Saturday, April 14, 2012

Shoe Recommendations For Patients Recovering From Foot Fractures and Injuries.


Shoe Recommendations 
For Patients Recovering From
Lisfranc Injuries...
(As well as any Sprain or Fracture of the Foot)




I know this sounds terrible but 
I love treating fractures...

I enjoy treating patients with fractures because:

1. On the 1st visit, patients will leave the office in significantly less pain than when they walked into the office using simple non-painful conservative treatment. 

2. Once the fracture is healed - we focus on getting patients into proper shoegear, arch support and possibly bracing so they can get back to doing all the activities they enjoy! 

I love my profession because I have the opportunity of helping people heal from foot and ankle injuries and get back to their lives.
Over the years, I have discovered that if patients follow the recommendations below - our success rate is amazingly high!


LISFRANC'S INJURIES.

So, let's talk about Lisfranc Injuries...
The Lisfranc Joint (also known as the Mid-Tarsal Joint) is in the midfoot and, in my opinion, it is the most common foot injury. 
Although it can be caused by direct trauma (and if that happens - you are going to the Emergency Room and possibly having surgery), I find that the wide majority of Lisfranc Fractures or Sprains are caused by an often minor twisting of your foot on a stair or curb and, if you happen to be barefoot, wearing flip-flops or a shoe that bends through the midfoot area - there is a very high probability that you are going to break a bone or pop a ligament.  

I see this type of fracture every single day
One day last week I saw four Lisfranc fractures before lunch. The amazing thing was not one of them knew how they did it!


In my opinion, this fracture is caused by taking a
wrong step in a crappy shoe!
And it's not you're fault because 
80% of shoes out there are crappy 
and there is tons of misinformation about what makes a good shoe...

One of the main reasons I started the blog was because of my frustration with all of the misinformation about shoes.
I'm passionate about this topic because I have spent the last twelve years in private practice striving to help people heal foot injuries and get back to their lives.


So...
These Rules Are Stringent 
BUT
You ARE Recovering from a Foot Fracture
and you need to protect your foot!
You went through a lot of pain and time in "the boot" or on crutches to take the chance of wearing bad shoegear and re-injuring...


So...




THE RULES 
FOR WHEN YOU ARE RECOVERING FROM A FRACTURE OF THE FOOT:

1. No barefoot! 
Ever. 
The only time you are barefoot and standing is in the shower. 
2. No Flip-Flops. 
I don't care how "good" they say the flip-flops are - they're not. 

3. No Walking Around the House Wearing
Only Socks.
 Zero biomechanical protection. 

4. No Flimsy Bedroom Slippers.
Any slipper that bends or flexes is garbage.

5. As a bedroom slipper around the house - wear Croc RX Clogs with the strap 
in the back.  
As soon as you get out of the shower, dry yourself, put on your Crocs.
If you get up in the middle of the night to go to the bathroom, when you get out of bed, straight into your Crocs and off you go.
Yup, the strap MUST be to the back. 



IF YOU ARE RECOVERING FROM A FOOT INJURY / FRACTURE / SPRAIN 
ANY SHOES THAT YOU WEAR 
MUST HAVE:

1. A Thick Rigid Sole
If you can bend or flex it - it is garbage.
Put some muscle into it, please - no wimpy "bends"...

2. Arch Support
Whether it is Custom-Molded Arch Support or an Excellent Over-The-Counter Insert - you need arch support.
Unless you are one of the 10% of people who can't tolerate arch support in which case, do not wear arch support. 

3. A Wide, Soft Square Toebox. 
Google: Extra-Depth Shoes and there are many brands of shoes that have extra-depth for the toes.
No cock-roach kickers, please -- they are bunion factories. 

4. Rearfoot Control. 
Every single shoe MUST have rearfoot control. 
If you are not biomechanically controlling the rearfoot - you are not controlling the mid-foot - which will lead to more chance of re-injury, pain, strain as well as knee, hip and lower back mechanical strain. 
To stay in a backless shoe, you are gripping your toes down when you walk. There are tendons that start below the knee and go all the way down to your toes - they are also passing through or connecting into the bones that make up the Lisfranc's Joint and a biomechanically uncontrolled rearfoot equals more strain, more pain and more chance of re-injury. 



