Podiatrist Recommended Running Shoe - Hoka

HOKA ONE ONE

Running Shoe

 Hoka One One Mafate

 Hoka One One Bondi B

Thanks to Linda for introducing me to the Hoka One One Running Shoe! 

This is my new favorite running shoe - especially for patients who love to run and need to protect their joints.

It has a thick, rigid sole that provides stability and control and yet is lightweight enough to help prevent leg fatigue. Because it is so oversized, it does well on smooth surfaces or uneven trails.  

The bottom line is: the more you protect your joints, the longer you will be able to stay active and enjoy life. I have many patients who would love to be more active but are limited by joint pain and damage. Protect your joints now so you can stay active longer!

Overall, it's a beautiful combination of support, control and lightweight construction. 

Bravo!

 Hoka One One Bondi B Running Shoe

Happy Trails!

Dr. Cathleen A. McCarthy

:) 

Podiatrist Recommendations for Patients with Hallux Limitus who want fashion and height...

Podiatrist Shoe Recommendations 

for Patients with Hallux Limitus/Rigidus 

who still want height and fashion.

If you've been diagnosed with Hallux Limitus/Rigidus, you understand the frustration of having this condition when if comes to finding fashionable shoes. Getting diagnosed with Hallux Limitus doesn't mean that you're relegated to a life of orthopedic shoes. You simply need to understand exactly what you are looking for in a shoe so that you will be able to find something that is comfortable and suits your sense of style.

Hallux Limitus means that you have limited range of motion of the first toe joint whether it is from injury, arthritis, gout, degenerative joint disease or the genetic biomechanical structure of your foot. Hallux Rigidus means that the condition is so bad that you have no motion through the first toe joint. What this means is that if you try to wear any shoes with a heel, it results in significant pain and more injury to the already beleaguered joint. 

So, do you have Hallux Limitus, don't want to wear orthopedic shoes but would still love stand several inches taller?  A lovely website called Solestruck.com has a variety of shoes that fit the bill. I do not recommend all of their shoes (you'll understand why when you see all the 'Lady Gaga' shoes - love her music but not her shoes!) and I suspect you'll either love them or hate them. I think their shoes are awesome but I will confess that Callie, our office manager, shot me a look of horror when I showed her the shoes I was ordering. She claimed she would never wear them in a million years but did concede that she thought I could pull off the look (she then did a bee-bop imitation of me walking through the office in my new shoes) saying that Dr. McCarthy has her own sense of style, which includes not caring what anyone thinks, which I took as a compliment! Another confession - Callie is much cooler than me so don't say I didn't give you a heads-up...   :)

 

  

Patients with Hallux Limitus/Rigidus need four things in a shoe:

1. A thick, rigid sole with no motion. If you can bend of flex the shoe, it is not good enough for you and will cause more pain and damage to the joint.

2. A wide and preferably soft toe-box so there is no pressure on the toes. As a side note, this is particularly important if you are trying to treat a fungal infection of the toenails (please see my article on this blog about toenail fungus by using the search box). It is also important for anyone suffering with painful hammertoes, bunions, corns, Morton's Neuromas, ect.

3. Rearfoot Control. It's important that every shoe have at least a strap around your rearfoot. Otherwise, you are forcing all your tendons, joints, ligaments, and muscles to work harder to stay in the shoe, which causes a variety of problems including 'tired leg syndrome' as well as knee, hip and lower back pain. If you don't have rearfoot control, you are gripping down your toes to stay in the shoe, which is aggravating your Hallux Limitus condition.

4. Arch Support. I would recommend that your add a custom-molded dress orthotic to these shoes to give you more arch support, which will help with stopping or slowing the progression of your Hallux Limitus/Rigidus condition as well as help with knee, hip and lower back pain. Many insurance companies will pay for custom molded inserts because they understand that getting patients into proper inserts helps to prevent surgery. If you are a patient of ours, please call Callie (480-563-5115) and ask her to check with your insurance company to see if this benefit is covered.   

