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Plantar Fasciitis

Josh White DPM / August 12, 2021
Hiking with Plantar Fasciitis: What You Need to Know
Hiking with Plantar Fasciitis: What You Need to Know
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What are Diabetic Socks and Are They Needed?
Medical information provided by Orthofeet Team / November 22, 2022Why does someone with diabetes need special socks? While not all diabetics are required to wear diabetic socks, people with diabetes have sensitive feet and suffer from various foot conditions and need to protect their feet more than others. Diabetic socks have unique design features, not found in regular socks, that safeguard the diabetic foot from developing additional problems and help keep it comfortable and healthy. Wearing the appropriate pair of compression socks is just as important as wearing diabetic shoes! The majority of people with diabetes suffer from diabetic neuropathy and peripheral vascular disease. Neuropathy causes one to lose feeling in the legs and feet by damaging the nerves. Without proper functioning nerves, one cannot sense if something is too hot or too cold or if they have a cut or sore on their feet, which is why proper foot care is essential to prevent infection and improve lower leg blood flow. Not knowing this can lead to serious infections and complications. Peripheral vascular disease causes the blood vessels to become narrow, decreasing the blood flow to the legs and feet. Decreased blood flow slows down healing of any cuts or sores which increases the chance of developing ulcers. Shop Now for Diabetic Socks What are diabetic socks? Diabetic socks are specially designed to decrease the risk of foot injury, to offer maximum blood flow, and keep the feet dry. The best diabetic socks should have the following features: Seamless: Even the tiniest protrusion can have a severe impact on the diabetic foot. Socks with seams can rub against the skin and can cause blisters or ulcers, which may be harmful for diabetic feet.The best diabetic socks are seamless and knitted with inverse linking, which keeps the ends of the toe-linking thread outside rather than inside the sock. Non-constricting: The fit of diabetic socks should be loose, non-constricting and have a super stretch design. In fact, they should be loose to the point where you barely feel them!.Tight compression socks can inhibit circulation, which might be challenging for those who suffer from circulatory issues. Padding: Extra padding and cushioning for sensitive areas help prevent injury and enhances comfort for foot problems. Normally the extra padding runs along the bottom of the sock, around the toes, and at the heel of the foot. These areas of the foot are usually susceptible to the most shock forces during activities and therefore need to be protected even more. Warmth: Diabetes can cause blood vessels to restrict, decreasing circulation to the feet. Diabetic socks should be made from fabrics that keep feet warm and help improve blood circulation. White Sole: A white sole is important for people with compromised sensation, as it helps alert wearers to a draining wound. Stains from infections, open cuts and sores that require immediate attention will be very visible on a white sole. Moisture-wicking: Many socks today are knitted with special yarns that are infused with advanced technology to help maintain a healthy foot. Synthetic yarns such as polyester and nylon are able to move moisture out of the sock and quickly dry up. A dry foot environment is essential for foot health as it helps prevent skin infections and keeps feet comfortable for long periods. Anti-microbial: Good diabetic socks are treated with anti-microbial technology to prevent the growth of bacteria and fungi in the moisture-prone regions of the foot, keeping it healthy while also eliminating foot odor. Eliminating bacteria and fungi also eliminates the bad odors in your feet! Soft yarns: Diabetic socks are often made from finer texture fabrics that feel super soft against the skin. Since diabetic socks are designed with many special features that make them better than regular socks, it is not surprising that people who do not suffer from diabetes wear them too! How to care for diabetic socks It is highly recommended you wear a fresh clean pair of diabetic socks every day. This will ensure your feet remain clean and dry and allow you to see whether you have any new draining wounds that need attention. The best diabetic socks can be washed with your regular load of laundry, preferably on a warm cycle. It is recommended not to use chlorine bleach and fabric softeners as these chemicals are harsh and will shorten the life of the socks. They can be dried in the dryer on a low heat setting. Check your socks regularly for any holes, rips or loose threads as any protrusion can cause harm to the diabetic foot. Other ways to care for your diabetic feet In addition to wearing diabetic socks, a diabetic should wear diabetic shoes that provide extra protection and comfort for their sensitive feet. The best diabetic shoes should have the following features: Protective Interior: soft, seam free linings with no protruding stitching. Non-Binding Uppers: soft and with no overlays to eliminate pressure points. Stretchable Uppers: provide extra protection since they conform to the contours of the unique diabetic foot shape and help ease pressure points. Orthotic Support: with anatomical insoles that provide superior arch support, conform to the contours of the foot and reduce pressure on the bottom of the foot. Extra-Depth Design: ensures a loose fit that does not apply pressure on the sensitive foot. This design also accommodates custom orthotics comfortably. Deep Toe-Box: the best diabetic shoes should have higher toe area, offering extra room and creating a pressure free environment. Multiple Widths: diabetics should wear wide width shoes to avoid a non-constricting foot environment. Functional Soles: lightweight soles with an ergonomic design that facilitates mobility and improves foot motion. Orthofeet: Leading Innovators in Diabetic Socks and Shoes Orthofeet, an orthopedic footwear company, biomedically designs the best diabetic orthopedic shoes, diabetic orthopedic insoles, and diabetic socks. The products help alleviate the symptoms associated with diabetes, provide the utmost protection for feet and offer soothing comfort from heel to toe. Orthofeet’s diabetic sock collection consists of a variety of styles and colors including ones with extra padding for more sensitive feet, extra roomy socks that provide a comfortable fit for wider legs as well as styles with all around padding from the toe area up to the welt of the sock. All the socks are seam free, loosely knitted and cushioned to provide essential comfort and protection. The collection is available in extended sizes designed to fit shoes from size 4 all the way to a size 15! The Orthofeet diabetic shoe collection includes men’s and women’s styles: sneakers shoes for diabetes, sandals for diabetes, casual shoes for diabetes, boots for diabetes, house slippers for diabetes, and much more. Features include a seam-free interior, wide shoe shape, extra depth, and multiple widths with some styles available in extra extra wide. All Orthofeet shoes are certified by Medicare and qualify as therapeutic shoes under code A5500 of the Diabetic Shoe Bill. Looking for more footwear choices? Check out our collections that feature various styles, including women's wide shoes, arch support shoes, men's walking shoes, shoes for flat feet, and plantar fasciitis shoes.Read More -
Can Foot Pain Cause Back Pain?
Medical information provided by Steven Gershman DPM / November 08, 2022Few of us are strangers to lower back pain. In fact, as many as 80 percent of people have back pain at some point in their lives and half of all workers experience back pain symptoms each year, according to the American Chiropractic Association. Not only that, but back pain ranks as the number two reason people see a doctor Can foot pain and back pain be related? Sometimes, the cause of your back pain is obvious, like a sports injury or bending the wrong way. Other times, however, the reason might be surprising, like when the culprit turns out to be your feet and improper footwear. When you walk, you put the force of as much as five times your body weight on each foot. If the foot doesn't absorb that shock or redistribute it properly, you can develop problems elsewhere. You may experience hip pain or pinch a spinal nerve in the lumbar spine causing back pain. Finding pain relief from such developments will vary from person to person. Often, this occurs in people who have flat feet, when the arch appears to be flattened and closer to the ground. A flat foot or more complex foot deformity can be treated with proper physical therapy techniques and potentially provide back pain relief. Consider exploring orthopedic shoes for flat feet that are specially designed to arch your foot and support your legs. Another major cause for back pain is flat feet overpronation. Pronation refers to an inward motion of the foot, which results in collapsed arches and flat feet when you stand, walk or run. Research how to prevent fallen arches to protect your back. There should be mild pronation when you walk and run. It is a necessary motion that allows for the dynamic action of the foot and ankle to reduce impacts on the body. Developing proper foot posture through the use of shoe inserts and physical therapy could prevent lumbar spine discomfort and other nerve pain. The problem arises when there is excessive or over pronation. To prevent chronic pain, explore our specially designed collection, such as back pain shoes, arch-support running shoes, or comfortable walking shoes, and find the solution that best suits your needs. Shop for Back Pain Shoes What part of the foot causes back pain? There isn’t one specific part of the foot that causes back pain. The excessive inward motion of the foot that accompanies over pronation is causing the leg to also turn inward, affecting the knees, hip and lower back posture. Poor posture can place added pressure on lumbar spine, potentially causing a pinched nerve and low back pain. This might be compounded when excessive foot pronation occurs only on one foot, since when that foot pronates it shortens the effective length of the leg (the distance between the hip and the floor). This pronation can cause chronic pain from the lower limb to the back. Additionally, because of the excessive foot motion, the muscles on the inside of your leg must work harder to pull your foot up. Physical therapy is a common treatment for foot pronation, focusing on preventing nerve compression. Contact a physician for detailed information regarding foot pronation treatment. Can high arches cause back pain? Yes, another foot problem that can cause back pain is hyper supination, where the feet are rolled outward with what seems to be a high arch. Hyper supination also causes outward rotation of the legs and extra stress to muscles on the outside of the leg. Note that over-pronation or hyper supination can also lead to problems in the hips and lower back. Explore the podiatrist-recommended shoes for hypersupination to find the best shoes for your needs. Does arch support help back pain? When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it is possible to reduce knee and hip pain by wearing proper footwear and orthotic insoles to support the arch, as well as improve overall foot function. Shoes with healthy features play a significant role in back pain management. Here are the main features to look for: If the back pain is due to your foot function, shoes with orthotic insoles that provide good arch support can prevent flat feet hyperpronation and help align your legs and back properly. Shoes with good cushioning properties can reduce the impacts on the body and back when the foot hits the ground during walking and running. High heels that are over two inches high may increase the risk of lower back pain, as they might impair back posture. However, not all flat shoes are good for your feet. Flats that do not provide any arch support or cushioning may compromise leg and back posture. Get the right fit. Tight shoes can aggravate foot pain and cause gait compensation. Oversized shoes can also impair gait. Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful. Find the ideal orthopedic shoe solution to reduce your pain. If you're dealing with nerve pain in the ball of your foot, you might find relief with the best shoes for Morton's neuroma. For those struggling with skin irritations, finding the best shoes for corns and calluses can be beneficial. If pain in the ball of your foot is an issue, consider researching shoes for metatarsalgia. Additionally, understanding how to prevent bunions is important, especially if you wear narrow footwear that could contribute to foot deformities. Regardless of your foot pain, find relief with the perfect footwear to maximize your comfort.Read More -
Best Orthotic Insoles for Women & Men
