Podiatry Recommended Comfort Sandals For Spring.

SUMMER DRESS SANDALS 

Dansko Scarlett

Sanita Darcy

Dansko Nina

These are three great options for a sandal that you can dress up or down for the summer season. The first two are going to work better for anyone who has Hallux Limitus (limited range of motion of the 1st toe joint) or any other forefoot problems that make it difficult or painful to wear heels while the Dansko Nina is a great option for someone who knows they can comfortably wear a heel.

What makes these three sandals superior to most are that they each have a thick, rigid sole that is protective of the foot joints. Less motion means less mechanical strain, which translates into less pain, decreased chance of injury and more comfort. Each sandal has forefoot, midfoot and rearfoot strapping, which is necessary for more comfort. If a shoe doesn't have a rearfoot strap, then you are forcing your joints, muscles, tendons and ligament to work harder to stay in the shoe. Instead of forcing your foot to do the work - make the shoe do the work!   

If you get 'tired legs' by the end of the day wearing flip flops or a backless sandal, try bumping up to one of these first two sandals. There are no good flip-flops! If your shoe does not have a thick rigid sole and rearfoot control, you are causing mechanical strain, which can promote all types of deformities such as bunions, hammertoes, osteoarthritis as well as knee, hip and lower back pain.

Remember, there are four requirements for a shoes: 

1. A thick, rigid sole (crucial!!)

2. Wide, soft toebox

3. Arch Support 

4. Rearfoot control 

The Dansko Scarlett and Sanita Darcy are Recommended for Patients with:

*Mild to Moderate Bunions

*Hammertoes

*Tailor's Bunions

*Morton's Neuroma

*Capsulitis

*Achilles Tendonitis

*Plantar Fasciitis (Heel Pain)

*Mild Tendonitis

*Metatarsalgia

*Osteoarthritis

*Mild Rheumatoid Arthritis

*Hallux Limitus (Limited Range of Motion of the 1st toe joint)

*Hallux Rigidus (No motion of the first toe joint)

*Patients who've had a surgical fusion of the first toe joint

*Sesmoiditis

*Brachymetatarsalgia

*Mechanical Strain

*Mild Ligament Laxity

*Mild Hypermobility

*Mild Overpronation

*Patients recovering from foot fractures (Check with your doctor!)

The Dansko Scarlett and Sanita Darcy are NOT Recommended for Patients with: 
*History or Foot Ulcerations
*Diabetics
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)
*Charcot Foot
*Severe Hypermobility
*Severe Over-Pronation
*Severe Ankle Instability 


*The major difference between wearing the first two sandals versus the Dansko Nina is - do you have any forefoot problems? If you have Hallux Limitus, Hallux Rigidus, Sesmoiditis, Metatarsalgia, Capsulitis, Morton's Neuroma (to name a few) - I would opt for the first two sandals as they will put less pressure on the forefoot structures. If you know that you can wear a heel comfortably then the Dansko Nina would be a good option for a comfortable sandal. 



Hope all is well!

Dr. Cathleen A. McCarthy

:)

  

Podiatrist Shoe Recommendations For All Day Comfort At Work.

 

OCCUPATIONAL FOOTWEAR: WHAT TO LOOK FOR WHEN CHOOSING A SHOE FOR ALL DAY COMFORT

Dr. Cathleen A. McCarthy

www.pinnaclepeakpodiatry.com

After I completed my first two years of Podiatry school where I basically sat all day in classes and then went home and spent more time sitting and studying, I was unceremoniously tossed into my third year where I was expected to stand on hospital floors for ten to twelve hours a day.

To make a long story short: I was in agony!

I finally understood why all those lectures on ‘Heel Pain’ were so important – and relevant! Throughout the third year, I had a recurring nightmare where I would wake up in the middle of the night convinced that an evil ogre was hammering a nail straight up into my heel and I desperately tried various kinds of shoes – searching for that illusive, magical shoe that would help me get through the day comfortably. 

Ironically enough, even though I was in Podiatry school, we spent most of our time learning surgery and medicine but I don’t remember a lot of lectures on what constituted a ‘good shoe’. Our professors did talk about advising patients to wear ‘good shoes’ but few ever specified exactly what that meant.

Once in private practice, I began to realize what a crucial role proper shoes play in a helping patients get better faster. I also realized that what works for one patient may not necessarily work for another patient with a very different foot issue. In other words, proper shoes for patients are pathology specific and depend on the patient’s biomechanical foot structure as well as history of previous problems and injuries.

I came up with some basic rules for picking comfortable shoes for all day wear on concrete floors and, although there are always exceptions to the rules, these rules work for most patients.

First, you should always look for a shoe with a thick, rigid sole. This is counter-intuitive because most people look for a ‘soft flexible’ sole thinking that it will be more comfortable. In reality, it’s the exact opposite! You need a thick, rigid sole with less motion and less flexibility so that it is more protective of the foot joints, muscles and tendons. Think of it this way, if you broke your wrist, your doctor would put you in a cast and you would instantly feel more protected and have less pain. Less motion equals less pain. 

