PODIATRY FOOTWEAR
Our feet are often one of the most overlooked parts of our body, and the same goes for awareness about foot health. Footwear plays a crucial role in maintaining the health of our feet, as most foot conditions are linked to the shoes we wear. Despite wearing them daily, we tend to know very little about them
They play a significant role in the development and prevention of foot deformities. The type, fit, and design of footwear can impact foot health, particularly if shoes are too tight, too loose, or inadequately supportive.
Proper footwear is crucial for maintaining foot health and overall well-being. Wearing the right shoes can prevent foot problems, alleviate pain, and improve mobility.
Feet change with age, nature of work, type of shoes, underlying disease, sports and activities.
CUSTOMISE YOUR CHOICE
HEALTHY FEET HEALTHY LIFE
FEET & CHANGES
FOOT DYNAMICS & COMPLEXICITY
The human foot is a highly dynamic and complex structure designed to support weight, provide balance, and enable movement. It consists of 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments, all working together to provide flexibility, stability, and strength.
1.The foot has three arches—medial longitudinal, lateral longitudinal, and transverse—which function like springs. These arches help in weight distribution, shock absorption, and maintaining balance during walking, running, and jumping.
2.The bones of the foot are arranged in a way that allows for both RIGIDITY & FLEXIBILITY. The tarsal bones form the rear and midfoot, providing a stable platform, while the metatarsals and phalanges in the forefoot allow for adaptability and movement.
3.INTRINSIC MUSCLES within the foot and extrinsic muscles that originate in the lower leg work together to control fine movements and stabilize the foot. Tendons, such as the Achilles tendon and the plantar fascia, play crucial roles in foot dynamics by connecting muscles to bones and maintaining arch integrity.
4.LIGAMENTS , like the plantar ligaments, provide structural support by connecting bones and stabilizing joints. They also contribute to the foot's ability to withstand various loads and stresses.
5.The foot ADAPTS to different surfaces and conditions, such as walking on uneven terrain or adjusting for balance on a slippery surface. This adaptability is crucial for maintaining posture and movement efficiency.
6.The foot's structure allows it to act as a SHOCK ABSORBER During activities like walking and running, the foot absorbs impact forces, reducing stress on other parts of the body, such as the knees and spine.
7.The foot is essential for PROPULSION during movement. As it pushes off the ground, the foot's arches and tendons store and release energy, aiding in efficient forward motion. Overall, the foot's dynamic structure enables it to perform a wide range of functions essential for human mobility and balance.
FEET CHANGE WITH AGE
AT BIRTH A baby’s foot is made up of mostly cartilage, which gradually ossifies (turns into bone) as they grow. The bones of the foot continue to develop and harden until the late teens or early twenties.
FLAT FEET Most infants have flat feet due to a lack of developed arches, which are masked by a fat pad in the foot. As children grow, the arch begins to form, typically by the age of 6-7.
CHANGES IN FOOT STRUCTURE During early childhood, feet grow rapidly, and the shape of the foot changes as the bones, muscles, tendons, and ligaments develop. The feet also start to lengthen, widen, and strengthen as children become more active.
Feet continue to grow and change shape during adolescence. The growth plates in the bones remain active, contributing to increased foot size.
DEVELOPMENT OF ARCHES By adolescence, the foot’s arch should be fully developed in most individuals. Any abnormal foot postures or deformities, such as flat feet or high arches, become more apparent during this stage.
ADULTS The foot may continue to change in response to lifestyle factors such as weight gain, pregnancy, and physical activity.
CHANGES IN ARCH HEIGHT The arch height may decrease slightly due to repetitive stress, prolonged standing, or high-impact activities, leading to slight flattening of the foot over time.
FOOT SIZE FLUCTUATIONS Foot size can fluctuate slightly in response to weight gain, hormonal changes, and fluid retention, particularly in women during pregnancy or due to hormonal changes during the menstrual cycle.
DECREASE IN ELASTICITY With age, the connective tissues in the foot, including tendons and ligaments, lose elasticity and flexibility, leading to reduced shock absorption and changes in foot mechanics.
FLATTENING AND SPREADING As the foot’s arches flatten further, the foot may spread and widen, leading to an increase in foot size. This can result in a need for wider shoes and more arch support.
INCREASED FOOT PROBLEMS Conditions such as plantar fasciitis, bunions, hammertoes, and metatarsalgia become more common as the foot undergoes these structural changes.
LOSS OF FAT PADDING The protective fat pads on the soles of the feet thin out, reducing cushioning and making the feet more susceptible to pressure, pain, and injuries.
CHANGES IN JOINT HEALTH Arthritis, particularly osteoarthritis, can affect the foot’s joints, leading to pain, stiffness, and decreased mobility. Joints may become enlarged or deformed, and range of motion may be limited.