Medical information provided by Josh White DPM / November 03, 2022For some people, eliminating 100% of their foot pain is not always possible with just wearing good and proper fitting shoes, no matter how great they are. So, what are other measures you can take in order to feel great on your feet and find relief? This is where orthotic insoles, also known as shoe inserts, can help. There are two types of orthotics - custom or over-the-counter. Custom orthotics are made to order to the exact shape of your foot and foot ailment. Over-the-counter types can be bought online in shoe stores or pharmacies. In this blog, we will focus on over-the-counter orthotics we recommend. If you’re unsure about which type is best for you, check out our shoe insole buying guide for more detailed advice on choosing the right insole for your needs. Best Orthotic Insoles for Women & Men At first glance, an orthotic insole looks like the footbed inside your shoes. However, make no mistake, most of the shoes on the market have a flimsy and thin footbed that doesn’t even come close to a real orthotic. With today’s advanced technologies and state-of-the-art materials, orthotic insoles have come a long way and can cater to almost any foot problem, fit in any shoe, suit any activity and come in a variety of price points to fit even the conscious spender. Let’s explore the role of the orthotics, the different types (and there are hundreds!) and what features to look for when purchasing a pair. OFG Orthotic Insoles Comfort Meets Support—All Day Long Designed to fit most shoes and support a wide range of foot conditions, this orthotic features gentle arch support and heel-to-toe cushioning for lasting comfort. It works best in shoes with removable insoles. Bonus Arch Booster Included: Enhance your arch support even more with the included Arch Booster. Simply place it under the insole to reduce pressure on the heel and ball of the foot. Sized for Everyone: With a forefoot thickness of just ¼", these orthotics come in women’s sizes 5–12 and men’s sizes 7–15, including half sizes—so it’s easy to find your perfect fit. Keeps Feet Fresh: The antimicrobial top layer helps wick away moisture and prevents odor, keeping your feet dry and fresh throughout the day. Ideal for Walking & Everyday Use: Whether you're running errands or on your feet all day, this is the go-to insole for all-day support and comfort. Shop OFG for Women Shop OFG for Men ¾ Length Orthotic Insoles Targeted Support in a Slimmer Fit This unique ¾ length orthotic is ideal for shoes without removable footbeds and works best in medium and wide-width shoes. Its slim design fits easily into a variety of footwear while still delivering powerful support. Freedom for Toes, Relief for Heels: Enjoy arch and heel support without crowding your toes. A firm shell combined with a foam-padded heel seat helps ease heel pain by cushioning and protecting the heel and fascia. Our insoles for plantar fasciitis provide another great relief option. Versatile & Long-Lasting: Durable and easy to transfer between shoes, these orthotics are perfect for everything from casual sneakers to dress shoes. Shop ¾ length for Women Shop ¾ length for Men Women’s BioSole Gel Dress Stylish Support for Dress Shoes Specifically designed for women’s dress shoes—like high heels, ballet flats, and other narrow, low-profile styles—these ¾ length orthotics are the perfect solution when regular insoles won’t fit. Despite their slim design, they deliver anatomical arch support, plush comfort, and pain relief—so wearing heels can feel more like wearing sneakers. EVA cushioning helps protect sensitive areas like bunions and the outer edge of the foot, while a breathable polyester mesh lining keeps your feet cool and dry. Available in women’s sizes 5 to 10. Shop BioSole Gel Dress for Women Do You Really Need Orthotics? Here's What to Know: Do orthotic insoles really help? Yes, orthotic insoles keep the foot in its neutral position by providing optimal arch support, preventing over pronation and aligning the foot with the body. When the body is aligned, the feet, legs, hips and back fall into place, foot pain decreases and the body is less prone to injuries caused by foot pain. How do I know if I need orthotic insoles? Everyone can benefit from wearing orthotics. If your feet are healthy, you can wear orthotics to prevent both foot and body injuries and future foot problems. If you have a specific problem, orthotics will often be a part of a more comprehensive treatment plan for foot, leg or back conditions, pain or discomfort. Normally, the goals of such treatments include: Aligning foot and body. Correcting biomechanical foot flaws. Reducing risk of injury. Providing support to the foot. Allowing the foot to function better. Here are some signs that you may need orthotics: You have foot or heel pain. Your feet are swollen. You have flat feet. You have high arches. You tend to fall and have balance issues. Your shoes wear unevenly. You have a diabetic foot. You suffer from foot conditions. How do you choose an insole? Orthotics aren’t one-size-fits-all—they’re designed for different needs, foot shapes, and shoe types. Here’s 8 things to consider when choosing the right insole: 1. Purpose Some orthotics are made for everyday comfort, while others target specific activities like running or hiking, offering specialized support and shock absorption. Medical orthotics address conditions like plantar fasciitis, diabetes, or heel pain with features like pressure relief and sensitive foot protection. Understanding the difference between these types of shoes and what exactly you need for your situation is important. 2. Arch Support Look for insoles that match your arch type—flat, neutral, or high. Proper arch support keeps your foot aligned, reduces strain on the plantar fascia, and supports healthy body mechanics to prevent pain in the feet, knees, hips, and back. Foot pain can affect your knees and hips—proper arch support helps keep you comfortable throughout the day. 3. Cushioning Good insoles cushion every step and help absorb impact. Materials and layers matter—look for designs that evenly distribute pressure across the foot, especially if you frequently walk on hard surfaces. 4. Materials Rigid materials offer control and durability, while softer ones provide energy return and mold to your foot over time. Many insoles combine both to balance support and comfort. Strategic padding in the heel or forefoot can help relieve pressure where you need it most. 5. Top Cover The top layer should keep feet dry, odor-free, and protected. Antimicrobial, moisture-wicking fabrics are ideal—especially for those with sensitive or diabetic feet. Some insoles even offer cozy, fur-lined covers for colder months. 6. Rearfoot & Forefoot Design A cupped heel offers added stability and cushions the heel’s fat pad—great for heel pain. For forefoot relief, look for metatarsal support to ease pressure from conditions like metatarsalgia. 7. Thickness & Shoe Fit Check if your shoe has a removable footbed. If not, go for a thinner insole to avoid a tight fit. Removable footbeds usually allow for thicker, more cushioned orthotics. 8. LengthFull-length insoles cover the entire footbed and work best in shoes with removable insoles. ¾ length orthotics end around the ball of the foot and are perfect for tight-fitting shoes like ballet flats or dress shoes. With the right orthotic insoles, you can step into comfort and support, helping to alleviate foot pain and improve your overall well-being—so don't wait, invest in your foot health today!Read More -
How to Prevent Bunions From Getting Worse
Medical information provided by Steven Gershman DPM / October 25, 2022Bunions are very common, but that does not mean they are a trivial issue. When it comes to severe bunions, they can evolve into a debilitating condition and even require surgery. If you have bunions, there are quite a few things you can do to prevent them from deteriorating. What is a Bunion? The medical term for a bunion is "Hallux Abducto Valgus “, or just "Hallux Valgus”. Bunions are a deformity of the big toe area of the foot that looks like a bony bump on the inside or medial side of the foot, just behind the big toe on the first metatarsal head, and the big toe angulates toward the second toe. Sometimes, the big toe actually overlaps the second toe or goes under it. The bump is actually the first metatarsal head that has shifted out away from the foot and widened it. This bump can enlarge due to inflammation from shoe pressure rubbing on it. Bunions can cause pain due to inflammation and poor shoe fitting. They can also lead to balance issues because they change the way your foot moves. This demonstrates how wearing the wrong shoes can cause balance problems, adding to the discomfort and difficulties caused by bunions. How Do Bunions Occur? Generally, bunions are a result of biomechanical flaws in the foot that are genetic or congenital. It is common to see bunions go from generation to generation, most commonly in women. Women are more prone to bunions, because they tend to have more flexible joints and ligaments, including in the foot, due to the necessity to give birth. This results in increased motion that allows any biomechanical flaws to be exacerbated, causing shifting of the bones and then bunions. Shoes can also be an issue. In addition, arthritis and other joint and connective tissue disorders can add to bunion formation. Do Bunions Get Progressively Worse? In most cases, bunions get worse gradually only if you don’t wear the right shoes and don’t get any treatment. Adequate shoes are critical to alleviating bunion pain and discomfort, and making sure they don’t become worse. While shoes alone don't cause bunion development, they can amplify the underlying biomechanical flaws. Shoe types such as dress shoes, high heels, pointed toe box and slip on shoes are all culprits. 4 Tips On How To Prevent Bunions From Getting Worse First, I want to point out one thing: bunions cannot be prevented if they are a result of a foot structure you were born with. However, the speed of formation and severity of deformity can be affected and slowed. All other causes of bunion development can be prevented with proper support and shoes. The underlying biomechanical issues we are born with are potent and cannot be changed easily. Once we put shoes on at a young age, we fundamentally change the shape and biomechanics of the foot forever. It’s like orthodontia for the teeth. Shoes immediately put pressure on the forefoot forcing the toes together and pushing the big toe inward, changing the anatomy, including the shape of the bones and the location of the cartilage. Looking at pictures of feet in some societies that never wear shoes, you can clearly see feet that look dramatically different than the feet that wear shoes. Without shoes, the toes are separated in a way that looks like a hand. Seeing as bunions can develop into a debilitating condition that might even require surgery, here are some tips on how to treat your bunions correctly, before they become too severe. 1. Don’t wear the wrong shoes Shoes can and do affect the severity of the anatomical changes that occur in bunion formation, and the associated symptomology. Basically, the more the shoe forces the big toe toward the second toe and allows excess motion, the worse the deformity. That’s why narrow pointed toe box shoes are a major factor. Unfortunately, many women's shoes are shaped that way for style. High heels are particularly damaging as they force the foot into an altered biomechanical position and jam the forefoot and big toe into the floor, shifting the big toe’s position. : 2. Orthotics are important As noted above, excess motion in the foot is one major cause of bunions and one cause of excess motion is over pronation. This issue, where the foot rolls inward excessively, is closely linked to flat feet. Understanding the causes of flat-foot overpronation is key to addressing both the symptom and its root cause effectively. Pronation is a natural motion the foot goes through as we walk and stand that loosens the foot. Pronation rolls the foot inward and drops the arch. This allows shock absorption and adaptation to changes in the terrain, so the foot can deal with uneven surfaces. In over pronation, the arch drops downward or inward excessively, found in many common foot problems. We can treat over pronation and the resulting excess motion it causes with orthotics in the shoes. Orthofeet designs well-made over the counter orthotics that are designed to support the arch, control over pronation, align the foot and correct the gait. I use a lot of these in practice and they have helped my patients tremendously. In more severe cases, a true rigid custom orthotic is required. Although there is no definitive proof of this, it is believed by many podiatrists that orthotics started early can significantly alter the severity of bunions and slow down the progression. 3. Know which shoes to look for In addition to orthotics, shoes are the other significant factor in bunion formation and severity. As noted above, shoes that have a narrow or pointed toe box are a major factor in speeding up and increasing severity of bunion formation. The best bunion shoes should be designed with the following features: Shoes for bunions need to have a wide, round and high toe box. The less pressure on the big toe, the better. Orthofeet shoes have a very round deep toe box with lots of room. I wear them myself, due to the comfort factor and since members of my family had severe bunions and I have the excess pronation and motion that could form bunions. If you already have bunions, the best shoes for bunions should have a round toe box and extra depth for the big toe, often being over or under the second toe. Also, extra depth shoes are critical, because they add stability and reduce motion, and can easily accommodate orthotics. Wide or extra wide shoes also are critical for bunions. Most shoes found today in big box stores only carry one width, usually medium, which is far from what a bunioned foot needs. The good news is that specialty footwear brands design shoes in extended widths - from narrow all the way up to extra extra wide! In many cases, bunion pain relief is as easy as wider shoes with a round toe box. The material of the shoes is very important for feet with bunions. Shoes constructed with tight and unforgiving materials will apply pressure on the bunion, worsen the condition and cause pain. However, comfortable shoes made with stretch knit uppers offer a relaxed fit and conform to the contours of your foot, specifically the bunion, to create a pressure free environment. Supple leathers can also work well. I have many patients with very wide feet from bunions who wear these after failing in most other shoes. Whatever material they are made of, it is important the upper is free of overlays or stitching across the sensitive bunion area. The interior of the shoe should be soft and padded to offer the utmost protection, preventing any further injury or friction to the painful area. Ideally, a seam free construction is best. Shoes for bunions should have a low heel or be flat to the ground to avoid forcing the forefoot into the floor, as is the case with heels. It’s also best to look for shoes that have an ergonomic sole with a mild rocker bottom that facilitates foot motion and transfers weight evenly from the rearfoot to the forefoot. 4. Other Bunion Relief Options Pain relief is key if you have a bunion and there are other options that are available for those who have minor cases of the condition. Bunions Socks. Bunion socks are not a means to prevent the deformity, but they can provide added benefits, such as separating the big toe from the remaining toes. This ensures the toes do not overlap and rub against each other, causing irritation. Orthofeet also offers bunion socks and they are super comfortable, as they’re made with soft bamboo fibers, offer a non-binding fit and wick moisture away from the foot. Bunion Pads. If you are looking to protect the bunion from anything that touches and rubs against it, bunion pads can help. Note that some pads are medicated with acid in them that can burn the skin. Do not use these! Simple protective pads will do the job just fine. How to Stretch Shoes for Bunions Although not my first choice and not as effective in treating and preventing bunions, there are some who like to make shoes wider for bunions by stretching them. The one useful device I have in the office to accommodate for the large bump of the bunion on the side of the foot is the Ball and Ring Stretcher. This device pushes out the toe box in one spot only, directly over the bony bump. Most podiatrists have this device and will be able to stretch your shoes if you bring them in. But, while stretching your shoes is helpful I want to reiterate that the best solution for people with bunions is to buy special shoes for bunions, like shoes for men with bunions and women’s bunion shoes, which come with all the design features I mentioned earlier: a wide toe box, soft stretchable uppers and special orthotic shoe inserts that provide arch support, reduce over pronation and help straighten the toes. See your podiatrist for more information and help with bunions. In the worst cases, surgery can correct bunions permanently. Surgery is the only true bunion treatment as it gets to the root of the problem.Read More -