Second, you should try to find a shoe with good arch support. Most shoes come with removable insoles so that you can replace it with either a custom-molded insert or an excellent over-the-counter insert that offers arch support. Ninety percent of people will benefit from arch support while ten percent of people cannot tolerate arch support. Proper arch support can help with knee, hip and lower back pain and decrease ‘tired-leg syndrome’ at the end of a long day on concrete floors.

Third, you need a wide, soft toebox. Avoid any shoes with pointy-toes as they can cause hammertoes, bunions, corns and calluses.

Forth, make sure that whatever shoe you choose has proper rearfoot control. In other words, your shoes should have no open backs. If your shoe doesn’t have rearfoot control, you are forcing your tendons, muscles, knees, hips and lower back to work harder to keep your foot in your shoe. This causes more ‘mechanical strain’, which leads to increased discomfort and chance of injury. 

Here are some specific shoe recommendations that are pathology specific:

For the young, healthy person with strong legs and no significant foot or ankle deformities, I would recommend the Dansko or Sanita Clog with rearfoot control.

For a young, healthy person with no history of balance issues, Achilles Tendonitis, nerve damage or weak legs, I would suggest you try the MBT, Sketcher-Shape-Up or the New Balance Rock and Tone shoe. Each of these are ‘rocker-bottom’ shoes, which can be extremely comfortable. I do recommend that you wear arch support with these shoes – whether it’s custom-molded or over-the-counter inserts.

For a person who may have more serious foot issues such as diabetes, nerve damage, balance issues or weak legs, I recommend trying the New Balance 928, which is an extra-depth shoe with a thick, rigid sole and a wide base. If you have trouble reaching your feet due to hip and knee replacements, you can get the NB 928 with Velcro-strapping. I highly recommend that if you do have these more serious medical issues, please consult your Podiatrist to make sure this shoe is right for you.

For virtually anyone, try the Crocs Rx clog and make sure to wear the strap to the back so that you get some rearfoot control. These are not for everyone but there is a reason why you see so many nurses and doctors in Crocs!

Let’s not forget the guys! For the man who is on his feet all day in tough conditions, my personal favorite is the p.w. Minor Hercules, which is an extra-depth boot with a hidden shank in the sole that is very protective and comfortable.

I hope this has been helpful!

Sincerely,

Dr. Cathleen A. McCarthy

Top 20 Comfortable Women's Dress Shoes - Podiatrist Reecommended

Top 20 Comfortable Women's Shoes! 


I can't tell you how happy and proud I am to finally have my first top twenty women's dress shoe list! These are not in any particular order - just my top 20 picks. I hope you enjoy it and I would love to hear any feedback or comments.


**A word of caution! If you have what is called Hallux Limitus or Hallux Rigidus (limited motion at the big toe joint), osteoarthritis of the 1st toe joint, forefoot problems or hypermobility (ligament laxity) - the higher heels will not work for you. I recommend that if this is the case, you need to go for the lower heeled shoes or flat dress shoes.
Just remember - it ain't the shoe that makes you, it's the attitude that you bring!

John Fluevog's Hi Together / Benatar 

$269

I own this shoe and I adore this shoe! Although it was pricey, it was one of the best shoe investments I've ever made. For more specific information, please see my review on John Fluevog shoe's on this blog. 

Tsubo Acrea

$110

I also own this shoe and by some freak of nature I purchased it at Ross for $12! How that happened I don't know but I can wear this shoe all day long in complete comfort. It will not accommodate a dress orthotic but I found I did not need one with this shoe. 

Tsubo Lagella 

$140

I don't own this shoe but it is on my wish list! Stylish and very comfortable. Don't consider this shoe if you have pain and limited range of motion at the first toe joint. 

Taryn Rose Flavor Slingback 

$95

Thank you Taryn Rose! She designed a gorgeous dressy shoe that is also comfortable. Not for patients with pain at the first toe joint. 

Jambu Sweden 

$99

This is a super comfortable shoe that many of my patients love! It works wonderfully for anyone with plantar fascitiis (heel pain), metatarsalgia, tendonitis, and mild to moderate forefoot problems. It's great for wearing all day on concrete surfaces. 

FLY London Yaz Wedge Pump

$140

What's not to love? It's a funky cool, wear all day long shoe that will work for just about any foot type. If bunions are a problem, this is an easy shoe to take to a cobbler and have them stretch the area over the bunion for even more comfort. If bunions are an issue, consider a dress orthotic with this shoe as arch control will help prevent the progression of the bunion. 

