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Saturday, December 28, 2013

Men's Comfortable Western Boot - Circle G by Coral Black Caimen Belly Square Toe Boot.

Here's one for the guys...

Circle G by Coral Black Caimen
Belly Square Toe Boot

Not all men's boots are created equal! 

What sets this boot apart is that it has a 13 inch shank that runs the full length of the sole, which allows for less motion across the bottom of the foot which means that the boots are far more comfortable than a boot that has a partial shank. 

We had a lovely Podiatry intern from Texas this past month in our office who came in wearing pointy-toed cowboy boot with a partial shank. After being forced to listen to my 'biomechanical spiel' all month, he picked out these boots and got them as a Christmas gift. He reported back that he immediately noticed that he had less discomfort with all day wear. We added an over-the-counter heat-molded insert for more arch support which he added even more support, stability and biomechanical control. According to him, these boots were less costly than his previous pair and were far more comfortable. As I always tell my patients, it's not how much you spend - it's knowing what you are looking for in a shoe. 

What you're looking for in any shoe is:
*A thick and rigid sole that does not bend or flex.
*Arch suport (which can be added) to a shoe or boot.
*A wide and preferably soft toebox.
*Rearfoot Control.

What makes these boots excellent is that they have the 13 inch shank so there is no motion through the foot. Every boot should have a full shank because anytime you limit motion across the bottom of the foot - you will have less pain, cause less damage to joints and tendons, decrease your chance of injury and strain and you will have less knee, hip and lower back pain. The square toebox will cause less pressure on the toes and can decrease the progression of bunions, hammertoes, ingrown toenails and corns and calluses. The rearfoot control on this boot is excellent and the slight elevation in the heel will help anyone with heel pain and Achilles Tendonitis issues. I would recommend that if you do wear boots with a heel most of the time that you take the time to do some gentle Achilles Tendon stretching exercises a couple of times a day to prevent Achilles contraction that can occur with patients who wear heels for years. 

These Boots are Recommended for Patients with:
*Mild Bunions
*Mild Hammertoes
*Mild Morton's Neuroma
*Hallux Limitus (limited range of motion of the 1st toe joint)
*Hallux Rigidus (No motion at the 1st toe joint)
*History of Metatarsal stress fractures
*Anyone recovering from a Lisfranc's Fracture or injury
*Mild Plantar Fasciitis (Heel Pain)
*Mild Achilles Tendonitis
*Over-Pronation (wear a dress orthotic with the boot)
*History of Ankle Sprains
*History of Ankle Instability

This Boot is NOT Recommended for Patients with:
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)
*History of Ulcerations
*Charcot Foot
*Foot Drop
*Muscle Weakness 
*Severe bunions or hammertoes (you will need a boot with an 'extra-depth toebox' and a 13 inch shank for more comfort)

An extra thank you to our Texan Intern who introduced me to this beautiful boot! 

I hope this was helpful!

Dr. Cathleen A. McCarthy


Thursday, December 26, 2013

Podiatrist Recommended Women's Alegria Boots for Winter 2014.

Alegria Boots

Great Boots for All Day Comfort.

I appologize for my 'radio silence' but between our annual vacation which was followed by one week of jet lag and two weeks of a wicked cold and then the Holidays, I have gotten behind. 

The good news is that our vacation gave me a chance to test the Alegria boots. My husband and I went to Paris with three dear friends and, fueled by cheese, bread and red wine, we walked (and ate) our way through 10-12 miles of Parisian streeets on a daily basis. If there was something to climb (Notre Dame, The Arc d'Triumph, The Catacombs, The Metro stairs) we did it all! I would have never guessed that Paris had so many stairs. There were some days that, by the end of the day, by the time we got back to the hotel - I was so tired I was staggering - but my feet never hurt!

Alegria Raina

Alegria Cami

Alegria Cami

I wore the Alegria Raina on our eleven day walking trip of Paris. I wanted a boot that would keep me warm and dry but be comfortable for long days of walking cold city streets and standing on unforgiving museum floors. The sole is thick and rigid and I added a dress custom-molded insert for superior arch support. I highly recommend this boot and, although it wasn't nearly as fashionable as the other Parisian women's boots, I was able to walk all day long with no pain. 

About halfway through the trip I asked my husband what he thought of my boots and he replied, "I'm not sure what to think." When questioned further he said, "Well, they're shiny so they look classy - but they look different." I have to agree with him that the wide toebox does make them look different - but they were just too darned comfortable and kept me walking in comfort all day and into the Parisian night.

