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Thinking About Foot Surgery? Ten Things You Need To Think About BEFORE You Have Foot Surgery.

Ten Things You Need To Think About BEFORE  You Have Foot Surgery. 1. You need to exhaust conservative treatment before you decide...

Tuesday, December 16, 2008

Boy's Running Shoe at Kid's Foot Locker...

The NIKE TURBO VII - NIKE SHOX.

This is an excellent boy's tennis/running shoe with a rigid, supportive sole. It can easily accommodate a custom-molded orthotic or a good over-the-counter insert. 

It can be found at KID'S FOOT LOCKER at METRO CENTER MALL. 

Cost: $85

Rating: 8/10 on a scale of zero (arch enemy) to ten (foot friendly). 


Sunday, December 14, 2008

What do flat feet & winter sports have in common??

If you've got super-flat feet - you may want to consider taking up ice skating, skiing, or rollerblading!!

WHY? 
Think about it this way: if you come into my office with a broken bone in your foot, I put you in a cast. A cast, because it allows no motion across the site of the fracture, eliminates pain, inflammation, and swelling and allows the fracture to heal. 

If you have a super-flat foot - doing normal activities (even in the best of shoes and inserts) may cause foot, ankle, knee, and leg pain due to "biomechanical strain" of your foot trying to stabilize your body. 

By placing yourself in a ski or ice skating "boot" - you are in effect putting your foot into a "cast" which will significantly limit motion so that you can perform the sport with minimal or no pain. 

Over the years, I've noticed that many of my patients with severe hypermobility (super-flexible feet) and flat feet have tended toward what I call the "winter sports." 

Special Note: Custom-molded orthotics can be made specifically for ski and ice skating boots but, if they are not covered by insurance or too costly to purchase out of pocket for a quickly growing child, a good over-the-counter insert or heat-molded insert will work very nicely. 

If you have a child who has severe flat feet and they are inactive - try getting them into one of these activities!! They may love it and it could lead to a more active and healthy lifestyle. 

**One thing they stressed in our pediatric podiatry classes, if your child is complaining of foot and ankle pain, take them to your podiatrist to get a evaluation and treatment! Kids may fake stomach aches and coughs to get out of school but, trust me on this, they don't fake foot pain. Weird but true...

Hope all is well!
Cathy McCarthy 

Wednesday, November 12, 2008

Stretch Walker at Foot Solutions...

Bad news for MBT lover's!! 

MBT was bought out by another company and the things that made the shoe so wonderful are changing. They are trying to appeal to a larger market which means that they may be sacrificing the MBT's stability to aesthetics. 

A new shoe that is as good if not better than the old MBT is the STRETCH WALKER at FOOT SOLUTIONS on the SW corner of Scottsdale Rd and Acoma.

This shoe has a rigid sole which is excellent for a multitude of forefoot and midfoot problems with the added advantage that's it's lighter than the MBT. It has a midfoot stabilizer and stretchable fabric across the wide toebox. All of the patients who have purchased this shoe have all loved it! 

This shoe is excellent for almost any foot type or any foot pathology including diabetic and neuropathy patients. It is not appropriate for patients with severe deformities who require custom-molded shoes. It's also excellent for people who are on their feet a lot such as retail employees, post office employees, teachers or anyone with chronic foot problems. 

Cost: $280
*Remember, if you have chronic foot pain, shoes are an investment. Although this shoe is not for everyone - think about how much you spend in co-pays and medical bills and I bet anything it's more economical and time saving to invest in an excellent pair of shoes than spend all that money and time going to the podiatrist! 

Rating: 8-toes on a scale of zero-toes (arch enemy) to ten-toes (foot friendly).

Have a wonderful day!
Dr. McCarthy

Thursday, October 30, 2008

New Balance 926...

THE NEW BALANCE 926:

This is an excellent walking shoe for men and women. It has a rigid sole and a removable insole that can be replaced by a custom-molded insert or a good over-the-counter insert. It has excellent stability as well as a wide toebox and good rearfoot control. This shoe is good for almost any foot ailment including heel pain, tendonitis, mild to moderate bunions and hammertoes, Morton's Neuroma's, arthritis, and joint instability. It is also recommended for patients with knee, hip, and lower back pain. 

It is almost impossible to find in stores but can be ordered from ZAPPOS.COM which offers free shipping and free return. 

Cost: $95

Rating: Nine Toes.

 

Monday, October 13, 2008

Women's Casual Dress Shoes at Dillard's at Paradise Valley Mall...

First, a general overview of what you're looking for in a women's dress shoe...

1. You need a thick rigid sole to limit motion across the forefoot and midfoot.

2. Depending on your foot type, you can wear heels - the trick is to wear a wedge heel so that there is no motion across the bottom of the foot. If you have a condition called Hallux Limitus (meaning limited range of motion across the big toe joint) you will be limited on the heel height or  you may not be able to tolerate a heel at all. 

3. No pointy toes!! Look for a dress shoe with a square-toe box because the "cockroach killer" pointy-toe shoe's are a little bunion factories.

4. Very important - try to get a dress shoe that gives you some form of rearfoot control - whether it be with a strap or an enclosed heel. 

5. Arch control. Sometimes this is hard to find in dress shoes but they are out there. If the dress shoe has a removable insole, you can often put in a over-the-counter or custom-molded insert. Sometimes the dress shoe already has arch support in the shoe. 



Special Note: It is a common fallacy to think that your foot needs freedom and motion. Your foot actually needs rigid biomechanical control. If you are walking barefoot or wearing flip-flops or a flexible/flimsy shoe - you will have more motion across your many joints, which will cause more inflammation, pain, wear-and-tear (osteoarthritis and degenerative joint disease) that will not only put you at risk for foot problems but also knee, hip, and lower back pain. 

