The Orthofeet Blog

To explain what orthopedic shoes are, we should first consider why we need to wear shoes at all.  The reason, of course, is that shoes protect our feet from objects which may hurt us. They are an important barrier to foot injuries such as punctures, cuts, scrapes, burns and even frostbites. In addition, Dr. Steven Gershman, DPM, explains that shoes are ״like orthodontia for the teeth. Shoes can also change gait, alignment, and the biomechanics of the foot.  Looking at pictures of feet in some societies that never wear shoes, you can clearly see feet that look dramatically different than the feet that wear shoes. Without shoes, the toes are separated in a way that looks like a hand.״ What is an orthopedic shoe? While wearing shoes offers protection and much more, it’s not enough just to wear any pair of shoes. In fact, wearing shoes that are poorly made or shoes with insufficient cushion or support that were designed for fashion but not function and comfort, can do more harm than good. Orthopedic shoes are designed with special features that support the feet and provide comfort and pain relief. This type of shoe can do wonders not only for feet, but also for your ankles, legs, and lower back. Orthopedic shoes designed for foot pain are specifically crafted to enhance foot health and alleviate discomfort, ensuring both improvement in conditions and reduction in pain. There are many different types of orthopedic shoes. Their design ranges for specific conditions, foot shapes and widths, activities, types of surfaces, etc. What are the benefits of orthopedic shoes? Each orthopedic design feature offers different unique benefits depending on the foot shape. Some features are always important and should be present in any orthopedic shoe (like the ones we have shared below), while others are more specific for those with sensitive feet, heel spurs, or chronic foot pain. Arch support Orthopedic shoes feature orthotic insoles that provide good arch support. The main purpose of the arch support is to eliminate excessive pronation, which affects foot function and is one of the main causes of foot and heel pain. Orthotic insoles help reduce pressure on the heel and the ball of the foot, by transferring a substantial portion of body weight to the arch. This will reduce discomfort caused by improperly aligned, painful feet and ankles. In shoes without good arch support, the arch area doesn’t participate in distributing the pressure under the foot. Excessive pronation causes the leg to rotate internally rotate, putting stress on the knee, hip, and lower back.  Orthotic insoles with good arch support play an important role in alleviating stress on the knees, hips, and lower back, improving foot and leg alignment. Variety of widths Contrary to most shoes that are designed for the average foot and are available in medium widths, orthopedic shoes are made in a variety of widths to offer a precise fit and accommodate more foot sizes, shapes and problems.  Most of these wide-toe box shoes are available in medium, wide and extra wide, but you can also find shoes in narrow and extra extra wide sizes. Extra depth Orthopedic shoes are constructed on a special shoe last with extra depth, to accommodate thick insoles and orthotics. They also offer a relaxed, comfortable fit, which eliminates pressure points on the foot. A bonus for those who love wearing thick cushioned socks that require more space.  Wide toe box A wide toe box offers pressure relief for bunions and hammertoe deformities and allows extra room for toe movement. Learn about the different types of bunions and how to naturally shrink bunions to improve foot comfort. Protective interior Orthopedic shoes are normally made with a soft, smooth interior, designed to provide gentle contact with the foot and eliminate pressure points. Some are even seam-free, preventing irritation to sensitive feet.  Stretchable uppers A stretchable upper design allows the upper area of the shoe to stretch and shape to the contours of the foot, easing pressure on bunions and hammertoes, and eliminating pressure points on the foot.  Plus, if your feet tend to swell throughout the day, the stretch adjusts itself so it feels like you bought two different shoe sizes!  Special Soles Orthopedic shoes are made with lightweight soles and a mild rocker bottom design that softens impacts and helps facilitate foot motion.  In addition, a wide sole design enhances stability while walking. To summarize, orthopedic shoes offer many advantages compared to ordinary shoes: Help alleviate pain at the heels, feet, knees, hips and lower back. Improve mobility and stability. Provide a better fit. Provide essential protection for those with diabetes, neuropathy and other foot conditions. When should you wear orthopedic shoes? The word “orthopedic” is formed from two Greek roots: ortho, which means correct; and pedic, which means foot. Therefore, the two roots together mean “correct foot”, so orthopedic shoes are literally good for your feet by definition! In other words, wearing orthopedic shoes is highly recommended for people with foot problems - such as hammertoes, bunions, flat feet, arthritis, overpronation, heel pain, plantar fasciitis, and more. Our extensive selection includes specific designs for various conditions, such as flat foot shoes, shoes for bunions, and diabetic footwear. Even if you don't currently have foot issues, orthopedic shoes can still be beneficial. They are engineered to promote proper foot motion, provide support and cushioning, alleviate pain, and help prevent future foot conditions. Discover how our men’s orthopedic shoes and orthopedic shoes for women can enhance your foot health and comfort today!

Shoes for tarsal tunnel syndrome should have good arch support, cushioning, sturdy heel counter, extra depth and firm midsole and outer sole. Before I explain why, let’s jump straight into my list of the best shoes for tarsal tunnel. If you want to learn about the syndrome and how to treat and prevent it, simply scroll down or continue reading. The 6 Best Shoes for tarsal tunnel syndrome Sneakers: Women’s Coral | Men’s Edgewater These stylish and extremely comfortable sneakers are designed with extra depth and anatomical orthotic insoles with superior arch support, which help minimize over pronation, alleviate tarsal tunnel pain and align the foot with the rest of the body. The outer sole is firm, yet flexible enough at the toes to allow natural foot movement and reduce motion while walking. Another feature that makes these sneakers great for tarsal tunnel is the stretchable upper materials that conform to your foot shape and size, providing a customized fit.  Edgewater is available in black, gray and blue, while the blue and gray styles are constructed with a rubber outsole that provides advanced grip on any surface. Coral is available in black, gray, turquoise, silver, lavender, blue, white, wool gray and black with black sole. Shop Coral Shop Edgewater Boots: Women’s Florence | Men’s Ryder These boots feature orthotic insoles that make them extremely comfortable and provide unparalleled support. The lightweight, yet firm and cushioning soles alleviate stress on the joints and facilitate proper foot motion, helping minimize tarsal tunnel pain and deterioration.  On the inside, the anatomical orthotic insoles support the arches and feet at all times and on the outside, the non-binding uppers are firm enough to prevent the feet from collapsing when you walk. Both boots are also designed with features that make it super easy to slip in and out of them. The Florence boots open up widely, allowing the tongue to fall forward, thanks to two hook and loop straps across the instep, while the Ryder boots have two zippers at the heel to offer a wide opening, allowing you to effortlessly insert your foot. The Florence shoes are available in black and camel, and there’s two waterproof versions in black and brown. Ryder is available in black and brown. Shop Florence Shop Ryder Walking: Women’s Delta Black | Men’s Hunter Black  Walking in these shoes feels like you’re stepping on a soft pillow while being fully supported. With a firm and cushioned heel counter, these hiking shoes wrap around the heel to keep it from rocking from side to side and putting pressure on the tarsal tunnel.  Both boots are designed with durable, waterproof leather and are sealed at the seams, so that no liquids seep through, while the rubber outsole with its unique grooves channels liquids away.  Here, too, the premium orthotic insoles offer excellent arch support to help prevent over pronation and the mild rocker sole design allows you to walk with less effort. Both boots are also available in brown, but these styles are not waterproof. Shop Delta Shop Hunter What is tarsal tunnel syndrome? While many people have never heard of tarsal tunnel syndrome, most have heard of or actually have been diagnosed with carpal tunnel syndrome.  Carpal tunnel syndrome affects the arms, wrists, and hands. It is basically a nerve entrapment causing pain, electrical like sensations, numbness and weakness.  Tarsal tunnel syndrome (sometimes referred to as carpal tunnel syndrome in feet) is a similar problem that affects the feet, ankles and sometimes the lower leg. The word carpal is a Latin term meaning hand, while tarsal is a Latin term for feet. The tarsal tunnel is a canal on the inside or medial side of the foot, just below and aside the inner ankle, specifically where the medial malleolus is located.  Inside the canal is a large nerve, almost as thick as a pencil, called the posterior tibial nerve, and its three main branches. Also in the canal are blood vessels and three tendons going from the leg to the foot. In effect, they are bundled together in the canal under a roof of ligament. What are the causes of tarsal tunnel syndrome and its symptoms? True tarsal tunnel syndrome occurs when the nerve is entrapped in the canal by several possible factors, including swelling from inflammation, thickening of the tendons adjacent to the nerve due to overuse of the tendons, or scar tissue on the nerve coating as a result of chronic irritation.  Any of these can produce pressure on the nerve in the enclosed canal, which then causes the symptoms. Symptoms of tarsal tunnel syndrome can include: Pain directly over the canal Shooting electrical sensations into the bottom of the foot as the nerve innervates the bottom of the foot Pain or electrical sensations going back up the lower leg on the inside of the leg Numbness or complete lack of feeling on the bottom of the foot in severe cases In general, the most common cause of this syndrome is hypermobility or simply put, too much motion in the foot.  Hypermobility causes increased torque forces on the leg, ankle and foot, stressing the ligaments that hold the bones together. By itself, hypermobility causes irritation to the tissue and can lead to inflammation, swelling and scar tissue, which are potential factors in tarsal tunnel syndrome.  However, it doesn’t end there. As the body senses hypermobility, it tries to compensate to protect itself. The three tendons in the tarsal tunnel have several functions, but a major one is stabilization of the foot. With hypermobile feet, the tendons overwork.  WOLFS law basically states that as a body part is stressed (such as a muscle that enlarges when weightlifting is performed) it will grow larger in proportion to that stress. The tendons become thicker, taking up more room in the tarsal tunnel and can become inflamed from the overuse and swell.  This can cause tendonitis, which adds to the pain and scarring. Either way, the nerve is entrapped in the limited space of the canal. There can be other causes of nerve entrapment, such as space occupying lesions, tumors or bone spurs, deformities of the canal, nerves or tendons, metabolic syndromes that affect the nerve directly, vein problems causing swelling, or injuries directly impacting the canal.  However, the most common cause in my practice is hypermobility, especially with flat feet or post pregnancy, which weakens the ligaments with soft, worn out shoes.  