DECREASED CIRCULATION AND SENSATIONS. Conditions like peripheral neuropathy and poor circulation, often associated with diabetes and other vascular conditions, can lead to reduced sensation and increased risk of foot injuries and ulcers.
INCREASED RISK OF DEFORMITIES The risk of foot deformities, such as bunions, hammertoes, and claw toes, increases with age due to long-term biomechanical stress and weakening of the foot’s support structures.
FEET CHANGE DUE TO WORK
Feet can undergo significant changes depending on the type of work a person does.
1. STANDING JOBS (RETAIL, TEACHING, ETC.):
- Arch Pain or Flat Feet: Constant standing can put strain on the arches, leading to conditions like flat feet.
- Swelling: Prolonged standing can cause swelling, especially if shoes are not supportive.
- Calluses and Corns: Repeated pressure points can lead to hardened skin in certain areas.
2. MANUAL LABOR (CONSTRUCTION, FACTORY WORK, ETC.):
- Foot Injuries: Heavy lifting or walking on uneven surfaces can lead to sprains, fractures, or injuries.
- Blisters and Calluses: Friction from heavy work boots or prolonged walking.
- Bunion Formation: Footwear that doesn’t allow enough room can contribute to bunion development.
3. DESK JOBS (OFFICE WORKERS):
- Foot Stiffness: Sitting for long periods can lead to stiffness or reduced circulation in the feet.
- Weakening of Muscles: Lack of movement can lead to muscle atrophy in the feet over time.
- Foot Swelling: Poor circulation due to prolonged sitting.
4. ATHLETES & FITNESS TRAINERS:
- Strengthened Muscles: Regular activity builds strong foot muscles.
- Injuries (Plantar Fasciitis): High-impact sports can result in conditions like plantar fasciitis or Achilles tendinitis.
- Calluses: Constant pressure from repetitive motion like running or jumping.
5. HEALTHCARE WORKERS (NURSES, SURGEONS, ETC.):
- Foot Fatigue: Long hours of standing and walking lead to foot fatigue.
- Heel Spurs: Over time, long shifts on hard floors can lead to heel spurs.
Each type of job may require different foot care, including the choice of footwear, stretching, or special orthotics
FEET CHANGE DUE TO SHOES
HOW SHOES CAN CHANGE FOOT STRUCTURE OVER TIME:
- Bone Adaptation: Foot bones can adapt to the shape and pressure of shoes. For example, long-term wear of tight shoes can alter the shape of toes and bones.
- Ligament and Tendon Changes: Shoes that do not allow for proper foot movement can cause the ligaments and tendons to stiffen or weaken, leading to long-term issues.
- Altered Gait: Improper footwear can lead to changes in the way you walk, which can eventually affect the structure of the foot, ankles, knees, and even hips.
1. HIGH HEELS:
- Shortened Achilles Tendon: Regularly wearing high heels can cause the Achilles tendon to shorten, as the heel is elevated and the foot is in a pointed position.
- Toe Deformation: Pointed-toe high heels can squeeze the toes together, leading to conditions like bunions or hammertoes.
- Arch Strain: The arch is overstressed, which can lead to conditions like plantar fasciitis.
- Metatarsalgia: High heels increase pressure on the ball of the foot, causing pain and sometimes leading to stress fractures over time.
2. FLAT SHOES (E.G., BALLET FLATS OR FLIP-FLOPS):
- Flat Feet or Fallen Arches: Shoes with little to no arch support can contribute to the collapse of the arch over time, resulting in flat feet.
- Overpronation: Lack of support can cause the foot to roll inward excessively, leading to problems with alignment.
- Plantar Fasciitis: Without adequate support, the plantar fascia (a ligament in the arch) can become inflamed.
3. TIGHT OR NARROW SHOES:
- Bunions: Tight shoes that squeeze the toes can cause or exacerbate bunions, a bony bump that forms at the base of the big toe.
- Hammertoes: Toes may become permanently bent at the middle joint, a condition known as hammertoe, often caused by shoes that don’t allow enough room for the toes.
- Morton’s Neuroma: Narrow shoes can compress nerves between the toes, leading to Morton’s neuroma, a painful condition affecting the ball of the foot.
4. RIGID, STIFF SHOES (E.G., SOME DRESS SHOES OR BOOTS):
- Joint Stiffness: Shoes that limit the natural movement of the foot can cause stiffness in the joints over time, particularly in the toes and midfoot.
- Arch Problems: Shoes with poor flexibility can place excessive strain on the arches and lead to discomfort or collapse of the arch.
5. SHOES WITH EXCESSIVE CUSHIONING (E.G., SOME RUNNING SHOES):
- Muscle Weakening: Overly cushioned shoes can reduce the need for muscles in the feet to work, potentially leading to weaker foot muscles over time.