One final note, some of you may not like the looks of these shoes but - don't knock 'em till you try 'em! I have a patient who is a young, stylish and active woman who has such severe Hallux Rigidus that the only shoe she was able to wear comfortably was a leopard-skin pattern fuzzy bedroom slipper because it had a thick, rigid sole similar to the ones below. She wore that bedroom slipper with every outfit for over a year until she found something that was similar to the below shoes that she could wear with comfort! They are hard to find but they are out there so - don't give up! If you don't like these, keep looking till you find something that you like that has a thick rigid sole, wide toebox, arch support and rearfoot control. 

 

  

Jeffrey Campbell - Mad Man

The Damned

Jeffrey Campbell - Weller

August

 

Plateau Jung

Minimarket

Slingback Platform Sneaker

Opening Ceremony

June

I hope this was helpful and I wish you a Healthy, Fun, Active

Happy New Years!!

Dr. Cathleen A. McCarthy

:)

Updated List! Top 20 Comfortable Women's Dress Shoes - Podiatry Recommended

Updated List!

Top 20 Comfort Women's Dress Shoes
 

Any shoes on my list meet three of the four criteria that a shoe must have to be comfortable: a thick rigid and supportive sole, a wide toebox and rearfoot control. The fourth criteria is arch support and although many of these shoes do have decent arch support, I am less stringent on this criteria because you can get custom molded dress orthotics from your Podiatrist that fit into most dress shoes.

My list is not in any order but I would like to reiterate that what shoe feels comfortable on you is very specific to the biomechanical structure of your feet as well as any previous foot injuries that you have experienced. Anyone with forefoot issues (especially Hallux Limitus/Rigidus, which is limited range of motion of the 1st toe joint) should steer away from the heels. I do include a number of higher heels on this list because many women can wear them comfortably and I've tried to choose high heel shoes that are significantly more protective of the feet, which will slow the progression of foot deformities and allow for more comfort - as opposed to wearing a less supportive and poorly constructed high heel. 

Enjoy!

NAOT PLEASURE

I love the look of this shoe! Naot shoes tend to be amazingly comfortable as they have padded heel cups and an anatomical cork and latex footbed that conforms to your foot. The Naot Pleasure is a great shoe for anyone who wears a narrow to medium fit. A hidden metal shank in the sole gives the shoe more stability and less motion, which leads to more comfort, less mechanical strain, less chance of injury and 'wear and tear' on joints. This shoe is not recommended for anyone with severe Hallux Limitus/Rigidus, which is limited range of motion of the first toe joint. If you have any severe forefoot issues this may not be the right shoe for you. It is a great shoe for anyone with heel pain and mild Achilles Tendonitis. 

NAOT SELECT

This is a similar shoe to the Naot Pleasure (above) and also has a hidden metal shank for more comfort and support as well as the anatomic cork and latex foot bed. This shoe also works well for anyone with a narrow to medium fit. 

NAOT DESIGN

For anyone who can't tolerate heels, this is a fabulous flat dress shoe that offers support, comfort and style. It has a removable footbed so that you can replace it with your custom-molded orthotic if needed. For those of you that don't have custom-molded orthotics, the insert is high quality and molds to the foot. This is an excellent shoe for anyone with forefoot issues such as: Hallux Limitus/Rigidus (decreased or no motion of the 1st toe joint), Bunions, Hammertoes, Corns & Calluses, Morton's Neuroma, Osteoarthritis, Heel pain and metatarsalgia.  

TSUBO ASMIK

I love Tsubo! They make high quality, stylish shoes that offer all- day comfort. The thick, rigid sole offers wonderful protection for the foot joints and I particularly love the great midfoot and rearfoot control. Once again, if you have any severe forefoot issues that limit you on heel height this may not work for you. 