Too much pronation, which in general terms means rolling-in of the foot with associated arch drop, also causes hypermobility. Do orthotics help tarsal tunnel syndrome? Treatment of tarsal tunnel syndrome begins with diagnosing the underlying cause. Once you have been diagnosed with the possible cause, there are a few simple steps you can take to treat your painful symptoms and yes, orthotics are definitely on this list. Orthotics Wearing orthotics is even more effective than just wearing the best shoes for tarsal tunnel syndrome.  The shoes and orthotics work as a synergistic pair and both need to be of superior quality and function for each patient.  Good orthotics should have a prominent arch to support the foot and prevent it from over pronating, as well as shock absorption features to cushion and help relieve pain. Shoes With the most common cause of hypermobility, the first step is to wear shoes that are appropriate for tarsal tunnel syndrome. That begins with the age of the shoe.  As shoes age, the leather stretches and warps as does the midsole material that acts as a stabilizer. This leads to the outsole irregularly wearing out. All these factors cause increased motion, which is counterproductive to tarsal tunnel treatment.  In general, shoes that are worn regularly should be replaced at least once per year and more often if under heavy use. In many cases of foot pain, new and more appropriate shoes have been the only treatment to solve the issue. What are the best shoes for tarsal tunnel syndrome? New or nearly new shoes of the correct size, both in length and width, are advisable. If the shoes don't fit correctly, they can allow either too much motion or warp, which leads to damaging abnormal motion.  The best shoes for tarsal tunnel syndrome will have most or all the features below. A good tarsal tunnel shoe will be a motion control shoe with extra depth.  Motion control shoes have a sturdy firm heel counter, which is the back of the shoe that wraps around the heel. This area of the shoe is critical in keeping the heel from wobbling, which torques on the tarsal tunnel.  In addition, the shoe needs a solid and firm midsole and outer sole so it doesn't bend easily in the middle, but allows some bend near the toes.  Shoes with a sturdier midsole material are beneficial on the inside or tarsal tunnel side from the heel to the midfoot. This rigid material resists the foot from collapsing when it pronates or rolls in. A low heel close to the ground is generally useful in reducing motion. Extra depth shoes are important as they allow better control of the foot motion, because the deeper the shoe the more material resists the motion. In addition, extra depth shoes can accommodate custom orthotics or specialty insoles, which are a major component in treatment. Good arch support built into the shoes aligns the feet and helps keep them in the neutral position, minimizing pronation. The correct arch height will also help transfer pressure off your tarsal tunnel and relieve pain. Shoes with removable insoles to accommodate custom orthotics, or braces (AFOs).   In shoe brace In severe cases of tarsal tunnel syndrome, an in-shoe brace, such as a so-called gauntlet AFO, is used. This delivers maximum control of the motion problem.  This type of device usually requires a special shoe, preferably one that is stretchable, so that it can accommodate the brace. You will need shoes that are designed with a deep and wide shape, including a wide toe box, to ensure a comfortable fit for the brace.  In addition, the built-in insole should be removable to free up even more space and accommodate custom orthotics.    Non-surgical treatment  There are several treatment options for non-surgical care for tarsal tunnel syndrome.  After exhausting motion control options such as shoes and orthotics, medication, injections, cold laser, and sometimes complete immobilization in a cast or boot for several weeks, may be required.  Physical therapy modalities can be useful, but in general I haven't seen much improvement from tarsal tunnel exercises or tarsal tunnel stretches, as they can further irritate the tissue. Bottom line, the best treatment for tarsal tunnel syndrome is prevention.  It all starts with proper, well made and non worn out shoes. So many foot problems could be prevented by following this simple rule.

I fell in love with hiking during the pandemic, since it was pretty much the only activity I could do during lockdown and social distancing. Now, I‘m not talking about climbing Mount Everest, but just being outdoors surrounded by untouched nature was enough to unwind me and provide my body with the exercise it needs to maintain a healthy lifestyle.  However, I also suffer from plantar fasciitis, which definitely isn’t compatible with any strenuous activity on the foot, often causing sore feet and heel pain, especially on uneven terrain. One of the main causes of plantar fasciitis is participation in physical activities that put a lot of stress on the heel and attached tissue, or a sudden and rapid increase in levels of physical activity. It brought up questions like “Does plantar fasciitis ever go away?” In other words, hiking and walking with plantar fasciitis can exacerbate the condition if I didn’t take any specific action to prevent and comfort it. Treating plantar fasciitis symptoms is not difficult and most of the time the condition will improve over time with the right shoes, orthotics, and care. Luckily, I was able to continue hiking despite my plantar fasciitis, thanks to boots made by shoe brands that really know what they are doing and specialize in problem feet. I was fortunate enough to test some styles out so that I can share my experiences hiking with plantar fasciitis with you.   Do I need waterproof boots when hiking with plantar fasciitis?   If you're dealing with plantar fasciitis and planning to hit the trails, you might be wondering if waterproof boots are necessary. The answer depends on the environment and conditions you're expecting. Waterproof boots can keep your feet dry in wet or muddy terrain, which helps prevent additional discomfort caused by soggy or cold feet—something you’ll definitely want to avoid when managing foot pain. Here are some of my favorites: Delta (for women) or Hunter (for men) received an incredible upgrade to the construction, material and sole.  Orthofeet’s waterproof shoes are made with waterproof leather that is durable and super easy to clean. The construction of the boot is sealed in the seams, even where the tongue connects to the boot, to ensure nothing seeps through, keeping your socks and feet dry. The sole is made with special rubber and includes many grooves that channel away liquids to prevent slips and falls on virtually any surface. Knowing this gave me peace of mind and increased confidence when trekking on wet trails. The Ortho-Cushion System featured in the boots made my plantar fasciitis flare ups non-existent and allowed me to enjoy being active without any pain or discomfort.  A premium orthotic insole supported my arch, while the air and foam pockets within the sole cushioned my heel and surrounding area. As with plantar fasciitis, a wide toe shoe was much appreciated for much little bunion and I was still able to comfortably wear a thicker outdoor sock.  A generously padded heel counter felt like a pillow against my heel and ankle area, and provided supportive cushioning and protection for all day wear.  I give the Delta a 10 for being the best women’s boots for plantar fasciitis! Should I be using specific orthopedic hiking boots? Glacier Gorge For those of us looking for a more classic looking boot that can transition from trail to paved ground, Glacier Gorge is a fantastic choice. The pebbled full grain leather upper makes this boot a timeless classic that can be maintained and cleaned, even after a stroll in rugged terrain. Yet, the leather is super pliable and provides a lot of give to accommodate every foot shape. The two hook and loop straps make putting them on and taking them off a snap. The upper design is unique and allows the tongue to completely open for easy foot insertion. You can literally step into them, which is rare when it comes to boots. And of course the straps are adjustable to create a custom fit and secure grip, based on your preference and foot shape. Glacier Gorge is designed with extra depth that runs from the heel to toe area, which then leads to a wide, round and tall toe box construction. These features ensure a pressure free fit, allow for maximum toe movement and are very accommodating to bunions, hammertoes and wide or swollen feet, making them the best hiking boots for bad feet.  And how do these help with Plantar Fasciitis? The built-in anatomical plantar fasciitis insole and substantial shock-dispersing materials ensure the plantar fascia is not overworked and is comforted and protected from all angles. Ryder Ryder is one of the most innovative boots I have come across and is ideal for those of us who don’t like or have trouble tying laces, or want quick and easy on/off wear.  They look like regular lace boots, but when you turn them around you will discover two zippers at the heel. And yes, even though they are men’s boots, I was able to test them out in my size! Adjust and tie the laces once (when you put them on for the first time) according to your grip and instep, and never tie them again! And now for the best part: pull down both zippers at the back to create a wide opening that allows the foot to slide in easily. This was extremely beneficial as I was running in and out of the house and didn’t have to fuss with tedious lacing. The built in orthotic insole keeps the plantar fascia in check by controlling the foot rolling inwards and maintaining an aligned body. The rocker bottom sole further facilities proper foot motion and really improves walking. A seam free interior that is generously padded with foam provides a smooth, gentle and protective environment for the foot. The wide, round and tall toe area gives the toes the freedom to move around without overlapping others, potentially causing additional foot conditions. A slip-resistant sole completes the package, allowing one to venture on the off beaten path. Ryder is available in a rustic brown and classic black. Is it okay to hike with plantar fasciitis? Seeing as plantar fasciitis is an overuse injury caused by strain, it’s best to start with easier, shorter hikes and gradually work your way up to longer ones. Listen to your feet. If you start feeling any type of foot pain or discomfort, know you’ve reached your limit and it’s time to rest or stop the hike. I found my feet feel and serve me so much better if I take it easy at first and build my way up, starting with simple foot exercises for plantar fasciitis, and if I wear the right hiking boots and socks, of course. There are a few design features you should look for in hiking boots if you have plantar fasciitis. Recommended hiking boot features for plantar fasciitis Arch Support  Boots for plantar fasciitis need to provide superior support under the arch so that when the plantar fascia (runs under the bone from heel to toe) flexes and flattens with each step, it is not overly strained, which can lead to tearing, inflammation, and pain. Cushioning  Since the heel is also involved and pain presents there, it is important that your trail shoe for plantar fasciitis have substantial cushioning throughout, but especially at the heel, where the foot first strikes the ground. Any shock forces from the initial strike will be dispersed and deflected for a softer landing. The best hiking boots will have both cushioning in the insole and outsole, made from several layers, thicknesses and shock absorbing materials.  Ergonomic Sole  To improve and facilitate the walking motion of the foot, an ideal supportive hiking boot with a low heel and a slightly curved sole, otherwise known as a rocker bottom, does the trick. Keeping the foot close to the ground prevents extra pressure being placed on the forefoot and arch, while the rocker bottom ensures smooth motion propelling the foot forward with minimal joint movement.