5 Best Diabetic Socks for Women and Men
Medical information provided by Josh White DPM / October 19, 202237.3 million Americans live with diabetes. That's a little more than 1 in 10 of your US friends, neighbors, coworkers, and loved ones. Half of US diabetics also live with nerve damage caused by peripheral neuropathy. Common symptoms include tingling, numbness, extreme sensitivity and pain in the feet and legs. Peripheral neuropathy can result in foot ulcers and issues with bones and joints. If you have diabetes, what can you do to help prevent peripheral neuropathy? Mayo Clinic recommends getting an A1C test at least twice a year, managing blood sugar levels and practicing healthy foot care. How can you make sure your feet stay healthy? Finding the right socks and shoes is a great start. Thankfully, there are many great options available. Keep reading to find the best diabetic socks Our List of the Best Diabetic Socks 1. Extra Roomy Socks Shop Extra Roomy Socks A great solution for those who need a little more space from their socks due to a wider foot, ankle, or calf. The Extra Roomy socks are easy to pull on and won't squeeze calves or feet. The Extra Roomy Socks are made from breathable fabrics with moisture-wicking technology that keep foot odor away. Wearers won't even feel the seams in these socks thanks to their inverse linking design. This means they are completely smooth and seam-free on the inside. So if you see little threads on both sides of the toe area, it's not because they are fraying. The Extra Roomy Gray Socks are designed to provide extra cushion, protection, and comfort for men and women with diabetes. Extra Roomy are available in a multitude of colors to match any wardrobe: charcoal, white, dark brown, light gray, and dark gray. These socks are available in sizes small to extra-large. 2. Padded Sole Socks Shop Padded Socks For those looking for the ultimate padding and protection, the Padded Sole Sock gives the cushion and comfort you can expect from the best diabetic socks. Just as it sounds, the sock us designed with a thicker material along the entire length, including the heel and forefoot. What’s more, the color of the sole is white which allows the wearer to identify open wounds quickly and easily when they occur. The mid-calf length slides on and off any size foot and calf. The Padded Sole Sock is also made from rayon making it super soft and gentle against the skin. It employs moisture-wicking technology for a healthy foot environment. Dress these socks up or down, just leave a little extra room for the padding in your shoe. The two-toned sock uses interlocking technology to provide a seam-free design. Welcome in soft comfort and keep friction blisters away with the BioSoft Padded Sole Sock. The Padded Sole Socks are available in staple colors: white, charcoal, and dark brown. 3. Casual/Dress Socks Shop Casual/Dress Socks If you are looking for increased comfort and protection, but don’t like the thickness of most diabetic socks, the Casual/Dress Socks are the answer. They are functional and versatile, and easily fit in most dress shoes for men or women. They're still cushioned but are thinner than other casual socks. Since they are a little thinner, the Casual/Dress socks work well during warmer seasons. Their midcalf length is perfect for those who don't want any gaps between slacks or long pants and their socks. These machine-washable socks are made from soft, moisture-wicking materials. Like other diabetic socks, they're anti-microbial, making sure your feet stay healthy. The white sole will help you track changes to your feet, which is crucial for maintaining a healthy foot and keeping tabs on your diabetes. Take your pick! Casual/Dress socks are available in charcoal, white, dark brown, light gray and dark gray. 4. Low Cut Socks Shop Low Cut Socks The best diabetic socks don't have to be crew or dress height. These Low Cut Socks offer a discreet way to wear the best socks for diabetic neuropathy. Rayon materials and brushing techniques make the fibers of these socks soft and comfortable. The seamless construction makes them friendly to diabetic feet and will not irritate the skin. These socks are cushioned but still thin and will fit comfortably in dress shoes, sneakers and flats. The Low Cut Socks are great for those times you don't want a sock showing halfway up your shin. They are designed with a non-slip silicone at the heel to ensure they don’t slip, as well as a slightly higher heel tab, providing extra protection in the heel area. The Low Cut Socks are available in black and white, perfect for any wardrobe and shoe. 5. Foot Warmer Socks Shop Foot Warmer Socks Podiatrists always recommend protecting your feet and never be barefoot, even when you are at home. But sometimes, you just want to relax on the sofa or to stay in bed and you don’t really need to wear shoes or slippers. For these times, we recommend the Foot Warmer Socks. They are made with super soft plush material to keep feet cozy and comfortable. Designed with stretch fabric, these socks fit over any foot shape and will expand even when your feet swell. And to ensure feet are kept dry, clean and fungus free, the sock fibers are made with Dry-Plex technology. What are the Best Socks for Diabetics to Wear? From a first glance, diabetic socks might seem like regular socks, but when you look closely you will see special features that accommodate the diabetic foot. The best diabetic socks should have a good cushion, loose fit and smooth or no seams. They should be easy to put on and take off. The best socks for diabetic neuropathy shouldn't be too restrictive. They should allow for good circulation and blood flow. Socks to help with diabetic neuropathy should also be made of soft and comfortable materials, ideally moisture-wicking and breathable. There are several key features to look for in your diabetic socks for neuropathy that will help keep your feet comfortable and pain free. Cushion: The best diabetic socks for men and women should have extra padding to offer increased protection to the sensitive foot. Extra cushioning along the entire bottom of the sock is ideal, but the most important areas are the heel and toe area. These areas are prone to excess pressure when the foot strikes the ground at the heel and lifts off at the toes, which can lead to injuries and foot ulcers. Stretchy and Comfy: Diabetic socks for neuropathy shouldn't be too tight. The best diabetic socks need to be loose-fitting so that they promote blood flow. They should slide on and off easily without bunching up or squeezing any part of the foot and leg. Socks with stretch are best as they can expand when the diabetic foot swells throughout the day. Stay away from excess elastic and other constricting materials. A good way to tell if your socks are too tight is to see if you develop rings or indentations around the instep, ankle or calf after wearing them for several hours. Remove Excess Moisture: Socks with moisture-wicking technology are a must for keeping your feet clean and dry. If your feet perspire, bacteria and fungi can build up, which also causes odor, and you could end up with ulcers and other issues. Making sure your feet stay warm and dry is vital in a good pair of diabetic socks. Soft Material: Socks should be made from soft material that won't irritate your skin. Breathable and comfortable fabric keeps your feet healthy and dry. Seamless: While seams may not seem like a big deal, they have a role in choosing the best diabetes socks of 2022. Neuropathy causes one to lose sensation at the feet, which means that even a tiny thread can lead to skin irritation, causing ulcers, sores and other issues. Socks with seams have the potential to restrict blood flow, so it's best to go seamless. Bacteria Prevention: As mentioned earlier, the best diabetic socks are made from materials that prevent bacteria. Excess bacteria can lead to infection. It's important to use materials with antibacterial or antimicrobial properties Keep Warm: Extreme temperatures can be hard on the feet. Those with neuropathy are more sensitive to temperature extremes. The best socks for diabetics should keep the feet warm. Why should diabetics wear white socks? Seeing as diabetics tend to develop a variety of foot problems, it’s recommended that they take their foot care seriously and wearing white socks can help them do that. Most diabetics have reduced sensitivity in their feet, which means they may not feel wounds or injuries such as cuts, scrapes, bruises and more. If such injuries aren’t treated, it could lead to infection and complications. The logic behind white socks is simple: they allow diabetics to easily notice blood or discharge from wounds and injuries they may not feel, and treat them as early as possible. When should you wear diabetic socks? If you are diabetic, you may benefit from only wearing diabetic socks when: Your feet are frequently moist or sweat often. Your foot’s color or temperature changes. You experience foot irritation, wounds, blisters, fungal infections or nerve damage. Still, it’s important to note that even if you don’t experience any of these problems and you are diabetic, it’s a good idea to wear diabetic socks when you’re traveling, spending long hours on your feet and physically active. How long can you wear diabetic socks? Diabetic socks are socks with extra and unique features compared to regular socks, so you’ll only benefit from wearing them! This means that anyone can wear diabetic socks and for as long as they want. If you need diabetic socks, you should wear them daily and change into a fresh pair every day. Which is better, compression socks or diabetic socks? It’s best to consult with a doctor to determine whether or not compression socks are a good solution for you. While both socks have health benefits, they are quite opposite in what they are designed to do. The aim of diabetic socks is to prevent irritation, protect your feet and prevent moisture and pressure, in a non constricting fit. The aim of compression socks is to keep swelling and fluid retention at bay by pushing the blood up the leg, prevent blood clots and protect the feet from infections and sores. Diabetic socks are not tight-fitting like compression socks, which are typically recommended to diabetics with circulation problems and swelling. Keep Your Feet Healthy Wearing the right socks plays a big part in keeping feet healthy. If you have diabetes, you can take additional steps to stay on top of your foot health. Daily Foot Checks Check your feet every day. If you can't see the bottoms of your feet, use a mirror or ask a loved one to check them out for you. You could have a small cut or blister you're unable to feel, especially if you have neuropathy. Your feet should be clear of cuts, scrapes, or blisters. If you notice any of these things on your feet, make sure they're healing properly. Always contact your doctor right away if something on your feet is different or shouldn't be there. Not Too Dry Feet that get too dry can crack, which leaves more risk for infection. Apply a thin layer of moisturizer to your feet as often as you and your doctor decide necessary, to keep your feet healthy. There's no one-size-fits-all answer to how often your feet may get dry. Skin dryness varies with each person, climate, and season. Talk to your doctor about a daily foot routine that works best for your situation. Tidy Nails are Happy Nails Keep your toenails trimmed. Never cut your nails too short. It is best to cut them to the shape of the end of your toes. Don't cut them straight across or curved down the sides. If you can't reach or see your toenails clearly, arrange to have a podiatrist clip them. You should keep these regular appointments. Never attempt to clip your own toenails if you have difficulty seeing them or reaching them. This could cause you to accidentally cut your skin, leaving you susceptible to infection. Barefoot is Not Best If you have diabetes, you should wear good-fitting socks and shoes at all times. If you don't like wearing outdoor shoes in the house, invest in a pair of slippers with arch support and cushioning. Going barefoot can cause stubbed toes or cuts. This, as we know, leaves you at risk for infection. Sitting Down? Feet up! Keep your feet elevated to encourage good circulation. If you're sitting down, elevate your feet on an ottoman, chair, or stack of pillows. Wiggle your toes and move your feet while they're elevated. Keeping good circulation helps fight off neuropathy. And Don't Cross 'Em Crossing your legs for long periods of time decreases blood circulation. Remember to keep your legs uncrossed as much as possible, to promote better blood flow. Don't Take Matters into Your Own Hands (or Feet) If you notice corns or warts on your feet, don't try to remove them yourself. Over-the-counter products can burn your skin. Instead, call your doctor. Your medical professional will be able to prescribe the best treatment for your situation. Foot-Friendly Fitness Make sure to keep your exercise foot-friendly. This looks different for everyone. Check with your doctor to see what kinds of physical fitness are best for you. Fresh and Clean Wash your feet daily with warm water and soap and make sure the water isn't too hot. After you clean your feet, pat them dry and apply lotion to the bottoms only. Lotion between your toes could lead to infection. [product-tile="/products/tilos-hands-free-black-black"] Get Into a Groove Foot health practices are much easier when they become routine habits. Try to establish a foot routine. Check your feet when you're getting dressed in the morning and again before you go to bed. Also, write podiatry appointments on your calendar and arrange a way to get there if you can't drive yourself. [product-group-tile] The Right Shoes Wearing shoes and socks that fit well is vital to good foot health. Diabetic shoes are not like ordinary shoes and are designed with unique features to keep sensitive feet protected, comfortable and pain free. Look for shoes from brands that offer solutions for foot conditions, including diabetes. The best diabetic shoes are meticulously designed with innovative features to offer maximum comfort and protection. A premium orthotic insole, thick cushioning, a soft and gentle seam free interior, wide toe box and much more are special features that are best for diabetics. Finding the right shoes is half the battle, but getting them to fit your feet perfectly is another challenge. Most shoe brands only offer the standard width and a narrow silhouette, which most times do more harm than good. A good orthotic shoe brand will offer extended widths, up to extra extra wide, to accommodate wide or swollen feet, as well as bunions and hammertoes. The same goes for your socks. Find the best diabetic socks for you by paying attention to fit and materials. Make sure the socks you're wearing pair well with your shoes. Thinner (but still cushioned) socks are better for dress shoes. Thicker socks are more appropriate for sneaker-style shoes. What's the Point? Avoid shoes with pointed toes or a slim shape. Those with diabetes should also avoid high-heeled shoes and shoes without support. Try instead to find shoes with built-in orthotic support and padded cushion. Shoes that feature straps or laces will be easier to adjust to your comfort level and fit. Note that shoes with straps in multiple places offer a custom fit to any foot shape. The more straps, the better. In this day and age, you don’t have to compromise on looks and it is possible to find fashionable orthotic shoes that are also healthy for your feet. After all, you shouldn't have to choose one over the other. When To Worry Staying on top of your health is important. Sometimes, you shouldn't wait to address changes or symptoms with your doctor. According to the CDC, you should contact your doctor right away if you experience any of the following symptoms. Color or temperature change in your feet Foot pain, tingling, or burning Cracked or dry skin on or around your feet An ulcer, blister, sore, corn, or any other type of foot sore An ingrown toenail Hair loss on your legs, toes, or feet Any type of fungus-looking infection (like Athlete's foot) Yellow toenails Foot shape changes over time Any loss of sensation: hot, cold, touch Pain in your legs or cramping in your buttocks, thighs, or calves during physical activity Cramps or pain in legs, calves, thighs, or backside while engaging in physical activity Leaving any of these symptoms untreated could lead to serious complications. It's important to address any of these symptoms with your healthcare provider immediately.Read More -
How to Make Shoes Wider for Bunions
Medical information provided by Josh White DPM / September 22, 2022If you have bunions, you already know that too-tight shoes are an open invitation to lots of pain and discomfort. And to make matters worse, they will exacerbate the condition. If you own a pair of shoes that are too narrow for your feet and you suffer from bunions, you have two options: Stretch them so that they fit you more comfortably. Purchase shoes that are specifically designed for feet with bunions. How to Stretch Shoes for Bunions Take it to a shoemaker Naturally, shoemakers or shoe repair shops are skilled in stretching shoes, using professional tools and machines. Unfortunately, these shops are becoming more and more rare, but if you can find one in your area it can be a good solution. Use a professional shoe stretching tool Shoe stretchers usually come with a liquid or spray that you apply on your shoe before you insert the stretcher into it. Stretching liquids and sprays are available for a variety of shoe materials - fabric, leather and vinyl - and they loosen up the material, making the stretching process more effective. Once you insert the stretcher, you need to twist its widening handle to expand the shoe. Then, leave the shoe stretcher inside the shoe for 24 hours, until your shoes are wide enough. Apply heat This simple method is best used on shoes made from leather or suede, because other materials could be ruined by the heat. Before heating your shoes, put on a thick pair of socks and slip your feet into your shoes. Then, take a hair dryer, turn it on high and point the hot air toward the tight areas of your shoe. Continue blowing the hot air, while simultaneously stretching the shoe by wiggling and flexing your feet and toes. Once you’ve shut off the dryer, continue wearing your shoes with the thick socks for a little longer. Spray rubbing alcohol. First, mix 50% water with 50% rubbing alcohol and spray or rub it on your shoes. Next, wear the shoes immediately after treating them with the alcohol, repeating the process if necessary. However, don’t overuse the spray as it could damage the shoe fabric. This method works best on natural fabrics. Stuff your shoes with potatoes or wet newspapers. Take a potato large enough to stretch out your shoe, or wet newspapers that have expanded to a size large enough to stretch out your shoe, and insert them into your shoes. After two days, your shoes should be stretched out enough. Insert a bag of ice Fill freezable plastic bags with water, put them inside your shoes. Make sure the bags are completely sealed! Then, put the shoes in the freezer overnight. As the water freezes, it will expand and stretch out your shoe. When you remove the shoes and take out the bag in the morning, let your shoes dry before trying them on. Shop Now for Bunions Shoes Do tight shoes make bunions worse? The short answer is: yes! The more detailed answer is that bunions are usually caused by genetic or congenital biomechanical defects in the foot. Bunions are more common in women, because their joints and ligaments are more flexible, resulting in increased motion. This excess motion exacerbates the faulty foot structure, causing bones to shift and resulting in bunions. Bunions can also develop due to other foot conditions, such as flat feet and abnormal bone structure. If the problematic area of the bunions is jammed in the shoe, as is the case with shoes that are too tight, the forefoot is pushed forward into the toe box. This crowds the toes, applies pressure on the big toe, exacerbates the defective foot structure and worsens the symptoms of bunions. “Although preventing bunions is not possible, shoes can and do affect the severity of the anatomical changes that occur in bunion formation and the associated symptomology,” explains Dr. Steven Gershman, a podiatrist. “Basically, the more the shoe forces the big toe toward the second toe and allows excess motion, the worse the deformity”. Still, tight shoes are not the only culprit and there are other causes that can make things worse for your bunions: High heel shoes and narrow pointed shoes that also crowd the toes. Spending long hours on your feet. Foot conditions such as arthritis, overpronation, flat feet and more. Can shoes be stretched to accommodate bunions? Bunions create a bump on the interior side of the foot, just under the big toe, angulating the big toe toward the second toe. Naturally, this bump adds width to the foot and can become larger due to pressure applied by the shoe. So basically, bunions don’t only cause pain and even balance issues, but can also make it hard to find shoes that fit properly. Stretching shoes to accommodate bunions can help and you can even find good stretchers that push the toe box in one specific spot, directly over the bump of the bunion. But, although stretching can help, the width of the shoe is not the only factor to take into account when looking for shoes that are best for bunions. Why it's better to buy shoes for bunions rather than stretch them? We’ve already established that increased motion in the foot is a major cause of bunions, while various foot conditions, such as overpronation, can make matters worse. So, buying shoes that help address these issues can also help your bunions. More specifically, good quality orthotics that support the arch, align the foot, help straighten the toes and correct the gait, can treat overpronation and the increased motion it causes, and therefore alleviate bunion symptoms, pain and discomfort. Moreover, using orthotics in the early stages of bunions is believed by many podiatrists to significantly slow down the progression of the bunions. But orthotics are not the only design feature that can treat and even prevent bunions. Look for the following design features and shoes: Wide enough front to accommodate your toes and bunions comfortably. The best toe box for bunions is wide, high and round, with extra depth for the big toe. Extra depth shoes also allow you to insert custom orthotics if you need to, and help reduce excess motion. Wide width shoes that, together with the deep toe box, can make all the difference to your bunions, provide relief and prevent the bunions from getting worse. Shoes made from a stretchy material that eliminates pressure on the bunions. The best pressure-free material would be one that can not only stretch, but also conform to the contour of your foot and bunion. Shoes with straps or laces that allow you to adjust the fit if you need to, because the size of your bunion can change over time and even during the day. Low heels or flat shoes that don’t push your feet into the ground, applying pressure on your toes. Ergonomic sole, preferably with a mild rocker bottom that decreases joint movement and disperses the pressure evenly across the foot. Finally, here’s a tip on how to lace shoes for bunions. Use the bunion step-over technique. With this technique, you simply bypass the eyelet that overlays your big toe joint. This lacing method significantly minimizes the pressure on the bunion.Read More -
5 Best Orthopedic Sandals for Women
Medical information provided by Josh White DPM / September 13, 2022If you’re looking for a new pair of sandals this summer, you may be paying attention to the most popular styles, hoping they will also have the added feature of comfort. While there is a lot to consider in terms of style, whether it be color or upper design, there is even more to consider when it comes to comfort and how well the sandals fit your feet. Although most conventional brands don’t focus on comfort features, which makes finding good fitting sandals quite difficult, luckily, there are sandals that check both boxes - fashion and practicality: orthopedic sandals. To make it easier for you to find these custom-designed shoes, we listed our picks for the best 5 orthopedic sandals for women this year. The sandal styles we picked are cute and can pretty much pair with any outfit, but most importantly, they will keep your feet comfortable and protected from foot and back problems that can occur during increased outdoor activities in the summer months. Our Picks for the 5 Best Women’s Orthopedic Sandals #1 The most comfortable sandal for walking: Malibu [product-tile="/products/malibu-black-womens-sandals"] The quarter strap design offers the most foot support holding the foot in the back and front. These quarter strap sandals are perfect if you’re looking for a comfortable, supportive sandal with an extra airy design. The recently redesigned outsole is now made with special rubber and unique tread design that increase traction and grip, allowing you to feel confident on any surface. These open-toed sandals have ample adjustability with three straps across different areas of the foot: The forefoot strap incorporates stretch and can accommodate bunions and hammertoes by gently stretching and conforming to the unique foot shape, without applying further pressure. The middle strap is an innovative two-way strap system that enables you to open and close the sandal from either the inside or outside of the shoe. This creates a wide opening for easy on/off wear. It is also convenient for those who have trouble bending down to reach the outside of the shoe. And of course, the strap allows you to adjust the fit according to your particular instep. Narrow feet and feet with low insteps can shorten the straps even more by replacing them with the extra shorter tabs included. The heel strap is cushioned, soft and stretchable, allowing you to adjust the grip around the heel to prevent slippage, perfect for feet with a wide forefoot and narrow heel. On the flip side, the strap can be loosened to accommodate AFOs and braces that require more space, making them the best sandals for AFOs and braces. The Malibu style features an orthotic insole designed to alleviate heel pain and plantar fasciitis, while supporting the arch and the ball-of-the-foot. For those who need additional arch support, an Arch Booster is included and can be placed under the orthotic insole to further enhance support. The Malibu sandals are available in wide and extra wide widths too. #2 The best sandals for arch support: Clio [product-tile="/products/clio-black"] With their soft and thin toe-post and advanced Orthofeet technology, the Clio toe-post sandals offer the ultimate solution for women looking for arch support without compromising on style. The Clio flip-flop style sandals feature premium orthotic insoles with anatomical arch support that makes walking that much more comfortable. In addition, this advanced feature improves the alignment of the foot and body for better posture and together with the firm heel counter, also improves stability. The Ortho-Cushion system features an ergonomic sole with mild rocker design that propels the foot forward, so you can expect to feel like you’re walking on a soft cloud. The added bonus of these toe-post sandals is that they have a strap on either side of the foot that allows you to fully customize the fit for a better grip, while the rubber outsole prevents slippage and allows you to walk freely. The soft straps are padded with foam and are ideal for sensitive feet with diabetes, neuropathy and arthritis, while the thin and equally soft toe-post prevents irritation and blisters between the toes. Finally, the Clio sandals are available in a wide range of widths, including wide-width, and come in two colors: brown and black. #3 The best sandals for older women: Laguna [product-tile="/products/laguna-womens-blue-sandal"] Slip into cloud-like comfort with the Laguna sandals, a fisherman style that keeps your toes out of sight and offers additional protection with plenty of space in the forefoot for those that have bunions, hammertoes and swollen feet. These sandals are designed to support the foot on long walks, absorbing shock forces and decreasing stress and strain on your body, so you can continue to be active pain free. Innovatively designed with a removable anatomical orthotic insole, they will support your arch, cradle your heel and provide the ultimate cushioning from heel to toe. The Laguna sandals will also correct your gait and prevent your foot from rolling inwards when you walk, making them the best sandals for those who struggle with overpronation. A completely seam free interior offers gentle contact against the skin and eliminates rubbing and blisters. Every part of this sandal features thick interior padding that gently protects sensitive feet and is an optimal choice for neuropathy, diabetes and arthritis. The bungee cord and heel strap, together with their stretch fabric uppers, offer a customized fit, which accommodates all types of feet, including swollen, narrow and feet with different insteps. A closed back and heel counter provide extra coverage, prevent heel slippage and are perfect for those with a narrow heel. Laguna is available in a peach, gray and blue and in standard, wide and even extra wide widths. #4 The best sandals to wear for plantar fasciitis: Amalfi [product-tile="/products/amalfi-camel"] The Amalfi leather sandals are both flattering and unbelievably comfortable, featuring lightweight cushioning soles and orthotic insoles with multiple cushioning layers that prevent shock forces on the heel, thus reducing plantar fasciitis symptoms. The Ortho-Cushion system also helps to alleviate pain on the foot, knees, hip and back. With plenty of straps to adjust the fit and an extra wide (2E) option means there is no pinching and no foot spillage, which means the, Amalfi sandals are perfectsandals are also the perfect sandals for wide feet. By easily adjusting the three forefoot straps and the two-way strap (a total of 5 adjustable straps!), you can effortlessly make sureadjust the sandals to the right fit for you just right. This works perfectly for a wide range ofany foot shapes. So, if you happen to have any combination, such as a bunion and narrow instep or vicevise versa, you can achieve a perfect fit. The two-way strap system enables fastening and unfastening on both sides of the sandals, which makes it much easier to put them on and take them off. The sandals also feature soft straps with extra foam padding that prevent irritation and provide superior comfort for sensitive feet. Ready to walk comfortably in style? All that’s left for you to do is to choose the Amalfi you like best: black or camel. #5 Best orthopedic sandals for back pain: Hydra [product-tile="/products/hydra-blue"] The beautifully designed Hydra sandals, which are available in blue, gray and brown, feature state-of-the-art technology that eases back pain and many other foot ailments. The advanced orthotic insoles offer anatomical arch support that re-aligns the foot, leg and back posture by preventing the foot from rolling inwards, while the cushioning soles soften every step and absorb much of the shock, preventing it from reaching the back. In addition, to help control overpronation the sandals feature a firm heel counter and wide soles that also improve stability. The foam padded leather upper protects the feet from irritation and enhances comfort even further, and the two adjustable straps (strap across the toes and instep) and two-way strap system allow you to fully customize the fit and to effortlessly put the sandals on and take them off. Customizing the fit holds the foot properly in place and this offers stability and helps keep the feet and body in a neutral position, minimize pressure on the joints and prevent or ease back pain. If you need enhanced arch support, you can add our Arch Booster under the orthotic insoles and improve the alignment of the leg and lower back all the more. Hydra is made with soft suede upper, giving it a refined classy look that is suitable for everyday or special occasions. [product-group-tile] How Should I Choose the Best Orthopedic Sandals for Women? When you start shopping for a new pair of orthopedic sandals for women, it’s important to know what features will make all the difference. What type of footbed do they have? Most shoe companies only include in their shoes a simple and relatively flat footbed that does not even classify as an insole. Orthotic insoles are completely different and are designed to help alleviate pain associated with diabetes, plantar fasciitis, bursitis, arthritis, flat feet and other common foot conditions. With no exception, all women’s orthotic sandals should also have these orthotic insoles built in. Is there a break-in period? Most shoes that are not orthopedic shoes or are not designed with advanced comfort features are likely to have a break-in period until your feet adjust to them. Make sure you keep this in mind if you are planning on wearing new sandals out and about in the first few weeks. However, if you are purchasing a pair of orthopedic or orthotic sandals, a break-in period will not be necessary and you can start wearing the sandals from day one. What width are the sandals? Since most sandals are only manufactured in one width, usually medium, many of us unfortunately end up wearing something that is too narrow for our feet. This is not only uncomfortable but can lead to many painful foot problems over the long run. If you don’t know what width to purchase, you can get measured in a full-service comfort shoe store that usually offers this service. For the growing number of people purchasing online, many online retailers share a sizing chart with measurements as well as include fit information for specific footwear. Adjustability features? Straps, laces and elasticized cords are extremely important if you want to customize the fit to your specific foot type. The more adjustable options a sandal has, the more comfortable your feet will be. Closed-toe or open-toe? Decide whether you want closed or open-toed sandals. Open-toed sandals will have more breathability and will be more comfortable in extra hot conditions. However, closed toe sandals are a great option for those who need added protection for sensitive feet or might not feel comfortable showing their toes and feet. Closed toe sandals are also good for more rugged and adventurous activities. Are they waterproof or slip-resistant? These features are extras but can be important depending on the type of activity you will be doing. Which sandals can you wear with orthotics? Sandals can sometimes be tricky to use with custom orthotics, since they generally have an open upper design and one piece footbed that prohibits the insertion of a custom insert. However, there are a few brands out there that offer sandals with a unique design, making them orthotic-friendly. Look for ones that have: Adjustable forefoot and back straps, because they allow you to customize the fit of the sandal to the orthotics and the depth and width of your feet. Extra depth and removable insoles are key. Your sandals will feel very tight (not to mention odd looking) if you need to place a custom orthotic on top of an existing footbed. Plus, they won’t stay in place if the sandal is an open toe style. Sandals with removable insoles will allow you to insert your own and offer a comfortable fit. Closed toe (preferably) that can hold the orthotics in place. Closed toe sandals have a construction that is similar to shoes and can more easily accommodate custom orthotics. Can sandals cause heel pain? Wearing the wrong type of sandals can cause many issues, including foot and heel pain, and even lead to foot problems. This is usually because most sandals are designed with a flat, thin and non cushioned footbed. Normally, heel pain is associated with conditions such as plantar fasciitis, caused by an inflammation of the ligament running along the bottom of the foot, and flat feet, where the arches on the inner side of the feet are flattened. In both cases, the best solution is sandals that offer good arch support and cushioning. This can be achieved by wearing sandals that have built in orthotics with a defined arch, in addition to thick padding that runs along the entire length of the sandal. Why are my current sandals so uncomfortable? Most footwear companies just don’t focus on advanced quality features so their sandals may feel thin, flat, and uncomfortable. When the biomechanics of the human body Is not taken into consideration in the design of shoes and sandals, they will lack adequate support and will start hurting your feet over time. Sandals should include orthotic insoles, a cushioning footbed, a sturdy sole, made from durable and breathable upper materials and be available in wide widths to accommodate different foot types. If you have sensitive feet or a specific foot conditions such as diabetes or arthritis, other features will be essential to keep your feet healthy. Seam free linings, extra depth, and padded interiors are a few examples. A good pair of shoes and sandals would mean that that you don’t even realize they are on your feet!Read More -
Edema: Causes, Symptoms, and Treatment
Medical information provided by Steven Gershman DPM / September 13, 2022What is edema? There are many types of Edema, but they are all characterized by buildup of fluid in the tissues of the body causing swelling. It is commonly called "fluid retention" and is often seen in the extremities and as such it is known as "peripheral edema". Edema can also be seen in the face, lungs, and abdomen. This blog mainly will deal with peripheral edema in the lower extremities, i.e., the lower legs, ankles, and feet. Generally, edema in the peripheral tissue is categorized as either pitting or non-pitting. Pitting edema is diagnosed by pushing on the area of swelling and seeing if there is an indentation or pit in the tissue. It usually lasts for a few seconds. With non-pitting edema, which is more severe edema, the tissue is so firm it doesn't indent when pushed on. It is like a water balloon filled fully. The fluid is body water or natural/isotonic saline, not blood. Edema causes In the legs the veins have valves that operate as "check valves" to prevent blood from going down to the feet due to gravity. Heart pumping action pushes blood through arteries down to the feet. The blood needs to return to the heart for re-circulation through veins. However, there is no true pump pushing the blood up the legs. Blood pressure through the system and the leg muscles contracting pushes the blood up the leg veins while the valves prevent backflow down against gravity. Incompetence of the valves allows blood to pool in the legs and feet eventually leading to edema and swelling. When blood stagnates or pools in an area, water leaches out of the blood into the surrounding tissue. Valve incompetence can occur due to the following reasons: As we age Standing in one place for many hours Sitting with the feet down on the floor for many hours Varicose veins which in many cases is a genetic weakness in the valves Regardless of the cause, as the valves in the legs become incompetent, the blood pools and causes swelling which puts pressure on the veins dilating them and further hindering the valves from working efficiently leading to more swelling. It is a vicious cycle. Besides vein issues, edema can be caused by a variety of other problems that can affect both legs. Heart disease: is a major cause, specifically congestive heart failure or CHF. As the heart begins failing as a pump, fluid will stagnate in areas like the legs and lungs and cause swelling/edema. Also, there is less blood going to major organs like the kidneys causing fluid retention. Kidney disease: causes fluid retention and edema as the kidneys can't eliminate enough fluid. Liver disease: causes edema in the legs and abdomen especially if there is cirrhosis. Specific medications: calcium channel blockers and beta blockers can have peripheral edema as a side effect and is seen often in the ankles and lower legs. Sodium: salt in the diet is another culprit in edema. Salt causes fluid retention which manifests as edema. Alcohol: causes dilation of the veins which leads to edema. Susceptible people