb the impact of the heel on the ground. This leads to the formation of ligamentous apparatus failure, the development or progression of flat feet, arthrosis of the joints of the foot.

What to wear at home?

At home you can walk in shoes or barefoot, whichever is more comfortable for you. But home shoes should also support the arch of the foot and fix its back section. Therefore, it is better if it is on a small heel (flat-soled slippers are a bad choice). But the main thing is to observe the rest regime and not to overload the legs. If you have been doing some work and have been standing for a long time, give your legs a rest: lie down, take the load off. In the evening, when you come home from work, massage your feet or do simple exercises (for example, rolling from heel to toe, bending and extending toes).

How to keep your feet healthy :

1. Wear comfortable shoes with a low, stable heel . If possible, alternate between shoes with heels of different heights (for example, 2 and 4 cm). This will help train the foot.

2. Choose the right footwear for each specific purpose . This is especially true for sports activities. For example, running on a flat, smooth road requires sneakers with a soft grooved sole. And for jogging in parks with dirt roads – shoes with stiff studded or embossed soles.

3. If necessary, use the orthopedic insoles . But remember that there are no identical stops. Therefore, there cannot be a universal insole either. “Correct” insoles – individual, orthopedic, purchased after consultation with an experienced orthopedic traumatologist.

4. Walk barefoot more often on uneven surfaces . This must be done in order to give the muscles and ligaments of the foot the necessary load. Most often, under our feet there is only flat asphalt and smooth floors.Without load, the muscles and ligaments of the feet begin to “lazy” and eventually atrophy.

Publication material Arguments and Facts

90,000 treatment and prevention of foot problems, the occurrence of deformity of the feet ORTEKA

N And this and other questions about the health and beauty of legs are answered by a traumatologist-orthopedist, chief podiatrist of the First professional network of orthopedic salons ORTEKA Sergey Aleksutov.

To keep your legs healthy and beautiful, you need to take care of your feet. Posture and gait depend on their condition, due to problems with the feet, headaches can occur, productivity decreases during the day and mood deteriorates. However, no one ever associates these conditions with leg health.

The leading doctor – traumatologist-orthopedist, chief podiatrist (specialist in foot diseases) of the First Professional Network of Orthopedic Salons “ORTEKA” Sergey Aleksutov tells about how the feet affect our well-being and our appearance.

Beauty and wellness

A person’s feet are always in tension: when walking or running, they take all hits on the surface. Even in a static position, the feet are stressed, supporting the whole body. But often the feet have problems that directly affect our posture, provoking a curvature of the spine. This threatens with a stoop and an ugly gait.

Note that if you walk on the outside of your foot, your knees will point to the sides.If you walk with an emphasis on the inside of your foot, your knees will be directed towards each other. For beautiful, even feet, the gait needs to be adjusted to support the optimal foot area. An unnatural position of the feet contributes to the curvature of the legs, which can only get worse over the years.

Feet directly affect the position of our body, which means that our overall well-being depends on them. With increased stress on the feet and altered posture, all muscles are overstrained, and, as a result, we get tired faster.Misalignment of the head and neck due to a crooked back often causes headaches. In addition, the processes of respiration and blood circulation are disrupted, which negatively affects mental processes and our mood.

What are the problems with feet?

The most common pathology is flat feet, due to which the feet become flatter and with each step they take hits against the surface with the entire sole. This should not be so; normally, when walking, a person rests on only three points of the foot: the heel, the base of the little finger and the thumb.Flat feet do not allow the feet to normally take the load and thereby protect the musculoskeletal system.

This disease often causes the development of other pathologies of the foot: displacement of the big toe to the outside, the appearance of a “bone” and “heel spur” (a bone thorn that causes stabbing pain in the heel), X- and O-shaped legs. Flat feet can be either congenital or acquired, but most often we ourselves provoke the development of this pathology.

The wrong shoes

Shoes with high heels or, conversely, flat soles, as well as shoes that are too narrow, are harmful to health, injuring the feet. When walking in high heels, all the pressure goes to the forefoot, changing the position of the spine. In this case, the shock load is distributed over the entire musculoskeletal system, even reaching the cervical spine and the head.

If you prefer to walk in ballerinas or sneakers, be aware that in flat shoes your heels suffer, since they are not at all protected from impacts on the surface.Narrow-toed shoes also change the position of the foot, increasing pressure on the toes and disrupting circulation. Improper footwear is the most common cause of pain and heaviness in the legs towards the end of the day. These alarming symptoms indicate foot problems, so you should definitely not ignore them.


Due to a sedentary lifestyle and lack of physical activity, our feet are often unable to cope even with the usual daily stress, therefore, even after a normal day at the office, our feet can “buzz”.Familiar with the situation when you come home after work and have difficulty pulling off your shoes? This means it’s time to sound the alarm! When a person is seated for a long time, blood flow in the venous system of the legs slows down, which causes swelling, heaviness, tiredness in the legs and even pain. Even the way you sit in your workplace affects the condition of your legs. Sitting in one position for long periods of time, such as a cross-legged position, can damage blood circulation and contribute to curvature of the spine.

Excessive foot load

Even under normal conditions, our feet are under tremendous stress on a daily basis. If you are constantly “on your feet”, for example, working as a teacher, doctor, hairdresser, courier or professional sportsman, your feet need additional support. Without proper care, you will feel constant pain and heaviness in your legs.

What to do?

Safety shoes

For the health of the feet, it is best to wear shoes with heels 2–4 cm in height with the possibility of adjusting the fullness, a wide front section and a fixing heel.Disadvantages of flat shoes, such as sneakers or ballerinas, can be corrected with orthopedic insoles that support the arch of the foot and reduce shock to the feet, spine, and joints.

Exercise & Fitness Set

To maintain the health of your feet, there are simple exercises that everyone has known since childhood. Alternating walking on toes and heels, on the inner and outer sides of the foot, self-massage of the muscles of the feet – all these exercises are easy to perform and at the same time help the feet to be in good shape.For a more advanced workout of the muscles and ligaments of the foot, place a piece of paper on the floor, sit on a chair and pinch the handle with your toes. Hold the paper with one foot, and try to sign and write your name with the other. You can also take a regular tennis ball and roll it across the floor using the entire sole of the foot, from the forefoot to the heel.

For the most persistent and patient, the exercise is suitable, the purpose of which is to tie the knot with only the legs! Take a rope about a meter long, pinch its two ends with your toes and try to tie a knot.Challenging but fun! Especially if you do it in the company of a friend. And of course, it is recommended to lead an active lifestyle and work out in the fitness room. The main thing is to know when to stop and not to overexert yourself. And with a program of correct exercises for the feet and the whole body, a fitness trainer will help.

Correct gait

While walking, you need to step on the heel and then smoothly transfer the center of gravity, first to the outer side of the foot, toe, and then push off with your big toe.Raise your feet from the surface, do not shuffle your feet. With each step, place your feet parallel to each other, tilting them slightly towards the outside. Watch your posture: keep your back and head straight, do not slouch, straighten your shoulders and keep your chin in a slightly raised position.

Timely prevention

If you often walk in heels, and your legs are buzzing in the evening, pain and swelling bother you, you feel lethargic and tired, have your feet scanned by an orthopedic traumatologist in an orthopedic salon.Depending on the condition and characteristics of your feet, the doctor will select the appropriate orthopedic insoles that will reduce the stress on your feet and set them in the correct, natural position. To eliminate edema, the doctor will advise the “smart” compression hosiery VENOTEKS, which creates the necessary pressure on different parts of the leg so that there are no problems with blood circulation. The doctor will also offer a comprehensive care program for your feet and the entire musculoskeletal system. Remember, every girl should scan her feet at least once every 2-3 years to avoid serious health problems in the future.

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Why are the legs freezing?

Frozen feet of a child always make parents worry.Freezing! How not to worry? Let’s find out why this is happening. Here are the main reasons for

Poor shoes The market is full of low-quality shoes. It may look pleasing, but its internal shape and materials from which it is made do not provide the necessary thermal insulation.
Unsuitable shoes

Tight shoes constrict blood vessels and interfere with blood circulation.In such conditions, the feet will definitely freeze. By the way, the same thing happens if several socks are pulled over the legs and there is no room for air circulation.

In oversized shoes cold air, getting through the pores of the materials, removes heat from the feet.

Out of season shoes Shoes cannot be universal, they must be selected based on the characteristics of the weather. The principle of our grandmothers “the thicker the better” is not entirely true.Shoes that are not warm enough or too warm shoes can cause your feet to freeze. The first case is because there is not enough heat. The second case is because there is so much heat that it causes overheating, the legs sweat and freeze because of this. If you put on several socks and tights, there is no layer of air left in the shoe, which warms the foot in winter. In tight shoes, blood flow is impeded and because of this, the feet in it freeze more.
Waterproof shoes Even shoes made for rainy days can be moisture permeable if they are of poor quality.Have you noticed that a child comes from a walk with wet socks? Pay attention to the insole: if it is wet at the edges, it means that the shoes are getting wet, if the insole is dry at the edges, and the inside of the boots are wet – most likely, wet feet are associated with the sweating of the feet.

Cold feet have individual characteristics

Some overly cautious parents may feel that a child’s feet are cold when in fact they are warm. Parents are advised to be impartial – after all, this is important for the child.It often happens that a mother’s feet get cold during a walk, and she believes that this also applies to the child. But this is connected, firstly, with the fact that the child is actively playing, and the mother is standing; and secondly, with the fact that many adults have circulatory disorders – this leads to a feeling of frozen ground in the legs.

However, there are times when cold feet should be taken very seriously. If you are convinced that the shoes do not get wet in size, for the season, and that the legs are comfortable in them, and the child’s feet are still cold, this is a reason to consult a doctor.The fact is that the cause can be health problems, for example, vegetative-vascular dystonia, thyroid disorders or iron deficiency anemia. In such cases, only a doctor can help – he will recommend remedies, and also develop a plan for hardening the legs, which will include foot and toe massage, walking barefoot, and contrasting water procedures.

Help for frozen feet

Since we are talking about cold feet, then of course we will tell you about the remedies that can be applied if the child’s feet are frozen and you (the parent) noticed it.Ice feet can be easily identified by touching the toes and feet above the joint. Is it cold there too? Then really froze. Action must be taken.

  • Wrap the baby’s legs in a woolen blanket and give warm tea with honey and lemon, or milk.
  • Invite your child to stomp on the massage mat – this will activate blood circulation, and the warmth will not keep you waiting long.
  • After all the procedures, put on high-quality socks made of natural material on the child’s feet.It has been noticed: even a thin cotton sock will warm the feet better than a thick synthetic terry sock.

Instead of an afterword – some tips for choosing warm shoes:

  • Pay attention to the high-tech novelty – membrane shoes that do not allow moisture to pass through, but can effectively remove it. These qualities make it possible to use it from October to April at temperatures down to minus 7-10 degrees.
  • If the outside is sleet, puddles and slush, snowboards are best.
  • For winter days with temperatures down to minus 10 degrees, you can purchase leather shoes with fur. This is a classic, proven over the years and tested by several generations.
  • For really severe frosts, be sure to buy felt boots – nothing better has been invented yet. Boots “Kotofey” have a rubberized sole. And there is no need to talk about the variety of models – our catalog is much more eloquent.

By giving preference to high-quality Kotofey shoes, you are making a contribution to the health of your baby.Is it possible to save on this?