Podiatry Shoe Review.

Comfortable Women's Wedge Sandal - Earthies Salerno

2012-01-23T18:57:00.000-08:00

EARTHIES SALERNO

love it...

This is a gorgeous shoe!

I love the Earthie shoe line -

they are pretty and, in a world full of poorly constructed shoes, Earthies has consistently offered exceptional quality.

This shoe is wonderful because of the rigid protective sole that offers more protection and comfort for the foot structures.

What really wins me over is the contoured foot-bed with soft material and excellent arch support.

The strapping provides forefoot, midfoot and rearfoot control, which increases biomechanical control of the foot and allows for

more comfort as well as less chance of injury and mechanical strain.

This Shoe is Recommended For Patients with:

*Mild Bunions

*Mild Hammertoes

*Mild Tailor's Bunions

*Plantar Fasciitis (Heel Pain)

*Achilles Tendonitis

This Shoe is NOT Recommended For Patients with:

*Hallux Limitus/Hallux Rigidus (Limited or No Range of Motion across the 1st Toe Joint)

*Osteoarthritis or Degenerative Joint Disease of any of the Toe Joints (especially the 1st Toe Joint)

*Metatarsalgia

*Morton's Neuroma

*Capsulitis of the Toe Joints

*Ankle Instability/Hypermobility

*Diabetes

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

*History of Ulcerations

*Dropfoot

If you are one of my patients or in

the Scottsdale area,

J. Stephens Shoes

located in Kierland Commons carries

the Earthie shoes.

Check out their website at:

www.shoesjs.com

(I have no financial interests with them!)

***

Have a great evening!

Dr. Cathleen A. McCarthy

Comfortable & Stylish Man's Dress Shoe - The Dansko Theo

2012-01-21T12:50:00.000-08:00

DANSKO THEO

Comfort & Style for Men.

Of course there is a story behind this shoe!

One of the Podiatry Students from Midwestern University School of Podiatric Medicine who has been shadowing me this month was wearing a lovely looking Echo dress shoe but I noticed that by the end of the day he was shifting around like his feet hurt.

Although I recommended on several occasions for him to sit down and rest - he declined and continued standing for the entire day while we saw patients.

Foot pain is a common problem for third year medical students because they spend the first two years of school sitting and in the third year they are thrown into hospitals and expected to stand for long hours on hard surfaces.

When I was a third year Podiatry student,

I spent a month shadowing a Podiatrist and my feet and legs were killing me!

At one point, I was so desperate I asked the doctor if I could sit during his patient exams and he refused to let me!

He advised me it was more professional if I remained standing - even though he was sitting!

I remember thinking that it was very odd that a Podiatrist - a person who has devoted his career to foot care - would refuse to let me sit and I promised myself that I would never do that to any students.

Anyway, the student shadowing me this month didn't want to sit -

even when I encouraged him to do so -

(am I that scary??)

He is an excellent student and I respect his tenacity but I hate to see him suffering.

So, he's had to listen to me talk biomechanics all day long to practically every patient for the past month and he showed up on Friday with the Dansko Theos.

I am ashamed to say that I didn't notice at first but one of the office staff (my mother!) admired his new shoes and we checked them and they proved to have excellent biomechanical control.

At the end of the day, the student said they felt fantastic and finally admitted that his feet had been killing him by the end of each day

(I knew it! I have a sixth sense when it comes to foot pain...)

and (yea!) he loved his new Danskos.

He was surprised because he had spent significantly more money on the Echo dress shoes than on the Danskos but I reminded him that it is not how much money you spend - it is knowing what you are looking for in a shoe.

The Echo was a great looking shoe but the

forefoot sole on this particular shoe was thinner and far too flexible.

The Dansko Theo has a thick, rigid sole that does not bend, which allows for much more biomechanical control and therefore - less pain.

It also has a good insert with decent arch support (it can be removed to accommodate a custom-molded orthotic if needed) as well as a wide toebox and great rearfoot control.

Echo is a wonderful shoe line and has many excellent shoes but, like every shoe line, it also has some stinkers.

Hence, the whole purpose of this blog -

finding good looking comfortable shoes that are pathology specific!

Dansko Theo's are Recommended for Patients with:

*Mild to possibly Moderate Bunions

*Mild to possibly Moderate Tailor's Bunions

*Mild to Moderate Hammertoes

*Metatarsalgia

*Mild Morton's Neuroma

*Hallux Limitus/Hallux Rigidus (Limited to No Range of Motion across the 1st Toe Joint)

*Recovery from any Injuries to the Foot - especially the forefoot or the metatarsals

*Mild to Moderate Tendonitis

*Maybe Mild Achilles Tendonitis (It will feel better with a Heel Cup in the shoe if you have Achilles Tendonitis)

*Mild Ankle Instability

*Hypermobility or Ligament Laxity

*Tired Leg Syndrone

*Mechanical Strain

*Mild Knee, Hip or Lower Back Pain

This Shoe is NOT Recommended for Patients with:

*Diabetes with history of Ulcerations

*Neuropathic Feet (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

*Prominent "bumps" on the foot or an excessively high arch (Pes Cavus) - especially if you have an exostosis (bone spur) on the top of your midfoot area. This shoe may rub that area, which will cause irritation.

Overall, I give this shoe a rating of 9

on a scale of zero to ten with ten being the best.

Enjoy your day!

Dr. Cathleen A. McCarthy

A special thank you to the student

(you know who you are little grasshopper!)

for providing me with the information that allowed me to do the review on the Dansko Theo!

Comfortable Women's Casual Dress Shoe - Wolky Cloggy...

2012-01-17T16:46:00.000-08:00

The Wolky Cloggy

The Wolky Cloggy is an excellent shoe and I highly recommend it!

It has a thick and protective sole with good arch support and "memory foam" that molds to your foot for extra comfort.

The wide toebox, midfoot and rearfoot strap biomechanically control the foot, which allows for more comfort and less chance of injury.

This shoe is Recommended for Patients with:
*Bunions

*Hammertoes

*Tailor's Bunions

*Metatarsalgia

*Corns & Calluses

*Morton's Neuroma

*Sesmoiditis

*Tendonitis

*Hallux Limitus/Hallux Rigidus (Limited Range of Motion or no range of motion across the 1st Toe Joint)

*Osteoarthritis

*Rheumatoid Arthritis

*Fibromyalgia

This shoe is NOT Recommended for Patients with:

*Diabetes with a history of Ulcerations

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

Overall, the Wolky Cloggy is an excellent shoe for a multitude of foot types...

Have a Great Evening!

Dr. Cathleen A. McCarthy

Comfortable Women's Dress Shoes - Dansko.

2012-01-16T17:19:00.000-08:00

Dansko

Comfortable Women's Dress Shoes...

Dansko Bett

$160

Dansko Reeny

$155

More comfortable Dansko shoes!

It's hard to go wrong with Dansko and these two shoes are no exception.

Both have a thick, rigid sole which allows for maximum biomechanical control of the foot structures

(Joints, Muscles, Tendons, and Ligaments)

and therefore allows for

more protection and comfort.

Both shoes also offer a wide toebox,

excellent rearfoot control and a strap for midfoot control. The combination of the rigid sole and these three thing also allows for more biomechanical control and therefore more comfort and protection of the foot, ankle as well as the knees, hips and lower back.

Dansko shoes typically do not accommodate any arch support whether it is over-the-counter or custom-molded but that is usually not an issue because there is adequate arch support built into the shoe.

Patients sometimes have trouble with proper fitting if they are half sizes and,

if this is the case with you, I recommend trying the shoes on in a store.

It is also a heavier shoe than some other brands, which works well for people who are on their feet on hard surfaces for long hours but this can be a problem for patients who are elderly, have muscle weakness or have a history of some neurological problems such as "drop foot".

In general, Dansko shoes offer hard-core biomechanical control but...

they are not for everyone!

