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Monday, January 5, 2015

Podiatry Recommended Comfortable Women's Dress Shoe - Dansko Tilda

Dansko Tilda

Podiatrist Recommended Comfortable Women's Dress Shoe

I just came from Dillards where I checked out the latest Dansko shoe selection. I was disappointed because some of their styles do not meet the criteria of what makes a shoe comfortable. I am a huge fan of Dansko, but a word of caution - when you are shopping for Dansko - make sure that the sole does not bend or flex at all. Some of their new styles look like they should be comfortable and they have a thick sole but when you pick them up and bend them - they are too flexible. Of course, the Dansko Professional Clog is still one of the best shoes out there - particularly for anyone working retail or who has been diagnosed with Hallux Limitus or Hallux Rigidus. 

The Dansko Tilda is a great selection for anyone who has a 'bump' or bone spur on the top of their midfoot because there is no strap across the midfoot area which could aggravate the spur, cause the bone spur to increase in size as well as cause more pain.

The sole of the Dansko Tilda is thick, rigid and non-flexible, which means that it will be more comfortable. One of the major criteria of what makes a shoe comfortable for all day wear is that the sole needs to be thick, rigid and non-flexible. Less motion through the foot joints means less inflammation, less swelling and less chance of injury. It also means less motion through any areas of previous injury or surgery and less motion through any osteoarthritic joints, which allows for more comfort for all day wear. 

Although slightly tapered, the toebox of the Dansko Tilda is large enough to accommodate mild to possibly moderate hammertoes and bunions. It has good rearfoot control, which offers more biomechanical control to the foot and ankle, which helps decrease mechanical strain on the foot, ankle, knees, hips and lower back. 

If you have a narrow foot, this shoe might not work for you. Because there is not midfoot strap, your heel may try to lift out of the back of the shoe with walking. I recommend going to a store and trying it on to make sure you have a good fit. Danskos are excellent shoes but they don't work for everyone. Remember, don't buy any Danskos (or any shoes) that has a sole that bends or is flexible. 

*This shoe is recommended for patients with:
*Mild Bunions
*Mild Hammertoes
*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
*Morton's Neuroma
*Plantar Plate Injury
*Mild Tailor's Bunion
*Bone spurs on the top of the midfoot area
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Osteoarthritis of any forefoot of midfoot joints
*Rheumatoid Arthritis (check with your podiatrist)
*Mild Hypermobility (wear with a dress orthotic)
*Mild Over-Pronation (wear with a dress orthotic) 
*Recovered from a previous Lisfranc's Injury (check with your podiatrist)
*Mild Achilles Tendonitis

*This shoe is not recommended for patients with: 
*Narrow feet
*Severe Bunions
*Severe Hammertoes
*Severe Tailor's Bunions
*Severe Hypermobility
*Severe Over-Pronation
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation)
*History of foot ulcerations
*Charcot Foot

For more information, check out these articles on my blog (using the search box): 
"My Feet Hurt: Top 10 Things to do to Alleviate Foot pain today" and 
"Shoe Recommendations for patient's recovering from Lisfranc's Injuries."

I hope this was helpful and I thank you for reading the blog! If you have any suggestions of excellent shoes to review, I would love to hear from you. 

Have a great day!

Dr. Cathleen A. McCarthy