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Sunday, January 8, 2017

John Fleuvog Chief - Podiatry Recommended Men's Shoe.

John Fluevog Chief
Podiatry Recommended Men's Shoe.

The John Fluevog Chief if a great choice for stylish all day comfort. I gave my husband these shoes and he loves them. They are surprisingly diverse as far as dressing up jeans or wearing as a casual dress shoe to work. Well, at least in Arizona, this passes for a dress shoe! 

This shoe meets the four criteria required that a shoe must have to be comfortable:
1. It has a thick, rigid and non-flexible sole so that there is more protection for the foot joints. 
2. It has a wide toebox, so there is less pressure on the toes, which helps to prevent the progression of bunions, hammertoes, ingrown toenails, and corns. 
3. It has rearfoot control, which helps decrease mechanical strain to tendons and ligaments as well as to the joints of the knees, hips, and lower back. 
4. The insole is removable so that you can put in your custom-molded orthotic for better arch support. It can also accommodate a dress orthotic or a heat-molded insert which goes on top of the insole that comes with the shoe. 

Remember, the most important feature of finding a comfortable shoe is to find shoes that have a thick, rigid and non-flexible sole. No motion through the bottom of the foot means less inflammation, less swelling and less pain, which is crucial for all day comfort. 

This shoe is recommended for patients with:
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Hallux Limitus (limited motion through the 1st toe joint)
*Hallux Rigidus (no motion through the 1st toe joint)
*Functional Hallux Limitus (limited motion through the 1st toe joint while you are functioning)
*Morton's Neuroma (make sure you have plenty of room in the toe box) 
*Metatarsalgia
*Mild to Moderate Bunions
*Mild to Moderate Hammertoes
*Capsulitis
*Sesamoiditis
*Ingrown Toenails
*Corns & Calluses
*Mild to Moderate Tailor's Bunions
*Recovering from a previous Lisfranc's Injury (check with your podiatrist) 
*Osteoarthritis 
*Mild Rheumatoid Arthritis


This shoe is not recommended for patients with:
*Diabetes (check with your Podiatrist)
*History of previous foot ulcerations
*Peripheral Neuropathy (nerve damage)
*Peripheral Arterial Disease (poor circulation) 
*Charcot Foot
*Drop Foot 

I've been having trouble keeping up with answering individual questions posted on the blog, but these two articles should answer most questions that you have about proper shoes. 

For more information on proper shoes, please refer to my other articles: 
Shoe recommendations for patients recovering from Lisfranc's Injuries.

My feet hurt! Top 10 things to do to relieve foot pain today.



I hope this was helpful!

Dr. Cathleen A. McCarthy

:)


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

:)