If you work on concrete floors and your feet hurt, give Dansko shoes a try.

If you continue to have foot or ankle pain even with good shoes,

I recommend that you follow up

with a Podiatrist for

a proper evaluation including x-rays

as you may be walking around on a stress fracture or some other problem that can be treated successfully doing some simple things.

These Shoes are Recommended for Patients with:

*Mild Bunions

*Mild Hammertoes

*Mild Tailor's Bunions

*Mild Morton's Neuromas

*Mild Metatarsalgia

*Mild Halluc Limitus (Limited Range of Motion across the 1st Toe Joint)

*Mild Tendonitis

*Mild Achilles Tendonitis

*Mild Plantar Fasciitis (Heel Pain)

*Mild Osteoarthritis

*Mild Plantar Plate Injuries (of the Forefoot Joints)

*Mild Forefoot Joint Capsulitis

These Shoes are NOT Recommended For Patients with:

*Diabetes

*Peripheral Arterial Disease (Poor Circulation)

*Neuropathy (Nerve Damage)

*Drop Foot

*Charcot Foot

*History of Foot Ulcerations

*Excessive Swelling

*Hallux Rigidus (No Motion across the 1st Toe Joint)

*Moderate to Severe Hallux Limitus (Limited Range of Motion across the 1st Toe Joint)

*Moderate to Severe Bunions

*Moderate to Severe Hammertoes

*Moderate to Severe Tailor's Bunions

*Severe Morton's Neuroma's

*Severe Degenerative Joint Disease or Rheumatoid Arthritis across any of the Forefoot Joints

I hope all is well!

Dr. Cathleen A. McCarthy

Comfortable Women's Shoe - Dansko Riki...

2012-01-15T16:39:00.000-08:00

Dansko Riki

I own this shoe and I love it!

It's my "go to" shoe for work as it is super-comfortable for all day wear and it looks great with black slacks and jeans.

There are some limitations to this shoe and if you have any "bumps" on the top of your mid-foot area or you have a high instep and tend to get irritation from shoes across the top of your midfoot - this shoe will probably not work for you.

The Dansko Riki has a thick rigid sole that is very protective of the foot, which also makes it very comfortable.

It has a wide toebox as well as excellent rearfoot control that allows for more comfort.

The Dansko Riki will not accommodate an insert or custom-molded insert but it does not necessarily need one as it has decent arch support built into the shoe.

Dansko shoes are not for everyone.

Dansko offers pretty hard-core biomechanical control, which works wonders for people who need to be on concrete floors for long hours.

Dansko does not tend to work for elderly people who cannot tolerate a "heavy" shoe and it does not accommodate large "bumps" that certain people might have on their feet such as bunions or bone spurs that protrude.

The Dansko Riki is Recommended for Patients with:

*Mild Bunions

*Mild Hallux Limitus (Limited Range of Motion across the 1st Toe Joint)

*Mild Osteoarthritis of any of the forefoot or midfoot joints

*Mild Hammertoes

*Mild Tailor's Bunions

*Mild Morton's Neuroma

*Mild Metatarsalgia

*Mild Tendonitis

*Mild Plantar Fasciitis (Heel Pain)
*Mild Achilles Tendonitis
*Mild Knee, Hip and Lower Back Pain

The Dansko Riki is NOT Recommended for Patients with:
*Moderate to Sever Bunions (May have too much pressure on the "bump")
*People with "high insteps" or "bumps" on the top of their mid-foot areas (the strap causes too much pressure in this area)
*Moderate to Severe Tailor's Bunions
*Moderate to Severe Hammertoes
*Moderate to Sever Morton's Neuromas
*Hallux Rigidus (No motion across the 1st toe joint) - caused by biomechanics, degenerative joint disease, osteoarthritis or previous injury
*Diabetes
*Charcot Foot
*Neurpathy (Nerve Damage)
*Peripheral Arterial Disease (Poor Circulation)
*History of Foot Ulcerations
*Muscle Weakness in Lower Extremities
*Drop foot
*Pes Cavus Foot Type (High Arch Foot Type)
*Wide Feet
*Geriatrics

Overall, a great shoe!

I purchased mine from Paradise Valley Mall in Phoenix for $160 and they are worth every cent.

Have a great day!

Dr. Cathleen A, McCarthy

:)

"Top Comfortable Shoe Lists" that are Podiatrist Recommended.

2012-01-11T05:49:00.000-08:00

For Lists of my Podiatrist recommended
"Top Shoes" -
Please use the search box to the right (within the blog) to look up:

Top Twenty Comfortable Dress Shoes
Top Twenty Comfortable Boot
Top Ten Comfortable Sandals
Top Five Comfortable Walking Shoes

Hope these are helpful!

Sincerely,

Dr. Cathleen A. McCarthy

Comfortable Wedge Sandals for Spring...

2012-01-07T14:37:00.000-08:00

Comfortable Wedge Sandals

Okay, perhaps it's a bit early to be talking about sandals in January but here's to hoping that you might be heading out on some fabulous vacation in warmer climates!

Not to mention that here in Arizona, I think our obligatory three weeks of winter was over and done with the third week in December...

Codani Astro

$166

Pedro Garcia Denia

$450

Yes, I know, the price tag on the Pedro Garcia is rather bold to say the least but it is an extraordinarily comfortable wedge sandal.

The nice thing about this review is that, if you know what you're looking for in a good sandal - you should be able to find it in any price range.

I have had patients bring in shoes that they have paid $800 for and they are crap. I have also had patients bring in $12 WalMart shoes that are fabulous.

It's simply a matter of knowing what you are looking for in a shoe as well as understanding what specific type of foot problem you have and what is the appropriate type of shoe for your specific foot type.

What makes these two sandals so comfortable is:

The thick and rigid sole which will allow less motion across the foot which results in less mechanical strain and therefore - less pain.

These sandals have strapping for the forefoot, midfoot and most importantly - the rearfoot.

Secure strapping of these three areas means that you have more biomechanical control of the foot and ankle structures which will allow for less motion which equals less pain.

If there is no rearfoot strap - you are forcing your tendons, muscles, joints as well as your knees, hips and lower back to work harder to stabilize your entire body. Instead of forcing your body to do the work - make the shoe do it!

Remember, you are either beating up your feet or your shoes. If you think about what your shoes look like after a couple of years, that is what you are doing to your joints if you are walking around barefoot or in flimsy shoes.

It's simply a matter of "wear-and-tear".

It's important that when you are shopping for dress shoes that your protect your feet with a thick rigid sole and proper strapping for biomechanical control.

This type of wedge heel is great for giving you more "height" without stressing out the forefoot area. You'll get the three inch heel height look but the foot is really only forced into a one to one-and- a-half inch heel height biomechically.

If you have severe Hallux Limitus or Rigidus (limited range of motion across the 1st toe joint) or degenerative joint disease of any of the forefoot joints - these are not the shoes for you!

This Type of Shoe is Recommended For Patients with:

*Mild Hallux Limitus (mild limitation of motion across the 1st toe joint)

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Mild Tendonitis

*Mild to Moderate Morton's Neuroma

*Mild to Moderate Hammertoes

*Mild Tailor's Bunion

*Mild to Moderate Bunions

*Mild to Moderate Capsulitis of the Forefoot/Toe Joints

*Mild Plantar Plate Injuries

*Mild to Moderate Metatarsalgia

*Ingrown Toenails

*Mild Calluses

This Type of Shoe is NOT Recommended for Patients with:

*Diabetes

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Charcot Foot

*History of Ulcerations

*Severe Hallux Limitus or Hallux Rigidus (Limited Range of Motion across the 1st Toe Joint)

*Severe Degenerative Joint Disease of any of the Forefoot Sturctures

*Severe Rheumatoid Arthritis

*Severe Hypermobility or Ligament Laxity

*Ankle Instability

*Dropfoot

I hope this has been helpful!

