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Sunday, January 8, 2017

John Fleuvog Chief - Podiatry Recommended Men's Shoe.

John Fluevog Chief
Podiatry Recommended Men's Shoe.

The John Fluevog Chief if a great choice for stylish all day comfort. I gave my husband these shoes and he loves them. They are surprisingly diverse as far as dressing up jeans or wearing as a casual dress shoe to work. Well, at least in Arizona, this passes for a dress shoe! 

This shoe meets the four criteria required that a shoe must have to be comfortable:
1. It has a thick, rigid and non-flexible sole so that there is more protection for the foot joints. 
2. It has a wide toebox, so there is less pressure on the toes, which helps to prevent the progression of bunions, hammertoes, ingrown toenails, and corns. 
3. It has rearfoot control, which helps decrease mechanical strain to tendons and ligaments as well as to the joints of the knees, hips, and lower back. 
4. The insole is removable so that you can put in your custom-molded orthotic for better arch support. It can also accommodate a dress orthotic or a heat-molded insert which goes on top of the insole that comes with the shoe. 

Remember, the most important feature of finding a comfortable shoe is to find shoes that have a thick, rigid and non-flexible sole. No motion through the bottom of the foot means less inflammation, less swelling and less pain, which is crucial for all day comfort. 

This shoe is recommended for patients with:
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Hallux Limitus (limited motion through the 1st toe joint)
*Hallux Rigidus (no motion through the 1st toe joint)
*Functional Hallux Limitus (limited motion through the 1st toe joint while you are functioning)
*Morton's Neuroma (make sure you have plenty of room in the toe box) 
*Metatarsalgia
*Mild to Moderate Bunions
*Mild to Moderate Hammertoes
*Capsulitis
*Sesamoiditis
*Ingrown Toenails
*Corns & Calluses
*Mild to Moderate Tailor's Bunions
*Recovering from a previous Lisfranc's Injury (check with your podiatrist) 
*Osteoarthritis 
*Mild Rheumatoid Arthritis


This shoe is not recommended for patients with:
*Diabetes (check with your Podiatrist)
*History of previous foot ulcerations
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation) 
*Charcot Foot
*Drop Foot 

I've been having trouble keeping up with answering individual questions posted on the blog, but these two articles should answer most questions that you have about proper shoes. 

For more information on proper shoes, please refer to my other articles: 
Shoe recommendations for patients recovering from Lisfranc's Injuries.

My feet hurt! Top 10 things to do to relieve foot pain today.



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)


Saturday, January 7, 2017

Eileen Fisher Chelsea Boot - Podiatrist Approved for Certain Foot Types.

Eileen Fisher Chelsea Boot
A Great Choice For Style & All Day Comfort.





Eileen Fisher is a very smart lady when it comes to designing comfortable and stylish shoes! What makes her shoes so exceptional are that they usually meet the four criteria that a shoe must have to be comfortable. 

Her Chelsea boot has a thick, rigid and non-flexible sole, which is absolutely crucial for protecting foot joints. If you are wearing shoes that have a flexible sole, then you are forcing too much motion through joints that may not be able to handle it because of previous injury, mechanical strain or arthritic changes. A shoe sole that is thick, rigid and non-flexible stops motion through foot joints, which decreases inflammation, pain, swelling and arthritic changes. Motion through foot joints promotes foot issues such as bunions, hammertoes, corns, ingrown toenails and can be the cause of everything from stress fractures, metatarsalgia, neuromas, and degenerative joint disease. Flexible-soled shoes can also cause more knee, hip, and lower back strain. It's like building a house - if you want a healthy roof, you better have a good foundation. If you want to have healthy knees, hips and less lower back strain, you need to create a solid, sturdy foundation for your skeletal frame by wearing shoes that have a thick, rigid and non-flexible sole. 

