Foot Problems: Look to Your Sole for the Answer
In the United States, one in six persons suffers from foot problems. The main reason why so many people have problems ranging from bunions to hammer toes is poor choice of shoes and their improper fit.
Until the 19th Century, men's shoes resembled women's, but the shape and comfort of men's shoes were improved. The obvious dilemma for women remains that the rectangular shape of the foot does not easily fit into the triangular shape of the foot box in many shoes. In addition, the higher the heel of a woman's dress shoe, the greater the pressure on a relatively small area of the foot.
"As we age, our feet widen and lengthen, yet most people seldom change the size of their shoes," Saltzman says. Improvements are still needed for some women's shoes. "A lot of women around here do not wear damaging shoes all of the time. But in larger, corporate cities you see women wearing the high heel, triangular-shaped style of shoe everywhere," Saltzman says.
Of the more than 43 million people who have foot problems, 36 percent regard their problems serious enough to warrant medical attention. "Patients need to be aware that after surgery the foot is never quite the same," says Saltzman. "If surgery around the toe is done, patients must then alter the type of shoes they wear or else the foot has a high possibility of going back to the way it was prior to surgery."
A survey by the Council on Women's Shoewear found that women have no foot pain or deformity if they wear dress shoes no more than a quarter-inch narrower than the foot, or sports shoes that are the same width of the foot. In order to determine the width of your foot, stand on a stool to place all the weight on the foot. Then measure the widest part of the foot and compare it to the measurement of the widest part on the bottom of the shoe. If the width is more than a half-inch narrower than the foot, you have a higher chance of developing foot pain or deformities.
University of Iowa Health Science Relations and
Charles Saltzman, MD Professor of Orthopaedics and Rehabilitation/Biomedical Engineering
Well-fitted shoes with a firm sole and soft upper are the best way to prevent nearly all problems with the feet. They should be purchased in the afternoon or after a long walk, when the feet have swelled. There should be 1/2 inch of space between the largest toe and the tip of the shoe, and the toes should be able to wiggle upward. A person should stand when being measured, and both feet should be sized, with shoes bought for the larger-sized foot. It is important to wear the same socks as you would regularly wear with the new shoes. Women who are accustomed to wearing pointed-toe shoes may prefer the feel of tight-fitting shoes, but with wear their tastes will adjust to shoes that are less confining and properly fitted.