Choosing Walking Shoes for Seniors    Like other parts of our body, our feet are not immune to the changes that arise with getting older.  As the body ages, it goes through physiological changes that make seniors more susceptible to foot pain and foot problems. In fact, one out of every three people over the age of 65 suffers from aching feet.  Furthermore, additional health conditions that are more common as we age, including diabetes, arthritis and vascular disease, can compound these issues. Sadly, people who suffer from foot pain can find that it interferes not just with their daily activities, but also with more basic functions, such as getting out of bed in the morning, going up or down stairs, or even maintaining balance. For their health and well-being, seniors should be attentive to any changes in the feeling or appearance of their feet and take the necessary steps to address issues when they develop. Keeping your feet healthy as you age Walking and staying active is a critical part of a healthy foot regimen. Mobility helps you maintain a stable weight and strengthens your muscles, so that you’re less susceptible to serious damage if you are injured or become ill.  Wearing orthopedic shoes that enhance mobility and minimize foot pain is another critical aspect of maintaining healthy feet. It's especially important to avoid tight shoes that put undue pressure on the foot. The constant rubbing and pinching from this type of fashionable footwear are a major cause of corns, calluses, bunions and increased foot pain. 8 Best Shoes for Seniors  Best Shoes for elderly with balance problems    Ryder Boots [product-tile="/products/ryder-brown"] This boot is perfect for men looking for extra support. They are lightweight, so they won’t feel heavy on your feet and make it harder to maintain your balance, and the rubber soles will help keep you stable on a variety of surfaces. The shaft helps stabilize the ankles, minimizing injuries , while the anatomical insoles and ergonomic soles provide excellent support and stability. Putting these boots on and taking them off doesn't require any effort, thanks to the two zippers in the back that create a wide, comfortable opening, so you can easily slip your foot in without fumbling with laces or bending down. Ryder is available in brown and black.   Dakota Boots [product-tile="/products/dakota-olive"] Thanks to the higher upper design, these lightweight boots support both your feet and your ankles, without restricting your motion. With a rubber lug outsole providing exceptional traction on various surfaces, these boots ensure a stable foundation, reducing the risk of slips. Surprisingly lightweight, they make walking easier for seniors while maintaining a rugged build. Designed with a waterproof membrane, the boots keep feet dry in any weather, preventing blisters and bacteria build-up by allowing moisture to escape. The orthopedic, cushioned sole provides relief for foot and heel pain, ensuring a softer and more enjoyable walk. Premium orthotic insoles with anatomical arch support contribute to realigning the foot and entire body posture, enhancing overall comfort and stability. The boots also feature a wide toe box, allowing toes to spread naturally and providing relief for conditions like swollen feet, bunions and hammertoes. Dakota is available in olive and blue. Best Velcro walking shoes for seniors   Alamo sneakers [product-tile="/products/alamo-black"] The full grain leather upper of the Alamo sneakers is highly durable, yet surprisingly soft, providing a comfortably pressure free fit. With the Alamo sneakers on your feet you can walk safely and with stability, thanks to the rubber outsole’s tread design that provides advanced grip on any type of surface. You can easily make sure the sneakers fit just right by simply adjusting the velcro straps across the instep. The two straps also make it very easy to put these sneakers on and take them off.  Alamo is available in black and white and will become your go to everyday shoe.   Amalya sneakers [product-tile="/products/amalya-gray"] The Amalya  features Orthofeet’s hands-free step-in design, making it incredibly easy to slip on and off without bending down or using your hands. This innovative technology is perfect for busy lifestyles, providing both convenience and comfort. The uppers are made from a soft, stretchable knit fabric that molds to the shape of your foot, reducing pressure points and offering a custom-like fit. This ensures exceptional comfort, even for those with sensitive feet. A spacious toe box allows your toes to spread naturally, improving foot alignment and enhancing overall comfort. This design also helps alleviate pressure on the toes, making it an excellent choice for long days on your feet. The Amalya Gray is a stylish and versatile option, combining a modern look with Orthofeet’s signature pain-relieving features.   Best shoes for the elderly to prevent falls   Pacific Palisades Waterproof [product-tile="/products/pacific-palisades-black"] If you’re looking for shoes that can protect you from falls, the waterproof version of the Pacific Palisades sneakers is a great choice, thanks to the sole’s unique tread pattern that provides advanced road grip and greater stability. The full grain leather upper is highly durable and non-constricting, and the detailed stitching and overlays mean you can enjoy all the benefits of an orthopedic shoe, in style.  Pacific Palisades Waterproof sneakers are available in black.   Moravia Sneakers [product-tile="/products/moravia-waterproof-black"] These sneakers are constructed with waterproof uppers that keep your feet dry at all times. They also offer advanced grip and superior stability that help prevent falls, thanks to the sole’s advanced tread design. In addition, the firm heel counter and wide sole add even more stability.  Although the uppers are waterproof, the Moravia sneakers are still soft and offer a pressure free fit for all types of feet.  Moravia is available in black and gray.   Best Shoes for mobility problems   Edgewater sneakers [product-tile="/products/edgewater-stretch-blue"] Men’s Edgewater shoes are designed with a rubber outsole that strengthens surface grip and reduces the risk of tripping, slipping or injuring yourself.  The shoes are made with flexible upper materials that take on the shape of any foot, while still offering support, perfect even if your feet swell during the day.  The sole is expertly designed to support the feet from heel to toe and promote movability, without tiring the feet and legs. Edgewater is available in black, blue and gray.   Francis sneakers  [product-tile="/products/francis-blue"] Thanks to Francis’ bungee lace closure, you will never need to tie laces again, which also means you can expect an effortless on-off wear. The rubber outsole gives you improved traction and great stability, while the cushioning system supports your feet as you walk, making it easier to move around.  The stretchable uppers offer a 4-way stretch that expands or contracts according to your specific foot shape and size, making sure the fit is just right without putting any pressure on your feet.  These sneakers are available in five different colors: maroon, blue, gray, black and rose pink.   [product-group-tile] The benefits of a good pair of seniors’ walking shoes There are numerous important benefits to wearing proper walking shoes for seniors: They help you stay active. They aid your balance and alignment. They help keep the muscles in your feet from becoming weak. Comfortable walking shoes also provide important protection and mechanical support to the feet, which helps them improve mobility and enhance comfort. Wearing adaptive walking shoes that fit properly improves overall quality of living, as wearing ill-fitting shoes can adversely affect mood and outlook.   All the shoes listed above have the following orthopedic features in common.       1. On the inside Premium orthotic insoles. A cushioned insole, constructed with a built in anatomical arch support that helps maintain natural and healthy foot motion.  Protective interior. The shoe is constructed with a protective, soft, foam padded and seam free lining to eliminate friction and irritation.  Extra depth. The depth of the shoe and the toe box allow the toes to move freely and provide a non-binding fit, helping to alleviate pain and pressure on the feet. Plus, the added depth means the design can accommodate braces or AFOs, as well as custom orthotics.                2. On the outside Cushioning sole. Designed with multiple layers of shock absorbing materials, the sole is cushioned throughout, including extra layers at the heel, where the foot hits the ground first. This allows shock forces to disperse, softening each step. The sole keeps the foot from rolling inwards as you walk to prevent pain, and alleviates stress and pressure on the joints and feet. Ergonomic sole. The soles are slightly curved (a feature called rocker bottom) to improve and facilitate the walking motion of the foot, allowing minimal joint movement and effort as you walk.  Low heels. Low or flat heels add more stability, thus preventing falls and injuries. A fairly flat sole also prevents all the pressure from concentrating around the metatarsals and toe area.  Breathable properties. Upper materials that keep your feet aerated and dry, and create an antimicrobial, anti-fungal and odor free environment.  Grippy outsole. Special materials and a deep groove tread design increase traction and prevent falls on wet surfaces.    

Don't ignore your toes when they cry out for help. The world can be cruel to them, especially when they have to face it in ill-fitting shoes.  What your toes actually need is the correct environment for them to fit without being squeezed, move about freely and proper protection, which they won’t get if you end up buying the wrong shoes. Whether you have a common foot condition, or if your feet are model material,  wearing shoes designed without consideration of the forefoot can cause more harm than not. Here is everything you need to know about how to find shoes that fit you correctly, protect your toes and help alleviate existing foot conditions.  Where should your toe be in a shoe? Your longest toe should be about half an inch, which is about the width of your finger, from the front of the shoe.  Here's an age-old trick that still works like a charm when you’re looking for a pair of shoes that protect and fit your toes properly:  Place your thumb between your big toe and the tip of the shoe. Your thumb should be able to press down all the way to the bottom of the shoe, without any toes getting in the way. If this doesn’t happen, try a larger size. While standing up, spread and wiggle your toes to make sure they have enough room to move comfortably. Now, try standing on your toes to make sure that your big toe’s bend matches the shoe bend. If you feel the joint of your big toe is either before or after the shoe bend, it’s not a good fit.  Always try on and buy shoes towards the end of the day after your feet have been through activity. Even if you don't suffer from edema or swelling, your feet, including toes, will be different after many hours on your feet.  Make sure to try on shoes with the pair of socks you usually wear or intend to wear with these shoes. There's nothing more annoying than trying shoes with a pair of thin store peds and liners, only to come home and realize they are too tight with your thicker athletic socks.  What is the toe box of a shoe? The technical name for the part of the tip of the shoe is toe box.  The toe box gives your toes protection from impact and if you choose wide toe box shoes, it will give your toes enough room to move comfortably. It’s worth knowing that the width span of your toes should be wider than the balls of your feet. If you suspect your feet might be wider than average, read about the signs you may have wide feet to understand better. Here are some other toe box realities to keep in mind:  Worst case scenario of an ill-fitting toe box Cramping or crushing, leading to blisters, corns, calluses, ingrown toenails and even black toenails. And if you already suffer from a foot condition, such as hammertoes or bunions, an ill-fitting toe box can not only be painful, but also worsen your condition. Love your toes, but don't ever let them get hugged too tightly.  The best kind of toe box to look for The one that offers extra depth and has a stretchable, breathable upper as well as a soft, padded interior that conforms to your foot’s unique shape, keeps your feet dry to ward off bacteria build up and odors, and prevent irritation. Not all toe boxes are actually boxy The word “box” may be misleading, because toe boxes come in a wide variety of shapes and styles. The right toe box style is individual and depends on your specific foot shape and whether or not you have any foot conditions, but it should always be long and wide enough to accommodate your toes comfortably.  Toe boxes to avoid Unless they are wide enough, avoid toe boxes with pointed toes, often found in dress styles, pumps and ballet flats..If your feet are not shaped in a pointed manner, how can they possibly fit a pointed toe shoe?  This pointed style will prevent your toes from lying flat and can cause many conditions described above, including metatarsalgia—commonly known as a stone bruise—which causes pain and inflammation in the metatarsal bones and the ball of the foot. The only shoes not to feature a toe box Open toe shoes, sandals and flip flops. Since toe box refers to the enclosure for your toes, open toe shoes that expose your toes do not have a toe box. This means that most warm weather closed toe shoe styles or ones designed to wear during the summer months are ideal for your toes, and allow maximum toe movement.  Should my toes touch the end of my shoes? If the shoes are too short for your feet, your toes might rub against the edge of the toe box, exacerbating existing foot problems, such as hammertoes, and causing injuries and even deformities.  On the flip side, if the toe box is too big, aside from making you more prone to accidents and falls, the natural foot reaction would be to try to keep the shoe on your feet by scrunching up the toes. This could result in bunions (which is ironic, because you might think that wider shoes would provide some relief from bunions), as well as hammertoes. In addition, shoes that are too big could also apply excessive pressure on your toes and balls of the foot, causing corns, calluses and metatarsalgia, and disrupting your natural stride.  So, no, your toes should not touch the end of your shoes. More specifically, you should leave at least half an inch between your toes and the end of the shoe.  What does a big toe box mean?  