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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:






Saturday, July 30, 2016

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


Podiatrist Recommended:

Top 15 Shoes For Foot Pain!






Crocs Rx - Relief or Ultimate Cloud
or the Crocs Specialist (with no vents)
or the Crocs Mammouth (fleece lined)

Rx Crocs Relief, Ultimate Cloud, Specialist or the Mammouth are my top picks for bedroom slippers. They are prescription strength and they are approved by the American Podiatric Medical Association for diabetic patients. The Rx Crocs Relief are being discontinued soon, but they can still be found online. The next best option is the Crocs Specialist (without the vents). 

As a general rule, the only time you should be barefoot (and standing) is when you are in the shower. I recommend that you wear Rx Crocs as soon as you get out of bed in the morning and also in the night if you get up to go to the bathroom. As soon as you get out of the shower, put on the Crocs. I treat many foot injuries that happen between the bed and the bathroom at 3am! The Crocs could potentially save you from broken toes, foreign bodies, warts, heel pain (to name a few) and, for geriatric patients, they will significantly decrease the risk of falling. Not all Crocs are good. In fact, many styles of Crocs are terrible, so try any of the ones listed above as they are the best of all of the Crocs. 

The Crocs are only meant to be worn to putter around the house. Once you are ready for your day, you should put on more supportive shoes, which I will cover later in this article. 

If you stop walking barefoot and flimsy bedroom slippers and switch to one of these Crocs, you should see about a 30% decrease in foot, knee, hip and lower back pain within 3 weeks! 





Vionix Relax Slipper

Even thought the Vionix Relax Slipper doesn't have rearfoot control, this is an excellent option for bedroom slippers. The Crocs work for about 95% of people, but they do not work for everyone. If the Crocs aren't working for you, the Vionix Relax Slippers may be perfect for you. What makes them so good is that they have a thick, rigid and nonflexible sole with good arch support and lots of cushion. The straps are adjustable to accommodate for swelling.





Birkenstock Sandals

If you like your foot comfort with a bit of Granola, then this is your shoe! 

For any shoe to be good enough for your feet, they must meet four criteria:

1. A thick, rigid and non-flexible sole with a wide base. Less motion through injured or painful joints means there will be less damage and irritation to these areas. The concept is counterintuitive. Less motion through painful joints means less inflammation, less swelling, less pain and it improves healing and biomechanical function. There is a false idea out there that the foot needs freedom and motion. The problem is, you have 28 bones in each foot and some of these joints (particularly in the midfoot and rearfoot area) have only a limited amount of range of motion. If you are wearing a super-flexible shoe, then you are allowing too much motion through joints that aren't supposed to have that much motion. The result can be broken bones, tendon and ligament injuries, arthritic joint changes and degenerative joint disease. Once your foot hurts and you are limping, it is just a matter of time until you have knee, hip and lower back issues. A shoe with a thick, rigid and non-flexible sole is crucial for good joint health.  

2. Wide toebox. A wide, soft toebox will decrease pressure on the toes, which will slow the progression of hammertoes, bunions, corns and arthritic joint changes. 

3. Rearfoot control. In my opinion, even the best flip-flip is not good enough for your feet! If your shoe doesn't have rearfoot control then you are forcing your tendons, joints, ligaments to work harder to stay in the shoe, which causes tired leg syndrome, inflammation, increased risk of injury and more strain on the knees, hips and lower back. If you are wearing shoes without rearfoot control then you have to grip down your toes to stay in the shoe, which promotes hammertoes. 

4. Arch support. If there isn't arch support built into your shoes, you can often add custom-molded orthotics or an excellent over-the-counter insert like Powerstep or a heat-molded insert that you can get through your Podiatrist. If you don't think you need arch support because you have high arches, consider this: bridges have arches and engineers still put struts and supports under them. Arch support helps to decrease mechanical strain and slow the progression of bunions and hammertoes as well as help with knee, hip and lower back pain. Ten percent of people cannot tolerate arch support. If arch support hurts your feet, then discontinue wearing them and focus on excellent shoes with rigid, non-flexible soles.





Keens Newport H2

The Keens Newport H2 is a great amphibious sandal that you can wear to the beach. For anyone with foot pain or if you are recovering from a foot injury, you should wear this when at the beach and walking into the sand and even into the surf. This is also a good choice for anyone doing weight-bearing exercises or water aerobics in a pool. I recommend that you purchase this sandal in the store because quality greatly varies. You will need to make sure that you only purchase the ones that have the least flexible soles. I find that at least 10% of the time shoes are defective, broken or poorly made. Always double-check the rigidity of the soles before you purchase them. If they are flexing, ask the salesperson to get you another pair. 





Ecco Yucatan

The Ecco Yucatan is a great choice for many people and has the added advantage of extra cushion in the insole and better than average arch support. Once again, quality varies so only purchase them if the sole does not bend or flex!