Have a great weekend,

Dr. Cathleen A. McCarthy

Wolky - Podiatry Recommended Womens Casual Shoes for Troubled Feet.

2011-12-17T10:16:00.000-08:00

WOLKY

Wolky shoes are fabulous shoes for anyone who has problem feet.

The shoes featured here have a a thicker more rigid sole and are going to be more comfortable because they are going to offer more protection and biomechanical control of your foot.

If you have any forefoot issues such as

bunions, hammertoes, metatarsalgia,

Morton's Neuromas -

be sure to only get a shoe with a thick sole.

A common mistake for patients with these problems is to only get shoes with a wider toebox. This is important but what is more important is to get a shoe with a thick rigid sole that allows less motion through the forefoot area with each step so that there is less aggravation and "wear and tear" to the forefoot structures that need protection.

Remember, if you have forefoot problems - you want a shoe with a thick, rigid protective sole and a wide soft toebox.

Wolky Assen

Wolky Nijmegen

These shoes have a a removable insole so that you can replace it with a custom-molded orthotic if needed. They feature a

"thick, contoured, removable cork and memory foam footbed" as well as

"an adjustable instep strap accomodates different height arches."

I find that most patients prefer the insole that comes with this shoe to any other insert.

The Wolky Assen and The Wolky Nijmegen are Recommended For Patients With:

*Mild to Moderate Bunions

*Mild to Moderate Hammertoes

*Metatarsalgia

*Morton's Neuroma

*Mild to Moderate Tendonitis

*Hallux Limitus (limited range of motion across the 1st toe joint)

*Osteoarthritis

*Rheumatoid Arthritis

*Degenerative Joint Disease

*Plantar Fasciitis (Heel Pain)

*Calluses

*Knee, Hip and Lower Back Pain

*Tired Leg Syndrome

*Mechanical Strain

*Plantar Plate Injuries

*Mild to Moderate Ligament Laxity

*Hypermobility

Check with your Podiatrist to see is The Wolky Assen and Wolky Nijmegen will be appropriate for you if you have:

*Diabetes

*Peripheral Neuropathy

*Peripheral Arterial Disease

The Wolky Assen and Wolky Nijmegen are NOT Recommended for Patients with:

*Charcot Foot

*History of Ulcerations of the foot

The Wolky Sud

The Wolky Sud is a lesser variation on the above two shoes. It is an excellent shoe and if you have mild issues - this is a great option. If your foot issues are more severe - you probably want to start with the Assen or the Nijmegen as they offer more protection and biomechanical control for your foot.

Wolky shoes are expensive but they are

an investment in your body

which needs to work and play for you for

hopefully a nice long healthy lifetime of activities!

Have a great day!

Dr. Cathleen A. McCarthy

Tsubo Magda - Comfortable Heels for Certain Foot Types.

2011-12-11T09:04:00.001-08:00

Tsubo Magda

Although the Tsubo Magda is not for every type of foot, this is a comfortable shoe for women who know that they can wear a shoe with a three inch heel height. The shoe gives you three and a half inches of height but the forefoot is one half inch thick.

First, it's gorgeous!

Second, it has a wedge type sole with a thick rigid sole that allows for more protection and comfort - particularly in the forefoot area.

The inside of the shoe has added cushioning in the form of "latex foam padding and a forefoot compression platform" that allows for more comfort and protection of the forefoot.

Tsubo has ergonomic design that "complements the nature form of the foot."

I personally love the Tsubo shoes and can wear the lower-heeled Tsubo's all day.

This, however, is a higher heel than might be comfortable for many women.

The rule of thumb is - if you know that you can wear a three inch heel comfortably - this shoe should be an excellent shoe for you. If you know that you can't tolerate heels this high, that means that your foot's biomechanical structure is not suited for heels and I would not recommend these for you. It may sound simplistic but, when it comes to heels, women typically know how high they can go. The trick is to not learn that lesson the hard way!

This shoe is NOT Recommended for Patients with:

*Hallux Limitus (Limited Range of Motion of the 1st Toe Joint)

*Osteoarthrutis of any of the Toe Joints

*Rheumatoid Arthritis

*Degenerative Joint Disease

*Moderate to Severe Bunions or Hammertoes

*Morton's Neuroma

*Metatarsalgia

*Ankle Instability

*Severe Hypermobility or Ligament Laxity

*Diabetics

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*History of Foot Ulcerations

*Charcot Foot

Overall, if you know that you can comfortably wear a three inch heel, this is a great choice!

Price: $104 - 150

Rating: 7 out of 10

on a scale of zero to ten with ten being the best.

Have a great day!

Dr. Cathleen A. McCarthy

Comfortable Shoe for Painful Bunions and Hammertoes - Fly Flot

2011-12-10T12:19:00.001-08:00

Fly Flot Flexi Slingback Sandal

A great shoe for ladies with "tender toes" and painful bunions.

Fly Flot Flexi-Slingback Sandal

$65

For some reason, I'm on an uber-comfort kick!

Our intrepid Office Manager, Callie,

spotted one of our patients in these shoes and told me I had to write about them on the blog.

This patient has severe peripheral arterial disease, fragile skin and painful hammertoes and calluses. She claims that they are the best shoe she has ever owned and I believe her. She is elderly so it benefits her to have a light shoe and this shoe is very light. The shoe has a supportive sole that is rigid enough to protect the foot of someone but also has shock absorption for more comfort. What really sets this shoe apart is the material it is made of - the toebox upper is made of a "stretchy nylon textile and leather combination" that puts minimal pressure on the toes and bunion.

If you work on concrete floors for extended hours or are very active, this shoe is probably not the optimal shoe for you.

This shoe is great for light wear and especially for elderly people who aren't as active as someone who works forty hours a week on their feet.

If that is the case, you need a shoe with more rigidity across the forefoot area than this shoe so as to have less motion, which makes it much more protective and comfortable.

I highly recommend this shoe for anyone who is elderly and has "tender toes".

Also:

Fly Flot Ardelle Clog

$49

Although I am not a fan of shoes that do not have proper rearfoot strapping for biomechanical control, I do recommend this shoe for certain patients. Particularly, any patients who have painful bumps on the back of their heels and can't tolerate a strap. Also, for patients who can't bend far enough to tie laces and need a comfortable slip on shoe. This is an excellent choice because of the protective sole, the wide toebox and the "lip" in the rearfoot area which does allow for some biomechanical control of the rearfoot. When it comes to the rearfoot - some control is better than no control. If there is no rearfoot control, it forces you to "grip" your toes down which can help promote hammertoes, corns and a multitude of other problems including knee hip, lower back pain and "tired-leg syndrome".

For more information on this subject, please refer to my article called "The Basics" in this blog.

I hope that was helpful!

Have a wonderful day,

Dr. Cathleen A. McCarthy

Comfortable Slippers...

2011-12-04T11:43:00.001-08:00

The Adjustable Sheepskin Slippers

www.SkyMall.com
$59

Maybe it's the chilly weather, the Christmas tree, maybe the hot chocolate -
but I've got a yen to review a uber-comfortable, warm and cozy slipper.

My husband and I just got back from vacation and one of my secret fascinations is the airplane's SkyMall magazine.
From the "temperature regulating pet bed" to "the healthiest deep fryer" to the "the motion mimicking robotic pugilists" - I'm fascinated!

The Adjustable Sheepskin Slippers are made from Mongolian Sheepskin and have a cushioned sheepskin insole with a rubber outsole that provides stable footing.
I particularly like the adjustable top for anyone who has problems with swollen feet and this slipper is especially recommended for any patients suffering with diabetes, neuropathy or peripheral arterial disease.

Recommended For Patients for:

*Diabetics

*Peripheral Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Bunions

*Hammertoes

*Osteoarthritis

*Rhematoid Arthritis

*Mild Heel Pain

*Geriatric Patients

*Foot and Ankle Swelling

*Painful Toenails

*Metatarsalgia

*Morton's Neuroma

Not Recommended For Patients with:

???

