Roomy shoes

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Roomy shoes

Many foot problems—such as bunions, calluses and corns, or hammer, claw, or mallet toes—will not become severely painful or disabling if you wear shoes with a wide toe box that gives your toes and the ball of your foot more room.

Try to wear shoes that:

• Have low heels. Avoid high-heeled, narrow, or pointed-toe shoes. High-heeled shoes increase pressure on the front of the foot and on the toe joints. If you cannot avoid wearing pumps or high-heeled shoes, choose shoes with heels that are no more than high. Alternate wearing these with low-heeled shoes.
• Have wide and deep toe boxes (the area that surrounds the toes). There should be about of space between your longest toe and the end of the shoe. You should be able to wiggle your toes in your shoes.
• Are made of materials that stretch. In some cases, it may be possible to stretch your shoes over the problem area so that they don't put pressure on a painful area. This may help relieve or prevent pain. Look for a shoe repair shop that stretches shoes, or ask your health professional to recommend one. You may also want to find a shoe manufacturer that makes special or custom shoes for people with foot problems.
• Lace up rather than slip on. Athletic shoes are a good choice.
• Have a rigid yet cushioned heel counter that keeps your foot from slipping out of the shoe.
• Have a flexible sole that allows your toes to bend as you walk.
• Allow the ball of your foot to fit snugly into the widest part of the shoe.
• Allow your feet to breathe when they sweat. Avoid plastic or vinyl shoes.
• Do not have seams that may rub against or irritate the skin over your problem joint.

At home, wear sandals or soft-leather flat shoes or slippers, or buy an inexpensive pair of cloth shoes and cut a hole over the affected joint.

Go barefoot as much as possible (or just wear a sock) unless you have diseases such as diabetes, rheumatoid arthritis, or peripheral arterial disease. People who have these and other diseases and have limited or no sensation in their feet are encouraged not to go barefoot because unnoticed injuries to their feet are more likely to become infected.

Credits

Last updated:	March 20, 2006
Author:	Colleen Cronin
Reviewed By:	William M. Green, MD - Emergency Medicine, Gavin W.G. Chalmers, DPM - Podiatry and Podiatric Surgery
Editors:	Susan Van Houten, RN, BSN, MBA, Terrina Vail