Fit Flop Sandals

The Fit-Flop sandal is a good choice for anyone who has excessively large bunions and hammertoes. The Fit-Flop flip-flop is carried by many stores, but the Fit-Flop sandals are harder to find and you usually have to purchase these online. The quality of the sole varies and you only want to purchase the ones that have a more rigid and non-flexible sole. Less motion through the forefoot area means less irritation to the forefoot area, which means that a rigid sole will help with metatarsalgia, Morton's neuromas, capsulitis, plantar plate injuries, arthritic joints and will slow the progression of bunions and hammertoes. 





New Balance 928 

The New Balance 928 is the best walking shoe that works for the vast majority of patients. The NB 928 has roll-bar technology that doesn't allow motion through the bottom of the foot and therefore protects your foot joints. It has an extra-depth toebox, which means that there is less pressure on bunions, hammertoes and painful corns. The NB 928 accommodates custom-molded orthotics and can often accommodate custom ankle-foot orthosis (AFOs) for patients with more serious issues. Once again, I highly recommend that you go to the store to try on this shoe. Quality varies and if you happen to find one that has a flexible forefoot sole - don't buy it! Ask the salesperson to get you another pair from the storeroom. They may not understand why as this concept is not common knowledge. You can blame the extra trouble on me - just tell them that your podiatrist insists that you wear shoes that don't allow any motion through your forefoot joints.

The NB 928 also comes in black leather and dark brown and can be worn as a work shoe with casual business wear. If you have a strict dress code at work, your podiatrist can write a prescription stating that it is medically necessary for you to wear this shoe at work. 






New Balance 1540

If the NB 928 don't work for you, then this is your next best bet. The NB 1540 is an excellent shoe that also has roll-bar technology and an extra-depth toebox. 





Hoka One One Stinson ATR

The Hoka shoes were designed for runners who have been told by a doctor that they should never run again because of knee, hip or lower back pain. If you are a runner who is starting to experience joint issues or if you are a runner who wants to prevent issues so that you can get more years of running - this is a great choice! I like the Hoka Stinson better than the other Hoka styles because it has a sturdier sole, which means that the shoe lasts longer. The Hoka Stinson has three times the support and cushion as any other running shoes, which makes this a great choice for anyone with heel pain. This is an all-terrain running shoe and has a grippy-bottom, which decreases the risk of slipping when you are trail running. 





Dansko Professional Clogs

The Danko Professional Clog is not for everyone! This is an amazing shoe for anyone who works long hours on smooth, concrete floors. It doesn't work well if you are walking on uneven surfaces or cobblestone. The Dansko Professional Clog is perfect shoe for anyone with Hallux Limitus (limited range of motion through the 1st toe joint), Hallux Rigidus (no motion through the 1st toe joint), metatarsalgia and arthritis of the forefoot joints. 

What makes the shoe so excellent is that it meets the four criteria required to make a shoe comfortable:
1. Thick, rigid and non-flexible sole.
2. Wide toebox
3. Rearfoot Control
4. Arch Support

I highly recommend that you go to the store to try these on. You will know instantly if you love them or hate them! This is my go-to shoe for work and I love them! 





Alden by J Crew

Expensive, but worth every cent! This shoe is amazing because it has a true full-length metal shank built into the sole. There is simply zero motion through the sole, which means that they are amazingly comfortable. If the toe box was wider and less tapered, this could possibly be the most comfortable dress shoe that I have ever come across. Many shoes claim they have a metal shanks built into the sole, but they are usually referring to a 2/3 metal shank that only controls the midfoot and not the forefoot. For a metal shank to be effective, it must be the length of the entire shoe and it has to be strong enough to stop all motion. Unfortunately, there are many poor quality, 2/3 length shoe shanks out there. 





Brooks Beast

This is an excellent maximum motion-control running shoe that meets all the criteria that is required for foot comfort. This is also an easy shoe to get teenage boys into because it's not orthopaedic looking and they love the name! If you don't have custom-molded orthotics, you can get Powerstep inserts online and it will replace the insole within the shoe for better arch support. 




Aravon Katy

This sandal can be purchased at your local New Balance store. This is an excellent choice for more mature patients who need the rigid sole but also like the extra cushion on the insole. The quality of the sole varies, so make sure that you only purchase them if the soles have as little motion and flexibility as possible. 




Wolky Jewel 
(or Cloggy or Tulip or Rio)

Great choices for anyone looking for a comfortable sandal! The These Wolky sandals work for most of my patients. Make sure you only purchase ones that have a rigid, non-flexible sole and, to do this, I would recommend that you purchase these in a store so you can try them on and test them. The insole has a little cushion and has decent arch support. The strapping allows for more biomechanical control, which is beneficial for anyone recovering from a Lisfranc's injury. The sandal can also accommodate a standard ankle brace.




MBT

The MBT's are excellent shoes, but they are not for everyone! The MBT's have a rocker-bottom sole, which is the same sole that is on a below the knee walking boot, which is what is used to treat broken bones. No motion through the bottom of the foot equals less pain through bones, joints, tendons, ligaments, which will allow for all-day comfort and facilitated healing. 