Plus, I got them on 6pm.com for $29!

These Alegrai Boots are Recommended for Patient's with:
*Mild to Severe Bunions
*Mild to Severe Hammertoes
*Morton's Neuroma
*Hallux Limitus (limited range of motion of the 1st toe joint)
*Hallux Rigidus
*Anyone recovering from a Lisfranc's Injury 
*Plantar Fasciitis (Heel Pain)
*Mild tendonitis
*Mild to Moderate Ligament Laxity
*Over pronation (Wear a dress orthotic on top of the insert that comes with the boot)
*If you are Diabetic - clear this boot selection with your Podiatrist to see if it is appropriate for you)

If you have any of the following conditions, get approval from your Podiatrist before wearing this shoe:
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neruopathy (Nerve Damage) 

This boot is NOT approved for Patient's with:
*Charcot Foot

Overall, this is a great boot and if you add a custom-molded dress orthotic on top of the insole that comes with the boot, it will maximize comfort. This is also a light boot which decreases leg fatigue and 'tired leg syndrome'. 

I hope this was helpful and I am working on a top ten boot list which I hope to have on the blog in the next week so that we can all take advantage of some post-Christmas boot sales. 

Happy Holidays!

Dr. Cathleen A. McCarthy


Sunday, October 6, 2013

Podiatrist Recommended: Your Three Day Plan to Less Foot Pain.

Your Three Day Plan
To Alleviating Foot Pain

Step One:

Immediately, stop walking barefoot, stop wearing flip flops, stop walking around the house wearing only socks and stop wearing flimsy bedroom slippers. 

Step Two:

Purchase RX CROCS and wear them as bedroom slippers around the house. It is important that you wear the strap to the back. The RX Crocs are approved by the American Podaitric Medical Association for Diabetics and works wonders if you are suffering from heel pain or any forefoot pain. They also help alleviate knee, hip and lower back pain. 

Step Three: 

Find a New Balance store and purchase either the New Balance 928 or the 1540. If you are extremely sedentary and have trouble reaching your feet to tie your shoes, purchase the NB 812 with velcro straps. While you are at the store, purchase diabetic socks - even if you are not diabetic. They are amazing. 

Step Four:

REST. For the next three days, whenever you are sitting, elevate and rest your feet. Ice your feet with a bag of frozen vegtables for 5 to 10 minutes once or twice a day - unless you are diabetic, have poor circulation, have nerve damage or have a history of gout. 

If you are doing all this and you do not get significant pain relief within three days, you need to make an appointment with your local Podiatrist for further evaluation. 

If you have been walking around with a "dull ache" in your feet that is like a nagging tooth ache or you have unexplained swelling - you could potentially be walking around on a broken bone or stress fracture. Most Podiatrists can take X-rays in their offices and offer complete treatment for foot problems such as fractures, sprains, bunions, hammertoes, corns & calluses. If your Podiatrist immediately jumps to suggesting surgery for your bunions or hammertoes, please get a second opinion from a more conservative biomechanical-focused Podiatrist. You should only consider foot surgery after you have tried and failed conservative, non-surgical treatment.

After your Podiatrist properly diagnoses and treats your foot issues, ask him or her about getting Custom-Molded Orthotics, which are often covered by your insurance. CMO's are prescription arch supports that are custom-molded to your feet and hold your foot in the biomechanically correct and neutral position which helps to alleviate foot, knee, hip and lower back pain. CMO's also help slow or stop the progression of bunions, hammertoes and joint changes such as osteoarthritis and Hallux Rigidus. Your Podiatrist can also add "sweet spots" that off-load painful calluses on the bottom of your feet. 

Just remember, if you are limping or compensating for more than three days - it is very tough on your knees, hips and lower back and you are throwing off your biomechanics. The quicker you deal with foot and ankle pain, the better. Most problems with the foot and ankle are very treatable using gentle non-surgical treatment. When you see people limping around with terrible biomechanics - that usually did not happen overnight. The reality is that as soon as we start compensating or limping for any reason - and we ignore it and keep walking  - our bodies get used to it and that becomes our new normal. After decaades of this, we end up in a situation where our bodies start breaking down and it interferes with our ability to have an active and healthly lifestyle.

Don't wait. If you are limping, after three solid days of doing the things discussed here - please make an appointment to see your Podiatrist. 

As I always tell my patients - my job as your Podaitrist is to keep you as active as possible for as long as possible with as little problems as possible - so that you see less of me because you are out there having fun!

