Footloose

By Peter Galvin, MD

Properly fitting footwear is important in maintaining good foot health. Wearing the right shoes can provide support, prevent injuries, and promote overall well-being. While we often associate purchasing new shoes with fashion trends or worn-out soles, there are specific medical reasons why investing in new footwear might be in your best interest. Note that I said investing in new shoes – good shoes today are not cheap. Even sneakers today are often well over $100 a pair. I remember as a kid I played a lot of basketball, like so many other Rockaway kids. We played outdoors in schoolyards and playgrounds, where the pavement would eat through sneaker soles very quickly. I wore Converse sneakers that were made of canvas with rubber soles. Converse All Stars were $10 a pair, which was a lot of money back then, so I wore Converse Coach sneakers, which were irregular but only cost $5 a pair. Good luck finding good shoes at those prices today.

Many people have their favorite shoes which are very comfortable and are worn often. But shoes wear out. Over time, the cushioning, support, and overall structural integrity of shoes deteriorate. As a result, they can no longer provide the necessary protection and stability for your feet. Look for flattened outsoles, worn-down treads, and visible holes in the upper parts of the shoe. Replacing shoes at this stage can help prevent foot pain, discomfort, and potential injuries. If you experience foot pain, it could be a sign that your shoes no longer are providing adequate support. Foot pain can be caused by a lack of arch support, lack of cushioning, or insufficient shock absorption.

Shoe size can change over time, especially foot width. Factors like weight gain or loss, pregnancy, aging, or medical conditions can affect the shape and size of your feet. Wearing shoes that no longer fit properly can lead to issues like blisters, calluses, or even nerve compression. If you notice your shoes feeling tight, pinching, or causing discomfort, it’s time to reassess your shoe size and consider purchasing new ones that fit better. Also, if you decide to engage in a new sport or exercise routine, these activities often require specific footwear designed to support the demands of that activity. For example, running shoes offer cushioning and shock absorption, while hiking boots provide stability and ankle support. Wearing shoes not designed for a specific activity can lead to foot discomfort or injuries. If you are not sure what type of shoe is required for an activity, consult with your podiatrist.

Some foot conditions, like bunions, plantar fasciitis, or hammertoes require specialized footwear to alleviate symptoms and provide relief. Again, consult with your podiatrist who can recommend appropriate shoe types and provide solutions for foot problems, for example orthotic inserts. When it comes to foot health, choosing the right footwear is crucial. Also, everything I’ve said in this column goes double for anyone with diabetes. Many diabetics lose sensation in their feet, meaning that they may be unaware that their shoes do not fit properly. That is why anyone with diabetes should visit a podiatrist on a regular basis, plus they should never, ever walk barefoot, even and especially at home.

Questions or comments can be sent to editor@rockawaytimes.com