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Showing posts with label Lisfranc's fracture shoes. Show all posts
Showing posts with label Lisfranc's fracture shoes. Show all posts

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

:)




Sunday, August 17, 2014

Women's Rocker Bottom Casual Dress Shoes for Fall 2014.


Rocker Bottom Women's Casual Dress Shoes
Fall 2014


Abeo R.O.C. Bree


Abeo R.O.C. Bethran


MBT Matwa


Shoes with rocker-bottom soles can be excellent for patients with certain biomechanical foot structures, but they are not for everyone. What makes the Rocker Bottom shoes so exceptional is that this is the type of sole that is on the bottom of a below the knee removable walking boot, which is what is used to treat broken foot bones. The most common fracture of the foot, the 'Jones fracture' (the 5th metatarsal), is treated by placing the patient in a walking boot with a rocker bottom sole for 6-8 weeks. By eliminating motion through the bottom of the foot and the ankle, the walking boot gives the body a chance to heal itself. No motion through an area of injury means less pain, less swelling and increased healing rate. The concept of the rocker bottom sole was taken from the walking boots and applied to shoes. 

The rocker bottom soles are particularly useful if you have an injury in the forefoot areas such as a sesamoid fracture because it off-loads the forefoot area. It is also a great shoe if you have been diagnosed with plantar fasciitis or you are recovering from a stress fracture of the heel bone as it also off-loads the rearfoot area. There are exceptions to this rule: if you have a history of Achilles Tendonitis or a previous Achilles tendon injury, this shoe would be a bad choice for you because the rocker-bottom can rock your foot back, which would put too much stress on the Achilles and set you up for a new injury. 

If you are recovering from a foot fracture and your doctor has cleared you to start wearing normal shoes, the rocker bottom shoe may be a good choice for you. I recommend wearing a custom-molded orthotic or an excellent over-the-counter insert in the rocker bottom shoes for more arch support. You can also wear a tri-lock brace with the MBT for more ankle support as you recover from your injury. Check with your doctor on his or her recommendations for your particular injury and foot type. 


Rocker Bottom Shoes are Recommended for patients with:
*Jobs that require standing on concrete floors for long hours  
*Plantar Fasciitis (Heel Pain)
*Mild overpronation (Wear an orthotic)
*Recovering from Lisfranc's Fracture
*Sesamoiditis 
*Previous sesamoid fracture
*Hallux Limitus
*Hallux Rigidus
*Mild Hammertoes
*Morton's Neuroma
*Plantar Plate injuries
*Capsulitis
*Metatarsalgia
*Mild Osteoarthritis
*Mild Bunions
*Mild Tailor's Bunions
*Corns & Calluses
*Back Pain
*Knee, Hip and Lower Back Pain (you will have to try them on and judge for yourself. If they don't feel good, they are not for you. Ease into wearing them. Start by wearing them for one hour the first day, two hours the second and add one hour every day until you are in them for the whole day)


Rocker Bottom Shoes are NOT Recommended for patients with:
*Balance Issues
*The Elderly
*History of Falling 
*Vertigo
*Low Blood Pressure 
*History of Fainting
*Hypermobility or Ligament Laxity
*Ankle Instability
*Achilles Tendonitis
*Patients who have to walk up and down hills or walk on uneven pavement such as cobblestone
*Severe Overpronation
*Nerve Damage
*Muscle Weakness
*Drop Foot
*Charcot-Marie Tooth Disease
*Charcot Foot
*Excessive swelling
*Severe Supinators (Rolling to the outside of your ankles as you walk)
*History of multiple ankle sprains


Check with your Podiatrist if you have any of thesse conditions to see if a rocker bottom shoe is appropriate for you:
*Diabetes
*Peripheral Arterial Disease (Poor Circulation)
*Moderate Over-Pronation




Have a great day,

Dr. Cathleen A. McCarthy

:)