ONE "SHOE DAY"
IN  THE LIFE OF SOMEONE RECOVERING FROM A LISFRANC'S FRACTURE
(Any midfoot fracture or Injury)


 6am
Good Morning!
 I have to let the dog out so I guess I'll get out of bed and right into my Crox RX Clogs 
(making sure that the strap is to the back) and let the dog out. She's fascinated with the Geckos and Hummingbirds...

6:30am
Exercise
I'm going to put on my Diabetic socks (even though I'm not diabetic), my Tri-Lock Brace, which I got from my Podiatrist and I use when exercising (for at least 6-12 months after a Lisfranc's Injury) and I'm going to put on my 
New Balance walking shoes so I can take my dog for a thirty minute walk. 
Luckily, my Podiatrist sent me to the New Balance store and gave me a prescription for:
RX:
New Balance Walking Shoes
with Roll Bar Technology and
a wide base for more stability
(Because it's an RX and medically necessary it should make them tax deductible...)



9am
Work
My foot feels pretty good so I don't need to wear my brace to work today -- but I'm going to take my Tri-lock brace to work so that if my foot hurts I can put it on. 
I went to Dr. McCarthy's blog and found the search box (top right hand corner) and searched for:
"Top 20 Women's Comfortable Dress Shoes"
and found a great shoe for work. 
I wrote down what I liked and went to the store to try them on -- my brace fit into some of them but not all so, in the early days of recovering from my injury, I wore the chunkier shoes with my brace and once I was further along in the healing process, I didn't need my brace anymore. 
Anything on this list would be fine with someone who has healed from a foot fracture
because I know all of these shoes meet her criteria on that stringent list from her blog...



2pm
Go Play!
Wow, I can't believe it! Work shut down early and now I can go do whatever I want! 
Let's look and my options...

Beach:
I'm going to wear my Amphibious Teva's or Chaco's (with a rearfoot strap) whether I am on the sand or in the water because it'll be more comfortable and I'll have more fun. 

Water Aerobics
Am I going to do water aerobics barefoot? 
Oh heck no! 
My Pod told me she sees a surprising number of fractures from women bouncing around in the swimming pool -- I think I'll wear my Amphibeous Teva's (with rearfoot strapping). Right after I was recovering from my foot fracture, I had to wear a pair of New Balance Walking Shoes with Roll Bar Technology and a wide base (for more stability) in the pool


Hiking
I didn't like any of the hiking boots Dr. McCarthy featured on her blog so I went to REI and I picked out a boot I liked but I made sure that the sole didn't flex or bend. The salespeople must have thought I was crazy because I walked around -- bending and flexing all the shoes before I tried them on. I then picked a great boot that felt the best on my foot and met all Dr. McCarthy's criteria for proper shoes. 
She told me that no matter what she says, 
I'm the acid test. 
 If I try on a shoe and it's not comfortable -- 
I don't get it. 
Yoga
I don't care what anybody thinks! 
I went through too much to get my foot healed to risk re-injuring it by being barefoot so I am going to wear my New Balance walking shoes with Roll-Bar Technology and a wide base
I love Yoga and I want to keep doing it so 
Dr. McCarthy wrote me a prescription that I gave to my Yoga studio that says it's medically necessary for my to wear my shoes in class. 

7pm
Home at Last!
I used to not want to wear my Croc RX Clogs around my husband because I thought they were goofy but, guess what -- I got him in Crocs Rx around the house and he had the following benefits:

1. 
30% Improvement in knee, hip and lower back pain within 3 weeks.

2. 
We saved a truckload of money in medical bills - everything from foreign bodies, warts, tendonitis, fractures, heel pain, calluses, ect.

3. 
His feet are prettier! 
Turns out that kooky Dr. McCarthy was right! She said, "You're either beating up your feet or you're beating up your shoes -- think what your shoes look like after a couple of years -- that's what's happening to your joints."


10pm
Good Night!
I'm so glad that my day tomorrow doesn't include going to see my Podiatrist! 
We got the fracture healed and as long as I do the right things when it comes to protecting my feet, 
I don't need to see her. 
I can live my life and have fun!

Gee, 
I wonder why a Podiatrist would be giving out advice that would decrease her business?
 Hmm, I wonder if it's because she figures it's a better marketing plan to fix people's foot problems and then protect their feet with proper shoes so they don't need to keep constanly coming back and she gets new clients from "Word of Mouth" referals from happy patients? 
That must be it...