Can't think of any type of patient who this slipper would not be appropriate for...

Needless to say, I highly recommend this slipper!

Hope all is well,

Dr. Cathleen A. McCarthy

The Ugg Boot - Podiatry Recommended from Pediatric to Grandmom...

2011-11-13T14:03:00.001-08:00

The Ugg Classic

$150

Yes, it is a cool and fashionable boot -

usually seen on teenagers or twenty-something's with their Starbuck coffees

(Hey, I'm not knocking it! I've got the Starbucks and the Uggs - just not the twenties...)

but

here's another consideration...

The short Ugg boot is great for the grandmom with painful feet, corns or bunions. It's light and easy to slip on (if you get the short boot) and super comfy with it's sheepskin lining.

For those of you with a loved one

confined to a wheelchair,

the short Ugg boot is an excellent option

for all of the reasons listed above.

The Ugg boot is great for people who have swelling of the feet and ankles.

It also has a wide base and is light for easier walking and stability.

For younger patients who need more biomechanical control,
the Ugg boot can accommodate
custom-molded orthotics or a good over-the-counter arch support.
My pediatric patients like wearing the Ugg and, when they have hypermobility, ligament laxity, bunions or hammertoes - the Ugg with arch support in it is an excellent option.
It's good for their feet and they like that
the Ugg is fashionable!

Hope all is well!

Dr. Cathleen A. McCarthy

Nike Shox - Podiatrist Recommended

2011-11-05T11:15:00.000-07:00

Nike Shox

A great shoe for kids (and adults!) with "biomechanically challenged" feet.

This may be strange for a Podiatrist to say but what I really love about the Nike Shox is -

they are cool.

When I have Pediatric patients with "biomechanically challenged" feet and I have to convince them to stop wearing flip-flops, Converse or Vans - they are always crestfallen - until I mention Nike Shox.

Kids love the Nike Shox because they are cool.

So, if you have a fashion conscious teenager

with problem feet - try the Nike Shox.

Nike Shox work best with a Custom-Molded orthotic or an excellent over-the-counter insert

for more arch control.

Nike Shox Junior

$96

Nike Shox Agent

$103

What makes the Nike Shox a great shoe for patients with "biomechanically challenged" feet is its thick rigid sole, which allows for excellent protection of the rearfoot, midfoot and especially the forefoot area.

If you have bunions or hammertoes - look for the Nike Shox with mesh toeboxes that allow for less pressure on any painful bunions. Another option is to take a leather shoe to a Shoe Repair shop and have them stretch the leather over the bunion area to decrease pressure on the bunion.

If you decide to try this shoe, make sure there there is no bend through the entire sole of the shoe - that is usually the case with the Nike Shox but there are so many different styles - double check before you purchase them.

If you are recovering from a bout of tendonitis, plantar fasciitis or any injury of the rearfoot or midfoot -

try this shoe with a brace that has a trilock system.

If you can't find the proper brace, follow up with any Podiatrist who will typically carry them in his or her office and the brace be billed to your insurance and should be covered as a durable medical equipment (depending on your insurance).

Our office carries a Bioskin trilock ankle brace that biomechanically controls

the Ankle Joint, the Subtalar Joint and the Mid-Tarsal Joint (Lisfranc's Joint) and, in my opinion,

is the best brace I have ever found.

Unfortunately, I have never been able to find it online

and you can only get it through medical facilities.

If you don't have insurance, I like the Futura brand, which you can find at your local pharmacy.

Nike Shox are Recommended for patients with:

*Heel Pain (Plantar Fasciitis)

*Mild to Moderate Bunions & Tailor's Bunions

*Mild to Moderate Hammertoes

*Mild Achilles Tendonitis

*Sever's Disease

*Mild to Moderate PT or Peroneal Tendonitis

*Mild to Moderate Osteoarthritis

*Hallux Limitus (Limited Range of Motion of the 1st Toe Joint)

*Morton's Neuroma

*Capsulitis of the Toe Joints

*Plantar Plate Injuries (of the Toe Joints)

*Metatarsalgia

*Ligament Laxity

*Hypermobility

Nike Shox are NOT Recommended for Patients with:

*Diabetics with a a history of Open Sores/Ulcerations

*Charcot Foot

Once again, no matter what I recommend, if you try it on and it doesn't feel good - don't get it!

If no shoes feel good to you and if you are having chronic foot and ankle pain - go see your Podiatrist!

Have a Lovely Day...

Dr. Cathleen A. McCarthy

Comfortable Women's Dress Shoes - Stuart Weitzman

2011-10-29T13:58:00.000-07:00

I was introduced to the Stuart Weizman "Girlbands" shoe by a stylish and particularly chic patient who was wearing them this past week. She said they are exceptionally comfortable and she can wear them all day with no problems.

After examining the shoe, I was particularly impressed with the rigid sole which gives more protection and comfort to the foot and I was especially impressed with the soft yet secure bands that have a little bit of "give" while holding the foot secure. This is an excellent choice for someone who has issues with mild foot swelling throughout the day.

I also liked the fact that these can be dressed up for evening or can be worn with more casual outfits.

Begauze

$189

Girlbands

$169

Recommended For Patients with:

*Mild to Moderate Hammertoes

*Mild (Possibly Moderate) Bunions

*Mild (Possibly Moderate) Hallux Limitus (limited range of motion across the 1st toe joint)

*Mild Morton's Neuroma

*Mild (Possibly Moderate) Capsulitis of the Toe Joints

*Mild to Moderate Exostosis (Bone Spur on the top of the foot)

*Mild Osteoarthritis

*Mild to Plantar Fasciitis (Heel Pain)

*Mild (Possibly Moderate) Achilles Tendonitis

*Mild Haglund's Deformity

*Mild Ligament Laxity/Hypermobility

*Mild Tendonitis

*Ingrown Toenails

NOT Recommended For Patients with:

*Diabetes

*Neuropathy (Nerve Damage)

*Peripheral Arterial Disease (Poor Circulation)

*Charcot Foot

*History of Foot Ulcerations (Open Sores)

*Severe Hammertoes

*Severe Bunions

*Ankle Instability

*Severe Ligament Laxity/Hypermobility

*Hallux Rigidus (No Motion across the 1st Toe Joint)

*Moderate to Severe Osteoarthritis or Rheumatoid Arthritis

Please remember that if you are experiencing

foot and ankle pain for more that a week -

I highly recommend following up with

a Podiatrist for evaluation and treatment!

You'd be surprised how often we can help heal your foot and ankle issues without painful surgeries or injections.

Sometimes surgery is appropriate but, in my experience, most problems can be greatly improved without surgery and by doing some pretty simple pain-free treatments.

I always tell patients,

"The first part of the process is we have to heal your foot. The second part is we have to make sure that you are in proper shoes and inserts so that the problem does not reoccur."

That's what this blog is about -

once you are through the healing phase,

it's important that you find

comfortable and (hopefully!) cute shoes

that are specific for your

particular biomechanics and foot issues.

For more information,

please refer to my article on this blog called

"The Basics" or my article on "Crocs."

Happy Halloween!

Dr. Cathleen A. McCarthy

Proud Second Runner up in a

Pumpkin Carving contest last night where I won

a pair of Halloween socks.

How Apropo.

Top Twenty Comfortable Boots - Podiatry Recommended...

2011-10-18T13:17:00.000-07:00

TOP TWENTY

COMFORTABLE

WOMEN'S BOOTS

(Yes, some are not so pretty - but keep going - there's a little bit for everyone in this list!)

Born Bitsy

$210

I'm partial to the Born Brand of shoes! This boot has soft, good quality leather and allows for extra room in the calf which is great for women with more muscular calves. They have good arch support and a rigid sole which allows for more protection of the foot. It has a decently wide toebox and the soft leather is good for women with mild to possibly moderate hammertoes and bunions.