TSUBO ACREA

Several years ago, the Tsubo Acrea was one of my go-to shoes for all-day comfort at work. It has the thick, rigid sole that is crucial to foot comfort as well as midfoot and rearfoot control. Because the rearfoot strap on this shoe moves, I wasn't able to wear my custom-molded dress orthotics in this shoe but I found that I was comfortable with the arch support the shoe provided. Again, this is not a good shoe for anyone who can't tolerate high heels or who has severe forefoot issues such as Hallux Limitus/Rigidus (limited range of motion of the 1st toe joint).

TSUBO BARTO
 

Because this is a wedge, you get the height for fashion but not the high angle that causes increased pressure on the forefoot structures. The thick, rigid sole is excellent for protecting the foot and the forefoot, midfoot and rearfoot control is wide, soft and supportive. 

ALEGRIA PALOMA & ABBI

Assuming that you don't have a severely deformed foot, I'd like to meet the woman who isn't comfortable in these shoes! The Alegria Paloma and Abbi have an amazingly comfortable and protective sole as well as a soft insert with excellent arch support. They come in a wide variety of colors and designs from conservative to quirky. 

An extra-wide toebox is perfect for anyone who has painful bunions, hammertoes, corns & calluses, Morton's Neuroma, Metatarsalgia, Hallux Limitus/Rigidus, Osteoarthritis, Degenerative Joint Disease and many other forefoot issues. If you are recovering from a Lisfranc's fracture or sprain, this is a great shoe to ease into after you have healed and are returning to proper shoes. It's also excellent for anyone with heel pain as well as knee, hip and lower back issues. 

GENTLE SOULS - UP AT DAWN

 

Gentle Souls is a brand that recently caught my attention for their high quality shoes that offer women style and comfort. Although this shoe has a 3 inch heel height, the front platform is 3/4 inch resulting in a true heel height of 2-1/4 inches. I particularly like the wide soft toebox. Depending on how high your arch is, this shoe can also accommodate most custom-molded dress inserts. 

DONALD PLIMER - IDEAL 5

  

Expensive but well worth the money! What sets this shoe apart is the stretch elastic upper that is perfect for any painful protuberances such as bunions, hammertoes, corns, bone spurs and tender toes. It has a rigid sole and excellent (but soft) forefoot, midfoot and rearfoot control. 

WOLKY CLOGGY

This is a great shoe. 

It's almost the perfect shoe. 

The only drawback to this shoe is the open back makes it less than ideal for walking outdoors in rainy or snowy climates. It has a thick, rigid sole with excellent arch support for more comfort and protection. The wide toebox is exceptional for anyone with Bunions, Hammertoes, Morton's Neuroma, Metatarsalgia, Hallux Limitus/Rigidus, Degenerative Joint Disease, Osteoarthritis, Capsulitis, and Tailor's Bunions. 

This Shoe is Recommended for Patients with:

*Hallux Limitus/Rigidus (limited range of motion of the 1st toe joint)

*Osteoarthritis

* Degenerative Joint Disease

*Bunions

*Tailor's Bunions

*Hammertoes

*Morton's Neuroma

*Capsulitis

*Plantar Fasciits (Heel Pain)

*Metatarsalgia

*Tendonitis

*Achilles Tendonitis

*Mild Over-Pronators

*Knee, Hip and Lower Back Pain

*Sinus Tarsi Syndrome

*Mechanical Strain

 WOLKY DAZZLE

The Wolky Dazzle is not as good as the Cloggy but it is a comfortable shoe for anyone who knows they can wear heels. Once again, I love the wide, soft toebox and the extra biomechanical control that the midfoot and rearfoot strap offers. The material is a soft suede upper with an adjustable strap for a better fit. The contoured footbed offers support and cushion while the wedge sole is made of shock absorbing materials. 

WOLKY BLOSSOM

Okay, not the prettiest shoe ever to grace planet earth but, guess what, the Wolky Blossom is ridiculously comfortable! This is the winter version of the Wolky Jewel, which is an excellent sandal that I recommend to many of my patients. Wolky shoes are expensive but I always remind my patients that shoes are an investment. They will pay off (many times over) in less foot, knee, hip and lower back pain. 