Have a Great Day!


Dr. Cathleen A. McCarthy

:)



******

On a non-Podiatry note, check out my new novel 'Gunning For Angels' which is a fun, fast detective novel set in Phoenix. I've written it under the name C. Mack Lewis and it is available on Kindle as an ebook. If you don't have Kindle, you can download a free Kindle app and read it on your iPad. 
 

Thank you so much for your support!

40 comments:

Anonymous said...

Found you via barking dogs today. Will be checking out the Dansko sandals for narrow feet!

My feet have minor issues (no breaks so far just various aches & pains), and I've learned to be more selective with shoes.

I wear Haflinger supportive clog-style slippers around the house. And I have recently discovered many styles of Rieker shoes have great heel control and fit my foot perfectly. Some styles not so much, and they have to be actual Riekers not their other brand.

valleycat1

Nina Wikstrom Aguilar said...

I am so excited to find your blog!! I have had rheumatoid arthritis for about 37 years...yup, that's right. 37 years. I have had more than 30 different procedures to my feet and ankles, fusing joints, repairing joints, taking out neuromas, finally taking out the MTP joints completely, then back to take off the meta-tarsal heads (which were curling down thru the bottom of my feet)....it goes on and on. I have just recovered from taking 20-year-old hardware OUT of one foot, and I am back in my regular shoes. I have not worn heels in maybe 35 years...and I am happy there are more really good shoes available now. Thanks so much for all you are doing to help us!!!

Unknown said...

What is cock-roach kicker?

Doctor of Podiatry Discusses and Recommends Shoes. said...

A cock-roach kicker is a "Doris Day shoe" -- high heels with such a pointy toe -- you can chase a cock-roach into the corner and kick it to death.
An expression we used to use back in New Jersey...
:)

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Nina,
Thank you so much for reading the blog and for all the lovely comments! I hope that the blog helps and --
You made my day!!
Dr Cathy McCarthy
:)

Nina Wikstrom Aguilar said...

I want to leave a suggestion for any other women like me .... who have terrible fore-foot destruction (and pain). I CANNOT wear heels. If I even remotely bend over forward, I have a tendency to fall flat on my face---because I can't control my toes. (All the MTP joints are gone and the big toes are fused solid.) Women's shoes, even the supposedly flat shoes, still have an inch heel, usually. I have to wear men's shoes, although some of them also have an elevated heel!! I just bought a pair of slip-on MEN"S Keens...and I can wear most shoes with a rocker bottom. Dansko's are all too high a heel, but MBT sandals work well. (Note: the mbt's work great for my feet, but I tend to pound on my knees a bit harder.)
I am always looking for flat, slip-on shoes with lots of support and cushy padding. Dr. McCarthy, thanks so much for creating this blog!! Can you suggest any specific shoes that might work for me? thanks a lot!
Namaste, Nina

Stanley Boyer said...

True! If a customer is satisfied with the result he expected to have, then there’s a 100% possibility that he would recommend excellent services to others. Moreover, a professional’s advice for choosing the right diabetic shoes is significantly required. Otherwise, a miss-match of shoes will happen that may cause foot fracture, thus worsening the foot’s condition.

Anonymous said...

I am excited to read this blog! I am recovering (slowly) from a talus fx and dislocation. None of my ortho docs have given me any advice on how to move forward with finding appropriate footwear. I am looking forward to using your tips!
Thank you!
Melissa

Doctor of Podiatry Discusses and Recommends Shoes. said...

Thanks Melissa!
I hope the blog is helpful and I wish you a speedy recovery!
Dr McCarthy
:)

Anonymous said...

I am so happy I came across your blog. I fractured my fifth metatarsal and it has been almost 4 weeks since I broke it. I'll find out on Wednesday if it is healing. I hope so! I'm ready to get on with my life. And my doctor is not a good communicator so I'm glad you are giving us some good advice on shoes and I will be buying what ever you recommended for shoes and socks. I just want my foot to be 100% healed. Thank you so much.

Doctor of Podiatry Discusses and Recommends Shoes. said...