Secondly, your shoes should have a wide toebox. Shoes with tight toe boxes promote hammertoes, bunions, corns, Morton's Neuromas, and can make it impossible to get rid of fungal toenails. In fact, the only way I am able to get rid of fungal nail infections is getting the patient to wear better shoegear. Pressure on the toenails from tight shoes causes microtrauma to the toenail, which allows fungus to enter the toenail and spread the infection to other nails. 

A shoe also must have rearfoot control. If there is no rearfoot control or no strap around the back of the heel, then your tendons, muscles and joints have to work harder to stay in the shoe, which causes mechanical strain, tired leg syndrome and can make you more prone to injuries, particularly in the rearfoot and ankle. Not having rearfoot control can also cause more strain on the knees, hips, and lower back. 

The fourth component, which is arch support, is actually the least important factor. It is more important to have an excellent shoe with a thick, rigid and non-flexible sole, wide toebox, and rearfoot control. Of course, it is optimal to wear excellent arch support, but it is better to have an excellent shoe with no arch support or an excellent shoe with a decent over-the-counter arch support than to be wearing a flexible-soled shoe with custom-molded orthotics. I am probably one of the few Podiatrists who believes this, but in my experience - the sole of the shoe is controlling 100% of the foot joints while the orthotic is only controlling the rearfoot and the midfoot (because the front of the orthotic is only a topcover that is flexible). The forefoot area must be controlled by the sole of the shoe. Custom molded orthotics generally cost $400, so I tell my patients to spend that money on excellent shoes and we can put them in an excellent over-the-counter insert for $50 or a heat-molded insert for dress shoes for $75. In my opinion, the power is in the shoe!

The Eileen Fisher Chelsea Boot is recommended for patients with:
*Mild Bunions
*Mild Hammertoes
*Metatarsalgia
*Mild Morton's Neuroma 
*Hallux Limitus
*Functional Hallux Limitus 
*Hallux Rigidus
*Previous Lisfranc's Joint Injury 
*Plantar Fasciitis (Heel Pain)
*Mild Achilles Tendonitis
*Mild Posterior Tibial Tendonitis (wear with a heat molded or dress orthotic if possible)
*Mild Peroneal Tendonitis 
*Mild Arthritis
*Mild Rheumatoid Arthritis
*Mild to Moderate Over-Pronation (wear with orthotic if possible)

The Eileen Fischer Chelesa Boot is not recommended for patients with:
*Charcot Foot
*History of Foot Ulcerations
*Excessive Swelling
*Severe Bunions
*Severe Hammertoes
*High Insteps
*Bone Spurs on the top of the mid-foot area

If you have any of these conditions, check with your Podiatrist to see if the Chelsea boot is appropriate for you:
*Peripheral Neuropathy (Nerve Damage)
*Diabetes 
*Peripheral Arterial Disease (Poor Circulation)
*Mild Foot Drop


For more information on proper shoes, check out these articles from my blog:

Shoe recommendations for patients recovering from Lisfranc's Injuries. 

My Feet Hurt! Top 10 things to relieve foot pain today.


I hope this was helpful!

Sincerely,

Dr. Cathleen A. McCarthy

:)




Monday, November 7, 2016

Podiatrist Recommended Trail Running Shoe - Salomon XA Pro.

Salomon XA PRO 3D CS WP 

Trail-Running Shoes



The Salomon XA Pro is an excellent trail running shoe. I'm not a trail runner, so I have been wearing this shoe for hiking, exercising at the gym and as a general walking shoe. I also like the fact that it is waterproof and has excellent gripping action on the bottom of the sole, which helps with hiking and running on rocky trails. 

What makes this shoe so good is that it meets the four criteria that a shoe must have to be comfortable:

1. A thick, rigid, non-flexible sole. It is crucial that shoes have a thick, rigid and non-flexible sole because less motion and flexing through foot joints allows for less inflammation, less damage, and less pain. If you are recovering from a foot fracture or injury, it is important that you protect those bones and joints with a thick, rigid and non-flexible sole, so that you don't reinjure your foot. 