A big toe box, more commonly referred to as a wide toe box, means the shape of the front of the shoe is generous, round, tall, and does not taper at the ends - basically resembles the shape of a foot.   The size of the toe box is also relative to the width of the shoe. So, for example, an extra wide width shoe will have a much bigger toe box than a medium width shoe. As you go up in width, every aspect of the shoe is bigger and wider. Quality shoe brands offer shoes not only in various length sizes, but also in a variety of widths, to accommodate all types of foot shapes and widths, including ones that are on the wider side.  What foot conditions need a big toe box? Understanding the significance of a properly fitting toe box is crucial, especially when dealing with foot conditions that can impair daily activities. A well-designed toe box, or roomy toe box, is extremely important, not only for preventing a variety of foot issues but also for providing relief from existing conditions. It is particularly beneficial for individuals looking for shoes for wide feet, ensuring comfort and proper fit without compromising on style or functionality. Explore our specialized footwear collections to find the correct shoes for your needs: Shoes for Hammertoes:  Our shoes provide ample room for hammertoes, reducing pressure and preventing further discomfort, perfect for those needing a wider toe area. Shoes for Bunions: These shoes feature a wide toe box that helps relieve pressure on bunions, enhancing comfort and reducing pain. They are ideal for wider feet or those with a narrow shoe issue.  If you're interested in further adjustments for comfort, learn more about how to make shoes wider for bunions. Plantar Fasciitis Shoes: To prevent plantar fasciitis from worsening, target the root cause with shoes that offer exceptional arch support and cushioning. Diabetics Shoes: Designed for those suffering from diabetes, these shoes reduce the risk of foot injuries while offering superior comfort and a roomy toe box. Arthritis Shoes: Ease joint pain and enhance mobility with our arthritis footwear, which provides additional room and cushioning for the pinky toe and other sensitive areas. Shoes for Swollen Feet: Ideal for managing and comforting swollen feet with extra room and adjustable features. Shoes for Gout: Specifically crafted to alleviate discomfort associated with gout by offering spacious toe boxes and soft, flexible materials. Morton's Neuroma Shoes: Provide targeted relief with shoes designed to reduce pressure on the forefoot and ease the pain of Morton's Neuroma. Discover our complete orthopedic shoe collection today. Choose shoes that cater specifically to your foot health requirements, ensuring comfort and enhanced mobility for all types of foot problems, from narrow shoes that cause discomfort to wider feet that need extra space.  

When you work long hours or simply spend most of your day on your feet, you come to expect foot pain and discomfort as an inevitable consequence.  But, when this foot pain starts to interfere with how well you work and prevents you from going about your daily activities, you need a better solution that can protect your feet from the pain that results from standing for long hours. When people start to feel pain or avoid certain activities, they often blame themselves, the activity, the intensity at which it was performed, or even the environment.  However, they tend to overlook the item that is directly related to their pain and that is the type of shoes they wear.  If you feel foot pain after spending long hours on your feet, start by looking at your shoes. Most probably, they are either too small and narrow,  not designed with the necessary features to keep you pain-free, or both. What are the best shoes for standing on your feet all day?   Here are the design features you should look for in shoes that are recommended for people who stand all day. Orthotic support is crucial for protecting your feet from long hours spent standing. Orthotic insoles support the arch, cradle the heel and provide the best chances for keeping your feet in line with the rest of the body. Basically, with the right orthotic support, you will feel like you’re standing on a cloud, even when the surface under your feet is concrete. They also guarantee a comfortable fit, but most importantly will prevent injuries and new foot conditions from developing.  Superior cushioning made from unique materials that provide the very best shock absorption and comfort. This includes insoles made from foam that conforms to your foot shape for a truly customized fit and comfort. The placement of the materials is also important, with more cushioning needed in the heel and around the metatarsal heads.  Upper materials that stretch are an important feature because they provide the necessary give when your feet swell while relieving any further pressure on the foot. Supple leather is also a good material to look for in a shoe, as it provides more stability and durability. Shoes with soles designed to facilitate foot motion. A minimal heel-to-toe drop and mild rocker soles are the best, as they prevent the transfer of weight to the forefoot area, which can cause pressure on the foot.  Adjustability. Why? A truly comfortable fit depends on finding the right shoe for your foot size, width, and shape. No two feet are the same! Shoes with adjustable features from hook and loop straps, to laces, bungee cords, and zippers allow the wearer to adjust the fit of the shoe to their particular needs, while also ensuring a secure fit and stability. Wide widths are geared for people with feet that are not the standard medium (B), which is what most footwear companies manufacture. Having a choice in width availability ensures the wearer finds a shoe that fits their foot shape the best. Only shoes that come in varying widths can do this. Wide widths are also helpful when it comes to preventing swelling in the feet.   With that in mind, here is our list of the best 7 shoes for prolonged standing. They are all designed with the features listed above, yet each shoe has its own unique qualities. Best Walking Sneakers   Men's Edgewater | Women's Coral [product-tile="/products/coral-black"] Their highlight stretch uppers are perfect for long days on your feet, as both shoes stretch and really take the shape of your foot, accommodating potential foot swelling, as well as large bunions and hammertoes. The fabric uppers coupled with the soft, ultra-padded interiors, which are also seam free, make them comfortable for a long day spent standing and perfect for sensitive feet. These shoes can fit almost any size and foot shape, as they are available from a medium to extra extra wide width (6E for men, 4E for women). If you need to free up even more room to insert a custom orthotic or braces, the insole can be removed easily. They are available in plenty of colors to suit any season and outfit. Best Working Boots Men’s Granite [product-tile="/products/granite-camel-work-boots"] They may look like regular work boots, but the Granite boots are fully orthopedic, which means that even though you spend long hours on your feet you won’t experience pain during or at the end of the day.  The upper is designed with waterproof leather , sealed seams and a gusseted tongue to prevent any liquids from seeping in, while the rubber outsole is slip resistant even on oily surfaces. There is even a neat ladder grab feature on the sole with notches that help catch ladder steps for greater stability.  These shoes are also impact, compression and electrical hazard resistant.  Available in widths ranging from Standard (D) to Extra Wide.   Best shoes for standing all day on concrete   Men’s Cobalt| Women’s Moravia [product-tile="/products/moravia-waterproof-black"] The waterproof uppers of the Moravia women’s shoes make sure your feet are dry, while the extra roomy toe box will allow your toes to spread out comfortably.  The men’s Cobalt work shoes are also constructed with a durable upper, made from non-abrasive high density fabric to take you through the toughest and messiest days on your feet Similar to Moravia, the Cobalt boots also have a roomy toe box, with the added feature of composite safety toe to protect your feet.  Although they have increased safety features, they are super lightweight compared to others, thanks to the unique materials and ergonomic rocker bottom sole. The rubber outsole of the Cobalt work boots is slip resistant, while the outsole of the Moravia shoe offers advanced grip and superior stability.  Both shoes are designed with a cushioning insole that works wonders to reduce fatigue and alleviate stress on your feet and legs. In addition, the soft, seam free padded interiors in both styles  will eliminate any irritation and feel comfortable against the skin.    The shoes are available in widths ranging from Medium to Extra Wide.     Best Shoes for Nurses Men's Lava | Women's Francis [product-tile="/products/lava-no-tie-black"] For a healthcare professional that stands all day, the right shoes can make all the difference between a good shift and an unbearable one.  To start, the no-tie bungee lace closure of the men’s Lava and women’s Francis sneakers is both fully adjustable and allows you to slip in and out of them easily and quickly.  Both shoes are constructed with a special rubber sole and tread design that provides increased traction and grip on any surface, which is extremely important for settings that deal with spilling liquids.  Thanks to their unique materials, both shoes are breathable and allow air flow to circulate and keep your feet healthy, while the removable orthotic insole is made with a breathable, soft top cover that wicks away moisture. The air pocket under the heel and foam cushioning under the foot will make you feel like you're walking (or standing) on a cloud. And finally, both shoes are designed with a lightweight ergonomic sole that makes them super light on your feet. Available in extended widths ranging from narrow up to extra extra wide. Why do your feet hurt after standing for a long time   Even when you stand still, your feet and leg muscles continue to work because they need to constantly adjust to the surface so that your body keeps its balance and stability.  This may surprise you, but standing still can actually be harder on the legs and feet than moving around or walking. Since the muscles never get a break - compared to walking, for example, where the muscles get some rest as the legs alternate - this specific muscle function can cause significant foot and leg fatigue. In addition, when you stand in one spot for prolonged periods it interferes with the ability of the blood to move back up the legs after delivering oxygen to the feet. The blood starts to pool in the feet and lower legs, causing swelling and pressure on the tissues.  The strain on the muscles, swelling, and pressure on surrounding tissues are the reasons you feel pain after prolonged standing. How to protect your feet while standing at work   There are a few tricks you can try to prevent or decrease the effects of prolonged standing. Shift your weight from one foot to the other to give your muscles some rest. Place one foot on a small stool and alternate your feet, to distribute the weight load on the legs.  Wear compression socks to improve blood circulation in your feet and legs.  Wear supportive shoes, preferably with orthotics, to help align the feet, legs, and body, so that the leg and foot muscles don’t have to work so hard.   How do you keep your feet from hurting when standing on concrete?   Concrete and other hard surfaces can put pressure on the foot and especially the plantar fascia - the ligament that supports the muscles and arch, and runs under the arch, connecting the heel bone with the base of the toes - causing it to swell, which can cause heel pain.  Throw in the painful effects of prolonged standing and you have the perfect recipe for significant foot and leg pain. The problem with your current shoes   There can be several reasons why your current shoes aren’t providing the comfort you need for long days on your feet. They flex too much, or not in the right places. A shoe that flexes where the foot won't, or a foot that needs to flex where the shoe doesn’t, is a recipe for disaster in terms of both immediate and future foot problems. You need a shoe that flexes with your foot in all the right places, but not too much. If you can twist the shoe or do a 90-degree bend, then it probably doesn’t have enough support. A shoe that flexes in the right place supports the natural movement of the foot, making it easier to walk while providing adequate motion control.  They are too rigid. Support is important, but a shoe that is too rigid in the sole or upper can lead to blisters, excessive swelling, bursitis and pain in the achilles tendon. A shoe that is rigid will make walking more difficult and overwork the joints and muscles, and that can ultimately lead to injuries. Flexibility and support are crucial. No orthotic footbed. Shoes with just a flat insert are not going to provide the necessary support and cushioning needed for long days on your feet. Only an orthopedic insole will support the arch and relieve potentially painful stress on the foot. Orthotic inserts will also align the body and help you stand (and walk) without your ankles and feet rolling inwards. Upper materials. Shoe uppers made from inadequate materials that don’t hold the foot in place, and ones that aren’t able to stretch with your foot, will only add more pressure to the feet and cause discomfort, pain, and potential foot problems. You need a shoe that is designed with materials that will provide stability but will also be flexible enough to accommodate swelling after long hours on your feet. Opt for flexible materials such as fabrics or soft leathers that will conform to your foot shape.  The wrong width. A narrow width and pointy shape will cram your foot and especially your toes into a space that is just too small for them, meaning increased pressure on the feet. This can lead to bunions, hammertoes, corns, and calluses, and also aggravate existing foot conditions. When your toes don't sit in the proper position, they also don't function as they should, which translates to issues with gait (the way you walk). Shoes with a wide toe box that is also round in shape provide the most comfortable fit. Materials that don't promote breathability. If your shoes aren’t constructed from the right materials they won’t provide the adequate airflow your feet need and without that cooling effect, sweating becomes an issue. Sweaty feet can lead to odor, bacteria, and fungus, which can aggravate and contribute to future foot issues. Shoes that breathe are critical for long hours spent on your feet, both for foot health and comfort at the moment.  