Dear Anonymous,
Thanks for reading the blog! I hope that your fracture heals well. I also recommend that after your fracture is healed, that you wear a tri-lock ankle brace, which you can probably get at your Pod's office for 6-12 months with any sports or increased activities and on an as needed basis - for additional protection and biomechanical control.
Hope that is helpful,
Cathy
:)

Sherry Sulisz said...

Hello - really enjoyed reading your blog! I am recovering from a lisfranc injury from a car accident in November 2012. No surgery, thankfully. It seems to be healing well. I have been wearing the crocs rx relief around the house and new balance 927 when I go out. With summer, I'm wondering if you can recommend some good sandals - will be going to Disney in August, so I'll need something to last me all day. Thanks so much!

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Sherry,
Thanks for reading the blog! I'm glad to hear that you are healing well after your Lisfranc's injury!

For a summer sandal (dressier), I would look at:
1. The Wolky - Tulip, Ruby, Open-Toed Cloggy or the Jewel.
2. Any of the Dansko sandals that have rear-foot strapping.
3. A Naot sandal such as the Paris that has a hidden metal shank inside it.

For a more casual sandal, try a Keen or Merrell but just make sure it has a thick rigid sole and rear-foot strapping. Also, check out the Chaco Z1 or Z2 for when you hit the beach.

Have a great day!
Cathy
:)

Anonymous said...

I am nearly 9 months after my lisfranc surgery. I have 4 screws inside my foot, and still feel that I am slowly progressing. However, I have not decided if it is more beneficial to remove the screws due to discomfort and pain. Also I was curious as to what would be your recommendation for a mens dress shoe (with a suit) for work.

Thank you for any advice!

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Anonymous,
I apologize for my delayed response!I would recommend RX Crocs around the house (with the strap to the back), New Balance 928 with custom-molded orthotics for exercise and a men's dress shoe with a hidden steel shank in it. I recently bought my husband a Dansko 'Wayne', which is a casual dress shoe and it is working well for him. Try the Dansko men's dress shoes. If you live in a city where there is a Dansko store, I would recommend you go there. Also, do a google search on men's dress shoes with a steel shank.

I would recommend you pursue conservative treatment before you decide to have a second surgery. I did an article on the blog about a patient who had a Lisfranc's fracture with 3 screws (two of which were broken in half) and, after we got him in CMO's and proper shoes, he was fine.

Good luck!
Cathy
:)

Anonymous said...

I am glad I found yoru blog...
Please advice, I have my stress fracture if my sesamoid bone...and finally off my boots and crutches after 6 weeks...still I need to wear the tennis shoes and insert for 4 weeks to back to my dr.
So, I am working as an profeesional in my job that meeting. Can you advice any shoes for woman dress and dress paints/ suit for my typical injury. Also for home inside my house...sure I cannot bearing my bare foot.
Thanks much!
HN

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Anonymous,

For anyone recovering from a sesamoid fracture, some shoe recommendations are:

1. RX Crocs in the house as a bedroom slipper

2. New Balance 928 or 1540 for exercise.

3. For work - Wolky Cloggy (closed toe), Sketcher Shape-Up Mary Jane, a Mary Jane with a Rocker Bottom Sole, Alegria Paloma or Abbi.

Check with your doctor if you are having any problems!

Let me know how it goes...

Cathy
:)

Sahal said...

Dear Dr Cathy
Your post is very informative, thanks a lot
I have had 4th metatarsal trauma fracture and was on NWB but yesterday my pod said I can walk without giving me any instructions on what to wear, I tried all of my shoes and nothing fit because my foot still swollen
What do you suggest for sneakers other than new balance for females? what should I look into when I buy one?
Another question does wearing closed shoes make my foot more swollen?

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hello Sahal,
I'm glad to hear that you are recovering from the 4th met fracture! Because of the swelling, your foot has probably gone up a size and may stay that way for up to 1-2 years. As you continue to protect it with excellent shoes, the size may decrease in time. Have the shoe store remeasure your foot to determine your new shoe size.

I would recommend that you start at the beginning and get into RX Crocs around the house and NB 928 or 1540 as you ease into proper shoes. You have to walk before you can run! Meaning, don't jump into dress shoes to quickly - you are still on the mend. Start with the basics: Rx Crocs and NB 928 or 1540.