2. Wide toebox. It's important to wear a shoe with a wide and preferably soft toe box so that there is less pressure on toes, which will stop or slow the progression of bunions, hammertoes, corns, and calluses.

3. Rearfoot control. Rearfoot control is important because it helps to biomechanically control the rearfoot, which means that there is less mechanical strain to tendons, ligaments, and joints. It also helps to decrease tired leg syndrome as well as decrease knee, hip and lower back strain. 

4. Arch support. Not everyone needs arch support. In fact, about ten percent of patients cannot tolerate arch support. The other ninety percent of patients do benefit from arch support, which helps to place the foot in a biomechanically, neutral position. Doing this helps to stop or slow the progression of forefoot issues such as bunions and hammertoes. It also is important if you are recovering from any foot or ankle injuries, particularly a Lisfranc joint injury. Arch support also helps with knee, hip and lower back pain.  

This shoe is recommended for people with:
*Plantar Fasciitis (heel pain)
*Metatarsalgia
*Morton's Neuroma
*Capsulitis
*Hallux Rigidus (no motion through the 1st toe joint)
*Hallux Limitus (limited range of motion through the 1st toe joint with no weight bearing)
*Functional Hallux Limitus (limited range of motion through the 1st toe joint while weight bearing)
*Bunions
*Hammertoes
*Achilles Tendonitis 
*Peroneal & Posterior Tibial Tendonitis
*Previous Lisfranc's Injury (check with your podiatrist if needed)
*Corns & Calluses
*Sesamoiditis
*Ingrown toenails
*History of Ankle Sprains
*Hypermobility
*Ligament Laxity
*Over-Pronation
*Pes Cavus (high arches)
*Pes Planus (flat feet)


Check with your podiatrist to see if this shoe is right for you if you have:
*Diabetes
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation)
*Drop Foot
*Charcot-Marie Tooth Disease


This shoe is not recommended for people with:
*Charcot Foot
*History of Ulcerations
*Lymphedema (excessive swelling) 


For more information on proper shoes, check out these articles from my blog:

Shoe recommendations for patients recovering from Lisfranc's Injuries.


My feet hurt! Top 10 things to relieve foot pain today.



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)
 

Monday, October 24, 2016

Anywhere shoes - podiatrist recommended for many foot types.


ANYWEAR Shoes

Excellent choice for a bedroom slipper
or a casual dress shoe for many foot types.





The Anywhere shoe is an excellent choice for many foot types. If you have tried the Rx Crocs and they were not a good fit or they simply did not work for your foot type, this might be a good option for you to use as a bedroom slipper. 

What makes this Anywhere shoe so good is that the sole is thick and has minimal flexibility, which allows for more protection of painful joints. Less motion through painful joints means less inflammation, less swelling, less pain, and less arthritic joint changes. 

The wide toe box works well for accommodating mild to moderate hammertoes and bunions. The medical grade Crocs Specialist (with no vents) is my first choice as a bedroom slipper because it has an extra-depth toebox, which is better for people with severe hammertoes and bunions. The Anywheres do not have an extra-depth toebox, so if you do have significantly large bunions and hammertoes, the Crocs unvented Specialist would be a better choice for you to use as a bedroom slipper.  

Although this Anywhere shoe doesn't have a rearfoot strap, it does have partial rearfoot control, which helps to limit biomechanical strain. Rearfoot control is important for decreasing strain on the knees, hips and lower back. Rearfoot control also helps to decrease foot pain as well as slow the progression of foot deformities such as bunions and hammertoes. The partial rearfoot control does make it an easy shoe to slip into if you use it as a bedroom slipper, which is great for when you get out of bed in the middle of the night or first thing in the morning. 