EARTHIES SYRIANA

I love the look of the Earthies Syriana! They have the thick, rigid and therefore protective sole. The criss-crossing midfoot and rearfoot strapping gives added biomechanical control of the foot and ankle. The forefoot area runs a bit narrower than I would like to see but otherwise, this is a comfortable and stylish shoe for anyone who knows they can wear heels. 


 

EARTHIES SHIPLEY

This adorable vintage looking shoe is perfect for anyone who knows they can comfortably wear a heel. It offers excellent midfoot and rearfoot control and the sole is rigid for more comfort and stability. One of the many reasons I like the Earthies shoes is that they offer good arch support within the shoe but, this shoe in particular, may be able to accommodate a custom-molded dress orthotic from your Podiatrist. If you get molded for dress orthotics, I recommend you take your favorite dress shoes so that your Podiatrist can make the prescription that will perfectly fit that shoe.

EARTHIES BRISTOL

The Earthies Bristol is another dress shoe with exceptional forefoot, midfoot and rearfoot control. The bow is removable and the interior offers good arch support. The wedge in the front offers more protection and comfort for the forefoot. 

DANSKO REENY

The Dansko Brand is not for everyone because it offers hard-core biomechanical control that is sometimes 'too much' for some patients. If you have any 'protuberances' or 'bumps' on your feet, you may have trouble finding a comfortable fit because the typical Dansko has very little give. 

That being said, Dansko shoes are fabulous! All of them have thick, rigid soles that are super-protective of the foot. If you work on your feet all day, especially on concrete or retail flooring - this may be the perfect shoe for you. When it comes to Dansko, I highly recommend that you go to the store to try them on. You are either going to love them or hate them. If you love them, make sure you only get the ones that have rearfoot strapping. 

Dansko shoes are notoriously heavy shoes so I do not recommend these for anyone who has muscular weakness, easily fatigued legs, drop foot, the elderly, or balance issues. 

DANSKO NORI

Please see the review above for general information on Dansko shoes. The Dansko Nori is an exceptionally comfortable shoe for most people. This will not be a good choice for anyone with a high arch or an exostosis (i.e. bump or bone spur) on the top of their midfoot because this shoe will cause too much pressure on that area. 

DANSKO PROFESSIONAL

This is my current go-to shoe for work. The best Dansko ever and the one that got me through my residency and all those hours on my feet on unforgiving hospital floors! For more information on this shoe, please go to the search box in the upper right hand corner as I did a more in depth review on this shoe several months ago. 

DANSKO HARLOW

The Dansko Harlow is an excellent choice for someone who needs a lower heel than the Nori or the Reeny. It also is an excellent choice for someone who can't wear some of the other styles because of excessively high arches or bone spurring on the top of the midfoot area. The design of this shoe doesn't place any pressure on that area unlike some of the other Dansko styles.

This shoe is perfect for anyone who has metatarsalgia and mild Hallux Limitus (limited range of motion of the 1st toe joint).

JOHN FLUEVOG - GRACIAS

 

My shoe list is never complete until I included a John Fluevog! I adore John Fluevog shoes. This is an example of a lower heeled Fluevog shoe that offers comfort and style. They are pricey but, if you've ever indulged in purchasing a pair, you'll see why they are worth the money. I love the wide toebox and I love the look of the heel. If you have ankle instability or suffer with severe over-pronation, this is not the shoe for you. 


 I hope this was helpful!


Now the secret is out - this is how a true Podiatry shoe geek spends the Thanksgiving holiday...!


Dr. Cathleen A. McCarthy

:)

******

Check out my first novel which was written under my pen name C. Mack Lewis. It's available on Kindle or you can get a free Kindle app and download it to your iPad. 

Thank you for your support!

http://www.amazon.com/Gunning-For-Angels-Mack-Lewis-ebook/dp/B00I84NSE0

 

 

Orthofeet: a Review of the Stretchable Mary Jane

Review of the Orthofeet Stretchable Mary Jane.