The slightly tapered toebox may not work for women with severe hammertoes and bunions.

Born Christina

$150

Once again, Born is a wonderful boot! The thick rigid sole allows for better biomechanical control of the foot which allows for comfortable all day wear. The wide toebox is great for women with mild to possibly moderate hammertoes and bunions. The boot is true to size and has good arch support.

If you have moderate to severe Hallux Limitus (limited range of motion of the 1st toe joint) or any forefoot issues like capsulitis, osteoarthritis or degenerative joint disease - this may not be the boot for you because of the heel height.

Also,
Check out the Born "Sash" boot for $78 on
6pm.com.
It's not officially on the "Top Twenty" list but it should be! I came across it and I love the Born brand and I couldn't resist the price...

Dansko Aurora

$185

Bar none, Dansko are top-notch when it comes to comfort! Dansko shoes and boots have been a staple of my wardrobe for years. If you are on your feet all day, on concrete floors, have a history of foot pain or are looking for a great boot that will be comfortable - Dansko is it!

The only caution I give with Dansko is that if you have prominent "bumps" on your feet - particularly on the top of your midfoot area - the Dansko might apply too much pressure and it could be uncomfortable. Also, if you are older (geriatric), have muscle weakness or significant nerve damage - Dansko boots may be too heavy for you. You need something supportive but light.

Dansko Finley

$209

Okay, not the prettiest thing on the block but hey, if your feet hurt and you need a dependable solid comfortable boot for all day activities - this is an even better Dansko boot than the one above. It's hardcore Dansko comfort!

Durango Boot

$128

In an attempt to have some less expensive boots on the list, I found this Durango Boot at $128. It's hard to find a high quality boot for less than sixty to eighty dollars but they are out there. This boot offers a thick rigid sole for more comfort and protection. The toebox tapers in a bit too much so if you have moderate hammertoes or bunions - this may not be the right boot for you.

Durango Harness The Dream

$59 on 6pm.com

A better price than the Durango above and a wider toebox. This boot has an awesome thick rigid sole which allows for exceptional comfort for all day wear on concrete surfaces. It has a low heel so that works especially well if you have forefoot problems such as Hallux Limitus (limited range of motion of the 1st toe joint), osteoarthritis, degenerative joint disease, mild to moderate hammertoes and bunions, and metatarsalgia.
Also,
check out the Durango "Flower in Love" boot for $84 on 6pm.com.

Fit Flop Hooper

$159

Fit Flop Hooper - once again, not the cutest boot ever but - ridiculously comfortable! As I tell my patients, having style and looking fabulous is all about your attitude - not what's on your feet. If your feet hurt, if you have chronic pain, if you are on your feet on concrete surfaces all day - don't knock this boot till you try it!

If you have muscle weakness, significant neurological problems, are elderly or have balance issues, this might not be the boot for you.

Harley Davidson Huston Boot

$123

I bought this boot for a winter trip to Germany because I knew I was going to do tons of walking. It was very comfortable and it has a great look that was easy to dress up or down. The toebox does taper in and is a bit narrow so if you have any issues with hammertoes, bunions, corns or calluses - proceed with caution!

John Fluevog Arresto

$459

I love John Fluevog shoes! The low heel, wide toebox and supportive sole provides lots of comfort. This is a great boot for light office wear but I wouldn't necessarily recommend it for hard-core all day, run around on concrete floors kinds of work.

John Fluevog Cece

$299

Excellent John Fluevog Boot! This has the rigid supportive sole as well as the lower heel for more comfort. Great for anyone who can't tolerate heels due to Hallux Limitus (limited range of motion of the 1st toe joint) as well as metatarsalgia, capsulitis, hammertoes, bunions and osteoarthitis.

John Fluevog Together Hi Nico

$325

I own the shoe version of this boot. The construction is basically the same and I absolutely adore it! It's very comfortable and I can wear it all day long for light office work. However, if I was going to be doing increased activities - I would probably bump it up to my Danskos. I like the John Fluevog thick chunky heel, the supportive sole and the wide square toebox.

MBT Boots

$199

MBT is the ultimate classic boot when it comes to comfort! The rocker-bottom sole gives exceptional support, comfort and biomechanical control which is great for people with chronic foot pain and are on their feet all day.

The MBT boot is not recommended for patients with Achilles Tendonitis issues, balance issues, muscle weakness, and significant nerve damage. Also, just as an aside, don't wear a rocker bottom shoe on a cruise. Nothing worse that wearing a rocker-bottom shoe on a rocking cruise ship!

Merrell Martina Waterproof

$200

I think this is a cute look! And waterproof - what's not to love? This boot has a thick rigid protective sole, wide toebox and low heel which is great for all day wear.

Naot Illusion

$300

I love this boot! It's gorgeous and also super comfortable. The Naots tend to run narrow to medium widths so if you have large or muscular calves - this is not the best boot for you.

It also accommodates a dress orthotic although it doesn't necessary need arch support as it has a thick rigid protective sole with decent arch support already in it.

Naot Modesto

$220

Another great Naot boot! Thick rigid sole, decently wide toebox and it accomodates a dress orthotic although it doesn't necessarily need one.

It's a great looking boot and works great if you have mild hammertoes and bunions, metatarsalgia, and mild Hallux Limitus (limited range of motion of the 1st toejoint). It does run narrow to medium and does not work well for women with wide feet and calves.

Spring Step Thrive

$99

Love the price! Not to mention it's a great boot. The thick rigid sole is very protective and comfortable for wonderful biomechanical control of the foot. The wide toebox offers adequate room for mild to moderate hammertoes and bunions.

Excellent for anyone who has forefoot or midfoot issues such as osteoarthritis, Hallux Limitus (limited range of motion of the 1st toe joint), degenerative joint disease, capsulitis and mild to moderate tendonitis.

Ugg Ultimate Short

$200

You can't go wrong with Uggs!

This Ugg has a sole that is thick, rigid and protective for more comfort as well as a wide soft toebox that is awesome for mild to possibly even severe hammertoes and bunions.
The Ugg will accommodate custom-molded orthotics as well as over-the-counter inserts for more arch support. Many of my Pediatric patients wear Uggs with their orthotics because it's one of the few shoe choices that is biomechanically sound for their feet (which pleases their Parents and Podiatrist!) and also lets them feel like they are wearing something cool and somewhat fashionable (which pleases them!).

Worth the money!

Dr. Marten's Bellissa
$150

I love the way this boot looks!
Dr. Martens have always been a standard of comfort because of its trademark thick, rigid, protective sole. The more traditional "combat boot" style of Dr. Marten's are popular with many of my teenager patients who have "biomechanically challenged" feet and can't comfortably wear the Converse or Van's. When I tell them they can wear Dr. Martens with inserts - their eyes light up. Funny how they were cool when I was a teenager and still are...
Check out the Dr. Martens website - they have lots of cool colors and styles and if you have a kid with foot issues and you need to wean them away from Converse or Van's - try luring them into comfort with Dr. Martens!
The more traditional Dr. Marten's "combat style" boot (not pictured here) is great for kids (or adults) with flat feet, hypermobility, ligament laxity, ankle instability - as long as they are worn with arch support.

Dr Martins Triumph 1914

$150

What's not to love? These are cool!
Perhaps it's the remnants of my nineties Goth days (I admit it - just a little Goth - circa 1999!) but I love these. Great for trooping all over the city in all sorts of weather - durable, comfortable and, one again, great for anyone with "biomechanically challenged" feet who want a cool look with comfort.
The laced boot allows for more give so if you have trouble with boots being too tight in the calf or pressing too much on the top of your foot because of a high arch or a bump (exostosis) on the top of your foot - this would be a good option as you can adjust the tension with the laces.
For the more daring fashionista - you can go to 6pm.com
get this boot in some bold colors for $75).