Being able to walk and maintaining stability can be very challenging when you have MS, but the right shoes can help. That’s why we’ve prepared a list of some of the best shoes for people with MS.  If you want to learn more about the disease, how it affects your feet and which footwear features you should look for if you have MS, simply scroll down or continue reading.  What are the best shoes for MS patients? All the footwear that made our list are orthotic shoes that were biomechanically engineered with unique comfort features, providing an extremely advanced solution for a long list of foot conditions, including those caused by MS. Best MS shoes for women            1. Naya [product-tile="/products/naya-hands-free-red"] The soft, padded fabric upper of the Naya shoes provides a pressure-free fit, ensuring all-day comfort while reducing friction and irritation. The breathable design helps keep your feet dry, minimizing moisture buildup that can lead to bacteria and fungi. The hands-free, slip-on design allows for effortless wear—simply step in, and the shoe gently secures around your foot. The stretchable upper conforms to your foot’s shape, offering a customized fit that enhances comfort and support. For added stability and foot alignment, the Naya shoes feature premium orthotic insoles with anatomical arch support. These insoles help improve posture, reduce strain on the feet, and promote a natural walking motion, making every step more stable and comfortable.          2. Francis [product-tile="/products/francis-blue"] With its stretchable uppers and soft protective interior, the Francis no-tie sneakers offer a 4 way stretch that will expand or contract on your feet, depending on your foot size and shape.  The uppers are also breathable, promoting air flow to keep your feet dry and healthy.  Thanks to the bungee toggle, tying laces becomes a thing of the past and on-off wear is super quick and easy.  And there’s more. The rubber outsole gives you excellent stability and advanced grip; the premium orthotic insoles with anatomical arch support help realign the feet, legs and body posture; the cushioning system cradles and supports your feet as you walk; and the foam padded forefoot and padded collar at the heel constantly protect the most vulnerable areas of your feet.         3. Siena [product-tile="/products/siena-taupe"] If you’re looking for lightweight boots that support your feet, the Siena boots could be perfect for you. The mild rocker design helps propel the foot forward as you walk, with minimal joint motion and effort, while the cushioning soles absorb impact as you walk.   The boots are designed with a side zip and adjustable strap, making it easy to put them on and take them off, and allowing for adjustments in fit. The soft fabric protective interior that’s padded with foam eliminates friction and offers superior protection. At the same time, the soft, waterproof and flexible leather upper eliminates pressure on the foot and keeps it dry at all times and in all weather conditions.  Last but certainly not least, the slip-resistant soles provide advanced grip and stability on various surfaces.          4. Florence [product-tile="/products/florence-brown"] Waterproof boots that are as stylish as they are cozy. The gusseted tongue and the sealed seams prevent water from seeping in, while two hook and loop straps allow an extremely wide opening, making it very convenient to put them on and take them off, and allowing you to adjust the fit to your individual foot shape, ensuring your feet don’t slide around.  The special rubber of the sole, as well as the sole’s unique tread design that channels liquids away from the shoe, allow extra traction and grip while you walk on any type of surface. There’s also a shock dispersing insole and antimicrobial top cover that keep your feet healthy and provide relief.  Finally, the front shape of the boot is generous, promoting biomechanical movement and providing plenty of space for the toes to move, without being squeezed.  Best MS shoes for men         1. Sprint [product-tile="/products/sprint-672-gray"] While these sneakers look like regular lace shoes, they are designed with innovative tieless laces that have a hidden strap. This allows you to effortlessly put the shoes on and easily take them off.  You only need to tie the laces once, and from that point on you can use the strap. What’s more, these straps are on both sides of the shoe, providing greater adjustment as well as easier access.  And that’s not the only customization feature that makes sure these sneakers are just the right fit. With the heel strap, the back of the shoe can be made more roomy or snug to fit the foot shape, even if you have braces.  In addition, the thick cushioning insole and the shock dispersing sole make sure your feet and body are fully supported as you walk, and the breathable upper material provides a truly non-binding fit.          2. Zodiac [product-tile="/products/zodiac-511-black"] Thanks to their classic design, the Zodiac shoes are a great choice for a wide variety of occasions.  These casual men’s shoes are constructed with a rubber outsole that provides advanced grip on every surface, while the soft leather upper and wide toe box eliminate pressure on the feet.  With the hook and loop strap, closure is both easy and adjustable, making on-off wear a breeze.  With the Zodiac shoes, your feet will always be protected and supported, thanks to the removable anatomically designed insole and mild rocker.          3. Alamo [product-tile="/products/alamo-white"] The Alamo sneakers are made with full grain leather uppers that are both highly durable and soft enough to provide a pressure free fit.  The two straps allow a highly customized adjustability and make it super convenient to take them off or put them on. Like all the other shoes on our list, the tread design of the rubber outsole of the Alamo sneakers provides advanced grip and allows you to walk with advanced stability, and the anatomical orthotic insoles offer superior support and cushioning all day long.          4. Ryder  [product-tile="/products/ryder-brown"] Although you can’t tell just by looking at them, these innovative boots are perfect for those who need quick and convenient on-off wear. Yes, they have laces, but there are also two hidden zippers at the heel, so you only need to tie the laces once and never again!  By pulling down the zippers in the back, you create a wide opening that allows you to effortlessly slide your foot in.  The built-in advanced orthotics support the foot and control its rolling inwards to maintain an aligned body, while the mild rocker design allows proper foot motion and improves walking. The seam free and padded interior creates a protective environment for the feet, and the wide and round toe box gives the toes enough room to naturally move around.    [product-group-tile] What is MS?   Multiple sclerosis (MS) is a chronic, often disabling disease of the brain, spinal cord and the optic nerves - all of which make up the nervous system that basically controls everything we do. “MS is an autoimmune disease in which the body’s immune system attacks and destroys myelin, the covering of nerve fibers, which is critical for their function. This interferes with the transmission of electrical signals between the brain, the spinal cord and other parts of the body,” explains podiatrist, Dr. Josh White. “The cause of MS is unknown.” This disruption can cause a variety of unpredictable symptoms, such as paralysis, numbness, tingling, pain, blindness and more. Over time, the disease can cause permanent nerve damage. The effects of MS on your feet and legs   “As a result of the body attacking the myelin sheath, plaque and lesions start hitting the nervous system,” says Dr. White. “At this point, people may start feeling pain in their feet, legs and the rest of the body.”  Unlike other conditions that cause pain in the legs and feet, such as neuropathy caused by diabetes, the nerve damage from MS is not only painful, but also makes walking very difficult, leading to gait (your walking pattern) related foot problems.  Seeing as MS also causes vision problems, people with MS may not notice foot problems at the early stages, when they are easiest to treat, which can lead to complications. Another possible and common effect of MS is foot drop (or drop foot) - an MS symptom caused by weakness in the ankles or a disruption in the leg-to-brain nerve pathway.  Foot drop makes it more difficult to lift the front part of the foot to the angle needed for walking, causing the foot to hang and the toes to drag on the ground and making it very difficult to maintain stability. Stairs, uneven surfaces and curbs can become a real challenge when you walk with foot drop. Many MS patients lift their legs higher to compensate for the foot drop and avoid dragging their feet on the ground, which can be very tiring.  Further down the line, foot drop could lead to other problems, such as lower back pain and poor balance.  The good news is that quality, light weight and well fitting shoes can support the foot and allow it to be held in a more natural walking position.  In addition, there are some treatments available to people with foot drop, such as physiotherapy that strengthens the foot and ankle muscles, and FES (functional electrical stimulation) that helps position the leg in a more natural walking angle.   Can people with MS wear high heels?   Although the right heel height can vary from person to person, it’s best to avoid heels higher than 2 inches. Shoes with higher heels might make it difficult for you to walk and cause you pain.  In addition, high heels can add to the balance issues that are a common MS symptom. “If high heels are very important to you, it’s best to discuss your options with your MS neurologist,” says Dr. White.    The design features to look for in your MS footwear   Here are some tips that will help you shop for the best shoes for MS. A good fit. People with MS need to find shoes that fit them well and right away, instead of buying shoes that don’t fit properly in the hopes that they will gradually break them in. Well fitting footwear will provide support to your feet and legs, helping with balance issues, pain and foot drop. If the shoes are too small, they might restrict blood flow to the feet and if they are too large, you won’t be stable.  Shoe depth. Extra depth shoes are higher, which means they provide better support, fit better and leave enough room for custom orthotics and braces.  Tread design. The tread is the pattern of the outsole that can help prevent slipping and falls. Naturally, since MS affects your balance, it’s best to look for shoes that offer better traction. Shoe weight and flexible materials. If you have MS related muscle weakness, look for a light-weight shoe made from flexible materials, because it requires less energy and effort to lift the legs when you walk, thus reducing the risk of falling.  Heel counter. Look for shoes with a firm heel counter. Mules, slip-ons, flip-flops and similar backless shoes can slip off the heels, as they require toe strength and a good sensory feedback that many MS patients lack.  Secure fastening. If your MS makes it harder for you to tie your shoes, opt for styles that offer velcro fasteners or no-tie elastic laces. This can also allow you to adjust the fit to your specific foot contour and size.