If you have a history of Achilles Tendonitis - do not wear any rocker-bottom shoe! If this shoe 'rocks' you backwards and puts excessive stain on your Achilles tendon then it can cause a tendon injury. The MBT's are also not recommended for anyone with hypermobility, ligament laxity, muscle or leg weakness, balance issues or a history of tendonitis. 

The MBT's are excellent if you have:
*Hallux Limitus (limited range of motion through the 1st toe joint)
*Hallux Rigidus (no range of motion through the 1st toe joint)
*Functional Hallux Limitus
*Degenerative joint disease of any of the forefoot joints
*Arthritis of any of the foot joints
*Morton's neuroma
*Metatarsalgia
*Plantar Plate injury
*Capsulitis
*Mild Bunions
*Mild to Moderate Hammertoes
*Mild Tailor's Bunion
*Corns & Calluses
*Plantar Fasciitis (heel pain)
*Previous history of Lisfranc's Injury 
*Knee, hip and lower back issues


I hope that this was helpful and I sincerely thank you for reading my blog. Please share this article on social media so we can hopefully benefit others who are suffering with foot, knee, hip or lower back pain.  

Thank you for reading my blog,

Dr. Cathleen A. McCarthy

:)























Saturday, June 11, 2016

Comfortable Wedge Heels for Summer 2016 - Pikolinos - Podiatry Recommended

Pikolinos

Two great choices for Summer 2016

Podiatrist Recommended


Pikolinos Mykonos



Pikolinos Madeira

Much thanks to my stylish patient who found these sandals! Both of these wedge heels are great choices for wearing on smooth, concrete surfaces. I would not recommend them for significantly uneven pavement or cobblestone. If possible, I recommend that you try on these shoes at the store so that you can get a good fit and make sure that they are comfortable. What makes both of these wedges so good is that they meet the criteria of what makes a good shoe. 

The four criteria required for a comfortable shoe:

1. A thick, rigid and non-flexible sole, so that there is no motion through the foot joints. Eliminating motion through foot joints decreases the progression of bunions, hammertoes and arthritic joint changes as well as decreasing inflammation, swelling and pain of tendons, muscles and ligaments. If you have arthritis or any joint issues in your feet (degenerative changes, history of a fracture or injury, ect) then wearing a shoe that is flexible will cause more wear and tear on the joints, which will cause more damage and pain. If you are recovering from a foot injury and are trying to transition from your below-the-knee walking boot into normal shoes -- the trick is to ease into shoes that do the same thing that the CAM walker did -- stop motion through the area of pain so that you can continue to heal and be comfortable. 

2. Wide toebox. A wide, soft toebox will decrease the progression of hammertoes, bunions, corns and calluses and other issues such as Morton's neuromas. If water can slowly wear down boulders into sand, then what do you think the pressure from pointy-toed shoes are doing to your joints throughout your lifetime? 

3. Rearfoot Control. In my opinion, there are no flip-flops that are good enough for anyone's feet! If you are not wearing a strap around the rearfoot, then you are forced to grip down with your toes, which helps promote hammertoes, mechanical strain and tired-leg syndrome.  

4. Arch Support. Although there is no significant arch support in these two sandals, you can get an over-the-counter cushion from the pharmacy that will adhere to the top of the footbed to give added arch support.  

These shoes are recommended for patients with:
*Mild to moderate Hallux Limitus
*Mild to moderate Functional Hallux Limitus 
*Hallux Rigidus (Mykonos)
*History of a 1st toe joint implant or fusion (Mykonos)
*Mild Osteoarthritis
*Mild Rheumatoid Arthritis (clear with your podiatrist) 
*Mild to Moderate Metatarsalgia
*Morton's Neuroma
*Plantar Plate Injury
*Capsulitis
*Over-Pronation (try to add a self-adhesive arch support and only wear for social occasions and not for all day walking)
*Plantar Fasciitis (heel pain)
*History of a previous Lisfranc's injury or fracture that has healed (please check with your podiatrist to see if this shoe is appropriate for you)
*Mild Hammertoes
*Mild Bunions
*Mild Tailor's Bunions 
*Mild Achilles Tendonitis
*History of healed tendonitis (check with your podiatrist)


These shoes are NOT recommended for patients with: 
*Diabetes
*History or Ulcerations
*Charcot foot
*Balance Issues
*Moderate to Severe Hypermobility or Ligament Laxity 
*History of Falling
*Instability
*Peripheral Neuropathy (nerve damage)
*Charcot-Marie Tooth
*Neurological Issues
*Peripheral Arterial Disease (poor circulation)
*Excessive swelling
*Moderate to Severe Lymphedema

For more information, please refer to my other articles on this blog:

My Feet Hurt: Top Ten Things to do to Alleviate Foot Pain.


Shoe Recommendations for Patients Recovering from Lisfranc's Foot Injuries.


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



Have a wonderful day,

Dr. Cathleen A. McCarthy

:)