This shoe is recommended for people with:
*Mild bunions
*Mild hammertoes
*Hallux Limitus (limited range of motion through the 1st toe joint)
*Functional Hallux Limitus 
*Hallux Rigidus (no range of motion through the 1st toe joint)
*Surgically fused toe joints
*Morton's Neuroma
*Mild to moderate Tailor's Bunions
*Metatarsalgia
*Capsulitis
*Sesamoiditis
*History of previous Lisfranc's Injury (check with your podiatrist)
*Osteoarthritis
*RA
*Corns & Calluses
*Mild to Moderate Overpronation 
*Mild Hypermobility & Ligament Laxity
*Mild to moderate Plantar Fasciitis (heel pain) 

You need approval from your podiatrist before you wear this shoe if you have: 
*Diabetes 
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation)
*Ankle Instability
*History of Ankle Injuries
*Hypermobility & Ligament Laxity
*Severe Overpronation
*Peroneal Tendonitis
*Posterior Tibial Tendonitis 
*Severe Plantar Fasciitis (heel pain) 
*History of stress fractures 

This shoe is not recommended for patient with:
*Excessive swelling 
*Charcot Foot 
*Lymphedema
*Drop Foot (because it will not accommodate an AFO or drop foot plate)
*History of ulcerations or open sores 
*History of Rearfoot Reconstruction (or any rearfoot surgical fusions of joints)
*Achilles tendonitis (because you need more heel elevation to decrease strain on the achilles (try the Crocs Specialist with no vents) 

Other ANYWHERE shoes:


The things you need to know about this Anywhere shoe is that it is not recommended for people with a history of Achilles tendonitis. Because it has a rocker-bottom soled shoe, it can potentially rock you backwards, which would cause strain on the achilles that could lead to a partial tear or even a rupture. Other than this one exception, the recommendations above also work for this shoe style.


I hope that this was helpful & thank you for reading the blog!

Sincerely,

Dr. Cathleen A. McCarthy

:)



For more information, please check out these articles:

Top 15 shoes for foot pain!

Shoe recommendations for people recovering from Lisfranc's injuries.


* * *

*Due to increased volume on the blog, I have been unable to answer questions in a timely manner. The above links will take you to articles that will most likely answer your questions! 




Sunday, October 2, 2016

Donald J Pliner - Podiatrist approved women's dress shoe.

Donald J Pliner
Lilie 


Donald J. Pliner's Lilie is a classic women's dress shoe that is stylish and comfortable. What makes this shoe so comfortable is that the sole is thick, rigid and non-flexible, which is crucial for good foot health. There's a lot of bad information in the media about what makes a good shoe and the truth is that a shoe must have a thick, rigid and non-flexible sole. A flimsy sole which allows motion through foot joints significantly speeds up the progression of arthritic joint changes, bunions, hammertoes and increases the risk of injury and stress fractures as well as knee, hip and lower back pain. 

The four criteria that a shoe must have to be comfortable are:
1. Thick, rigid and non-flexible sole
2. Wide, soft toebox
3. Rearfoot control
4. Arch support

The Donald J. Pliner Lilie is recommended for people with:
*Mild Bunions
*Mild Hammertoes
*Mild Metatarsalgia
*Mild Functional Hallux Limitus (limited range of motion through the 1st toe joint while functioning)
*Mild Hallux Limitus (limited range of motion through the 1st toe joint)
*Mild Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Mild Osteoarthritis 
*Mild Rheumatoid Arthritis (check with your podiatrist) 
*History of a resolved Lisfranc's fracture (check with your podiatrist)
*Mild Over-Pronation (wear with a dress orthotic or a heat-molded insert if possible)
*Mild Hypermobility (wear with orthotic if possible) 
*Mild Morton's Neuroma
*Mild Capsulitis
*Mild Plantar Plate Issues


The Donald J. Pliner Lilie is not recommended for people with: 
*Diabetes with history of ulcerations
*History of ulcerations
*Peripheral Arterial Disease (poor circulation)
*Peripheral Neuropathy (nerve damage) 
*Drop Foot 
*Ankle Instability 
*Charcot Foot 
*Hallux Rigidus (no motion through the 1st toe joint) 
*Severe Bunions and Hammertoes


For more information, please check out these articles on my blog:

Top 15 Shoes for Foot Pain! Podiatrist recommends shoes to help with foot, knee, hip and lower back pain. 