         The Orthofeet Stretchable Mary Jane is a wonderfully comfortable shoe for women who suffer from painful bunions, hammertoes, corns and toenails. This shoe has a thick rigid sole that limits motion across the bottom of the foot, which allows for more comfort. It’s also light and comes with an excellent insole that provides cushion and arch support for more biomechanical control of the foot and ankle, which translate into less knee, hip and lower back pain! The insole can be removed so that you can replace it with your custom-molded orthotic if needed.  

What sets this shoe apart from others is the Spandex toe box, which decreases pressure on tender toes. This shoe is considered an ‘Extra-Depth’ shoe, which means that it has extra room for the toes.
Many people aren’t aware that Medicare approves this type of shoe for most patients who suffer with diabetes with the added complications of diabetic neuropathy and/or peripheral arterial disease. Medicare has a wonderful program that pays for diabetic patients to receive one pair of extra-depth shoes with three sets of custom inserts (each lasting four months) each calendar year. Medicare provides this program for their diabetic patients because research has shown that if they get diabetic patients into proper shoes and inserts, Medicare saves billions of dollars in hospital bills resulting from diabetic ulcers, infections, and amputations. This is one of many styles of shoes that the Medicare program covers. 

If you aren’t diabetic, these shoes can be purchased from Footsmart.com and, if you are diabetic, many Podiatrists offer the extra depth shoe program through their offices. 
I recommend that if you are diabetic, make an appointment with your local Podiatrist for your annual diabetic exam and, he or she will determine if you are medically eligible for the program. If your Podiatrist doesn't offer the program through his or her office, you can request a prescription to send you out to a facility that does offer the program. We've offered this program to our patients for over a decade and the patients love the shoes and inserts for the comfort and I love it because it decreases diabetic related complications! Remember, if you are suffering with painful feet, I recommend that you follow up with your local Podiatrist for evaluation and treatment. There are many non-painful, non-surgical options that can significantly decrease your foot pain. As an added benefit, I also love the fact that Orthofeet shoes are made in America! 
 

Happy Thanksgiving!

Dr. Cathleen A. McCarthy

:)

Scared Straight: Foot X-Rays that will scare you into better shoes.

Halloween Edition:

Scared Straight: 

X-Rays that (hopefully!) will scare you into better shoes...

I wanted to talk about why having a shoe with a thick rigid sole is so crucial for proper foot care. 

I have a patient who was kind enough to give me permission to use his story and his x-rays. He is a healthy thirty-something year old man who had a horrible motorcycle accident nine years ago. 

When I walked in the exam room, I immediately noticed that his complexion was grey and he looked like he was going to vomit. We talked and he told me that the last time he saw a Podiatrist he was told that he might need an amputation. I quickly eased his fears by telling him that we would only be talking about shoes and inserts and that we should be able to greatly improve his foot by making some simple, non-painful, non-surgical changes to his current shoes and inserts.  

He said that three days ago he was walking and heard a 'pop' and felt a pain in his right foot. He stated he didn't have any specific injury but was simply walking. I checked the shoes that he had been walking in and they had an extremely thin, flexible sole. 

Let's take a look at his first x-ray (Ignore the arrows please):

The three screws were placed across his Lisfranc's joint after the motorcycle accident. On the day of the accident, he was wearing a shoe with a flexible sole and, when his foot twisted, multiple bones were broken in the midfoot area and ankle. The surgeon had to perform a joint fusion by placing screws across the Lisfranc's joint. The idea behind this is that if you fuse the joint - you stabilize the joint, limit motion and thereby limit pain. Since the accident, he's always had some degree of foot pain but has managed to stay active. 

After the surgery, he didn't realize that he needed to stop walking barefoot and wearing flip-flops and that, after an injury like this, he needed to limit himself to shoes with a thick rigid sole for maximal protection. Not knowing this, he spent the last nine years wearing improper shoe gear.

 Let's take a closer look at those screws...