So, you are about to purchase new shoes and have heard about neutral vs. overpronation shoes. Which do I buy? Which is better? What do I need? Does it really matter? Let's start with a short tutorial on what exactly is pronation, what causes overpronation, and why it even matters. What is pronation? Pronation is actually a 3-plane motion of the foot that begins at the sub-talar joint under the ankle. Mainly it involves the heel rolling inwards or medially, the arch drops and the foot becomes looser or more flexible. It is an important and normal component of the gait cycle, beginning when the heel contacts the ground. When there is too much pronation (as in many things too much can be bad for you), too little or abnormal pronation, problems can arise. For more insights on the differences between excessive and insufficient pronation, check out the article overpronation vs underpronation. What is the reason the foot pronates? There are two main reasons for pronation. When the foot pronates, it provides natural shock absorption. This is the most important reason the foot pronates. Pronation makes the foot go from fairly stiff as it hits the ground, to looser and more flexible as it fully contacts the ground. This provides shock absorption so the back, knees and feet aren’t hit with the full impact of the body weight hitting the floor. This loosening of the foot also allows the foot to be able to adapt to uneven surfaces as we walk or run.   What causes overpronation of the foot?  By far the number one cause of overpronation is loose hypermobile feet. Basically, if you start with loose joints in your feet you will pronate too much. This excessive pronation can lead to a foot problem and issues in the lower leg. Loose feet are generally a result of loose ligaments. Ligaments go from bone to bone crossing joints and are what hold the foot together. When they are too loose or stretched out, they allow too much motion throughout the foot. The foot becomes almost like a loose bag of bones. Loose ligaments are usually something you are born with but can also occur after pregnancy or certain injuries. In addition, overpronation can occur with some congenital foot deformities or after an injury that damages bones or joints. What are the consequences of overpronation? Sometimes nothing! Many people overpronate and never even know it or suffer any damage or symptoms of it. On the other hand (or foot), some people suffer multiple injuries including: Tendon overuse injuries Inflammation pain Fatigue Joint damage Arthritis Ankle sprains Slow chronic changes in foot structure leading to bunions and hammertoes Nerve injuries Overpronation Treatment and Prevention  Assuming you are suffering from pain caused by overpronation, reducing it should be very helpful. The best way to diagnose whether your foot, leg or back issues are from overpronation is via a trained professional evaluation. Any of these problems could be from overpronation, but they could also be due to something else entirely. The best treatment for overpronation related pathology is orthotics for overpronation which are specially made insoles that are inserted inside the shoe. To truly stop overpronation and treat the associated problems arising from it is best to couple custom orthotics with a men's or woman's overpronation shoes, also known as motion control shoes. In reality you are not just treating overpronation but controlling the underlying cause and the associated injury or pathology. This requires a well-made shoe and an orthotic. They work synergistically. Orthotics for overpronation should have the following features: Anatomical arch support that aligns the body and keeps the foot in a ‘neutral position’ Deep heel cup that cradles the foot and reduces pressure under the heel Ample cushioning to absorb and disperse shock forces from heel to toe What is an overpronation shoe? Generally, it is a shoe that first and foremost is a motion controlling shoe, as pronation is motion. The shoe needs to be stable and firm with a solid heel counter (the piece in the back of the shoe) to control heel motion that is a major component of pronation. This stability helps reduce conditions like heel pain, ankle pain, and knee pain. In addition, the midsole (the material between the outer sole and the shoe itself) needs to be firm and usually have extra firm material on the medial side or inside. This design is crucial for reducing excessive pronation, which can lead to issues like shin splints, arch pain, and heel spurs. Many companies have their own unique patented add-ons to better control motion. All these add-ons are geared to stopping the overpronation while still allowing normal amounts of pronation, which helps maintain healthy foot posture and foot function. Orthofeet shoes are biomechanically designed with orthopedic insoles that provides the optimal level of arch support and helps prevent the foot from excessively rolling inwards. This fundamental feature positions the foot correctly which in turn aligns the hips, knees and legs, minimizing injuries and providing total body pain relief. Constructed with a thick layer of foam, Orthofeet overpronation shoes provide exceptional cushioning from the ball-of-foot through the heel area for all day comfort and protection. This comfort is beneficial for those with foot pain or conditions like flatfoot. The lightweight ergonomic sole improves mobility and smooths every step you take. We also offer arch support inserts for men and women shoe inserts to provide extra support, ensuring you get the right level of comfort and stability tailored to your needs. Combined with orthotics they provide the best control of motion even with severe flat foot. It is also important to remember to replace your shoes often as the shoe ages it loses its motion control ability. Shoes should be replaced at least once a year or more often in hard use. Other Recommendations for Overponation Treatment Rest: Allow your feet time to recover from strain or injury caused by overpronation. Strengthening exercises: Strengthen your foot muscles through toe curls, heel raises, and other exercises to improve foot support, stability and shock absorption. Avoid walking barefoot: Always wear proper fitting and supportive shoes for proper foot health Limit high-impact activities: Avoid running or other high-impact sports unless you have a specific overpronation running shoe For more shoe collections designed for you, consider checking out our various collections for additional options. These include women's wide shoes, arch support shoes, men's walking shoes, shoes for flat feet and plantar fasciitis shoes. Each collection offers shoes specifically designed to support different foot conditions, providing a wide range of solutions for your needs.

Why does someone with diabetes need special socks?         While not all diabetics are required to wear diabetic socks, people with diabetes have sensitive feet and suffer from various foot conditions and need to protect their feet more than others. Diabetic socks have unique design features, not found in regular socks, that safeguard the diabetic foot from developing additional problems and help keep it comfortable and healthy. Wearing the appropriate pair of compression socks is just as important as wearing diabetic shoes!   The majority of people with diabetes suffer from diabetic neuropathy and peripheral vascular disease. Neuropathy causes one to lose feeling in the legs and feet by damaging the nerves. Without proper functioning nerves, one cannot sense if something is too hot or too cold or if they have a cut or sore on their feet, which is why proper foot care is essential to prevent infection and improve lower leg blood flow. Not knowing this can lead to serious infections and complications. Peripheral vascular disease causes the blood vessels to become narrow, decreasing the blood flow to the legs and feet. Decreased blood flow slows down healing of any cuts or sores which increases the chance of developing ulcers. Shop Now for Diabetic Socks What are diabetic socks?  Diabetic socks are specially designed to decrease the risk of foot injury, to offer maximum blood flow, and keep the feet dry. The best diabetic socks should have the following features: Seamless: Even the tiniest protrusion can have a severe impact on the diabetic foot. Socks with seams can rub against the skin and can cause blisters or ulcers, which may be harmful for diabetic feet.The best diabetic socks are seamless and knitted with inverse linking, which keeps the ends of the toe-linking thread outside rather than inside the sock. Non-constricting: The fit of diabetic socks should be loose, non-constricting and have a super stretch design. In fact, they should be loose to the point where you barely feel them!.Tight compression socks can inhibit circulation, which might be challenging for those who suffer from circulatory issues. Padding: Extra padding and cushioning for sensitive areas help prevent injury and enhances comfort for foot problems. Normally the extra padding runs along the bottom of the sock, around the toes, and at the heel of the foot. These areas of the foot are usually susceptible to the most shock forces during activities and therefore need to be protected even more. Warmth: Diabetes can cause blood vessels to restrict, decreasing circulation to the feet. Diabetic socks should be made from fabrics that keep feet warm and help improve blood circulation. White Sole: A white sole is important for people with compromised sensation, as it helps alert wearers to a draining wound. Stains from infections, open cuts and sores that require immediate attention will be very visible on a white sole. Moisture-wicking: Many socks today are knitted with special yarns that are infused with advanced technology to help maintain a healthy foot. Synthetic yarns such as polyester and nylon are able to move moisture out of the sock and quickly dry up. A dry foot environment is essential for foot health as it helps prevent skin infections and keeps feet comfortable for long periods. Anti-microbial: Good diabetic socks are treated with anti-microbial technology to prevent the growth of bacteria and fungi in the moisture-prone regions of the foot, keeping it healthy while also eliminating foot odor. Eliminating bacteria and fungi also eliminates the bad odors in your feet! Soft yarns: Diabetic socks are often made from finer texture fabrics that feel super soft against the skin.  Since diabetic socks are designed with many special features that make them better than regular socks, it is not surprising that people who do not suffer from diabetes wear them too! How to care for diabetic socks It is highly recommended you wear a fresh clean pair of diabetic socks every day. This will ensure your feet remain clean and dry and allow you to see whether you have any new draining wounds that need attention. The best diabetic socks can be washed with your regular load of laundry, preferably on a warm cycle. It is recommended not to use chlorine bleach and fabric softeners as these chemicals are harsh and will shorten the life of the socks. They can be dried in the dryer on a low heat setting. Check your socks regularly for any holes, rips or loose threads as any protrusion can cause harm to the diabetic foot. Other ways to care for your diabetic feet In addition to wearing diabetic socks, a diabetic should wear diabetic shoes that provide extra protection and comfort for their sensitive feet. The best diabetic shoes should have the following features: Protective Interior: soft, seam free linings with no protruding stitching. Non-Binding Uppers: soft and with no overlays to eliminate pressure points. Stretchable Uppers: provide extra protection since they conform to the contours of the unique diabetic foot shape and help ease pressure points. Orthotic Support: with anatomical insoles that provide superior arch support, conform to the contours of the foot and reduce pressure on the bottom of the foot. Extra-Depth Design: ensures a loose fit that does not apply pressure on the sensitive foot. This design also accommodates custom orthotics comfortably. Deep Toe-Box: the best diabetic shoes should have higher toe area, offering extra room and creating a pressure free environment. Multiple Widths: diabetics should wear wide width shoes to avoid a non-constricting foot environment. Functional Soles: lightweight soles with an ergonomic design that facilitates mobility and improves foot motion.   Orthofeet: Leading Innovators in Diabetic Socks and Shoes Orthofeet, an orthopedic footwear company, biomedically designs the best diabetic orthopedic shoes, diabetic orthopedic insoles, and diabetic socks. The products help alleviate the symptoms associated with diabetes, provide the utmost protection for feet and offer soothing comfort from heel to toe. Orthofeet’s diabetic sock collection consists of a variety of styles and colors including ones with extra padding for more sensitive feet, extra roomy socks that provide a comfortable fit for wider legs as well as styles with all around padding from the toe area up to the welt of the sock. All the socks are seam free, loosely knitted and cushioned to provide essential comfort and protection. The collection is available in extended sizes designed to fit shoes from size 4 all the way to a size 15!    The Orthofeet diabetic shoe collection includes men’s and women’s styles: sneakers shoes for diabetes, sandals for diabetes, casual shoes for diabetes, boots for diabetes, house slippers for diabetes, and much more. Features include a seam-free interior, wide shoe shape, extra depth, and multiple widths with some styles available in extra extra wide. All Orthofeet shoes are certified by Medicare and qualify as therapeutic shoes under code A5500 of the Diabetic Shoe Bill.   Looking for more footwear choices? Check out our collections that feature various styles, including women's wide shoes, arch support shoes, men's walking shoes, shoes for flat feet, and plantar fasciitis shoes.

