Dakota Foot & Ankle Clinic Blog
Posts for category: Shoes
This Little Piggy Went to the Shoe Store. Shopping for Children’s Shoes
Purchasing new shoes for your child may seem like a nuisance, especially when they hit growth spurts and are in need of new shoes before the old ones are even worn out. Or perhaps you have one of those kids who has half the sole worn off or a part of the shoe blown out in no time. Though shoes can be pricy, the process of purchasing a shoe should not be a headache.
1. Make sure your child is along during the shopping excursion and gets his/her feet sized. Their feet grow fast and sometimes grow more than a half a size between purchasing the last pair of shoes.
2. Different brands can vary in size, so be sure that they try the shoe on prior to purchasing as one size in one brand may not be appropriate for the next.
3. Purchase age appropriate shoes. A toddler who is just beginning to walk should have a soft soled shoe vs a hard one. Their proprioception or sense of position is highly dependent on them being able to feel the ground which is much more difficult to do with hard soled shoes. Imagine just learning how to knit and your hands are learning their positions. Now imagine having to wear oven mitts while doing this. It makes the task much more difficult.
4. Another tip is to trace your child’s foot on a piece of paper and cut it out. If you take out the factory insole and place the cut out on top of it, there should be approximately a half an inch between the end of the insole and the cut out. This is also what you are looking for when you feel for their toe through the shoe.
5. Some children have one foot that is bigger than the other. Always accommodate the bigger foot when purchasing shoes.
6. Bring any inserts along that the child wears in their shoes for sizing. These often take up a little bit of room in the shoes and may require going up in size.
No one told us when having kids that not only should we have a college fund, but a shoe fund too. With that being said having appropriately sized shoes for your kiddo’s feet is very important and can prevent injuries and deformities that would only be a kick in the pocket book!
If you are not sure your child is wearing correct fitting shoes stop by Happy Soles Footwearand we can check them out.
If the Shoe Fits…
Once upon a time, many years ago, I worked in the shoe section of a sports store. A good portion of people would come in with improper fitting shoes. Fast forward a few years past medical school and residency, and I now cringe, as a Podiatrist, knowing the effects of ill-fitting shoes. As many know, the advent of online shopping is here, henceforth, shoes are not being tried on prior to purchasing. With that being said, shoes can vary in size from brand to brand and even within the same brand when they are made at different factories. The following are some tips to help prevent discomfort, calluses, blisters, injuries and deformities:
1. Try shoes on at the end of the day when the feet are at their biggest.
2. Bring your own socks that you’d wear in the particular shoe you are shopping for, as well as any custom inserts.
3. If the shoe is not comfortable in the store, it will not be comfortable at work or on the court/track/field. Be true to yourself, in other words, just because the shoe is cute/cool doesn’t mean it’s the best option.
4. Have both feet measured in width and length and accommodate the bigger foot.
5. Walk and jog around the store. Be cognizant of comfort, that the arch hits you appropriately, and that your heel does not slip.
6. Give yourself enough room. Don’t be self-conscious of big feet and don’t try to squeeze into a shoe that you like because your size is not available. The width of a thumb nail should be available at the front of the shoe. For width, make sure your toes can spread and do not feel squished.
In the world of aching feet and improper fitting shoes, everyone followed Dr. Emter’s tips and people were more comfortable, much happier and they all lived happily ever after.
If your in need of some proper fitting shoes check out Happy Soles Footwear located at 1802 Allison Dr. Bismarck, ND 58501
The High Cost of Wearing High Heels
High heels are often a Podiatrist’s worst nightmare. Sure the “glass slipper” may fit, but the question to ask is what effects can heels have on my feet? Wearing a high heel can be associated with over a handful of deformities and conditions.
Neuroma: Everyone’s anatomy consists of a nerve bulb in our inner spaces that sends a little nerve to adjacent sides of each toe. These nerve bulbs can become compressed, enlarge and essentially scar down forming what is called a neuroma. This can be very painful and is often relieved when shoes are taken off.
Capsulitis: High heels cause the front of the foot to bear most of our weight. Excess weight and pressure on the forefoot can result in capsulitis, an inflammation of the soft tissue around the joints. People will relate that it feels like stepping on a rock or a wadded up sock.
Ingrown Toenails: High heels cause the foot to gravitate towards the front of the shoe, which is often much narrower. This results in squishing the toes together and increased pressure on the nail beds with the consequences of painful ingrown toenails.
Pump Bump: A haglunds deformity is often referred to as a pump bump due to its origin from wearing heels. The bump is a bony growth to the back of the heel that can be very irritating with the rubbing of shoe gear over the soft tissues covering the bone.
Stress Fractures and fractures: With all of the increased pressure placed on the front of the foot, wearing heels repetitively can set you up for a stress fracture. Heels also cause instability of the ankle allowing for sprains and at its worst, fractures.
Aside from the aforementioned complications of wearing high heels, there are numerous other problems not discussed that heels can cause your feet, not to mention your knees and spine. So, if the slipper fits, tell Prince Charming you’d rather wear a tennis shoe.
Size is a relative term. Just take a look at high-end department stores and name brand clothing lines that use vanity sizing to appease the egos of their customers. Right or wrong it is human nature for women to want to be a smaller size. It is inevitable that as we age our feet grow in size. Always judge your shoes by how they fit and feel not by the size number. If they don’t feel right when you try them on they probably never will. When repurchasing the same shoe always try it on, our feet change, manufacturers change any number of things that can affect the fit. Don’t assume it will work because it worked last time.
Another thing to remember: Laces are there for a reason, don’t ruin your properly fitted shoe trying to slip them on. This will stretch them as well as crush the back of your shoe. If you have trouble bending down to put them on correctly, invest in a good quality shoe horn with a long handle.
If you aren't sure if your shoes are the right fit, contact the team at Dakota Foot & Ankle Clinic and Happy Soles Footwear and we would be happy to help.
Information provided by Tina Del Buono, PMAC and Cindy Pezza, PMAC