For more information - please go to the upper right hand corner of this blog and find the search butteon where you can search: 
"My feet hurt - top ten things to do to alleviate foot pain" 
"Shoe Recommendations for patients recovering from a Lisfranc's fracture." 

Have a lovely day,

Dr. Cathleen A. McCarthy 


Saturday, September 28, 2013

How to get the cool Converse look - with more support and comfort for your feet.

Platform Converse 

Yes, hipsters of the world, there is a God...

"Chuck Taylor All Stars" were invented in 1917 and have been the cool shoe that has been offering horrible support for almost one hundred years. 

Until 2013! 

Now, I'm not saying that the Converse Platform is perfect BUT it is a great alternative for patients (hello Pediatrics and Hipsters) who want the Converse look but have biomechanically challenged feet. 

I can't tell you how sad it makes me when I have to tell a kid that their beloved Converse All Stars are not good for their feet and they should not be wearing them. I won't lie to you - I've seen grown men cry over this. I'm glad my practice is on the ground floor because, otherwise, I'd spend a good portion of my day talking patients off the ledge. I can usually coax the pediatric patients into the concept of giving up their Converse when I tell them about some of the other cool shoes they can wear, like Nike Shox (the ones with the rigid sole) and the Brooks 'Beast'. The boys love it when I prescribe the 'Brooks Beast', which taps into some primal guy thing that makes their eyes light up at the thought of wearing something with the name 'beast' on their feet. Another running shoe that is great for the Pediatric patients is the New Balance 1540 (not as cool, but they are excellent).

On a personal note, my husband still has not noticed that I 'retired' all his Converse All Stars from our closet (cue evil laugh) and I have been slowly, insidiously replacing all his crap-Converse shoes with supportive shoes that feel great but are cool enough for the advertising world that he works in, which, by the way, is much cooler than my Podiatry world of biomechanical control and good arch support. Going to a party filled with Advertising people versus a party filled with Podiatrists - a jarring experience - much like landing on two different planets with alternate realities - but in a good way.

Needless to say, the Platform Converse is a great alternative to the traditional Converse All Star with it's thin, flexible sole that offers no support and can increase the likeliood of painful fractures, sprains, bunions, hammertoes and a multitude of other injuries. 
Because the platform Converse has a thick and more rigid sole, it is far more protective of the foot joints, muscles and tendons, which makes it more comfortable and decrease the chance of injury. It also meets the criteria of having forefoot, midfoot and rearfoot control that is crucial in what makes a shoe more comfortable. 

I would highly recommend that if you choose to wear this shoe that you wear a custom-molded dress orthotic. A functional orthotic will not fit in this shoe, but a dress orthotic should work nicely. Talk to your Podiatrist about getting custom-molded orthotics. Many people do not realize that their insurance pays for orthotics, which are often covered because insurance companies understand that proper arch support can prevent many foot, knee, hip and lower back issues as well as prevent foot deformities such as bunions. 

The Platform Converse is NOT appropriate for anyone with:
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)
*Charcot Foot
*Drop Foot 
*Severe Hypermobility
*Severe Over-Pronation
*Muscle Weakness
*Balance Issues
*History of Ulcerations 
*History of Falling
*Severe Ankle Instability

Have a wonderful day,

Dr. Cathleen A. McCarthy


**The Plateform Converse is a fashion statement shoe - I am not recommending this for any type of sports. 

Saturday, September 14, 2013

Top Picks for Comfortable Easy Spirit Women's Dress Shoes

Podiatry Recommended
Top Picks 
For Comfortable Women's Shoes
From the Easy Spirit Anti-Gravity Collection
Fall 2013






These are my top picks for women's comfortable shoes from the Easy Spirit Anti-Gravity Collection. I've included summer sandals for my Arizona patients since we wear them through the winter as well as  boots and enclosed dress shoes for those women living in colder climates. 

What makes these shoes 'top picks' for comfort are the fact that they have thick, rigid soles that offer more protection for the foot joints as well as good forefoot and rearfoot control, which helps decrease mechanical strain for more comfort and less chance of injury. If you can bend or flex a shoe - it is not good enough for you! When you are walking, if a shoe bends and flexes, it is allowing motion across your foot joints, which causes 'wear and tear', inflammation, swelling and an increased risk of pain as well as injury. It is a counter-intuitive concept, but comfort in shoes is about having a thick and rigid, non-flexible sole, a soft and wide toebox, arch support and rearfoot control. If a joint hurts and is damaged (osteoarthritis, to name only one example) - the last thing you want to do is continuously force motion through it. You want to protect it with less motion so that it hurts less and you stop damaging and already painful and damaged joint. 