Remember, no matter what the shoe, this is what you need:
1. Thick, rigid sole.
2. Firm arch support.
3. Wide toe-box.
4. Rearfoot control (strap or enclosed back).  


RECOMMENDED WOMEN'S DRESS SHOES AT 
DILLARD'S (PARADISE VALLEY MALL):

JOSEPH SEIBEL ZEE:
Casual dress shoe with a wide toe-box and no arch support. It has an adjustable strap across the mid-foot. 

JOSEF SEIBEL MEL AND ZINA:
These two shoes is very similar to the Dansko enclosed clog (which is excellent) although this shoe is somewhat lighter. 
Cost : $130
Shoe Rating: 7-8/10

ECCO STREET MONK:
A women's enclosed sandal with a wide toe-box and a thick, rigid sole. There is no arch support but it has a removable insole for an OTC or CMO insert. It also has an adjustable strap. 
Cost: $100

NURTURE PINE & CAYMANO:
These two women's dress clogs have a thick rigid sole and a wide toe box. There is minimal arch control and no rearfoot control and you won't be able to fit in a custom molded insert. 
Cost: $79
Rating: 6-7/10

BORN ANITA:
This is a women's dress casual shoe with a three inch heel, a square toe-box, a strap across the midfoot, no rearfoot control, minimal arch control, and a thick rigid sole. 
Cost: $95
Rating: 7-8/10

NURTURE BAY 201:
Has a thick rigid sole with a wide toebox that may need some addtional stretching for people with bunions. It has minimal arch support and straps for mild rearfoot control. 
Cost: $79
Rating: 8/10

BORN ANGEL:
Very similar to the Nurture Bay 201 but is more casual. 
Cost: $89
Rating: 8/10

JOSEF SEIBEL MILENA & ADRIANNA:
A closed dress shoe with a 2-3 inch heel. It has a thick, rigid sole. The toe-box may is slightly tapered which may not work well for people with moderate to severe hammertoes or bunions. It does have removable inserts so that it can be replaced with OTC or CMO arch inserts. 
Cost: $145
Rating: 7/10

GIANNI BINI NITE-LI:
This is a 4-5 inch platform heel dress shoe with a rigid sole, a chunky heel for more stability. it has rearfoot control. The toe-box is a little narrow but, overall, if you don't have any serious foot problems, this could be a good dress shoe.
Cost: $89

TARYN ROSE GUSSY:
This shoe has a 4-inch heel with a wide, soft toe-box that would be good for people with bunions. It has an open toe and some rear-foot control. 
Cost: $255

TARYN ROSE FEAST:
This is a 3-inch heel dress shoe that has some arch support, minimal forefoot control (two straps) and mild rearfoot control. This is not a shoe for all day wear but might work well for an occasional dress-up occasion. 
Caost: $245
Rating: 6/10

TARYN ROSE FICKLE:
Very similar to the above rated shoe although this shoe does have more forefoot strapping. 
Cost: $215
Rating: 6/10

ANTONIO MELANI LUXIE:
This is a 2-inch dress shoe (For a wedding, ect...) with some forefoot control although it does have a narrow toe-box and some mild rearfoot control. There is no arch support but it does have a rigid, thick sole. 

ANTONIO MELANI PRETTY:
This 2-3-inch dress shoe has a wider toe-box and rearfoot control. It's sole is rather thin but somewhat rigid.   
Cost: $79
Rating: 7/10

Remember: No matter how much I recommend a shoe, if you try it on and it's not comfortable - don't get it! 








Saturday, September 20, 2008

Granola Anyone???

I'll take a little Birkenstock with that Granola please...

THE BIRKENSTOCK:

Lot's of good stuff I can say about the Birkenstock - it has lovely arch support, a rigid sole, a deep heel cup for some heel control and good forefoot strapping. The only negative thing I can say about this shoe is that it doesn't have a rearfoot strap which would allow for more rearfoot control. Also, please avoid the Birkenstock flip-flop (thong) as it does not allow for enough forefoot and midfoot control. The Birkenstock I'm talking about is the one with the wide straps across the forefoot and midfoot area and, preferably, with rearfoot straps. 

This is a great shoe for kicking around the house and what I call "puttering." I wouldn't wear it for more aggressive activities like all day shopping or hiking, ect...

This shoe is not recommended for patients with: diabetes, peripheral neuropathy, foot-drop, Charcot, people with nerve disorders or history of paralysis or stroke. Also, any sandal with no rearfoot control will force you to grip your toes down to grip onto the sandal (or flip-flop) which can aggravate and cause progression of such forefoot problems as hammertoes, metatarsalgia, bunions, and metatarsal capsulitis. Saying that, the Birkenstock is still far superior to walking barefoot or wearing a flimsy flip-flop.  

This shoe is recommended for: light wear in the house, mild bunions, and Morton's Neuroma.

Many stores carry the Birkenstock and at my recent visit to Famous Footwear at Desert Ridge (NE Corner of Tatum & 101), the men's Birkenstock was $69.99. 


Rating: Eight Toe's. 





Converse...

THE CONVERSE SNEAKER.
The "Chuck Taylor" shoe. 

The infamous...
The Rebel Without A Cause Sneaker...
Kids love it.
Adults love it. 
It's been around since 1917...
My husband owns a pair.


There are only two things I can say about this shoe:
1. It's better than barefoot.
2. It's better than flip-flips (maybe)...

Okay, there are more things I can say - if you have perfect feet than you might be able to tolerate this shoe. If you have foot pain, don't do it - don't torture yourself. 


P.S. 
My husband hasn't been able to find his Converse sneakers...
Hmmm. 
Wonder where they went????