Dansko Vail
$115

I couldn't resist! I've got a long term love affair with Dansko shoes and this waterproof boot is great for trudging trough all types of gnarly weather. I did my residency in Buffalo and many is the time I had to walk my sweet pitbull Sheba at ungodly hours in sleet, rain, snow and all types of foul weather - this boot would have come in handy...
P.S. If you are in horrible weather and need a hardcore coat - try the "Stadium Parka" from LandsEnd. I'm not sure I would have survived Buffalo without that coat!
Funny to end a blog on shoes with a recommendation on coats but - c'est la vie!

P.S.
Keep scrolling down for my September 17, 2011 blog on a great Donald J. Plimer boot!

One of my patients said she asks a salesperson at DSW call her when they get in a shipment of Donald J. Plimer shoes in because she gets first pick of the shoe she wants at deeply discounted prices. Make friends with salepeople! They can be great assets in helping you in your search for the perfect shoe!

I hope this was helpful!

Remember, good boots are an investment...

Hope all is well,

Dr Cathleen A McCarthy

:)

Addendum:
For more recommendations of
Comfortable Boots - check out...

http://barkingdogshoes.com/

A Podiatrist's Opinion on The Shetcher Shape-Up Debate...

2011-10-08T14:55:00.000-07:00

The Great Sketcher Shape-Up Debate...

The Rocker-Bottom "toning shoes" are being attacked in the media, which is frustrating because there is so much misinformation out there about shoes...

The main reason I started the blog

was to provide information to my patients about proper shoegear. There are so many crappy shoes out there that I can't believe this is the shoe that is getting a bad rap.

One of the lawusuit is suing over "false claims"

that the rocker-bottom shoes will tone you up. Okay, I'll leave that to the attorneys to duke it out whether false claims were made or not. I don't have the answer to that one. Show me the research and we'll talk...

But,

the actual Rocker Bottom shoes -

whether the "claims" are true or false -

I don't know but -

I do know that the rocker bottom shoes are... Excellent.

However...

The Rocker-Bottom shoes are not for everyone!

If you are elderly, have balance issues, nerve damage, muscle or leg weakness, Achilles tendonitis, Charcot foot, Diabetic foot ulcers, multiple back surgeries (several other issues) - this is NOT the appropriate shoe for you!

However, if you do not have any of the above issues and suffer from foot pain or are recovering from a fracture -

this may be an excellent shoe for you.
I have found that most patients need to ease into the rocker bottom shoes. Wear them for one hour the first day, two hours the second, three hours the third, ect - until you are in them a full day. Jumping into full activities too quickly with a rocker bottom shoe can cause some knee, hip, lower pain aggravation.

There is not one shoe that is perfect for everyone!

A patient's specific foot type, pathology and individual biomechanics all play an important role in determining what type of shoe is best for that patient.

The rocker-bottom shoes are typically great for patients with foot pain caused by biomechanical issues.

Think of it this way,

if you broke your wrist and you go to the doctor and she puts you in a cast - you are going to leave her office feeling much better and in less pain because the fracture has been stabilized and immobilized.

Now, this is a simplistic explanation but basically, less motion across the sight of injury (whether it's soft tissue, bone or joint) will lead to less pain, less inflammation, less swelling and faster healing.

If you break a bone in your foot, we as Podiatrists place patients in below-the-knee walking boots (CAM walkers) which have rocker-bottom soles.

The CAM walkers allow the patient to walk with less pain while the healing occurs.

The Sketcher Shape-Up and all of the rocker bottom shoes are based on the same concept -

if you eliminate motion across the area of pain - you will have less pain.

Biomechanically speaking, in most cases,

less motion equals less pain.

What's also important is having a wide, soft toe-box, arch support (whether it's a custom-molded orthotic or a good over-the-counter insert) and rearfoot control.

I know there are people out there who will disagree with me and that's fine. All I can say is I am a Podiatrist and this is my career.

Every working day for the last eleven years, I spend my day talking to patients about their foot and ankle issues. Over the years, I've learned a lot from patients about what works and what doesn't. Lots of school and thousand of hours of working with patients has taught me several things:

1. There is an exception to every rule!

2. The first step is to heal the foot, the second step is to make sure the patient's foot is biomechanically controlled with proper shoes and inserts so the problem/pain does not reoccur.

3. Most patients don't need foot surgery!

4. If I stick to the basics - I have an extremely high success rate!

I love what I do.

I love helping people.

I love being a Podiatrist - it's a great career.

I feel like the luckiest person in the world that I get the opportunity to help people.

Have a wonderful day...

Sincerely,

Dr. Cathleen A. McCarthy

Top 20 Comfortable Women's Boots - Podiatrist Recommended...

2011-09-27T22:16:00.000-07:00

TOP TWENTY

COMFORTABLE

WOMEN'S BOOTS

(Yes, some are not so pretty - but keep going - there's a little bit for everyone in this list!)

Born Bitsy

$210

The slightly tapered toebox may not work for women with severe hammertoes and bunions.

Born Christina

$150

Dansko Aurora

$185

Dansko Finley

$209

Durango Boot

$128

Durango Harness The Dream

$59 on 6pm.com

Fit Flop Hooper

$159

If you have muscle weakness, significant neurological problems, are elderly or have balance issues, this might not be the boot for you.

Harley Davidson Huston Boot

$123

John Fluevog Arresto

$459

John Fluevog Cece

$299

John Fluevog Together Hi Nico

$325

MBT Boots

$199

Merrell Martina Waterproof

$200

I think this is a cute look! And waterproof - what's not to love? This boot has a thick rigid protective sole, wide toebox and low heel which is great for all day wear.

Naot Illusion

$300

I love this boot! It's gorgeous and also super comfortable. The Naots tend to run narrow to medium widths so if you have large or muscular calves - this is not the best boot for you.

It also accommodates a dress orthotic although it doesn't necessary need arch support as it has a thick rigid protective sole with decent arch support already in it.

Naot Modesto

$220

Another great Naot boot! Thick rigid sole, decently wide toebox and it accomodates a dress orthotic although it doesn't necessarily need one.

Spring Step Thrive

$99

Ugg Ultimate Short

$200

You can't go wrong with Uggs!

Worth the money!

Dr Martins Triumph 1914

$150

I hope this was helpful!

Remember, good boots are an investment...

Hope all is well,

Dr Cathleen A McCarthy

Comfortable Boot For Autumn...

2011-09-17T11:01:00.000-07:00

DONALD J PLIMER

Tikle Wedge Boot

Although a little pricey at $225 (on 6pm.com) this is a boot worth checking out - especially if you're on your feet for long hours. The thick wedge sole will provide protection and comfort for your forefoot and the wide, soft toebox allows for more room for mild hammertoes and bunions. If needed, for more prominent bunions, you can take the boot to a Shoe Repair/Cobbler and have them to stretch the leather in that area.

This boot would benefit from having a dress orthotic in it to give more arch support - especially if you have a history of heel pain, hypermobility, ligament laxity, over-pronation, flat feet and/or arch pain. If your dress orthotic pushes your foot up too high and causes any discomfort on the top of the foot - you may not be able to tolerate an orthotic in the boot and you might want to consider getting an over-the-counter arch support for dress shoes to give you support and takes up less room.

Overall, this is a great boot. Expensive but well worth the cost - especially if you have foot issues.