I would highly recommend wearing the Brassie, Oroco and the Menke with a custom-dress orthotic for more comfort and biomechanical control of the foot and ankle. If you do not have a dress orthotic, talk to your Podiatrist as they are often covered under various insurance plans or you can cash pay. Dress orthotics made by Podiatrists can last for years and, when they get old, can be refurbished to look like new. Another option is the get a heat-molded dress insert, which can be purchased from many Podiatry offices and are less expensive than custom-molded inserts. A third option is to get a good over-the-counter dress orthotic that is thin but gives you semi-flexible to rigid arch control, depending on your particular foot condition. Having good arch support will help to slow or stop the progression of bunions and can significantly help with knee, hip and lower back pain. 

These Shoes are Recommended for Patient with:
*Mild to Moderate Bunions
*Mild to Moderate Tailor's Bunions
*Mild to Moderate Hammertoes
*Mild to moderate Over-Pronation (wear with a dress orthotic)
*Plantar Fasciitis (Heel Pain)
*Achilles Tendonitis
*Mild Hypermobility
*Mild Osteoarthritis
*Mild to possibly Moderate Hallux Limitus (Limited Range of Motion of the 1st toe Joint)
*Mild Rheumatoid Arthitis
*Mild Morton's Neuroma
*Mild Capsulitis
*Corns and Calluses

These Shoes are NOT Recommended for Patients with:
*Charcot Foot
*Severe Hypermobility
*Severe Over-Pronation
*Diabetics with a history of Ulceration (Open Sores)
*Peripheral Arterial Disease with a history of Ulceration 
*Peripheral Neuropathy (Nerve Damage)
*Foot Drop
*Balance Issues
*High Fall Risk Patients
*Hallux Rigidus (No motion at the 1st toe joint because of severe arthritis or a surgical fusion - unless your surgeon fused you at 15 degrees of dorsiflextion - in which case you can possibly wear the lower heels) 

**If you are diabetic, have nerve damage, poor circulation or any other serious foot issues, please check with your Podiatrist to see if these shoes are appropriate for your particular foot issues. I always encourage patients to bring in one bag of shoes so that we can check them together and discuss what is good and bad about each shoe. It helps the patient understand what they are looking for in a good shoe and saves them money when they are shopping. Also, what works biomechanically for one person is not always appropriate for another patient with a different foot issue or foot type. 

For more information on what makes a comfortable shoe, please use the search box in this blog to look up my articles:

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


'Shoe Recommendations for Patients Recovering From a Lisfrac's Injury'

Have a great day!

Dr. Cathleen A. McCarthy


Sunday, August 4, 2013

Dansko Veda - Podiatrist Recommended Comfortable Shoe


Super-Comfortable Shoe for Fall 2013

I love these Converse-ish looking Dankso shoes! 

What makes the Dansko Veda shoe so comfortable is that it meets all four requirements that a shoe must have to be comfortable: it has a thick, rigid and non-flexible sole, a wide toebox, rearfoot control and it can accommodate your orthotics or an over-the-counter arch support. 

I also love the price! I found these on 6pm.com for a $28, which is a 60% discount. These are hard to find in stores, but you can try on Dansko shoes at local retailers such as Dillards and smaller stores catering to hospital employees such as nurses. Try a scrub store to find the Dansko Professional shoe, which is excellent for anyone who works on concrete surfaces for long hours. 

This Shoe is Recommended for Patients with:
* Plantar Fasciitis / Heel Pain (wear with arch supports or heel cushions for more comfort)
*Mild to Severe Hallux Limitus
*Hallux Rigidus
*Mild to Moderate Bunions
*Mild to Moderate Tailor's Bunions 
*Mild to Severe Over-Pronators
*Mild Achilles Tendonitis 
*Morton's Neuroma
*Mild Rheumatoid Arthritis (wear with a cushioned insole)
*Anyone Recovering from a foot fracture (i.e. Jones, metatarsals, toes, ect.) 
*Mild Ankle Instability
*Chronic Pain Syndromes (wear with a custom molded insert with an appropriate topcover such as EVA or plastizote - your Pod will be able to help you with this)

This Shoe is NOT Recommended for Patients with:
*Diabetics with Neuropathy (Nerve Damage)
*Diabetics with Peripheral Arterial Disease (Poor Circulation)
*Diabetics with a history of foot Ulcerations
*Leg Fatigue in the Elderly
*Muscle Weakness
*Charcot Foot
*Severe Edema (Swelling)

For more information about what makes a shoe comfortable, please go to the search box on this blog (Upper right hand corner) and look up "My Feet Hurt" for an article about ten easy things you can do to significantly alleviate foot, knee, hip and lower back pain

Have a great day!

