Educational Articles: Footwear: Solutions

The flip-flops discussion—are they healthy, are they not—seems to come up every year once the weather turns nice. There are wide-ranging opinions on the merits and pitfalls of flip-flops for foot health, and many healthcare professionals possess strong views on this ubiquitous warm weather footwear. In fact, the topic of flip-flops often generates a lot of controversy, seemingly out of proportion with the somewhat unexceptional nature of this subject matter.... Read more

Dr. Robyn and I were reminded on a recent hike of the importance of wide toe box footwear and natural toe splay for foot comfort and injury prevention. The combination of Correct Toes toe spacers and men's and women's wide toe box footwear is extremely helpful in preventing the foot and knee problems that plague so many trekkers, especially on long hikes and descents, and it saved us from considerable... Read more

“What shoes are best for my child?” As a physician with a specialty in the natural treatment of foot problems, this is a question I often hear. It’s a question posed by concerned parents who, themselves, are afflicted with foot ailments such as bunions, hammertoes, fungal toenails, and plantar fasciosis. Kids, as you well know, spend a lot of time on their feet, walking, running, and playing. In fact, an... Read more

Keeping your feet and toes warm during the cold winter months is an important consideration, and so too is keeping your feet and toes healthy and pain-free. Winter is no time to forget about natural foot health principles, and the footwear you use during the cold months should receive the same high scrutiny your warm-weather footwear receives. In this post, we'll discuss some of the most important considerations for cold-weather... Read more

Despite changes in materials and construction techniques, not much about the shape of cycling shoes has changed over the years. Cycling shoes, like rock-climbing shoes and soccer cleats, are notoriously constricting (and uncomfortable) footwear, as they hold the big and little toes in bunion and bunionette configuration, respectively, for prolonged periods during rides. They also contribute to hot spots, ingrown toenails, plantar fascia pain, hammertoes, and other foot problems. Read more

We all spend a lot of time on our feet, in shoes, so understanding what constitutes healthy footwear is absolutely crucial for building and maintaining optimal foot, toe, and joint health. Indeed, the health of your feet has profound implications on your entire body and your quality of life. But what are the key differences between a truly foot-healthy shoe and the industry standard? Quite a bit, as it turns... Read more

You’re a contemporary fashionista who dresses to impress. You faithfully don your high heels to conform to business dress standards, impress your employees, boss, or coworkers, and look fierce, maybe even sexy. You’re aware that wearing your fashionable heels may result in painful footsteps, but, well, you’re willing to squeeze them on for the sake of good looks. If this description mirrors your experience and thoughts, you may, unfortunately, be... Read more

Children spend much of their time on their feet, walking, running, and playing, and an active child takes about 20,000 steps per day. A question we often receive is: “What shoes are best for my child?” Concerned parents rightly wonder about the best ways to protect and support their child’s feet and prevent future health problems. Your child’s feet are naturally and brilliantly designed for optimal standing and locomotion if... Read more

Dr. Robyn and I are often stopped on hiking and running trails by fellow outdoor enthusiasts who notice our unique footwear choices. With puzzled looks on their faces, they ask us how we avoid spraining our ankles in such minimalist footwear on such uneven terrain. The truth is, minimalist shoe wearers are at a distinct advantage when it comes to avoiding dreaded—and often temporarily debilitating—ankle sprains. But not all minimalist... Read more

In this video, Dr. Ray McClanahan, a sports podiatrist at Northwest Foot and Ankle and the inventor of Correct Toes, discusses how to select the healthiest possible footwear to support your child's growth and development. Choosing the proper footwear for your child early on can have an enormously beneficial effect on his or her foot and joint health later in life. Protecting the shape and function of your child's foot... Read more

We often receive the following question (or slight variations thereof) from readers and customers who are interested in determining the proper width of shoe to purchase: I had my foot width measured at a local shoe store and was told that I need a wide shoe. Will the shoes you offer on your site work for me and my feet? First, let me say that conventional foot and shoe width... Read more

Selecting foot-healthy shoes—shoes that truly support long-term foot health—is one of the most important considerations in caring for your feet, as most foot and toe problems are caused by conventional footwear. Indeed, shoes that are generally regarded as appropriate (and even healthy) by many foot care professionals and society at large actually cause a variety of foot and toe deformities and lead to numerous musculoskeletal health problems, from bunions to... Read more

When it comes to the health and well-being of your musculoskeletal system, few things are more important than what you put on your feet. Indeed, your choice of footwear affects everything from your joint health to your postural alignment to your walking and running gait, and more. Making sure your footwear is maximally foot-healthy is an essential part of avoiding foot, leg, and back pain, preserving mobility, and taking care... Read more

Many people are aware that a transition period is required when switching from conventional shoes to minimalist shoes (now sometimes referred to as “functional footwear”). In fact, this is one of the most common topics we hear about from patients and customers. Most people want to know the proper protocol for transitioning to men's or women's foot-healthy footwear—shoes, boots, or sandals that are widest at the ends of the toes,... Read more

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 the architectural principle... 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 thinking of buying) and standing on it. If any... 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 foot. Here are some... Read more

Tongue pads are used in shoes for several reasons, though the most common reason is to snug-up a loose-fitting shoe to prevent heel slippage. Most people have one foot that is slightly longer than the other, but yet almost everyone wears the same size of shoe on both feet, which may result in forward and backward foot slippage inside the shoe on the smaller foot side. Certain foot or medical... 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 rises to $3.5 billion when you factor in lost work time for... Read more

Attention and time given to natural foot health concepts and activities can yield profound foot health benefits, both for foot injury prevention and improved quality of life. Caring for your feet and allowing them to function the way nature intended can keep you pain-free and performing the activities you love most. In most cases, the answer to long-term foot health is simple and involves removing the impediments to optimal foot... Read more

Being in the business of foot-healthy shoes and natural footgear, one question we're often asked by customers and readers of our blog is the following: “What do you think about those toe shoes?” Those toe shoes, of course, being the distinctive and famous Vibram FiveFingers! We have a long personal history with FiveFingers shoes that stretches back over a decade, and in this article, we'll share with you our own... Read more

Hiking—in all its many manifestations—is a hugely popular outdoor pastime, and almost everyone seems to have an opinion about what kind of footwear is best for this beloved activity. This article takes a closer look at hiking boots and discusses some of the most common misconceptions about this important type of footwear. We debunk the biggest hiking boot myths and examine why conventional hiking boots cause foot problems in so... Read more

Despite fluctuations in the footwear industry (such as the relatively recent embrace of “maximalist” shoes by manufacturers), the interest in more minimalist footwear continues, with many consumers wanting to try something new and novel. More and more minimalist footwear companies are popping up, and many conventional shoe manufacturers are still offering “minimalist” models for the subset of their customer base interested in less shoe. We welcome this change in mindset... Read more