This Boot is Recommended For:

*Mild to Possibly Moderate Bunions & Tailor's Bunions

*Mild Hallux Limitus (Limited Range of Motion of the 1st Toe Joint)

*Mild to Moderate Hammertoes

*Mild Metatarsalgia

*Mild Morton's Neuromas

*Mild Capsulitis of the Toe Joints

*Mild Tendonitis

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Mild Corns & Calluses

*Mild Osteoarthritis

This Boot is NOT Recommended For:

*Severe Bunions, Hammertoes & Tailor's Bunions

*Severe Haglund's Deformity (Bone Spur on the Back of the Heel)

*Severe Exostosis (Prominent Bone Spur on the the top of the Foot)

*Moderate to Severe Hallux Limitus (Limited Range of Motion of the 1st Toe Joint)

*Moderate to Severe Degenerative Joint Disease of the Toe Joints

*Moderate to Severe Osteoarthitis/ Rhuematoid Arthritis

*Diabetics with a history of Ulceration (Open Sores)

*Peripheral Arterial Disease (Poor Circulation) - especially with a history of Ulcerations.

*Peripheral Neuropathy (Nerve Damage) - especially with a history of Ulcerations.

*Charcot Foot

Hope all is well!

Dr. Cathleen A. McCarthy

Doggers for Kids - Great Deal at CVS...

2011-09-14T20:26:00.000-07:00

Doggers

This is a great option for kids. They are a knock-off of Crocs and can be found at most CVS Pharmacy's for $7.99.

I recommend that you get your kids into the habit of wearing Crocs or Doggers around the house (like a house slipper) for added protection to their feet. They are much better than barefoot, flip-flops or wearing socks. They will help prevent everything from Warts, Foreign Bodies like cactus or splinters, broken toes, and many other injuries. As a parent, it will add to your bottom line in savings in medical bills and hopefully save some trips to Urgent Care.

Crocs are awesome but if you need a less expensive alternative (although they can sometimes be found at a great price!) - Doggers are the ticket!

Hope all is well,

Dr. Cathleen A. McCarthy

Can MBT's and Crocs RX be Tax Deductible?

2011-08-27T10:34:00.000-07:00

Hmm.

I'm not a CPA so I can't give you tax advice
BUT...

I often write prescriptions for my patients who need specific shoes for their foot problems. For those patients who need better shoegear but are hesitant about spending the money - I find that (as long as the shoes are medically necessary) I can write RX's for the patients which may make it tax deductible. Sometimes patients can use their "Flex Dollars" through their insurance plan to reimburse them for the shoes. I had a patients several years ago who had severe foot problems and she absolutely loved her retail job which required that she spend long hours on her feet. She talked to her boss and the company decided to purchase the shoes for her because she was such a valuable employee.

The usual prescriptions are for:

*MBT's (For Heel Pain, Osteoarthritis, Hallux Limitus, Metatarsalgia, Tendonitis, ect)

*Rocker Bottom Soled Shoes (same as MBT's)

*Extra-Depth Shoes (For Diabetics, Neuropathy, Severe Hammertoes, Corns on the tops of toes, Painful toes, Morton's Neuroma's, ect)

*Crocs Rx (For Everybody! I highly recommend wearing Crocs Rx as your house shoe - for "puttering" around the house - this will prevent everything from warts, foreign bodies, fractures, heel pain, broken toes, ect). We carry Crocs RX in our office that cost $50 and our staff is trained to fit patients properly. Also, you can use our referral code and save 20% if you order through the Crocs website (the code is 40011802). I always tell patients that I don't care if they purchase cheap knock-off's - it's still preferable to walking barefoot!

*Shoes with a Steel Shank (For Severe Biomechanical Strain caused by Flat Feet, Over-Pronation, Ligament Laxity, Tendonitis, Hypermobility, Metatarsalgia, Overuse Syndrome, ect). A good site for this is: vanderbilts.com

*New Balance (Great Walking Shoe for many different foot types - especially if you get a NB with "Roll Bar" Technology).

Talk to your Podiatrist about possibly writing an RX for the shoe that you need...

Have a great day!

Dr. Cathleen A. McCarthy

Podiatrist's review of Skyscraper Six Inch Heels...

2011-08-21T10:36:00.000-07:00

Having stayed out late last night at a Girl's Night Pool Party complete with a "Just Dance" Wii Deathmatch - I'm taking the liberty of posting a "rerun" of an older post that I thought might be of interest. Last night, the ladies thought it was hilarious that right before the Wii "Just Dance" competition - I put on my Kuru sneakers and orthotics but, seriously, I had so much fun and I danced my booty off and my feet feel fab! I'm off to Target to get me some "Just Dance" so I can kick in the the Kuru's at home!
:)

Skyscraper Six Inch Heels...

As an adjunct faculty member of MidWestern University's Podiatric School of Medicine, I was fortunate enough for appear on Channel Three's Good Morning Arizona to discuss the newest fashion trend to hit the red carpet and the cat walk - the six inch "Skyscraper Heel."

Previous to my appearance, I suggested to the Producer that we take X-Rays of her feet in the "Skyscraper Heels" and, although I knew the shoes were bad, examination of the actual X-Rays were horrifying. The central two-thirds of the foot are almost at a complete vertical and the first toe joint is so dorsiflexed that the woman is actually bearing her full body weight on the inside cartilage of the first toe joint. Yikes!

This extreme stress across that small area can cause:

Degenerative Joint Disease

Osteoarthritis

Bunions

Hammertoes

Stress Fractures

Knee, Hip, and Lower Back pain

Tendonitis

Ankle Sprains

Achilles Tendonitis Contracture

The shoes that we reviewed on the show were all beautiful in an artistic "Wow" factor way but I am amazed that women would subject themselves to this kind of pain (the words "Medieval torture devices" were the first words that sprung to mind when I saw the extreme six inch heeled shoes). It's rumored that some of the celebrities who wear this fashion do what's called a "PT BLOCK" prior to appearing on the red carpet or at an event in these shoes. Basically, that means they are injecting the Posterior Tibial Tendon with Lidocaine to numb it up prior to an event so they can walk pain free.

Being a woman and a Podiatrist, I'm in a unique position to not only be a big fan of beautiful shoes but also to know what constitutes a good shoe and I've spent over a decade treating people for various foot ailments - many caused by poor shoe-gear.

I'm not advising that women give up their heels - unless of course you have a specific foot problem that makes it dangerous and/or uncomfortable to wear such shoes (such as Diabetes, Neuropathy, ligament laxity, extreme flat feet, Posterior Tibial Dysfunction, ect). I am recommending, however, that women follow some simple rules when looking for a good dress shoe.

If you feel you must wear a high-heel shoe, here are some things to look for:

* Try to limit yourself to a two and a half inch heel.

If you have limited motion of the big toe joint (hallux limitus) be particularly careful of your heel height. There's a simple test for this - stand on the ground and, without shifting your weight, have someone try to pick up your big toe. How far does it go upward? However high it goes - you should not ever go in a higher heel height than that. If you do, your body will compensate: just remember, if your body cannot get the motion it needs across one joint, it will find the motion it needs across another joint - whether it is your knee, your ankle, or, more commonly, walking on the outside of your foot which can lead to multiple "mechanical strain" problems.

* Look for the "Wedge" shoe as it has a more rigid sole that will protect your foot. There are several advantages to the "Wedge" shoe. First, you can get some of the height that you are seeking from a dress shoe while limiting the range of motion that you are forcing across your big toe joint. You can have a four-inch wedge but actually only be in a two-inch heel. Secondly, a solid wedge will decrease the wear-and-tear on your foot that a more flexible, thin sole will allow.

* Avoid a thin, flexible forefoot area - try to get a dress shoe with a thicker more rigid front.

* Look for a shoe with a wider front - the wider the front of the shoe, the more pressure per square inch for the force/weight of your body to be distributed over.

* Although you are looking for a thick, rigid-soled sole - try to find a shoe with some padding and cushion built into the interior.

* Strap in the Forefoot area and the Rearfoot area securely for more protection and to minimize injury. Remember, the more motion you have, the greater the chance of injury. Everyone thinks that you need a thin, cushy, flexible shoe but it's the exact opposite - you need rigid, biomechanical control.