Dr. Cathleen A. McCarthy


Sunday, June 2, 2013

What Some Shoe Companies Don't Want You To Know.

It was just another day of shoe shopping - or so I thought

How could I have known that, while innocently shopping for shoes, that I'd unwittingly stumbled into a different dimension of altered reality? 

A older salesman with kind eyes greeted me as I stepped into a moderately upscale shoe store specializing in comfortable shoes. He asked if he could help me and I replied, "I'm looking for shoes for my husband. I'd like to see whatever shoe you have with a thick, rigid sole - preferably one with a hidden steel shank in the sole."

"I'm sorry, we don't carry anything like that," he replied with a sympathetic smile.

"I thought you carried men's Dansko dress shoes?"

"Not anymore," he said with a polite smile. 

"Okay, so let me see whatever men's shoe that you do carry that has a thick, rigid sole."

He shook his head, not unkindly. "We don't have any."

I gazed at him in astonishment. "Are you telling me that in this entire shoe store, you don't have any men's shoes with a thick, rigid sole?"

"Sorry." He gave an apologetic shrug.

As a podiatrist, I prefer to 'secret shop' shoe stores, but I decided to introduced myself. "My name is Cathy and I'm a podiatrist. I'm looking for a dress shoe for my husband. He's recovering from a foot injury and I need a shoe with a thick, rigid sole so that he can continue to heal and he doesn't re-injure himself."

At this point, the salesman's previously polite mask dropped and his eyes flashed with a knowing gleam. He gave a furtive glance around, to make sure that no one would overhear our conversation. He leaned in and whispered, "You know and I know that a shoe with a rigid sole is better and more comfortable but we had to stop carrying them because we couldn't get our customers to try them on! We'd show them the shoe and they would see a rigid sole and automatically think it was uncomfortable. We stopped carrying them because we couldn't sell them!"

"Are you telling me that every men's shoe in here has a flexible sole and is crap?" I asked in astonishment. 

"Shhh!" He hushed me and looked around, visibly upset. "Keep your voice down!" 

"I'm sorry," I replied. "I just can't believe..."

"What sells is giving people what they want, not what they need," he said. After a moment, his eyes brightened, "Would you like to see some women's shoes?" 

Feeling that this was an isolated incident, I purchased a lovely Earthies women's wedge heel that fit all the criteria of what makes a comfortable shoe. I went home and ordered the men's Dansko 'Wayne' online, which I knew was a good shoe. We received the shoes and they fit my husband perfectly. 

Several weeks later, my husband and I were out shopping and I saw a well known nation chain men's shoe store and we decided to go in. I asked the handsome twenty year old salesman to show us any men's dress shoes with a thick, rigid sole with, preferably, a hidden steel shank in the sole. He led us past every display to the back of the store where he pointed to three shoes on the bottom shelf. 

"This is it," he said. 

My husband picked up the shoes and tried to bend them. "Yup, these don't bend," he said.

"What about all the other shoes that we just passed?" I asked, hooking my thumb over my shoulder to the rest of the store. 

He shook his head with a smile. "This is it." 


Several hours later, we passed a well-known national-chain hiking shoe store, which shall also remain unnamed. We proceeded into the store and I was appalled to find that this store, that built their reputation on making and selling comfortable, high quality hiking shoes was now specializing in minimalist shoes. Only five percent of the shoes in the entire store were even decent and, once again, they were all relegated to the back of the store. The best shoe in the store was on the back shelf, bottom row. The other ninety-five percent of the shoes that populated their shelves were complete garbage. Their new marketing plan seems to be catering to minimalist shoes that offers little more protection than enfolding your feet in wrapping paper and tying it with a bow.

By this time, I was simmering with indignation!

It is my opinion that these shoe manufacturers know exactly what what makes a good shoe but they have chosen to follow another path. A path lined with lies and greed as they feed upon the misconceptions of an unsuspecting public. There are perhaps some people out there with perfect biomechanics who will be able to wear minimalist shoes for 'X' amount of time, but there are also a whole host of people who go to these stores expecting that if they shell out one to two hundred dollars for a 'comfortable' shoe that they are getting something of quality and worth. 

