Educational Articles: Footwear: Problems

Propping up the foot arch is a common approach used by physicians to help treat certain foot and ankle disorders. Arch support is also a design feature commonly touted by shoe manufacturers as beneficial. But we thought it would be helpful to discuss what arch support really means and whether it’s truly necessary—or even desired—in the foot. To understand our arch support philosophy, it’s important to understand... Read more

In this short video, Dr. Ray McClanahan, a sports podiatrist at Northwest Foot and Ankle and the inventor of Correct Toes, demonstrates true, anatomically correct foot position and posture. Dr. Ray discusses the effects of conventional footwear on foot arch stability and how some common shoe design features actually work against the inherent strength of the foot to deform and destabilize. Learn more about natural foot structure... Read more

Truly exceptional footwear allows your foot to function like a healthy bare foot inside your shoe. Most conventional footwear, however, from dress shoes to work boots to running shoes, includes a number of problematic design features—we'll refer to them as design “elements” from here on, rather than features, as “features” imply something positive or helpful—that either deform your feet over time... Read more

Rigid, inflexible soles are a common inclusion in most conventional footwear. Most shoe manufacturers have taken the idea of foot sole protection and gone well beyond what is necessary or healthy for your foot. In most cases, only a thin layer of material between your foot and the ground is required for adequate foot protection. And people who have grown up in a barefoot culture may not... Read more

In this video, Dr. Ray McClanahan, a sports podiatrist at Northwest Foot and Ankle and the inventor of Correct Toes, describes the Shoe Liner Test and explains why excessive pronation is such a common problem in our society. The Shoe Liner Test is a simple test that involves pulling the liner out of your shoe (or a shoe that you are... Read more

In this video, Dr. Ray McClanahan, a sports podiatrist at Northwest Foot and Ankle and the inventor of Correct Toes, discusses the method that's historically been used for shoe sizing and why this technique falls short (and, in fact, often leads to a variety of foot and toe problems). He also demonstrates a better way to size shoes that respects the shape of the natural human... Read more

Toe box taper—the narrowing of a shoe from the ball of your foot to the ends of your toes—is one of the most harmful features of conventional footwear. It's difficult to find a pair of shoes or boots (or even sandals) that are wider at the ends of your toes than the ball of your foot. Most shoes and boots, including athletic models, force your toes into... Read more

For decades, we, as footwear consumers and users, have been told that we need plenty of padding in our shoes and under our feet to help boost comfort and buffer the forces on our bodies that occur during standing, walking, running, and jumping. Like many things in the health arena, this information has become common knowledge and accepted as fact. Shoe industry bigwigs along with countless healthcare... Read more

Toe spring is a toe-deforming shoe feature present in most shoes, including athletic shoes. Toe spring is the elevation of your shoe’s toe box above the ground or supporting surface. The current industry standard for toe spring for most types of footwear is 15 degrees. This means that most shoes hold, or immobilize, your toes in an unnatural, extended position. This immobilization is problematic because your toes... Read more

The need for natural and conservative alternatives to conventional foot and toe treatments has never been greater. According to the American Academy of Orthopedic Surgeons, approximately 43.1 million Americans have foot problems, and the cost of foot surgery to correct problems associated with improper footwear—bunions, hammertoes, corns and calluses, among others—is about $2 billion per year. The cost... Read more