* Most importantly - everyone is different! What works for one person does not necessarily work for another. The acid test is PAIN! If the shoe hurts, forget it. Pain is a warning sign that something is going on and you need to stop and listen to what your feet are telling you. (If you have Peripheral Neuropathy you should not be in this type of shoe at all because if your feet are numb - you can't feel the pain that is warning you of a foot problem, which can set you at risk for limb threatening problems).

I really enjoyed my stint into television land and, as much as I appreciate the aesthetics of these lovely shoes as works of art to admire - I cringe at the thought of the damage that occurs to the foot, knee, hips and lower back while walking in them.

As I tell my patients, what would you rather do - wear a more sensible shoe so that you can run around in, having a blast as you do everything you want to do or look fashionista fabulous but be in pain and not be able to keep up with your friends as they run around and do everything that you can't do?

Have a great day!

Cathy McCarthy, DPM

Born Tierney - Comfortable Women's Casual Heel at Dillard's at Paradise Valley Mall

2011-08-16T21:06:00.000-07:00

THE BORN TIERNEY

GENE TIERNEY

Okay, Gene Tierney and the Born Tierney shoe are not related - I just happen to be a big fan of both the actress and the shoe!

I purchased the Born Tierney today and have enjoyed wearing it out this evening.

Very stylish and comfortable...

I love the beautiful rich finish and I love the height it gives me (four inches) but because of the wedge sole - it comes out to about only two inches of actual elevation for the foot. The thick rigid sole is protective of the foot and the forefoot and excellent rearfoot strapping allows for more biomechanical control of the foot and ankle and therefore - more comfort.

This Shoe is Recommended For Most Patients with:

*Mild Heel Pain

*Mild Bunions and Hammertoes

*Mild Tailor's Bunions

*Mild Achilles Tendonitis

*High Instep

*Bumps/Exostosis on the top of the Midfoot Area

This Shoe Is NOT Recommended For Patients with:

*Diabetes

*Neuropathy (Nerve Damage)

*History of Ulcers or Open Sores

*Charcot Foot

*Moderate to Severe Bunions or Hammertoes

*Hallux Limitus/Rigidus (Limited Range of Motion across the 1st Toe Joint)

*Osteoarthritis or Degenerative Joint Disease of any of the Forefoot Joints

*Capsulitis of the Forefoot Joints

*Moderate to Severe Morton's Neuroma

*Moderate to Severe Ankle Instability

*Moderate to Severe Hypermobility

*Moderate to Severe Tailor's Bunions

*Metatarsalgia

I'm love this shoe!

It's flattering and comfortable.

If you have any serious forefoot problems - particularly pain or limited range of motion across the forefoot joints - this is not the shoe for you.

Rating:

8 on a scale of 1 to 10 with ten being the best.

I paid $99 at Dillard's at Paradise Valley Mall.

I also highly recommend the 1944 classic movie "Laura" starring Gene Tierney.

Enjoy!

Dr. Cathleen A. McCarthy

Comfortable Women's Naot Dress Boot for Autumn.

2011-08-10T18:41:00.000-07:00

Naot Footwear Dynamic

It's definitely too early to talk about boots in Arizona but for those of you in colder climates - I thought it would be a good idea to start discussing them.

I plan to do a "Top Ten" Women's Dress Boot List in the next month but I thought this would be a good preview.

This boot has a thick, rigid protective sole which allows for more comfort for anyone who has to be on their feet all day. The heel gives some added height to the wearer (the heel height is 2-1/2 inches while the actual platform height is 1 inch) but it is also thick enough in the forefoot area to give protection. The boot tends to run a bit narrow so keep that in mind if you are ordering online. It has decent arch support and has a soft, wide toebox. I also like the aesthetics of the boot!

This Boot is Recommended For Patients with:

*Narrow Feet

*Mild Heel Pain / Plantar Fasciitis

*Mild Hallux Limitus (Mild Limited Range of Motion of the 1st Toe Joint)

*Mild Hammertoes

*Mild Bunions

*Mild Morton's Neuromas

*Mild Osteoarthritis

*Mild Achilles Tendonitis

*Mild Tendonitis

*Mild Hypermobility

*Mild Ankle Instability

This Boot is NOT Recommended For Patients With:

*Wide Feet

*Anyone with "bumps" or Prominences (exostosis) on the top of their midfoot area (the boot may cause too much pressure on the bump)

*Severe Hallux Limitus (Limited Range of Motion of the 1st Toe Joint

*Severe Osteoarthritis / Degenerative Joint Disease of any of the Toe Joints

*Diabetes

*Neuropathy (Nerve Damage)

*History of Ulcerations or Open Sores

*Charcot Foot

*Severe Hypermobility

*Severe Ankle Instability

*Moderate to Sever Bunions

*Severe Hammertoes

*Severe Calluses & Corns

Cost: $150 - $200

I found this boot on Zappos.com for $150

Rating: Excellent (especially for Women with narrow feet).

Have a Great Day!

Dr. Cathleen A. McCarthy

Comfortable Wedges at a Great Price.

2011-08-06T10:23:00.000-07:00

Comfortable Wedges at Great Prices.

Brown Wedges

$31

Wedge Fashion Sandal

$33

Green Wedges

$31

Sexy Blue Wedges

$34

Pink and Black Wedges

$31

Apricot Wedges

$45.99

http://www.milanoo.com/wholesale-Wedge-Shoes-c614/1.html

Using Alltop.com - I found this great website with cool, funky, fun wedges that, depending on your specific foot type, should be comfortable for most women who know that they can wear wedge heels. I'm not suggesting that these heels are appropriate for everyone but I like to have suggestions for patients who are able to wear heels. If you are able to wear high heels, I believe that a solid wedge with forefoot, midfoot and rearfoot strapping is the best choice for comfort and stability.

If you have any limitation of motion across the toe joints (particularly the 1st toe joint) or any forefoot deformities or pain (such as capsulitis, Morton's Neuromas or metatarsalgia), these shoes are not recommended for you.

What I like about these wedges are that they all have rearfoot control (which means more biomechanical control) which is crucial for this type of shoe to be comfortable. If a shoe has no rearfoot strapping then, when you walk, you are forcing all of your tendons, muscles, joints, knees, hips, and lower back to work harder to stabilize your lower extremities which can lead to mechanical strain and tired-leg syndrome.

These Wedges are NOT Recommended For Patients with:

*Hallux Limitus/Rigidus (limited range of motion across the 1st toe joint)

*Metatarsalgia

*Capsulitis of any of the Toe Joints

*Bunions

*Hammertoes

*Tailor's Bunions

*Hypermobility

*Ankle Instability

*Rhumatoid or Osteoarthritis

*Knee, Hip or Lower Back Pain

*Diabetes

*Nerve Damage

*History of Ulcers or Open Sores

*Charcot Foot

*Drop Foot

*History of Ankle Sprains

Personally, I love to wear funky cool wedges - not to mention that I was totally loving the prices!

I hope that this has been helpful and if this is your shoe of choice - please keep a pair of good walking shoes/sneakers in the trunk of your car! :)

Have a great day!

Dr. Cathleen A. McCarthy

Julian Hakes "Soleless" Shoe.

2011-08-04T21:40:00.000-07:00

WOW!

As art, this shoe is stunning!

I'd happily display it in my living room.

I don't know what my husband would say about it but, you never know, he's an artist (and he loves me) so - he might totally humor me.

As a Podiatrist...

Oy Vay.

If this shoe gets popular and women actually WEAR it...

Or, even worse, try to walk it in...

This shoe could single-handedly help pay off my student loans!

Final Analysis:

I highly recommend this shoe as beautiful gorgeous eye-candy art...

or to wear while sitting...

But

Don't walk in it!!

Thank you Julian Hakes for the gorgeous shoes!

They are beautiful...

Yours Truely,

Lover of Beautiful Shoes,

Friend to Feet,

Dr. Cathleen A. McCarthy