Once you are comfortable in the NB (all day) - then you can bump up to different types of shoes. Did you talk to your Pod about getting in a brace while you are easing into proper shoes? I find the use of tri-lock bracing with the NB will allow you to get back into your exercise routine quicker and with less swelling as well as decreased chance of reinjury.

Give yourself at least four weeks in Rx Crocs around the house and NB 928 or 1540 before you bump up to any other type of shoes. I would also suggest you have a discussion with your Pod about either a custom-molded orthotic or an excellent over-the-counter insert for arch support.

Once you are on the mend and in NB all day with no problems - then you can try something like:

1. Wolky CLoggy (open or closed-toe), Tulip, Jewel or Ruby
2. Allegria Paloma or Abbi
3. Dansko Professional or Dansko sandals with rearfoot strapping.
4. Chaco Z1 or Z2 or a Keen's amphibious sandal for the beach and in the surf, ect.

These are a few suggestions!

Check out my lists using the search box:
1. Top 20 COmfortable Women's dress shoes
2. Top 20 Comfortable Sandals

Hope all is well and I hope this was helpful!

Be careful out there,
Cathy
:)


Rosana said...

Hi Dr.
Thanks for your post it makes a lot of sense. I have a lisfranc fracture in my right foot. It is been two years and I have been wearing most of the time running shoes with strong arch support. My physical therapist also put on them Sole insoles for more support. Most of the days my foot feels fine but I work as a teaching assistant and there are days that I have to be on my feet up to 6 hours of course I end up very sore. What brand of brace would you recommend for extra help? Thank you

Doctor of Podiatry Discusses and Recommends Shoes. said...

HI Rosana,

Crocs RX around the house - with the strap to the back.

New Balance 928 or 1540 with custo-molded orthotics for exercise

A tri-lock brace to wear on an as needed basis for exercise or the 6+hour days (you can get this from a Pod)

A low Dansko shoe or sandal with rearfoot control to use for dressier occasions

Chaco Z1 for the beach or pool

When you try the shoe on - if it doesn't feel good - don't get it.

That's a good start!

Best wishes and let me know how it goes!
Cathy
:)

Kelly M said...

Hi! June 29th I broke my 3rd and 4th metatarsal bones of my right foot. Ive been treated by the immediate care dr. I was in the boot and crutches for 10 days. Then lost the crutches. Just today he moved me from the walking boot to a walking shoe. . He said in 2 weeks I can prob start wearing regular gym shoes. Would the New Balance ones still be the best suggestion? And I can get a script for that? Also I need to fly to another state in 2 weeks for work, will the walkinh shoe be sufficient? Thank u. So glad I found your blog!

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Kelly M,
I'm sorry it's taken so long for me to respond!
The New Balance 928 or 1540 should work very well for you. Get RX Crocs for around the house as a bedroom slipper. You can call our front desk at 480 563 5115 on Monday and ask for a RX for the NB sneakers and we will mail it to you - it will give you 10% off the price at the NB store. Or you can ask your Dr for an RX for the NB 928 or 1540. Do not get any other NB #'s! They will not be good enough for you. You may also want to get a Bioskin tri-lock brace to wear with the NB sneakers as you ease back into exercise.
Hope all is well!
Cathy
:)

Terri said...

Hi Doctor!
So glad you have this blog! Three weeks ago, I broke my 5th metatarsal head, clean break. Didn't dawn on me to see a podiatrist, and went to an orthopedic office and was Xrayed,treated by a PA and was placed in a walking boot. My dilemma is that my family and I have prebooked a tour of Italy that leaves in 3 1/2 weeks. the PA said it should pose no problem if I wear good walking shoes. After reading your blog, I ordered NB928. What I need to know now is when can I start wearing them? Do I need to wait till the 6 week healing period is done? I'd like to break them in before the trip, but don't want to cause further harm. Any advice is greatly appreciated. Wish I lived in Arizona instead of Mass, I'd visit you instead of writing!
Thanks, Terri

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Terri,
Sorry to hear about your injury! Yes, you absolutely have to stay in the CAM for 6 weeks - if you get out of it early, you are slowing the healing process and can cause complications. I would recommend getting the Bioskin trilock brace to wear with the NB928 for your trip to Italy as that will help control the swelling, limit motion and decrease pain. I know it is a pain, but I would consider taking the CAM with you - just in case you need it! Get your RX Crocs for the hotel room and wear your NB928 during the day. You are in the healing period and it is really important that you rest, elevate and wear your CAM.
Have a wonderful trip!
Cathy
:)

Unknown said...