will have widespread vaso-dilation of the face, arms and legs when consuming alcohol. Eventually the veins stay dilated with chronic edema resulting. Another type of edema is lymphedema. It is often quite severe with large swollen legs or arms. Usually it is single limb. Lymphedema is often a genetic issue but can also be caused by cancer treatment and surgery. The lymph system which is part of the immune system is compromised causing swelling. Symptoms of edema Swelling is the big symptom of edema. In this blog I will specifically discuss leg swelling, ankle swelling, and foot swelling. But other symptoms ay also present themselves, such as the ones below. Discoloration to the skin: In the lower legs and ankles when the edema is caused by incompetent veins, changes occur to the skin. Chronic edema often leads to a brownish or reddish discoloration of the skin on the front of the shins and down to the ankles. This discoloration is due to hemosiderin deposits. Hemosiderin is a pigment from the iron/hemoglobin in the blood that leaches out of the blood into the tissue and skin. It permanently stains the skin. I tell my patients it is "rust deposits" from the iron in their blood. With edema there is fluid pressure in the tissue that builds up forcing the iron into the tissue and skin especially as the blood stagnates or pools. Hemosiderin is a good indicator that the edema is affecting the skin and problems are going to occur if not dealt with and stasis dermatitis can then occur. Skin inflammation: Stasis dermatitis is an inflammation of the skin causing a rash which itches, burns, and can be painful. In severe cases, stasis dermatitis can cause breakdown of the skin resulting in open wounds or ulcers that are painful and can become infected with resulting in cellulitis. Skin thickening: Chronic edema can also cause thickening of the skin in the lower legs from the inflammation. This is permanent. The skin becomes thick, irregular, rough and almost elephant like in texture. It often drains fluid or weeps chronically and can blister. Neurological disorders : Another issue with edema is neurological. Edema causes pressure in an enclosed space where the nerves run down to the feet from the legs. The nerves become compressed causing pain and or numbness in the feet. It is similar to diabetic neuropathy. Swelling: Swelling of the feet from edema makes it difficult to wear shoes as the feet are simply too large to fit shoes. Many of my patients with edema come into the office wearing worn stretched out slippers or shoes way too large and stretched out. How to treat and prevent edema Treatment of Edema will depend on what triggers it. Some treatments are simple and can be done on your own at home while others will require medical intervention. Elevation of the feet and legs: As gravity is one of the main culprits with edema, elevation of the legs/feet is a mainstay in treatment. Sitting for long periods with the feet down on the floor can cause or add to edema. Many older patients sit a lot at home with their feet on the floor. I recommend a recliner to them. Basically, elevation of the legs higher than the waist, as in a recliner, works. With the feet higher than the waist, gravity works to pull the fluid back toward the heart. Elevating even higher where the feet are higher than the heart is better BUT often uncomfortable and not practical. Compression Stockings: This is the real treatment for edema. By putting pressure up the legs, the fluid is pushed back from the lower areas up to the upper legs and midsection where it is pumped back to the heart. Pressure needs to be graded so it is highest down near the ankles and gradually lessens going up the legs. Support hose up to the knee at least are the mainstay in treatment. There are several strengths of hose starting from mild compression over the counter type all the way up to prescription higher pressure stockings. Prescription stockings need to be custom fitted carefully by a trained professional. These need to be applied when first getting up in the morning before getting out of bed and worn until bedtime. People who stand a lot in one place at work and have the tendency toward edema or varicose veins should consider wearing support hose to reduce the chances of severe edema with its permanent damage. Compression Wraps: In severe cases of edema such as in stasis dermatitis, or when ulcers occur or with lymphedema it is often required to wrap the legs in heavy compressive dressings. This is done first by a medical professional and can be followed at home by a nurse or the patient. Often several layers of wrap are used, and it is cumbersome. However, in many cases this is the only way to control the fluid and the damage. Prevention is still the best treatment here as once the edema reaches this point it often becomes a chronic issue of wrapping the legs. Avoiding Salt: Reducing salt in the diet can help reduce fluid problems and edema. I have had patients with leg edema who ate pizza daily and swelled up. Reducing the pizza in the diet in those cases reduced the swelling. Limiting Alcohol: Reducing alcohol also makes a big difference. I have seen remarkable changes in the edema in patients who took my advice in this area. For the other issues causing edema, patients should work with their medical professional to best manage the condition. In many cases the edema will improve as the medical issue is stabilized. If medication side effects are causing edema, talk to your prescriber about it and how to manage the side effects. Shoes for Edema As written about earlier, shoes can become an issue with edema resulting in swollen feet and ankles. Shoes for people with swollen feet and ankles can help prevent further swelling and pressure and enable people to function normally. Edema shoes should have the following features: Stretchable to accommodate the increased size and the constant changes in size that can occur from day to day and during the day. Usually fabric uppers that incorporate stretch are able to do this best. This type of shoe conforms to your unique foot shape and size and creates a pressure free environment for the feet. Orthofeet manufactures stretchable shoes that serve this purpose well. I have recommended these shoes often for edema and many diabetics. Multiple adjustability features are important as they allow you to customize the fit to your particular foot shape. Straps, laces and bungee cords in various locations, such as the heel, instep and forefoot can be loosened to accommodate a swollen foot. The more adjustability the shoe has the better it will fit your feet and accommodate the swelling. Wide widths are especially helpful with edema. Most brands only design shoes in medium width (B) which is way too narrow and constricting for a swollen foot. Not only will your foot not be able to fit into them, but if they do, it will further exacerbate the condition. Many orthopedic brands such as Orthofeet offer extended widths that go up to 6E! Extra depth from the heel to toe area provides more space for the expanded foot and makes a comfortable foot space. Shoes designed with a round and wide toe box are always recommended since they allow the toes to flex and extend properly. The generous space prevents the formation of bunions and hammertoes and offers a pressure free environment for swollen toes. This will eliminate or reduce friction and rubbing between the toes which can lead to calluses, blisters or other serious problems. Orthotics built directly in the shoes can provide added benefits for edema in the feet. Swelling in the ankles may impact your gait. Orthotics are designed to support the arch and align the body from the ground up. Many patients with swollen feet prefer to wear slippers as their design is usually less constructing and structured and are fairly stretchable. However, most slippers often lack the support and protection of well-made orthopedic shoes. If opting for a slipper, a quality one that not only stretches but has some support is critical. Poorly made slippers can lead to falls and often severe injury and don't protect the feet from objects on the ground or furniture. As mentioned above, I recommended Orthofeet shoes to many of my patents and wear them myself. It is an orthopedic footwear company that specializes in designing shoes for swollen feet. All the shoes, including the edema slippers, are designed with built in orthotic insoles, extra depth, a round toe box and are available in wide widths. The edema styles are made with stretch uppers and several adjustability features to achieve a perfect fit. Socks for Edema Have you ever experienced rings around your ankles and legs after removing your socks? Wearing the right type of socks for edema can also be critical in managing symptoms. Edema socks are uniquely designed with a non-binding and non-constricting shape and yarns to eliminate pressure. Orthofeet also offers socks for swollen feet that are made of viscose rayon fabric and are super soft against the skin. Finally, edema as in all medical issues, is best managed early. If you start noticing swelling near your ankles or pitting skin or marks such as rings around the lower legs when you remove socks, it is time to start thinking of edema and how to control it. Many of the changes that can occur with edema later are permanent. So, prevention is so critical. When in doubt, talk to your medical provider about it.Read More -
5 Best Slippers for Plantar Fasciitis
Medical information provided by Ron Bar / September 05, 2022If you listen to advice from any podiatrist, they will tell you to never walk barefoot around the house. The reason is very simple. When we are barefoot, we put our feet at risk from so many different dangers that are naturally present around the house. Sharp objects may be on the ground and can puncture our skin, furniture can stub our toes and hot or cold surfaces can impact the soles of our feet. That’s why slippers are highly recommended, because they provide the protection your feet need. But, slippers can do a lot more than merely protect your feet - they can also offer pain relief for people with common foot conditions, such as plantar fasciitis. Our best slippers for plantar fasciitis 1. Louise Slippers - Best slippers for wide feet [product-tile="/products/louise-taupe"] If you have additional problems with your feet, such as bunions or hammer toes, this is the slipper for you. The fabric uppers are infused with elastic stretch materials that expand and conform to the shape of your foot, no matter its size and shape. This minimizes pressure being placed on any protruding bones and toes, creating a comfortable fit. The Louise slippers incorporate an orthotic insole that will ensure the best pain relief for your plantar fasciitis discomfort. Designed with an anatomical arch, they support the arch, prevent excessive pronation and align your body from the ground up. The cupped heel will cushion the source of pain and provide comfort with every heel strike. The well thought out design includes a wide and round toe box that gives your toes all the room they need to move about, and extra depth for a relaxed fit that also accommodates custom inserts if needed. They are also ideal for sensitive feet, those with diabetes and neuropathy, as they are constructed with a seam-free interior – no protruding stitching and overlays that may irritate the feet and cause blisters and ulcers. The airy mesh uppers will keep your feet feeling cool and dry throughout the summer and the slip-on design makes taking them on and off a breeze! The Louise slipper is also available in a mens version. [product-tile="/products/hudson-black"] 2. Charlotte Slippers - Best slippers for plantar fasciitis for women [product-tile="/products/charlotte-s731-brown"] Slip into comfort and relieve your morning plantar fasciitis pain the minute you wake up. The plush linings will keep your feet cozy and warm, especially when the temperatures start to dip. Even the orthotic insole is lined! These innovative slippers have a true orthotic insole in them to support the fascia and ensure it doesn’t over pull the heel bone insertion. This will prevent overpronation and unlock a dysfunctional big toe joint, which can worsen plantar fasciitis. The Ortho-Cushion System utilizes state-of-the-art materials and a unique sole design with shock absorbing properties, which protect the heel for all day relief. The ergonomic sole design prevents the weight transfer to the forefoot and helps you walk effortlessly. Charlotte slippers are by far the easiest slippers to put on. A wide monk strap across the instep completely opens up and allows you to step into the shoe. You can also adjust the fit, creating a secure one for your specific foot type. Although a slip-on style, they are designed with a back lip at the heel to offer added protection. Made with soft and durable suede uppers and decorative stitching, the Charlotte slippers will be your go-to slipper for plantar fasciitis around the house. Charlotte is available in two classic staple colors, black and camel. 