  

If you look closely, can you see that two of the three screws are broken? The two that are most vertical are the broken screws and, unfortunately, it is harder to see that the one on the right is broken in half - but it is.

My point being, if nine years worth of walking barefoot and wearing flip-flops causes enough stress through the Lisfranc's joint to break two titanium screws - what is all that stress and strain doing to your joints?

The strange part of this story is the problem is not the broken screws or the Lisfranc's joint. 

The problem is that he was wearing a flimsy sole shoe and the one  titanium screw that is intact and doing it's job of limiting motion across the joint was not allowing any motion and his body needed motion to walk. The stress on his foot was too much and his body found the motion he needed by breaking the third metatarsal. 

Take a look at the arrows. The real problem - the thing that is currently causing him pain - is the new broken bone on the third metatarsal. 

We placed him in a below-the-knee walking boot for two weeks and had him come back two weeks later for x-rays. 

Two weeks later, the third metatarsal fracture is more easily visualized because it is forming a 'bone callus', which is the body's way of trying to heal itself.

What's interesting is that the broken screws don't matter. They aren't causing any pain so they don't need to be removed. The plan is to heal the current fracture and, once it is healed, make sure he:

*Wears Rx Crocs 'Relief' around the house as a bedroom slipper

*Never walk barefoot or wear flimsy shoes or flip-flops

*Wears New Balance 928 as a walking shoe

*Wears custom-molded inserts 

*Wear dress shoes that have a thick rigid sole with a metal shank

*Wear a Tri-Lock Brace for sports and increased activities 

 

And he should be able to lead a normal, healthy, active life! 

 

The moral of the story is: protect your feet!

You'll have a healthier, happier life with less pain and injuries...

My best to all of you!

Dr. Cathleen A. McCarthy

:)

Best Choice for Comfortable Women's Ballet Slipper.

Dr. Marten's Christina

I am not a big fan of ballet slippers because most of them are super-crappy with zero support! After extensive research, Dr. Marten's Christina is the best ballet slipper that I have been able to find. I'm not saying that it's a good choice for everybody but I am saying that for certain people, this is the best choice I could find in the ballet slipper category. I would recommend that you pair this shoe with a dress orthotic to give added arch support for better biomechanical control, which will result in more comfort. 

If you have serious forefoot issues or work on your feet for long hours on concrete floors, this shoe is not going to be supportive enough. I would recommend that you 'bump up' to something with more support like the Dansko Volley. Remember to listen to your body! If you try this shoe (or any shoe) and it hurts or find yourself having increased discomfort as the day goes on - don't wear it. It's not good enough for you!

Under normal circumstances, I steer patients away from ballet slippers but I've had so many requests from people who want to know if there is any comfortable ballet slippers that they can wear that I decided to delve into it deeper. 

In general, any ballet slipper that bends or flexes is garbage and is going to cause more mechanical strain for your joints, tendons, ligament, ect. This leads to 'tired leg syndrome' and can make you more susceptible to injuries. What makes the Dr. Martin Christina decent is that it does have a thicker, more rigid sole than the typical ballet slipper. I would love to see it thicker and more rigid but - that is hard to find in a ballet slipper type shoe! 

I have one patient who loves the ballet slipper so much that I advised her to try this shoe and, if she was comfortable in it, take it to a Cobbler to add more support to the bottom for more protection.

 

This Shoe is Recommended For Patients with:

*Healthy feet

*No significant biomechanical issues

*No foot pain!

This Shoe is NOT Recommended For Patients with:

*Diabetes

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

*History of Ulcerations/Open Sores

*Hypermobility

*Ligament Laxity

*Over-Pronators

*Ankle Instability

*History of Lisfranc's Fractures (Jone's Fracture)

*Bunions

*Hammertoes

*Morton's Neuromas

*Achilles Tendonitis

*Plantar Fasciitis (Heel Pain)

*Corns & Calluses

*Metatarsalgia

*Tendonitis

*Capsulitis

I know it's a limited list for who this shoe is 'recommended' for but if you have foot pain or any significant biomechanical foot or ankle issues, this is not the proper shoe for you. 