Dansko Tori Pump

$85

I don't think it's possible to have a "best of" list without featuring a Dansko shoe! This is a great dress shoe with a rigid protective sole, decently wide forefoot are and good midfoot and rearfoot control. In my experience, Dansko shoes do not work for women who:

*Have wide feet

*Have any excessive or prominent "bumps" on their feet

*Moderate to Severe Bunions

Except for the above named situation, a great dress shoe!

Tusbo Asmik 

$120

Roses are red, violets are blue, Tsubo, I love you...

Really, I love this shoe. Anyone who works all day on hard surfaces (take note teachers!) will love this shoe. It is extremely protective and comfortable as well as stylish. This shoe will work for women with mild to moderate Hallux Limitus (limited motion at the 1st toe joint), metatarsalgia, plantar fascitiis (heel pain), Achilles Tendonitis, mild to moderate tendonitis, mild bunions and hammertoes and mild to moderate forefoot problems such as capsulitis. This shoe will not work for patients with moderate to severe Morton's Neuroma's, bunions or hammertoes as they will need a wider toebox. 

Jambu Allure Mary Jane Pumps

$78

All of the Jambu shoes are great but I particularly like this one as it also has the rigid protective sole and a wide, soft toebox. 

FLY London's Yakin Slingback Slingback

$170

Lovely shoe! This shoe will work well for women with metatarsalgia, mild plantar fasciitis (heel pain) and mild bunions and hammertoes. 

Alegria Feliz 

$99

This shoe is excellent and will work wonderfully for women who suffer with 80% of foot pathologies including: bunions, hammertoes, Tailor's bunions, Plantar Fasciitis (heel pain), osteoarthritis, Hallux Limitus/Rigidus (limited range of motion of the 1st toe joint), Morton's Neuroma's, metatarsalgia, painful toes, tired leg syndrome, Rheumatoid Arthritis patients, capsulitis, and Tendonitis. This shoe may not work as well for patients with Achilles Tendonitis as they need a slightly higher heel to relieve the tension on the Achilles.  

John Fluevog Prepare Guide

$285

Expensive, yes. Comfortable, very. Once again, John Fluevog's shoes are exceptionally comfortable and make with the highest quality of workmanship. This shoe is going to work for almost every foot problem someone might suffer with including metatarsalgia, heel pain, tendonitis, Achilles tendonitis and mild to moderate bunions, hammertoes and Tailor's bunions. 

Earthies Monaco

$149

This shoe is casually elegant and comfortable enough to wear all day. I particularly like the rigid sole covered with the soft insole. 

Taryn Rose Gussy Platform 

$40 - $130

This is a lovely shoe that works well for women who can wear a higher heel. The fabric is slightly stretchy and soft which puts less pressure on bunions. If you have any pain or limited motion across the first toe joint, this is not the shoe for you. 

J-41 Hybrid Wedge 

$85

This shoe is great for anyone suffering with heel pain, metatarsalgia, Achilles Tendonitis, mild to moderate bunions and hammertoes and mild Morton's Neuroma's. This shoe will work well for any patients who work on hard surfaces for long hours. 

Sanita Ninka Adjustable Strap Sandal 

$120

Although this is more a sandal, I am including it because, well, I do live in Arizona and this would look nice with a summer dress. I love the color and it is uber-comfortable. 

Earthie Veria 

$128

I confess, I'm pushing it a bit on this one! It could have better rearfoot control but I'm putting it in my list because it meets all other criteria for what constitutes a good dress shoe. Plus, it's pretty...

This is not a good shoe for you if you have moderate to severe rearfoot problems such as ankle osteoarthritis or any ankle or knee instability. If this is the case, you need more rearfoot control!

Tsubo Ina Pump 

$50

Love the shoe, love the price. All roads lead back to Tsubo. This is one shoe company that has it right - combining comfort with asthetics. Me like. 

Crocs Farrah Wedge Sandal

$20-$50

I have to save some love for the Croc Wedge Sandal! This is comfortable - it's actually quite amazing how comfortable plastic can be. Don't knock it till you try it...

Wolky Cloggy

$159

For the final shoe, I wanted to pick something that would work for virtually anyone! This is a great shoe, extremely comfortable and well made. If your feet hurt, this is almost a sure bet! 

In conclusion, 

there are a few things to remember...

If your feet hurt and no matter what shoe you try doesn't work and your feet are still killing you - you need to see a Podiatrist! 

You may be walking around on stress fractures which usually presents itself as a dull, constant ache that gets worse with more walking and hurts most at the end of the day. I see this situation every day! 

Also, if you are diabetic or have nerve damage (neuropathy) or have Charcot foot - you need to be extremely careful about what type of shoes you wear. If this is the case, please consult your Podiatrist. 

I hope this list was helpful! 

Sincerely,

Dr Cathleen A. McCarthy 

*******

Check out my first novel, which was written under my 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 so much for your support!

http://www.amazon.com/Gunning-For-Angels-Mack-Lewis-ebook/dp/B00I84NSE0