3. Capri Moccasins - Best winter slippers for plantar fasciitis [product-tile="/products/capri-camel"] The Capri Moccasins are the perfect cross between a shoe and a slipper for the winter months. The luxurious faux fur lining throughout the slippers, as well as on the footbed top cover and shoe tongue, will spoil your feet. The enclosed shoe design envelopes your foot from all sides and offers 100% protection. What's more, they are made with a durable rubber outsole that is used in regular shoes, allowing you to wear them with confidence outside the house. Take it from us – you’ll forget they’re on your feet. How do they help with plantar fasciitis? The premier orthotic insole that is nestled in this slipper hugs your arches and reduces the arch drop that lengthens the foot, which stretches the fascia, causing pain and discomfort. The thick and trampoline-like pad under the heel fat pad provides protective cushioning for the heel bone and arch. The Capri is engineered with extra depth and a wide forefoot, which creates a pressure free space for the foot and toes, perfect for problematic foot conditions. If you require specially made custom insoles, simply remove the included orthotic and replace it with your own. Elegantly designed with a brushed suede upper and lace up vamp that allows you to tighten the grip for a custom fit, they pair with any outfit The Capri Moccasin style is also available for men. [product-tile="/products/tuscany-brown"] 4. Asheville Slippers - Best slippers for plantar fasciitis for men [product-tile="/products/asheville-slipper-black"] With the Asheville slippers, you can say goodbye to foot pain and discomfort when you’re walking around the house. Thanks to the advanced Ortho-Cushion system, these slippers come with a lightweight ergonomic soles and air cushioning that provides the softest support, drastically reducing impacts on the heel and relieving the heel pain caused by plantar fasciitis. In addition, the premium orthotic insoles offer anatomical arch support that cradles the arch to further alleviate pressure on the plantar fascia as well as the heel, so you can walk with less effort and pain. The rubber outsole provides extra grip, for improved safety while you walk, and the soft suede leather upper makes sure these slippers are not only stylish and soft, but also durable. The adjustable strap on both sides of the slippers allows you to easily secure the fit and adjust it to your foot’s unique contour. The back lip at the heel allows you to enjoy the best of both worlds - a slip-on style and better heel protection. The soft, padded, faux fur interior keeps your feet incredibly cozy and warm, so just be aware you may not want to take them off. Ever. And finally, the wide toe box gives your toes more than enough room to move about, for a pressure free fit - perfect for conditions such as bunions and hammertoes. Asheville slippers are available in two colors - black and brown. 5. Hudson Slippers - Best summer slippers for plantar fasciitis [product-tile="/products/hudson-black"] If you’re looking for summer slippers that are perfect for plantar fasciitis, the men’s Hudson slippers are the right choice for you. The breathable mesh uppers allow your feet to stay cool and dry even as temperatures rise, preventing additional complications, such as bacterial infections. The fabric uppers are also stretchable and conform to the specific shape and style of your foot, providing a pressure free fit. And if you’re wondering how the Hudson slippers can help with your plantar fasciitis: The removable orthotic insole (which you can easily replace with custom orthotics if you need to) relieves pain and discomfort by providing unparalleled anatomical arch support that also improves foot and leg alignment. The multiple cushioning layers of the orthotic insoles soften each step you take and reduce impacts on the heel. The ergonomic soles provide both cushioning and stability, and allow you to walk in complete comfort. In addition, the interior is made with no protruding seams whatsoever, so if your feet are sensitive these slippers will not cause any irritation, and the wide toe box alleviates pressure on the toes and does not cramp them in. The Hudson slippers are available in black. Can you wear slippers with plantar fasciitis? Those of us who have plantar fasciitis know only too well the pain it causes. Since the plantar fascia is involved in every step you take, if you suffer from this condition you will want relief even when you are not performing any out-of-the-house activity and just relaxing indoors. This is where plantar fasciitis slippers come into play. What are these slippers, what features do they have and where can you get them? Continue reading to find out. Plantar fasciitis slippers are orthopedic shoes designed with many unique features that provide relief from pain and comfort when you are inside the house. Wearing such slippers will ensure your feet have continued support during all waking hours. There are two main guidelines to follow when you wear slippers that are good for plantar fasciitis: Always wear slippers that are new and don't show signs of wear and tear. The slippers should fit correctly. When you wear slippers that are too short or too tight, it can affect the big toe joint function and damage the fascia. [product-group-tile] What kind of slippers are good for plantar fasciitis? The best house slippers for plantar fasciitis are designed with the following features: Orthotic support. The slippers must have some form of arch support built in them. The footbed of the slipper should be an orthotic or orthopedic insole with a defined arch, to hug the arches and provide support at the correct location under the foot. This will prevent excessive pronation (the motion of the foot and ankle rolling inwards) and alleviate strain on the plantar fascia. Since heel pain is usually present with plantar fasciitis, a deep heel cup will cradle the heel, reduce impacts and provide cushioning. Cushioning footbed. If the included orthotic insole is a good one, it will be constructed from several layers of various materials that are able to disperse shock forces from heel to toe. Foams, carbons and gels are mostly used and have properties that support and cushion the foot from the constant pounding our feet are subjected to with every step we take. Foam that conforms to your specific foot shape over time is even better, as it offers customized comfort and a perfect fit. Extra depth. Slippers designed with extra depth throughout the shoe provide ample room and create a pressure free and comfortable environment for the foot. This also allows you to fit a custom orthotic to treat other specific foot problems, if required. Wide and round toe box. Slippers for foot pain of any sort should always have a forefoot that is round in shape and wide, so that the toes are not being squeezed. This ensures the toes are properly aligned and comfortable, without overlapping other digits, which can lead to hammertoes and bunions. Ergonomic sole. Helps to limit ankle and midfoot motion, and reduce the force on the heel at heel strike. An ergonomic sole makes walking easier, allowing your feet to exert less pressure when you walk. So, even when you’re home and not involved in intense physical activity, you want your feet to work as little as possible. Durable outsole. Although the purpose of slippers is to provide support and protection inside the house, they still need to be designed with a durable outsole for a variety of everyday surfaces. After all, how many times have you forgotten to take off your slippers when you left the house? Upper material. Most of us want comfort around the house, which people tend to equate with stretchable and flexible materials. While that is correct, you should make sure there is also some structure to provide motion control and protect the foot. Stretch fabric and soft leathers are best in conforming to the foot, so they will support the feet and be the most scuff proof. Open design in the front and back. Slippers with an open forefoot are definitely more breathable and can be great for summer, but they will not offer the same protection to the toes as a closed toe slipper. An open back is great for easy foot insertion, but will provide less support to the heel area and will not prevent heel slippage. The lining. Slippers are often worn without socks, so their interior needs to be gentle against the skin and protective. Some brands go the extra mile and design them seam free, perfect for sensitive feet. In addition, materials that wick away moisture help keep the feet and toes clean, and free of bacteria and odors. Since it is recommended to wear slippers year round, consider the materials for the particular season. In winter, opt for warm linings, such as wool and fur (can be synthetic too), while in the summer you will want something breathable and light.Read More -
What Are Common Foot Problems in Older Adults?
Medical information provided by Steven Gershman DPM / October 22, 2018Foot problems are a natural part of the aging process. They arise from the normal daily wear and tear of joints as well as thinning skin that becomes more fragile due to dryness and a loss of elasticity. We typically begin to see foot problems in our 40s and 50s, with some of the problems getting more severe or numerous as we age. Below is a list of the most common foot issues affected by age, as well as a look at some treatment options to reduce foot pain for each condition. 1. Arthritis Arthritis is often a reality of aging. Osteoarthritis is what we think of as wear-and- tear arthritis: that inevitable consequence of years of stress on the joints. The ankle joint, subtalar joint, and the big toe joint (first MTPJ) are three joints that frequently develop arthritis, which can significantly impact mobility in older people. Symptoms associated with hammer toes and bunions may worsen over time due to the progression of arthritis within those toe joints. Another joint problem that can develop in older adults is gouty arthritis. Gout is a metabolic disease that often manifests as intense arthritis symptoms at the big toe joint. As these conditions advance, they can contribute to pain and swelling, further affecting overall foot health. The effects of arthritis tend to increase with age, making it even more important for seniors to prioritize proper foot care and supportive arthritis footwear. 2. Circulatory Changes and Foot and Ankle Swelling One of the most common foot and ankle problems associated with aging is swelling. The cause of the swelling can be elusive, especially if it's not associated with an injury. Leg vein problems are a common cause of swelling and usually occur in a single limb at a time. Cardiovascular disease, certain medications, and hormonal changes are possible causes of swelling that occur in both limbs. One solution to swelling can be wearing footwear that provides extra depth and a wide toe box, such as our women’s shoes for swollen feet and our swollen shoes for men. 3. Bunions Bunions are a result of years of added pressure on the balls of the feet that force the toes out of alignment and eventually cause the big toe joint to stick out. This creates not only an unattractive bump, but a painful one as well. Women who wear pointy-toed shoes frequently and for a long period of time commonly suffer from this condition. Treatment options to prevent bunions from getting worse vary depending upon the severity of the bunion and the amount of pain it causes, but include switching to roomy shoes with a wide toe box. Wide-toe box shoes help alleviate pressure on bunions. Other ways to help improve this foot condition include: Using OTC non-medicated bunion pads Taking pain medication Applying ice to the bunions after a long day of standing Wearing supportive orthopedic insoles or buying specifically designed shoes for bunions 4. Hammertoes Hammertoes are a deformity of the toe in which the muscle or ligament surrounding the toe joint is imbalanced. This causes the middle joint of the toe to bend and get stuck in a claw-like position. The bad news is that without proper treatment, hammertoe will get progressively worse and might require surgery to fix it. The good news is that discomfort can be treated with simple exercises such as picking up marbles with the afflicted toe, stretching the toe manually several times a day, and wearing hammer-toe shoes. This footwear is designed with a unique combination of comfort, support, and functionality to address the challenges of bent toe joints for pain relief. If the pain gets very sever, your podiatrist can use a cortisone injection for pain relief. Surgery is the last option and is only considered when the hammertoe cannot be corrected non-surgically. 5. Morton’s Neuroma Morton’s neuroma is caused by a thickening of the tissue around a nerve leading to the toes. Neuromas most often appear between the 3rd and 4th toes and can be extremely painful. The severity of the symptoms determine the treatment needed. A possible treatment option is shoes for Morton’s neuroma, which are designed to alleviate pain and discomfort in the ball of the foot, providing support and advanced cushioning to help reduce pressure on the nerve. 6. Heel Pain Heel pain is another common foot problem that generally begins in the 40s and 50s. One of the most common causes of heel pain, plantar fasciitis, results from inflammation of the thick strand of tissue running along the bottom of the foot that connects the heel bone to the toes. If left untreated, the pain can worsen over time, increasing the risk of altered gait and discomfort in other parts of the body. It may also correspond with an increase in physical activity or a change in footwear. Initially, the pain starts off in the morning but then passes fairly easily. However, as the condition worsens, every step can become painful, potentially leading to balance issues that could contribute to falls in older adults. The quality of life can be significantly affected if proper treatment is not implemented. Treatment options include: Taking anti-inflammatory medication to reduce pain and swelling Applying ice and performing heel stretches to alleviate discomfort Undergoing physical therapy to stretch the plantar fascia and Achilles tendon Receiving steroid injections for severe inflammation and pain relief Wearing men's heel pain shoes and women's heel pain shoes for better support and pressure distribution 7. Calluses Calluses, which are not to be confused with corns, are a result of too much pressure or friction on the bottom of the foot. Ill-fitting shoes are a common culprit for this foot problem. Frequently wearing shoes or sandals without socks can also cause calluses. If left untreated, calluses can lead to cracked skin, increasing discomfort and the potential for infection. Generally, calluses are treated by gently scraping and/or trimming the build-up of hard tissue. Wearing properly fitted, supportive shoes with good shock absorbing soles can also help alleviate pressure on the calluses and prevent future build-up. For optimal care, consider investing in the best shoes for calluses and corns. 