Few of us are strangers to lower back pain. In fact, as many as 80 percent of people have back pain at some point in their lives and half of all workers experience back pain symptoms each year, according to the American Chiropractic Association.  Not only that, but back pain ranks as the number two reason people see a doctor Can foot pain and back pain be related? Sometimes, the cause of your back pain is obvious, like a sports injury or bending the wrong way. Other times, however, the reason might be surprising, like when the culprit turns out to be your feet and improper footwear. When you walk, you put the force of as much as five times your body weight on each foot. If the foot doesn't absorb that shock or redistribute it properly, you can develop problems elsewhere. You may experience hip pain or pinch a spinal nerve in the lumbar spine causing back pain. Finding pain relief from such developments will vary from person to person. Often, this occurs in people who have flat feet, when the arch appears to be flattened and closer to the ground. A flat foot or more complex foot deformity can be treated with proper physical therapy techniques and potentially provide back pain relief. Consider exploring orthopedic shoes for flat feet that are specially designed to arch your foot and support your legs. Another major cause for back pain is flat feet overpronation. Pronation refers to an inward motion of the foot, which results in collapsed arches and flat feet when you stand, walk or run. Research how to prevent fallen arches to protect your back. There should be mild pronation when you walk and run. It is a necessary motion that allows for the dynamic action of the foot and ankle to reduce impacts on the body. Developing proper foot posture through the use of shoe inserts and physical therapy could prevent lumbar spine discomfort and other nerve pain. The problem arises when there is excessive or over pronation. To prevent chronic pain, explore our specially designed collection, such as back pain shoes, arch-support running shoes, or comfortable walking shoes, and find the solution that best suits your needs. Shop for Back Pain Shoes   What part of the foot causes back pain? There isn’t one specific part of the foot that causes back pain. The excessive inward motion of the foot that accompanies over pronation is causing the leg to also turn inward, affecting the knees, hip and lower back posture. Poor posture can place added pressure on lumbar spine, potentially causing a pinched nerve and low back pain. This might be compounded when excessive foot pronation occurs only on one foot, since when that foot pronates it shortens the effective length of the leg (the distance between the hip and the floor). This pronation can cause chronic pain from the lower limb to the back. Additionally, because of the excessive foot motion, the muscles on the inside of your leg must work harder to pull your foot up.  Physical therapy is a common treatment for foot pronation, focusing on preventing nerve compression. Contact a physician for detailed information regarding foot pronation treatment.  Can high arches cause back pain? Yes, another foot problem that can cause back pain is hyper supination, where the feet are rolled outward with what seems to be a high arch.  Hyper supination also causes outward rotation of the legs and extra stress to muscles on the outside of the leg.  Note that over-pronation or hyper supination can also lead to problems in the hips and lower back. Explore the podiatrist-recommended shoes for hypersupination to find the best shoes for your needs. Does arch support help back pain? When you experience pain and you are diagnosed with a dysfunction in the foot or ankle, it is possible to reduce knee and hip pain by wearing proper footwear and orthotic insoles to support the arch, as well as improve overall foot function. Shoes with healthy features play a significant role in back pain management. Here are the main features to look for: If the back pain is due to your foot function, shoes with orthotic insoles that provide good arch support can prevent flat feet hyperpronation and help align your legs and back properly. Shoes with good cushioning properties can reduce the impacts on the body and back when the foot hits the ground during walking and running. High heels that are over two inches high may increase the risk of lower back pain, as they might impair back posture. However, not all flat shoes are good for your feet. Flats that do not provide any arch support or cushioning may compromise leg and back posture. Get the right fit. Tight shoes can aggravate foot pain and cause gait compensation. Oversized shoes can also impair gait. Replace your shoes as needed. When the supporting cushioning becomes worn, it is no longer helpful. Find the ideal orthopedic shoe solution to reduce your pain. If you're dealing with nerve pain in the ball of your foot, you might find relief with the best shoes for Morton's neuroma. For those struggling with skin irritations, finding the best shoes for corns and calluses can be beneficial. If pain in the ball of your foot is an issue, consider researching shoes for metatarsalgia. Additionally, understanding how to prevent bunions is important, especially if you wear narrow footwear that could contribute to foot deformities. Regardless of your foot pain, find relief with the perfect footwear to maximize your comfort.

For some people, eliminating 100% of their foot pain is not always possible with just wearing good and proper fitting shoes, no matter how great they are.  So, what are other measures you can take in order to feel great on your feet and find relief? This is where orthotic insoles, also known as shoe inserts, can help.  There are two types of orthotics - custom or over-the-counter.  Custom orthotics are made to order to the exact shape of your foot and foot ailment. Over-the-counter types can be bought online in shoe stores or pharmacies.  In this blog, we will focus on over-the-counter orthotics we recommend. If you’re unsure about which type is best for you, check out our shoe insole buying guide for more detailed advice on choosing the right insole for your needs. Best Orthotic Insoles for Women & Men At first glance, an orthotic insole looks like the footbed inside your shoes. However, make no mistake, most of the shoes on the market have a flimsy and thin footbed that doesn’t even come close to a real orthotic.  With today’s advanced technologies and state-of-the-art materials, orthotic insoles have come a long way and can cater to almost any foot problem, fit in any shoe, suit any activity and come in a variety of price points to fit even the conscious spender.  Let’s explore the role of the orthotics, the different types (and there are hundreds!) and what features to look for when purchasing a pair. OFG Orthotic Insoles Comfort Meets Support—All Day Long Designed to fit most shoes and support a wide range of foot conditions, this orthotic features gentle arch support and heel-to-toe cushioning for lasting comfort. It works best in shoes with removable insoles. Bonus Arch Booster Included: Enhance your arch support even more with the included Arch Booster. Simply place it under the insole to reduce pressure on the heel and ball of the foot. Sized for Everyone: With a forefoot thickness of just ¼", these orthotics come in women’s sizes 5–12 and men’s sizes 7–15, including half sizes—so it’s easy to find your perfect fit. Keeps Feet Fresh: The antimicrobial top layer helps wick away moisture and prevents odor, keeping your feet dry and fresh throughout the day. Ideal for Walking & Everyday Use: Whether you're running errands or on your feet all day, this is the go-to insole for all-day support and comfort. Shop OFG for Women Shop OFG for Men ¾ Length Orthotic Insoles   Targeted Support in a Slimmer Fit This unique ¾ length orthotic is ideal for shoes without removable footbeds and works best in medium and wide-width shoes. Its slim design fits easily into a variety of footwear while still delivering powerful support. Freedom for Toes, Relief for Heels: Enjoy arch and heel support without crowding your toes. A firm shell combined with a foam-padded heel seat helps ease heel pain by cushioning and protecting the heel and fascia. Our insoles for plantar fasciitis provide another great relief option.  Versatile & Long-Lasting: Durable and easy to transfer between shoes, these orthotics are perfect for everything from casual sneakers to dress shoes.  Shop ¾ length for Women Shop ¾ length for Men Women’s BioSole Gel Dress Stylish Support for Dress Shoes Specifically designed for women’s dress shoes—like high heels, ballet flats, and other narrow, low-profile styles—these ¾ length orthotics are the perfect solution when regular insoles won’t fit. Despite their slim design, they deliver anatomical arch support, plush comfort, and pain relief—so wearing heels can feel more like wearing sneakers. EVA cushioning helps protect sensitive areas like bunions and the outer edge of the foot, while a breathable polyester mesh lining keeps your feet cool and dry. Available in women’s sizes 5 to 10. Shop BioSole Gel Dress for Women Do You Really Need Orthotics? Here's What to Know: Do orthotic insoles really help? Yes, orthotic insoles keep the foot in its neutral position by providing optimal arch support, preventing over pronation and aligning the foot with the body.  When the body is aligned, the feet, legs, hips and back fall into place, foot pain decreases and the body is less prone to injuries caused by foot pain.   How do I know if I need orthotic insoles? Everyone can benefit from wearing orthotics.  If your feet are healthy, you can wear orthotics to prevent both foot and body injuries and future foot problems. If you have a specific problem, orthotics will often be a part of a more comprehensive treatment plan for foot, leg or back conditions, pain or discomfort.  Normally, the goals of such treatments include: Aligning foot and body. Correcting biomechanical foot flaws. Reducing risk of injury. Providing support to the foot. Allowing the foot to function better. Here are some signs that you may need orthotics: You have foot or heel pain. Your feet are swollen. You have flat feet. You have high arches. You tend to fall and have balance issues. Your shoes wear unevenly. You have a diabetic foot. You suffer from foot conditions. How do you choose an insole? Orthotics aren’t one-size-fits-all—they’re designed for different needs, foot shapes, and shoe types. Here’s 8 things to consider when choosing the right insole: 1. Purpose Some orthotics are made for everyday comfort, while others target specific activities like running or hiking, offering specialized support and shock absorption. Medical orthotics address conditions like plantar fasciitis, diabetes, or heel pain with features like pressure relief and sensitive foot protection. Understanding the difference between these types of shoes and what exactly you need for your situation is important.  2. Arch Support Look for insoles that match your arch type—flat, neutral, or high. Proper arch support keeps your foot aligned, reduces strain on the plantar fascia, and supports healthy body mechanics to prevent pain in the feet, knees, hips, and back. Foot pain can affect your knees and hips—proper arch support helps keep you comfortable throughout the day. 3. Cushioning Good insoles cushion every step and help absorb impact. Materials and layers matter—look for designs that evenly distribute pressure across the foot, especially if you frequently walk on hard surfaces. 4. Materials Rigid materials offer control and durability, while softer ones provide energy return and mold to your foot over time. Many insoles combine both to balance support and comfort. Strategic padding in the heel or forefoot can help relieve pressure where you need it most. 5. Top Cover The top layer should keep feet dry, odor-free, and protected. Antimicrobial, moisture-wicking fabrics are ideal—especially for those with sensitive or diabetic feet. Some insoles even offer cozy, fur-lined covers for colder months. 6. Rearfoot & Forefoot Design A cupped heel offers added stability and cushions the heel’s fat pad—great for heel pain. For forefoot relief, look for metatarsal support to ease pressure from conditions like metatarsalgia. 7. Thickness & Shoe Fit Check if your shoe has a removable footbed. If not, go for a thinner insole to avoid a tight fit. Removable footbeds usually allow for thicker, more cushioned orthotics. 8. LengthFull-length insoles cover the entire footbed and work best in shoes with removable insoles. ¾ length orthotics end around the ball of the foot and are perfect for tight-fitting shoes like ballet flats or dress shoes. With the right orthotic insoles, you can step into comfort and support, helping to alleviate foot pain and improve your overall well-being—so don't wait, invest in your foot health today!  