Hi Doctor,

I injured my lisfranc ligament in July and was operated on the following week with ORIF. 2-3mm displacement. One screw was placed through my first cuneiform to my second metatarsal. It has been almost 3 months and my cast was removed at the 6 week mark for PWB. I was just instructed that I can not use the boot anymore and should move to sneaker with a 3/4 Spenco RX ortho arch. I was instructed to put this on top of the shoes default padded sole. However, this makes my foot sit so high in the shoe. If I get the NB1540, would I need additional orthotic support? In addition, would you suggest removing the hardware ? My doctor said he would do either but saw no Reason to remove. Is the recommendation for no barefoot walking forever or only in the first 12 months of recovery. Thanks for all your help!

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hello,
I'm sorry to hear that you've had the Lisfranc's injury. I would highly recommend that you get the NB 928 as they are better than the 1540 for the injury you are recovering from. I would recommend that you get either a custom molded orthotic or an OTC insert like Powerstep. Any insert you get should replace the insert that comes with the shoe, otherwise, as you say, it crowds the toes and can cause problems. The no barefoot rules are forever. I agree with your Doctor, there is no reason to remove the hardward unless they are causing pain or problems. You should also talk to your Doc about bracing (tri-lock brace) for increased activities such as sports.
Hope that was helpful and good luck!
Cathy
:)

Margil Garcia said...

hello, my name is margie i am 24years old and i am on my fifth week of recovery from a bone fusion TMT 1,2 and 3 i am in the military and running is crucial for me. for now i am temporarily disabled and then i will be on a walking profile until i am able to run again. my doctor says running is not recommended though i still want to run if not this year at least next and so on. what is the best shoe i could wear?? also no highheels? what about wedges?

Margil Garcia said...
This comment has been removed by the author.
Margil Garcia said...
This comment has been removed by the author.
Pam said...

What a great site! Thank you! I crushed my calcaneus and did serious damage to my STJ in April 2013.. I had an ORIF with 9 screws and one plate. I am still having issues with pain. I can't find a good shoe. I'm actually going to Disney next week for 6 days and am stressing about the pain of walking all day. What type of shoe do you recommend that I try? I'm doing PT 2x a week but haven't gotten guidance on shoes. Of course I'd love something fashionable but at this point in my recovery, I'm looking for comfort. Thank you.

Unknown said...

I'm having surgery on a misdiagnosed lisfranc injury in two weeks. I'm in New Balance with a custom orthotic right now. What do I need for after surgery? I'm a professional person with a business casual office.

Doctor of Podiatry Discusses and Recommends Shoes. said...

Dear Pam,

I am so sorry that I wasn't able to respond to your question before your trip! My husband and I were on our annual vacation and out of the country. I hope you had a wonderful vacation and even though the advice is late - here it is:

I would wear the New Balance 928 with diabetic socks and a custom molded orthotic (or, if you don't have an CMO - use an over the counter insert such as powerstep or even a Dr. Scholl's which I don't usually recommend but you might need more cushion than control due to your injury).

I would also get a Bioskin Tri-Lock brace from your Pod or an over the counter Futura brace that goes from your midfoot to above your ankle so that you have less motion through the site of injury and therefore less pain.

Crocs RX for the hotel room and around the pool!

I'm so sorry I wasn't able to repsond earlier! I hope all went well...

Cathy
:)

Unknown said...

I don't know if you are still checking this but I have a question. I've had fusion on three joints and am still Non-weight bearing. I have the New balance 928 with a custom orthotic for when I can wear shoes again. I have narrow, slim feet and the normal foot is already a half size smaller. My feet are swimming in crocs so I wondered If they would be a good choice. I have to get a medium for the left and I'm walking out of the right shoe! I won't be able to tolerate straps on the top of the injured foot which is my usual solution. I also have Naot and Drew shoes. How can I make the shoes fit on the uninsured foot.

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi unknown,

I'm hoping you meant to say 'uninjured' foot instead of 'uninsured' foot...?