It is, however, the best choice for someone who is determined to wear ballet slippers and wants to decrease damage and increase comfort from your typical ballet slipper.

I hope this was helpful and I would love to hear any feedback you have on the Dr. Marten's Christina.

Sincerely,

Dr. Cathleen A. McCarthy 

:)

 

 

 

 

Danko Clog - Comfortable Shoe For Certain Foot Types.

The Dansko Clog

Let me preface this review by saying that the Dansko Clog is not for everyone! There are patients with certain foot types and medical conditions that I would never dream of putting into a Dansko Clog because it would be a disaster for their feet. That being said, I have many patients (including myself) where the Dansko Clog is the very definition of comfort. In Podiatry school, when I went from sitting all day in classes for two years to suddenly being thrown into 14 hour days on my feet on torturous concrete hospital floors for another four years of school and residency, I suffered horribly from heel pain, swelling in my feet and tired leg syndrome. I was a broke student and I made a very painful $95 splurge on purchasing the Dansko Clog and they were one of the best investments I've ever made!

What's great about the Dansko Clog is the thick, rigid and therefore very protective sole. I always feel extra safe wearing my Dansko clogs because if anyone ever tried to mug me, these shoes are so strong that I'm convinced I could effectively use them as a weapon (forgive me, I'm originally from New Jersey!). If you are suffering with forefoot pain of any kind, this may be the perfect shoe for you. They also have decent arch support, a wide toe-box and rear-foot control. I do not recommend the Dansko shoes that don't have rear-foot control as they force the person wearing them to scrunch down their toes to keep in the shoe, which can cause 'mechanical strain' and 'tired leg syndrome' at the end of a long day.

The Dansko Clogs do not accommodate any type of inserts but, in my experience, they don't need extra arch support. It is the one shoe where I don't have to (or need to) wear my orthotics. 

In general, the Dansko Clog is great for healthy, young, active patients who are on their feet all day, especially on concrete floors. I would never put anyone who is elderly or has any type of muscular or nerve disorder in these shoes as they are simply too heavy. 

Dansko Clogs Are Recommended For Patients With:

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Mild Haglund's Deformity

*Mild to Severe Metatarsalgia

*Mild Bunions & Tailor's Bunions

*Mild to Moderate Hammertoes

*Morton's Neuroma

*Capsulitis of the Forefoot Joints

*Hallux Limitus (Limited range of motion of the 1st toe joint)

*Hallux Rigidus (No motion of the 1st toe joint)

*Mild to Moderate Osteoarthritis

*Possibly Mild Rheumatoid Arthritis

*Mild Tendonitis

*Mild to Possibly Moderate Over-Pronators

*Mild Hypermobility / Ligament Laxity

*Plantar Plate Injuries

*Patient's recovering or trying to heal from a fractured toe

*Patient's recovering from a fractured metatarsal bone (Check with your Pod!)

*Mild to Moderate Degenerative Joint Disease

*Over-Use Syndrome

Dansko Clogs Are NOT Recommended For Patients With:

*Weak legs

*Muscle disorders that cause instability or weakness of the legs

*Nerve disorders that cause weakness or instability of the legs

*Drop Foot

*Charcot Marie Tooth Disease

*Charcot Foot

*Diabetics

*Diabetics with history of Ulcerations (Open sores)

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Balance Issues

*The Elderly

*Anyone with prominent "bumps" on their feet, especially on the top of the mid-foot area

*Painful Calluses on the bottom of the feet (because they need more cushion in the shoe)

*Severe Rheumatoid Arthritis  (because they need more cushion in the shoe)

*Severe Hypermobility / Ligament Laxity

*Ankle Instability

My best advice to you is go to a store and try them on. You are either going to love them or hate them! Every time I put on my Dansko clogs, I feel like they have been custom made for my feet and can stay on my feet all day in comfort.

I hope this was helpful!

Dr. Cathleen A. McCarthy

:)