Shoe recommendations for patients recovering from foot fractures or injuries. 


Hope this has been helpful!

Sincerely,

Dr. Cathleen A. McCarthy

:)

**Sorry to everyone that I have been unable to respond to the online questions in a timely manner! It's getting harder to keep up with the questions because of the increasing volume. The good news is that if you follow the links that I leave at the end of the articles, it will typically get you to an article that should give you enough information to answer many extra questions. 





Monday, August 22, 2016

Podiatrist Approved Shoes for Autumn 2016 - Fly London.

Fly London
Four Choices for Autumn 2016 that are
Podiatrist Recommended









Here are four great choices for Autumn 2016! These four Fly London shoes/boot are from the 'Yellow Red' Collection, which can be seen on the FlyLondon.com website under Ladies 2015 (because their 2016 collection is not out yet). Avoid the other collections as the vast majority of the shoes in the other shoe collections seem to have more flimsy soles and do not meet the criteria of what makes a good/comfortable shoe. 

What makes these four shoes good choices are that they each meet the three of the four criteria that a shoe must have to be comfortable. 
1. They each have a thick, rigid and non-flexible sole, which is absolutely crucial for all day foot comfort. A thick, non-flexible sole means that there is no motion through the bottom of the foot, which means that the joints and foot structures are more protected. Shoes with less motion through the sole means there is less motion through painful joints and that equates to less inflammation, less swelling, less pain and less damage. 
2. Each of these shoes also has a wide toe box, which means less pressure on bunions, hammertoes, and corns. 
3. They also each have rearfoot control, which is important because it helps to decrease mechanical strain on tendons and joints, which means that there is less tired leg syndrome at the end of a long day and it should also help with decreasing strain on the knees, hips, and lower back. 
4. You can add arch support by adding a dress orthotic specifically made for a wedge dress shoe (which you can get from your local podiatrist). A dress orthotic should fit nicely into these shoes, which will help with arch support. These shoes don't require arch support, but dress orthotics should help to slow the progression of bunions, hammertoes and help with heel pain and help with people who have over-pronation and hypermobility. 

These shoes/boots are recommended for people with:
*Mild Bunions
*Mild Hammertoes
*Mild Morton's Neuroma
*Mild Capsulitis
*Mild Plantar Plate Strain
*Mild Functional Hallux Limitus (decreased motion through the 1st toe joint)
*Mild Hallux Limitus (decreased range of motion through the 1st toe joint)
*1st toe joint surgically fused (at 15 degrees, which is standard)
*1st toe joint with a surgical implant (check with your podiatrist) 
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Healed Lisfranc's Injury (Check with your podiatrist first)
*Mild Over-Pronation
*Mild Hypermobility or Ligament Laxity (Check with your podiatrist if needed) 
*Mild Metatarsalgia
*Mild Osteoarthritis
*Mild Rheumatoid Arthritis (Check with your podiatrist first) 

These shoes/boots are not recommended for people with: 
*Hallux Rigidus (no motion through the 1st toe joint - unless the toe has been surgically fused at 15 degrees dorsiflexion, which is standard)
*Prominent Bunions
*Severe Hammertoes
*Severe Ankle Instability
*Severe Hypermobility or Ligament Laxity
*History of multiple Ankle Sprains
*Severe Osteoarthritis
*Severe Degenerative Joint Disease
*Seere Rheumatoid Arthritis
*Diabetes
*Peripheral Neuropathy (nerve damage)
*Peripheral Vascular Disease (poor circulation)  
*History of Ulcerations (open sores) 
*Bone Spurs on the top of the midfoot (although you can try skipping a lace over the area to decrease pressure) 
*History of Falling
*Balance Issues


I hope that this was helpful!

Dr. Cathleen A. McCarthy

:)


*For more information, please refer to these articles on this blog:

Top 10 reasons why your feet hurt -- and what to do to alleviate the pain today!