If you are still non-weighbearing after your surgery that means you are still in the healing process and the ONLY thing you should be wearing on that foot is is the CAM Walker or surgical shoe that your surgeon gave you. Once your surgeon clears you to wear normal shoes - then you will be able to begin to tolerate straps on the top of the foot and you can begin wearing the RX Crocs as bedroom slippers in the house (please discuss this with your surgeon). The best thing to wear once your surgeon clears you for normal shoes is the NB 928 with CMO's and I might even suggest you wear them as bedroom slippers for the first one year after recovery.

I hope all goes well and I wish you the best as you recover from your surgery!
Cathy
:)

Basil said...

Hi,

Great advice, I'm a guy, 41, not overweight, slim in fact. Broke 5th metatarsal 6 weeks ago. Spiral fracture mid shaft. 4 weeks in a cast then X-ray showed bone union had started, so no more cast, just walking with one crutch and advised to start putting weight on foot, no crutches. No shoes prescribed but I asked if my practically new Nike Air Sky Raiders would be ok. They have arch support, thick soles. I hate them but needs must. Dr said they're fine.

Now, it's a at 6 week mark, still only wearing Nikes even for work. Can put weight on foot & walk almost normally for few metres, but pain is mid sole and on top of big toe & down along that bone on top,of foot. I think this is due to muscles not used to these trainers (normally live in converse & work flat shoes) & of course trauma to whole of foot.

I'm dying to get back in to converse but what would you think of wearing Kickers boots? These are same as pair I own http://www.kickers.co.uk/p/men/mens-kick-hi-(dark-red)/111789?cm_vc=CAT_CS

Any help is greatly appreciated!

Stu
UK

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Basil,
I'm sorry for the delayed response! If you want to get Kicker men's shoes - make sure that the one you choose has a thick and rigid sole that does not bed at all as well as a wide base in the midfoot area. If you find a boot that you like that has a leather sole, take them to a Cobbler and have them add a full length shank to the bottom of the shoe so that it eliminates any motion through the entire foot area. After a 5th met fracture, it is very importatn that you do not wear any shoes that bend or flex or don't have a wde, solid base.
I hope you continue to get better!
Cathy
:)

Kelcie said...

I had surgery Friday for a lisfranc injury and fracture to 2nd, 3rd, and 4th metatarsals, they put in 2 plates and 9 screws. I still have 3 months before I need to worry about any type of shoes, I plan to get some of the RX Crocs that you recommend for around the house. However, I am wondering what you recommend for exercise? I am also in a wedding 8 weeks after I SHOULD be getting out of my walking boot and into regular shoes. What would you recommend for a dressier shoe? My doctor does plan on going in and removing the hardware but I will still have them in at the wedding. (not sure if that will affect my shoe choice for the wedding)

Thank you so much, I am soo happy I found your blog!!

Doctor of Podiatry Discusses and Recommends Shoes. said...

Hi Kelsie,
I'm sorry to hear about your foot injury!

Once you are easing into regular shoes, I would highly recommend the New Balance 928 with a custom molded insert or a really good over the counter insert like Powerstep or one of the New Balance inserts that you can purchase at the store.

The wedding is tougher. Some thoughts are:
Allegria (with rearfoot control)
Wolky Sandal (Ruby, Tulip, Jewel, CLoggy)
Fit Flop shoes (with rearfoot control - NOT the flip flop).
Oops - husband put dinner on the table - gotta' go -
Best of luck and if I have more ideas for dress shoes, I will post them.
Cathy
:)

Anonymous said...

Hi there,
31 year old dancer with a Lisfranc fracture of the second and third metatarsals. Your blog has been amazingly informative for me, and I may call you soon for a NB 'script if my own Dr doesnt prescribe it. I had surgery four days ago, to install an Arthex knotless tightrope. I was curious if you had an opinion on the efficiency of this method (as opposed to screws/plates) in restoring stability and flexibility, particularly as it pertains to dancing? Also, do you have any brace/ortho insert recommendations for dance shoes (salsa high heels, burlesque platforms, ballet slips and pointes)? I always wore dr.shoals high heel inserts and custom toe cushions over the top of my foot when possible. I don't know that I will dance again, but my dr.s say I will...and so im trying to be proactive in my healing. Thank you so much for your time and response, I love your blog, and if your book is on GooglePlay Ill soon be enjoying it as well!
Respectfully,
Michelle