Bunions are very common, but that does not mean they are a trivial issue. When it comes to severe bunions, they can evolve into a debilitating condition and even require surgery.  If you have bunions, there are quite a few things you can do to prevent them from deteriorating. What is a Bunion? The medical term for a bunion is "Hallux Abducto Valgus “, or just "Hallux Valgus”. Bunions are a deformity of the big toe area of the foot that looks like a bony bump on the inside or medial side of the foot, just behind the big toe on the first metatarsal head, and the big toe  angulates toward the second toe. Sometimes, the big toe actually overlaps the second toe or goes under it.  The bump is actually the first metatarsal head that has shifted out away from the foot and widened it.  This bump can enlarge due to inflammation from shoe pressure rubbing on it.  Bunions can cause pain due to inflammation and poor shoe fitting. They can also lead to balance issues because they change the way your foot moves. This demonstrates how wearing the wrong shoes can cause balance problems, adding to the discomfort and difficulties caused by bunions. How Do Bunions Occur? Generally, bunions are a result of biomechanical flaws in the foot that are genetic or congenital.  It is common to see bunions go from generation to generation, most commonly in women. Women are more prone to bunions, because they tend to have more flexible joints and ligaments, including in the foot, due to the necessity to give birth. This results in increased motion that allows any biomechanical flaws to be exacerbated, causing shifting of the bones and then bunions. Shoes can also be an issue. In addition, arthritis and other joint and connective tissue disorders can add to bunion formation. Do Bunions Get Progressively Worse? In most cases, bunions get worse gradually only if you don’t wear the right shoes and don’t get any treatment. Adequate shoes are critical to alleviating bunion pain and discomfort, and making sure they don’t become worse.  While shoes alone don't cause bunion development, they can amplify the underlying biomechanical flaws. Shoe types such as dress shoes, high heels, pointed toe box and slip on shoes are all culprits. 4 Tips On How To Prevent Bunions From Getting Worse First, I want to point out one thing: bunions cannot be prevented if they are a result of a foot structure you were born with. However, the speed of formation and severity of deformity can be affected and slowed. All other causes of bunion development can be prevented with proper support and shoes.  The underlying biomechanical issues we are born with are potent and cannot be changed easily. Once we put shoes on at a young age, we fundamentally change the shape and biomechanics of the foot forever.  It’s like orthodontia for the teeth. Shoes immediately put pressure on the forefoot forcing the toes together and pushing the big toe inward, changing the anatomy, including the shape of the bones and the location of the cartilage.  Looking at pictures of feet in some societies that never wear shoes, you can clearly see feet that look dramatically different than the feet that wear shoes. Without shoes, the toes are separated in a way that looks like a hand.  Seeing as bunions can develop into a debilitating condition that might even require surgery, here are some tips on how to treat your bunions correctly, before they become too severe. 1. Don’t wear the wrong shoes Shoes can and do affect the severity of the anatomical changes that occur in bunion formation, and the associated symptomology.  Basically, the more the shoe forces the big toe toward the second toe and allows excess motion, the worse the deformity. That’s why narrow pointed toe box shoes are a major factor.  Unfortunately, many women's shoes are shaped that way for style. High heels are particularly damaging as they force the foot into an altered biomechanical position and jam the forefoot and big toe into the floor, shifting the big toe’s position. : 2. Orthotics are important  As noted above, excess motion in the foot is one major cause of bunions and one cause of excess motion is over pronation. This issue, where the foot rolls inward excessively, is closely linked to flat feet. Understanding the causes of flat-foot overpronation is key to addressing both the symptom and its root cause effectively. Pronation is a natural motion the foot goes through as we walk and stand that loosens the foot. Pronation rolls the foot inward and drops the arch. This allows shock absorption and adaptation to changes in the terrain, so the foot can deal with uneven surfaces.  In over pronation, the arch drops downward or inward excessively, found in many common foot problems. We can treat over pronation and the resulting excess motion it causes with orthotics in the shoes.  Orthofeet designs well-made over the counter orthotics that are designed to support the arch, control over pronation, align the foot and correct the gait. I use a lot of these in practice and they have helped my patients tremendously.  In more severe cases, a true rigid custom orthotic is required. Although there is no definitive proof of this, it is believed by many podiatrists that orthotics started early can significantly alter the severity of bunions and slow down the progression.  3. Know which shoes to look for In addition to orthotics, shoes are the other significant factor in bunion formation and severity. As noted above, shoes that have a narrow or pointed toe box are a major factor in speeding up and increasing severity of bunion formation.  The best bunion shoes should be designed with the following features: Shoes for bunions need to have a wide, round and high toe box. The less pressure on the big toe, the better. Orthofeet shoes have a very round deep toe box with lots of room. I wear them myself, due to the comfort factor and since members of my family had severe bunions and I have the excess pronation and motion that could form bunions. If you already have bunions, the best shoes for bunions should have a round toe box and extra depth for the big toe, often being over or under the second toe. Also, extra depth shoes are critical, because they add stability and reduce motion, and can easily accommodate orthotics. Wide or extra wide shoes also are critical for bunions.  Most shoes found today in big box stores only carry one width, usually medium, which is far from what a bunioned foot needs. The good news is that specialty footwear brands design shoes in extended widths - from narrow all the way up to extra extra wide! In many cases, bunion pain relief is as easy as wider shoes with a round toe box.  The material of the shoes is very important for feet with bunions.  Shoes constructed with tight and unforgiving materials will apply pressure on the bunion, worsen the condition and cause pain. However, comfortable shoes made with stretch knit uppers offer a relaxed fit and conform to the contours of your foot, specifically the bunion, to create a pressure free environment.  Supple leathers can also work well. I have many patients with very wide feet from bunions who wear these after failing in most other shoes.   Whatever material they are made of, it is important the upper is free of overlays or stitching across the sensitive bunion area. The interior of the shoe should be soft and padded to offer the utmost protection, preventing any further injury or friction to the painful area. Ideally, a seam free construction is best.  Shoes for bunions should have a low heel or be flat to the ground to avoid forcing the forefoot into the floor, as is the case with heels.   It’s also best to look for shoes that have an ergonomic sole with a mild rocker bottom that facilitates foot motion and transfers weight evenly from the rearfoot to the forefoot. 4. Other Bunion Relief Options Pain relief is key if you have a bunion and there are other options that are available for those who have minor cases of the condition. Bunions Socks. Bunion socks are not a means to prevent the deformity, but they can provide added benefits, such as separating the big toe from the remaining toes. This ensures the toes do not overlap and rub against each other, causing irritation. Orthofeet also offers bunion socks and they are super comfortable, as they’re made with soft bamboo fibers, offer a non-binding fit and wick moisture away from the foot. Bunion Pads. If you are looking to protect the bunion from anything that touches and rubs against it, bunion pads can help. Note that some pads are medicated with acid in them that can burn the skin. Do not use these! Simple protective pads will do the job just fine. How to Stretch Shoes for Bunions Although not my first choice and not as effective in treating and preventing bunions, there are some who like to make shoes wider for bunions by stretching them.  The one useful device I have in the office to accommodate for the large bump of the bunion on the side of the foot is the Ball and Ring Stretcher. This device pushes out the toe box in one spot only, directly over the bony bump. Most podiatrists have this device and will be able to stretch your shoes if you bring them in.  But, while stretching your shoes is helpful I want to reiterate that the best solution for people with bunions is to buy special shoes for bunions, like shoes for men with bunions and women’s bunion shoes, which come with all the design features I mentioned earlier: a wide toe box, soft stretchable uppers and special orthotic shoe inserts that provide arch support, reduce over pronation and help straighten the toes.  See your podiatrist for more information and help with bunions. In the worst cases, surgery can correct bunions permanently. Surgery is the only true bunion treatment as it gets to the root of the problem.