footwear considerations for patients with foot pain and arthritis
- • High heels and pointy-toed shoes should be avoided. If they must be worn, should be for no longer than 3 hours a day, three times a week.
- • Floppy shoes (i.e., can fold shoe toe to touch heel) increases risk of foot pain.
- • Recommend wide, deep toe box, so toes are not crowded.
- • Shoe construction should be soft with no rubbing from internal stitching.
- • Soft-cushioned nonslip sole (e.g., crepe sole) serves as a shock absorber.
- • If significant bony foot deformity exists, may need custom-made shoes.
- • If hand deformities prevent tying laces, then consider Velcro closures.
- • Recommend patient try on shoes and walk around store for 15 to 20 minutes before purchasing the shoes.