8. Corns Unlike calluses, corns usually form on the top of the feet or toes over a bone or joint. Corns are typically dense and have even greater thickness at their center. They can cause discomfort and make walking or running with shoes uncomfortable. There are several different types of corns, but most can be treated in the same way. Treatment options include: Wearing wide-toe box shoes to reduce pressure on toe joints Using moleskin pads to cushion the sore and minimize friction on the skin Wearing orthotics that, when paired with supportive orthopedic shoes, help redistribute weight and relieve pressure Having a professional trim thickened areas of the corn (this should not be done at home) Considering surgery as a last resort if other treatments fail 9. Degenerative Diseases Certain degenerative diseases, such as osteoarthritis, can start to manifest in your 40s. Symptoms include pain, stiffness and tenderness in the joints accompanied by loss of flexibility and possibly a grinding sensation during movement. Osteoarthritis requires special treatment, so a doctor should be contacted for care as soon as possible. 10. Achilles Tendinitis Achilles tendinitis is an overuse injury and most commonly occurs in runners who have suddenly started running longer distances and/or more frequently. “Weekend Warriors” (middle-aged people who run, play tennis or basketball only on the weekends) also frequently get this foot problem. The pain is due to an injury of the Achilles tendon – the band of tissue connecting the calf muscles of the lower, back leg to the heel bone. In addition, this condition can cause muscular imbalance issues. The good news is that it’s fairly easy to treat. Anyone suffering from Achilles tendinitis should begin by reducing the activity levels and stretching and strengthening the calf muscles. Additional treatments include: Wearing specially designed Achilles tendinitis shoes Icing the area after exercising or when experiencing pain Elevating the foot to reduce swelling Taking anti-inflammatory medication Choosing shoes with arch support and a soft padded collar to relieve pressure on the back of the heel 11. Diabetes With diabetes, risk increases with age and patients who have diabetes often experience neuropathy, or decreased sensitivity to pain. Consequently, injuries can go undetected and result in infection and a diabetic ulcer. In addition, poor blood flow and oxygenation to the legs can affect the healing process. It is critical that diabetics receive proper care for all aspects of their illness including diabetic neuropathy. The doctor may suggest shoes designed specifically for the diabetic foot. 12. Nail Fungus Fungal infections occur as a result of too much fungi under, in, or on the toenails. Moist, warm environments are where fungi thrive. Fungal infections are most effectively treated with oral medication prescribed by a doctor. Topical creams are not usually recommended simply because they are rarely effective. For diabetics who have a nail fungus, it’s especially important to see a doctor, as a nail fungus can cause serious complications later on if not treated. 13. Clogged Sweat Glands or Parakeratosis While perspiration is an important skin function that helps regulate body temperature, sweat glands that become clogged can cause health problems. Parakeratosis is a general term applied to different skin conditions that block sweat glands. The bumps parakeratosis cause can sometimes be confused with corns, but they are two entirely different problems. The bumps created by this skin condition can make walking and even wearing shoes very painful. In addition, the lesions can later become cancerous if not treated. To treat parakeratosis, certain medications might be prescribed and the lesions excised. Managing the problem includes limiting sun exposure, washing your feet thoroughly and regularly and wearing soft, breathable shoes.Read More -
How Your Feet Impact Knee and Hip Pain
Medical information provided by Steven Gershman DPM / May 16, 2017Your knees and hips are the largest joints in your body. They are responsible for supporting your weight as you stand and walk. If you are experiencing chronic pain in your hips, knees, or even in your lower back, shoulders and neck, there may be a connection between the pain and the way your feet function. Walking is good for you, right? Absolutely. But beware of poor walking habits that can cause or exacerbate knee and hip problems. On the positive side, however, a safe and smart walking regimen can help improve joint problems, not to mention how good it is for your overall health. Knee pain Watch your feet. If you are prone to foot problems, such as hypermobile feet (when the joints in and around the feet move more than they should) or fallen arches caused by over pronation, your gait may be compromised. And this change can cause unnecessary stress on the knees, resulting in painful injuries. Research how to prevent fallen arches and join paint. Joint pain caused by a foot problem or a runner's knee should be avoided by paying close attention to how your body moves. The knee is made to bend only in one direction—facing straight forward. When the foot over-pronates, the leg rotates inward toward the opposite leg. This causes the knee to flex and extend while pointing inward and not in the normal direction, which puts stress on the knee. People who suffer from osteoarthritis pain have worn cartilage on the inside (medial) area of their knee joint. Research is being done to determine how walking differently can help manage this pain. According to the Arthritis Foundation, studies are finding that pointing your toes slightly outwards (about 7°) when you walk will shift pressure to the outside (lateral) part of the knee, relieving the pain radiating from the inside of your knee joint. Ask your doctor if this change in the way you walk can help your situation. Runners knee (which is not exclusive to runners) is identified by a throbbing pain on your kneecap. The impact of your foot hit the ground causes your kneecap to rub against the femur bone. If you have a misaligned kneecap or previous injury, your knees are more vulnerable. Other causes are weak thigh muscles, soft knee cartilage, or flat feet. Consider investing in a knee brace to support the affected joint and reinforce the ligaments in your leg to prevent severe pain. Also, explore arch support inserts for men and women shoe inserts to further support your feet and ensure you get the right level of comfort and stability tailored to your needs. Hip pain Pain from bursitis is felt on the outside of your hip, whereas arthritis is felt on the inner hip near you groin. Relief from each requires different walking treatments. Repetitive stress (including excess walking or running) can cause the bursa that cushions your hip to become inflamed. Another cause of bursitis is exercising without proper warm-ups and cool downs, which are a vital part of any program. You need to follow a very slow walking regimen when recovering from a bout of bursitis. This involves gradually increasing the frequency and length of your walks. As with osteoarthritis in general, the cause of hip or knee arthritis can be genetic. It can be a hereditary or a congenital problem with an improperly formed hip joint. Hip arthritis can also develop from an injury or trauma to the hip area, or stress from excess weight or activity. Seek pain relief by contacting a physician who can provide you with information regarding physical therapy to treat any affected joint. The problems caused by flat feet overpronation, which were discussed for knee pain, are also true for the hip joint. When the foot pronates, the leg rotates inward and the hip can become unaligned. This condition puts stress on the hip and on the entire leg muscles. How to help your knees and hips Any problem with the foot or ankle resulting in a compromised posture or gait can lead to knee and hip pain. Examples of common foot problems that can lead to poor posture and irregular walking patterns include: Plantar fasciitis, which can lead to chronic heel pain and/or arch pain Nerve pain or numbness in the foot (such as tarsal tunnel syndrome) Research the best shoes for Morton’s neuromas to relieve your pain. Bunions and bunionettes (big-toe versus little-toe side, respectively) Explore the best shoes for bunionettes to suit your needs. Excessive foot pronation (rolling in) or supination (rolling out) Find the best podiatrist-recommended shoes for supination When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it may be possible to reduce the knee and hip pain by improving foot function, using proper footwear and orthotic insoles. A Harvard medical school health publication advises that exercise is an important treatment for arthritis. It improves the strength and function of the afflicted area(s). In many cases, a moderate walking plan is recommended to alleviate such pain. It is considered a low impact activity that strengthens the supporting muscles, relieving the pressure on the joint. Be sure to walk on a smooth, soft surface such as a track or treadmill. Your doctor or physical therapist can advise how much walking is best for you. An extra bonus is walking will help with weight loss, which takes some stress off your joints. When you compensate for pain by limping or walking with an abnormal gait, other joints can suffer wear and tear. Your rheumatologist, orthopedic doctor or physical therapist can help determine if changing your walking gait could help reduce pain. Many PTs will video patients as they walk on a treadmill and then review their walking habits to determine what pain reduction improvements can be made. You can make a conscience effort to minimize limping by holding your body straight without swaying and maintaining and even stride. The Right Shoe Regimen Healthy shoes play a significant role in knee and hip pain management. Here are a few tips on orthopedic shoes and why you should wear them. Never wear heels over two inches high. Heels increase the risk of knee joint degeneration. However, not all flat shoes are good for your feet. Flats that do not provide any arch support can lead to knee, hip, and back pain. Get the right fit. Tight shoes can cause limping from foot pain. Oversized shoes can also impair your gait. Either way, you’ll be putting unnecessary stress on your knees and hips. Orthopedic sneakers & tennis shoes provide cushioning and help control over pronation. They also relieve the ball of the foot, which helps arthritic pain in the hip, knee, foot or ankle. Check out the article overpronation vs underpronation to learn more about these conditions. Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful. If knee or hip pain is due to your foot function, the proper footwear along with orthotic insoles can be a very effective way to relieve symptoms. Invest in quality shoes that are specifically made for your condition. OrthoFeet provides the ability to browse shoe selections that meet your needs. Explore our range of footwear designed to offer comfort and support. Whether you're looking for women's wide shoes, arch support shoes, men's walking shoes, shoes for flat feet, or plantar fasciitis shoes, each Orthofeet collection is tailored to meet specific needs, helping you find the right fit for your feet.Read More -
What’s the Difference Between Corns and Calluses?
Medical information provided by Josh White DPM / November 06, 2016Ugh. Something wicked is rubbing against your shoe as you walk, but is it a corn or a callus? Believe it or not, these sometimes-painful occurrences are nature’s way of protecting the soft tissue in your foot. How? By making the outer surface tough and hard. This protects your foot from excess pressure and friction and is called hyperkeratosis (an abnormal thickening of an outer layer of skin). People with bony toes or soft skin tend to suffer from corns and calluses more frequently, but they are ultimately common in all types of feet. Both conditions are often painful, but not always. In most cases, they result from poorly fitting shoes. Shop Now for Shoes for Calluses Here’s a quick way to tell the difference between a corn and a callus: Corn associate corns with your toes. Corns are a build up of hard skin, usually found near the bony area of a toe or even between toes. They often look waxy or discolored and are usually round in shape. The probable cause: pressure from your shoes, which rub against the toes when they don’t fit properly. Corns are also frequent when you wear shoes without socks. Hard corns and soft corns you’ll find hard corns at the top of the smaller toes or on the outer side of the little toe. These are the typical spots where poorly fitting shoes tend to rub most. Soft corns often happen between the toes; they stay soft because the sweat between your toes keeps them moist. Don’t let soft corns live too long – they can become infected. How to remove corns Never try to remove them with a sharp object, like a scissors, razor or knife. Instead, use a gentler and more sensitive pumice stone or emery board to remove the built-up tissue. Always move the pumice stone or emery board in one direction only. You can also try cushioned or medicated pads, which are sold over the counter. Always recommended: seeing an experienced podiatrist to do the job. Calluses This is also a build up of hard skin, but instead of on the toes, calluses are found on the underside of the foot. Calluses are considered a relatively normal dysfunction in the life of your feet, but they also can be caused by improperly fitting shoes. How to remove calluses First, take a warm bath or shower. Directly afterward, use a pumice stone to remove the tissue buildup. If you’re not cut out for this kind of work, see an experienced podiatrist. How you can prevent corns and calluses wear shoes that fit properly and always wear socks that wick away perspiration. Keep your feet dry. The type of shoes that are probably giving you corns and calluses: tight or poorly fitting shoes are more than likely always the main cause. Select shoes that reduce pressure and rubbing on the toes and forefeet. Make sure your shoes allow plenty of room for your toes, and that feature soft uppers and low heels. Recommendation: an orthotic shoe with extra depth and supportive insoles that absorb shock and alleviate the pressure from these sensitive and vulnerable spots.Read More
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