I used to advise patients that eighty percent of shoes out there are garbage and only twenty percent are good. The search for good looking shoes that are good for your feet and pathology specific is what led me to start this blog! In the last several months, I have revised that number to a ninety percent garbage rate. 

The problem is that finding comfortable shoes is counter-intuitive. If a person's foot hurts, they go to the shoe store and say, "I need a shoe that is soft and flexible - like a cloud." No one goes into the store and says, "My foot hurts. I need a shoe that is thick and rigid." 

But, if you break a bone, we put you in a cast, which not only allows the body to heal itself but also is much more comfortable. No motion translates to less pain. Finding a comfortable shoe is a counter-intuitive process - and shoe companies know this.

It angers me that shoe companies are selling crap to the public. I'm not talking about sky-scraper heels - everyone knows they are not good for your feet, but I am referring to shoe companies that carry men's dress shoes, running shoes and hiking boots and are making claims that minimalist shoes with flexible soles are good for you. 

My career is based on helping people with foot and ankle pain. In my opinion, there are three main causes of foot and ankle pain: genetics, injury and inadequate shoegear. Fifty percent of my practice is based on properly diagnosing and treating people who have made one bad move in a bad shoe and now have a fracture, torn tendon, sprain or a variety of other pathologies. The first part of the process is to get it healed. The second is to make sure that the patient is in proper shoes and inserts so they do not re-injure themselves and can get back to all their normal activities. So, yes, I get upset when I see companies marketing 'comfort' shoes when, in reality, the shoes are recipes for foot and ankle injuries.

When did we as a society forget how to make a quality shoe? 

Or, is it more insidious than that?

When did some of the major shoe companies decide that they don't give a flying fig for how to make a quality shoe - and that it was easier to make a fast buck on crap shoes?



1. A thick, rigid sole that does not bend or flex and has a wide base through the midfoot area.
2. Arch support.
3. A wide, soft square toebox.
4. Rearfoot control. 

It doesn't matter what brand you get or how much you spend - just make sure that your shoes meet these four criteria and you can judge for yourself.

Have a safe and healthy day!

Dr. Cathleen A. McCarthy 


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

Thank you for your support!


Friday, May 24, 2013

Dansko Thea - Podiatrist Recommended Comfortable Women's Casual Heels



The Dansko Thea is a comfortable wedge heel for patients with certain foot types. What makes it so comfortable is that it has a thick, rigid sole that offers protection for the foot joints. If you have severe Hallux Limitus or Rigidus (limited range of motion at the 1st toe joint), this may not be the shoe for you. If you have mild to moderate Hallux Limitus, this sandal may be perfect for you as it will not allow any motion across the 1st toe joint, which allows for increased comfort and it may stop or slow the progression of the injury/deformity.

The Dansko Thea also has very good forefoot, midfoot and rearfoot control, provided by the straps, that helps with biomechanical control of the foot structures. The arch support is not excellent but it is adequate for most patients. I highly recommend that if you purchase a Dansko sandal, make sure you get one that has rearfoot strapping. If you don't have rearfoot strapping, you have to grip your toes down to stay in the shoes, which causes more mechanical strain to your foot and ankle structures as well as your knees, hips and lower back.

This Shoe is Recommended For Patients with:
*Mild Hallux Limitus (Decreased motion of the 1st toe joint)
*Mild Osteoarthritis
*Mild Achilles Tendonitis
*Mild Haglund's Deformity
*Mild Hypermobility
*Mild Tendonitis
*Previous (but healed) Lisfranc's Fracture or Injury (Please check with your doctor)
*Mild Bunions
*Mild Tailor's Bunion
*Mild Hammertoes
*Capsulitis of the toe joints
*Plantar Fasciitis (Heel Pain) 
*Mild Over-Pronation


This Shoe is NOT Recommended for Patients with:
* Diabetes
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)
*Charcot Foot 
*Moderate to Severe Hallux Limitus/Rigidus (Decreased or no motion of the 1st toe joint)
*Severe Fat Pad Atrophy (these patients need more cushion - try the Naot Paris) 
*Severe Over-Pronation
*Severe Hypermobility
*Severe Ligament Laxity
*History of Ulcerations 

I hope this has been helpful. 

Dr. Cathleen A. McCarthy