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Showing posts with label Podiatrist Recommended heels. Show all posts
Showing posts with label Podiatrist Recommended heels. Show all posts

Friday, May 24, 2013

Dansko Thea - Podiatrist Recommended Comfortable Women's Casual Heels

DANSKO THEA

 



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
*Metatarsalgia
*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

:)
 
 
 


 

Saturday, August 4, 2012

Podiatry Review of the John Fluevog Hi Wedge Dawn & Prepares Merit...

John Fluevog:

A Review of 

Two Fabulous High Heels

For Women Who Know They Can Wear Heels! 
 




John Fluevog Hi Wedge Dawn
$159


Be still my heart! 
I love John Fluevog shoes and I adore the look of the Hi Wedge Dawn.
I personally am on the verge of not being able to wear heels this high anymore because of the biomechanical structure of my foot 
(mild Hallux Limitus with a slightly elevated 1st metatarsal and the beginning of a dorsal 1st metatarsal-medial cuneiform exostosis - but I digress...)
BUT
If you know that you can comfortably wear high heels, this is a good choice for comfort and style and I will be watching with admiration from the wings (in my lower heeled shoes).
*sigh*



John Fluevog Prepares Merit 
$159 

Perhaps it's the Aquarius in me, 
but I totally dig this!
(Sorry, my seventies are showing...)
The heel takes a bit of getting used to but, once again, if you know that you can comfortably wear heels, this is another good choice for style and comfort. Because the heel height is lower than the Hi Wedge Dawn, this will be the better choice.
 

The Good, the Bad & the Fabulous...

What makes both of these shoes so comfortable is that they have a thick, rigid sole that allows no motion across the bottom of the foot, 
which significantly decreases mechanical strain of the joints, tendons and muscles and allows for more comfort. Both heels have a wide and relatively soft toebox that allows for more accomodation of mild to possibly moderate bunions and hammertoes. They also have excellent midfoot and rearfoot control and, in the case of the Hi Wedge Dawn, excellent ankle control.  
Anytime a shoe can 'lock in' the foot and ankle structures, you get more 'biomechanical control', which means: 

*More Comfort

*Less Chance of Injury

*Less Wear and Tear of the foot structures

*Slowing the progression of foot problems such as bunions and hammertoes

*Less strain on the knee, hip and lower back



Am I saying that these heels better than wearing a good walking shoe? 
No way.
But, if you are going to wear heels and you know can wear heels comfortably -
these are a good choice. 

When it comes to wearing heels, 
I always caution patients to listen to their bodies! If you are having any discomfort, then these are not the shoes for you. 
If any shoe causes you pain - don't wear them. Pain is your bodies way of warning you of a problem.
If your shoes hurt, you are straining something and doing damage!

Remember, it's your feet against a lifetime of all the concrete in the world so, no matter what shoe you choose, try to choose a shoe with a these four things:
*Thick, rigid sole for more protection
*Arch Support
*Wide, soft toebox
*Rearfoot Control 
  
Another thing to keep in mind is that 
choosing the right shoe depends on the biomechanics of your feet. 
That's what this blog is about. 
For example, a rocker-bottom shoe is great for most people with plantar fasciitis (heel pain) but I would never recommend a rocker-bottom shoe for anyone with Achilles Tendonitis as it can cause the condition to worsen.

With that in mind...


The Hi Wedge Dawn Should Be Comfortable For Patients with:
*Mild Plantar Fasciitis (Heel Pain) 
*Mild Hammertoes
*Mild Bunions
*Mild Achilles Tendonitis
*Maybe Mild Over-Pronators (Try wearing a dress orthotic specifically made for dress shoes to give you some arch support. Your health insurance might cover orthotics so ask your Podiatrist's office if they will check with your insurance to see if it is a covered benefit. If it is not a covered benefit, most Pod offices will carry an excellent OTC insert for dress shoes that are significantly less expensive). 

The Prepares Merit Should Be Comfortable For Patients with:
*Mild Plantar Fasciitis
*Mild to possibly Moderate Bunions 
*Mild to possibly Moderate Hammertoes
*Mild Achilles Tendonitis 
*Mild Metatarsalgia
*Mild Morton's Neuroma
*Mild Forefoot Capsulitis
*Possibly Mild Sesmoiditis 
*Mild Tendonitis
*Mild Tailor's Bunions 
*Mild Corns & Calluses 
*Mild to possibly Moderate Over-Pronators (try adding a custom-molded orthotic or over-the-counter insert made specifically for dress shoes or an less expensive over the counter dress insert for more arch control) 
*Mild to possibly Moderate Hypermobility (add an insert if needed)
*Someone who has had a previous Lisfranc's Injury but is healed and having no pain (If unsure, check with your Podiatrist)

 
These Shoes are NOT Recommended for Patients with:
*Moderate to Severe Hallux Limitus (decreased range of motion of the 1st toe joint)
*Hallux Rigidus (No motion across the 1st toe joint)
*Severe Bunions 
*Severe Hammertoes
*Degenerative Joint Disease
*Osteoarthritis
*Rheumatoid Arthritis 
*Severe Over-Pronators
*Severe Ankle Instability
*Severe Hypermobility  / Ligament Laxity
*Exostosis ("bumps" or "bone spurs" on the top of the midfoot area)
*Diabetics 
*Peripheral Neuropathy (Nerve Damage)
*Peripheral Arterial Disease (Poor Circulation)
*History of Ulcerations or Open Sores 
*Charcot Foot
*Weak Legs
*Moderate to Severe Knee, Hip & Lower Back Problems/Pain
*Balance Issues
*The Elderly


I hope this has been helpful and I thank you so much for reading!


Have a great weekend...

Dr. Cathleen A. McCarthy

:)