Shoe recommendations for patients recovering from Lisfranc's foot injuries -- or any foot injuries! 









Monday, August 15, 2016

Oboz Luna - Podiatrist's Review of Women's Hiking Shoe.

Oboz Luna

Podiatrist's Review of the Oboz Luna
Women's Hiking Shoe



Since the older 5-10 Camp Four hiking boot was updated and "improved" I have been hard-pressed to find a decent hiking shoe to recommend. The new and improved 5-10 Camp Four is pretty terrible, so I no longer recommend it. When the 5-10 Camp Four shoe company discontinued the older version, I made my husband go online and buy 5 pairs! 

The Oboz Luna for women is a pretty good hiking shoe. It's certainly not perfect, but it is been the best I could find on a recent search of hiking stores. The major fault of the Oboz Luna is that the forefoot has too much flexibility (meaning it has mild flexibility), but, compared to all the other hiking shoes in the store, it was the most rigid sole available. If you are a serious hiker and have a history of forefoot issues, you may have to replace this shoe every six months. What I do like about the Oboz Luna is it does have a wide toebox, good rearfoot control, and good traction. It would be best if you could wear this shoe with a custom-molded orthotic from you local podiatrist or the over-the-counter full-length Powerstep insert, which would replace the insole that comes with the shoe. 

My husband and I spent the weekend visiting friends in Sedona and we visited a local hiking store. The salesperson told us that they sell a lot of shoes to newbie hikers who try to hike in the minimalist shoes and come off the trail limping and looking for a sturdier shoe. If your local hiking store doesn't carry the Oboz Luna then I would suggest you find the hiking shoe that has a thick, rigid, and non-flexible sole with excellent traction on the bottom. Make sure you have the salesperson measure your feet (while wearing socks) so that you get proper sizing and a good fit. If they are not comfortable then do not buy them. You should not have to break-in shoes! 

This shoe is recommended for patients with:
* Mild to moderate Hallux Limitus (limited motion through the 1st toe joint)
*Mild to moderate Bunions 
*Mild to moderate Hammertoes
*Mild to moderate Morton's Neuroma
*Mild Plantar Plate strain
*Mild Capsulitis
*Mild Metatarsalgia
*Plantar Fasciitis (heel pain)
*Over-Pronation
*Ligament Laxity (wear orthotics or Powerstep OTC insert) 
*Mild Ankle Instability (you may need to wear an ankle brace for more support)
*History of a healed Lisfranc's Injury (wear orthotics and maybe even an ankle brace -- talk to your local Podiatrist or Ortho who treated you)
*Well-Controlled Diabetes with no history of previous ulcerations (please get this cleared with your Podiatrist first)
*Peripheral Neuropathy with no history of previous ulcerations (please get this cleared with your Podiatrist first)
*Peripheral Arterial Disease (please get cleared this with your Podiatrist first)


This shoe is not recommended for patients with:
*Hallux Rigidus (no motion through the 1st toe joint -- you will need a more rigid-soled shoe - something that has absolutely no motion through the forefoot area) 
*Severe Hallux Limitus (limited range of motion of the 1st toe joint)
*Severe Functional Hallux Limitus (limited range of motion through the 1st toe joint) 
*Moderate to Severe Metatarsalgia
*Severe Morton's Neuroma
*Severe Hammertoes
*Severe Bunions
*Moderate to Severe Plantar Plate Strain 
*Moderate to Severe Capsulitis 
*Peripheral Neuropathy with a history of previous ulcerations
*Peripheral Arterial Disease with a history of previous ulcerations
*Diabetes with a history of ulcerations and complications
*Ulcerations or open sores 
*Charcot Foot


I hope that this was helpful!

Dr. Cathleen A. McCarthy

:)




For more information, check out my other articles on this blog:

Shoe recommendations for patients recovering from previous Lisfranc's Injuries:

Top 15 shoes to help with foot, knee, hip and lower back pain: