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Tips on Finding the Perfect Shoe For You

Wearing the right shoes is important for more reasons than your appearance - it can also benefit the health of your feet. Ill-fitting, unsupportive, and uncomfortable shoes can cause or contribute to many foot problems, including bunions, corns, calluses, and hammertoes. Comfortable, supportive, and properly fitted shoes, on the other hand, can prevent and relieve foot pain. 

When shopping for shoes, there are several things to keep in mind. It is best to try on shoes prior to purchasing them. Your feet swell throughout the day and are at their largest in the late afternoon or early evening. It is best to try on shoes at this time to ensure that they will fit your feet throughout the day. Having both feet measured in a shoe store can also help ensure that you get the right size. Your feet grow and change throughout your lifetime, even in adulthood, so your shoe size can change. When you are trying on shoes, be sure to walk around the store in them to see how they fit. If you wear orthotic inserts, bring them with you when you go shopping so you can try them out in the various shoes you try on. 

But what kinds of shoes should you look for? It’s best to avoid shoes that have excessively high heels and narrow or pointed toes, which can increase the pressure on your toe joints and cause foot deformities. A wide toe area that allows you to wiggle your toes will likely be more comfortable. Shoes with a soft but rigid back will prevent your heel from slipping while you walk. You should also look for shoes with adequate cushioning that are made with breathable materials.

For more information about how to find the right shoes for you, please consult with a chiropodist. 

Biomechanics of the Feet

Foot biomechanics is an area of foot care that examines the structure, function, and motion of the feet. When these factors are carefully examined, they can provide more information about potential causes of foot and ankle pain and help your chiropodist find the best treatments for the unique needs of your feet. 

The study of biomechanics dates back to ancient times but became more well known in modern history when findings claimed that changing or controlling the forces between the ankle and foot can lead to positive clinical outcomes when treating various foot and ankle conditions. 

The advent of modern technology, such as computer analysis, has continued to expand on these discoveries and helps medical professionals make informed decisions about patient care. Understanding the biomechanics of the feet can help in the diagnosis of various conditions and prescribing targeted treatments that reduce or eliminate pain. For example, a chiropodist can analyze your gait, or walking pattern, and determine if there are any abnormalities that can be treated with custom orthotics or footwear modifications.

Exercise and the Feet

Like other parts of your body, your feet are composed of bones, joints, muscles, tendons, and ligaments. And just like other parts of your body, your feet can benefit from exercise. The feet support the rest of your body, so keeping them strong and flexible will help you maintain your overall health and mobility for years to come.

To improve foot flexibility and mobility, you can do a few simple stretches. Sit upright in a chair with your feet flat on the floor. Keeping your toes and the balls of your feet on the floor, slowly raise your heels. Hold for several seconds and then lower them to the floor. Next, point your toes and slowly raise your heels until only the tips of your longest toes are touching the floor. Hold for several seconds and then lower your heels to the floor again. Finally, raise your heels and curl your toes inwards so that only the tips of the toes touch the floor. Hold for five seconds. Repeat each of these steps 10 times to boost foot flexibility. 

To strengthen your toes, you can do simple toe curls. Spread a small towel on the flat on the floor. Sit upright in a chair and place one foot flat on the floor and the other flat on the towel. Using only your toes, grasp the towel and scrunch it, pulling it towards yourself. Repeat this on the other foot. You can also spread some marbles out on the floor in front of you and use just your toes to pick them up. 

To learn more about various foot exercises, consult with a chiropodist. 

Falls Prevention

Falls are a leading cause of serious injury among the elderly. In fact, falls are the cause of the majority of hospitalizations for elderly people. As we age, our risk of falling increases due to deterioration in physical strength, coordination, vision, and hearing. Unsafe conditions in the home are often responsible for falls, and about half of all falls among the elderly occur in the home environment. Falling can cause a variety of complications, including injuries to the legs and feet, which can greatly impact one’s mobility and independence. 

Fortunately, falls can often be prevented. There are various preventive measures that you can take to make your home environment safer and less likely to contribute to a fall. In the bathroom, where wet and slippery conditions can lead to falling, it is recommended that you have non-slip surfaces in the shower and tub, install grab bars by the toilet and bath to help you sit and stand, and wipe up any moisture or spills as soon as they occur. In the living room and bedroom, it is important to make sure that the floor is free of clutter and obstacles, such as loose cords and wires, small furniture items, and other tripping hazards. Ensure that all rugs and mats are firmly anchored and that there is good lighting throughout the home. In the kitchen, it is suggested that you store appliances and other supplies in places that are easy to reach and that you wipe up any spills that may occur immediately. If your home has stairs, they should be well lit and have secure handrails. 

You can also prevent falls by modifying your own behavior. When moving around the home, walk slowly and carefully, turn on lights when walking through your home at night, and use any mobility aids, such as a cane or walker, when needed. Exercise regularly and eat a healthy diet to maintain your overall health. Speak regularly with your doctor to monitor your medications, especially if you are taking any medications that may increase your risk of falling due to side effects such as dizziness. For more tips on how to prevent falls, please consult with a chiropodist. 

Bunions

A bunion is a bony bump that develops on the outside of the big toe, at the base of the big toe joint. Over time, a bunion can cause the big toe to move out of its proper alignment and lean towards the second toe. The bunion may become painful, stiff, red, and swollen. Calluses sometimes form on top of the bunion as the bunion rubs against the inside of your shoe as you walk. Calluses can also form on the area where your big toe rubs against your second toe, or on the ball of the foot.

Bunions are extremely common, especially in older adults and women, although children can develop bunions or, in very rare cases, be born with them. What exactly causes bunions is unclear. They may occur as a result of a genetic predisposition due to the shape and structure of the foot or because of one’s gait. Wearing shoes that are too tight, have excessively high heels, or narrow, pointed toes may contribute to the development of bunions. Certain medical conditions, such as arthritis and flat feet, may make bunions more likely as well. 

Bunions can be treated through conservative methods such as switching the shoes that you wear for shoes that are wider and more comfortable, wearing custom orthotics, wearing pads placed over the bunion to reduce pain, taking nonsteroidal anti-inflammatory medications, and icing the foot. When conservative treatments are not effective, invasive procedures may be recommended. For more information about bunions, please consult with a chiropodist. 

Foot Pain

If you’re suffering from foot pain, it’s important to note the locations and quality of your foot pain. Pain can affect any part of the foot, including the top, bottom, side, heel, or toes. The pain may be sharp, stabbing, dull, achy, burning, or stinging, and can come on suddenly or develop gradually over time. 

Pain in the top, bottom, or side of the foot can have many causes. In addition to the type of pain and its location, it’s also important to note when the pain started, what you were doing at the time, and what aggravates the pain. For example, pain in the top of the foot that worsens with physical activity or weight-bearing, that has gradually gotten worse over time, and is accompanied by swelling and tenderness could be indicative of a stress fracture. 

Pain in the heel is a frequent concern, especially among patients who participate in sports, run, or wear high heels. Plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heels to the toes, can cause stabbing heel pain. The pain is usually at its worst upon taking your first few steps in the morning or after a long rest and can radiate to the arch of the foot. Plantar fasciitis is also often associated with heel spurs, bony outgrowths on the heel bones that can be painful if they poke into the surrounding tissues. 

Foot pain can be caused by not only injuries but also problems with the biomechanics of the feet and underlying health problems, like diabetes or peripheral neuropathy. If you’re experiencing foot pain, please seek the care of a chiropodist near you. 

Heel Pain

Heel pain can range in severity from mild and annoying to severe and debilitating. Usually caused by an injury, heel pain can become chronic if it's left untreated. There are many different types of injuries that can bring about heel pain. When describing your pain, it is important to note the location and type of pain, as well as when the pain started and what activities make it better or worse. 

Perhaps the most common cause of heel pain is plantar fasciitis, a condition in which the plantar fascia, a ligament that runs along the bottom of the foot, becomes inflamed due to repetitive overuse or trauma. This condition causes stabbing pain in the bottom of the heel. The pain is usually at its worst when you take your first few steps after a period of rest, like when you first get up in the morning. Plantar fasciitis is also sometimes accompanied by bone spurs, calcium deposits on the heel bone that can cause sharp pain that gradually evolves into a dull ache. Other possible causes of heel pain include Achilles tendonitis, heel fractures, bursitis, tarsal tunnel syndrome, and Sever’s disease. 

Although treatment for heel pain depends on the underlying cause, most treatments involve resting, icing, and elevating the affected foot. Your chiropodist will also typically suggest that you wear more comfortable, supportive shoes or orthotics to help your heel heal. Over-the-counter pain medications are usually sufficient to manage heel pain. For more information about heel pain, please consult with a chiropodist.

Curing Cracked Heels

Cracked heels are a common foot problem. They occur when areas of skin on your heels become dry and thicken, forming calluses. Over time, these calluses can crack, causing discomfort or pain in the heel. Other symptoms associated with cracked heels include flaky skin, itching, bleeding, redness, inflammation, and foot wounds. Additionally, deep, painful cracks known as fissures can form on the heels. Fissures leave your heels at an increased risk of becoming infected. 

Cracked heels may be caused by standing for prolonged periods of time, walking barefoot or in open-back shoes, wearing poorly fitted shoes, taking lengthy hot showers, using harsh soaps to wash your feet, and living in a climate with cold temperatures or low humidity. Sometimes cracked heels can be caused by an underlying medical condition, such as a vitamin deficiency, fungal infection, or psoriasis. 

Fortunately, there are many ways to prevent cracked heels and to treat them when they occur. You may be able to prevent cracked heels by wearing supportive, well-fitting shoes with a closed back, wearing orthotic devices to pad your heels as you walk, or wearing padded socks. Keeping your feet exfoliated and moisturized is also a key step, in both prevention and treatment. Applying a thick moisturizer on the heels regularly is highly recommended. 

If you have chronic cracked heels, cracked heels that don’t respond to home treatment, or if you are diabetic or have peripheral neuropathy, it is suggested that you see a chiropodist for treatment. 

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis, is a foot condition that occurs in children. Sever’s disease is not truly a disease, but rather an overuse injury. It is common among active children between the ages of 8 and 14. Young, growing children have a growth plate in their heels, where new bone is forming. When too much stress is put on the heel, the growth plate can become inflamed, leading to heel pain. 

Children who participate in activities that put repetitive stress on the heel bone are most at risk of developing Sever’s disease. These activities include playing soccer or basketball, running track, or any other sport or activity that involves running, jogging, or jumping. Children who are obese, have tight Achilles tendons, biomechanical problems, flat feet, or fallen arches are also at risk. 

The symptoms of Sever’s disease include pain in the back or bottom of the heel, pain when the sides of the heel are squeezed, and fatigue. The pain may lead to difficulties walking or bearing weight on the affected foot, and you may notice your child limping or walking on their toes to avoid putting pressure on the heel. A chiropodist can diagnose Sever’s disease by taking a medical history and performing a physical examination. Imaging studies such as X-rays may also be ordered. 

Sever’s disease is generally treated by resting the affected foot, wearing shoes or orthotics that support the heel, and taking nonsteroidal anti-inflammatory medications to reduce pain and inflammation. In severe cases of heel pain, the affected foot may need to be immobilized with a cast while it heals. If your child is complaining of heel pain, please consult with a chiropodist. 

Children’s Foot Health

Much like adults, children can also experience foot problems. Certain conditions are common in children but can be promptly treated to help your child stay healthy and active. 

Young children are often afflicted with ingrown toenails. Ingrown toenails occur when a toenail grows into the surrounding skin rather than over it. This can make the area where the nail has grown into the skin tender, red, warm, swollen, and painful. In some cases, an infection may develop. Ingrown toenails can typically be treated at home, but an infection may require medical treatment. Fortunately, ingrown toenails are easy to prevent. When trimming your child’s toenails, be sure to use toenail clippers to cut the nails straight across, avoiding curved edges. It is also important to not cut the nail too short. Wearing roomy, comfortable shoes can also help prevent ingrown toenails from developing. 

Plantar warts are warts that develop on the bottom of the foot due to a viral infection. Warts usually present as one or multiple circular areas of thickened skin with tiny black dots on them. Plantar warts may cause pain when pressure is applied to them while walking. Over-the-counter and prescription topical treatments can typically clear up plantar warts. 

Another common concern in children is heel pain. Sever’s disease, an overuse injury that causes inflammation in the growth plate of the heel, is especially common in children ages 8 to 14, especially if they frequently participate in running or jumping activities, like soccer or gymnastics. Sever’s disease is characterized by pain in the back or bottom of the heel, difficulty walking, and fatigue. 

If your child complains of foot pain or if you notice any abnormalities in your child’s feet, it is recommended that you take them to see a chiropodist for a diagnosis and treatment.

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