- Toe Splay Limitation: If shoes are too narrow at the toes, they can limit the natural splay of the toes when walking or running, altering foot mechanics.
IMPACT OF HIGH HEELS
Wearing high heels regularly can lead to significant changes not only in the feet but also in the body’s overall structure. The altered posture and mechanics caused by high heels can have a cascading effect on various parts of the body, affecting joints, muscles, and the spine.
1. FOOT AND ANKLE CHANGES:
- Shortened Achilles Tendon: High heels elevate the heel, keeping the foot in a constant plantar-flexed position (pointing downward). Over time, this can shorten the Achilles tendon, making it less flexible and causing discomfort when wearing flat shoes.
- Altered Arch: The arch of the foot is under increased stress in high heels, which can exacerbate conditions like flat feet or high arches.
- Reduced Ankle Stability: The elevated position and limited contact with the ground can decrease ankle stability, increasing the risk of ankle sprains.
2. KNEE STRESS:
- Increased Knee Flexion: When wearing high heels, the knees are often in a slightly bent position to maintain balance. This unnatural angle increases pressure on the knees, particularly the patella (kneecap), and can lead to conditions like patellofemoral pain syndrome.
- Osteoarthritis Risk: Over time, the added stress on the knees can accelerate the development of osteoarthritis, especially in the inner part of the knee.
3. HIP AND PELVIC TILT:
- Forward Pelvic Tilt: High heels shift the body’s center of gravity forward, causing the pelvis to tilt anteriorly (forward). This posture forces the lower back to arch more than usual, leading to misalignment.
- Hip Strain: The hips are pushed forward, altering the natural mechanics of walking and placing extra strain on the hip joints. Over time, this can lead to hip pain and possibly affect the stability of the hip joint.
4. LOWER BACK (LUMBAR SPINE) ISSUES:
- Exaggerated Lumbar Lordosis: The forward tilt of the pelvis results in an exaggerated curvature of the lower back, known as lumbar lordosis. This can lead to chronic lower back pain as the spine is forced out of its natural alignment.
- Compressed Vertebrae: Prolonged wear can put stress on the vertebrae in the lower back, leading to compression or degenerative changes, potentially contributing to conditions like herniated discs.
5. MID-BACK (THORACIC SPINE) AND UPPER BACK:
- Forward Leaning Posture: To compensate for the forward shift in body weight, the thoracic spine (mid-back) may lean backward, causing misalignment in the upper spine.
- Neck and Shoulder Tension: The compensation in the back may cause tightness in the shoulders and neck as they work harder to maintain balance and upright posture. This can lead to chronic tension headaches and upper back pain.
6. ALTERED GAIT AND MUSCLE IMBALANCE:
- Shorter Stride: High heels force the wearer to take shorter, quicker steps, which can lead to an inefficient gait pattern.
- Overuse of Calf Muscles: The calf muscles are constantly engaged when walking in high heels, which can lead to muscle shortening and tightness. Over time, this can cause discomfort and limit flexibility.
- Underuse of Gluteal Muscles: The altered posture shifts more weight forward, reducing engagement of the gluteal muscles (buttocks). This can lead to weakness in the glutes and imbalances in the lower body’s musculature.
7. NECK AND HEAD POSITION:
- Forward Head Posture: The compensatory changes in the lower and upper body can result in a forward head posture, where the head juts forward to maintain balance. This misalignment places stress on the neck and can lead to chronic neck pain and stiffness.
- Increased Risk of Headaches: Misalignment of the spine and neck, along with tension in the shoulders, can contribute to tension headaches.
8. LONG-TERM EFFECTS ON JOINTS AND BONES:
- Joint Degeneration: The unnatural posture from high heels can lead to joint degeneration over time, particularly in the knees, hips, and lower back.
- Bone Misalignment: Continuous pressure on bones like the metatarsals (in the feet) can lead to conditions like stress fractures or bunions, which may require surgical correction.
CHANGE DUE TO SPORTS
Foot structure can undergo significant changes due to the demands of various sports. These changes result from repetitive movements, high-impact activities, and specific stresses placed on different parts of the foot. Over time, these can lead to adaptations in the bones, muscles, tendons, and ligaments. Here are some ways that different types of sports can impact foot structure:
1. RUNNING SPORTS (TRACK, MARATHON, ETC.):
- Plantar Fasciitis: Repetitive impact on the feet, especially on hard surfaces, can lead to inflammation of the plantar fascia (a band of tissue that runs along the bottom of the foot).
- Arch Collapse or Overpronation: Continuous pounding during running can cause the arch to flatten or collapse, leading to overpronation (inward rolling of the foot). This can affect the overall alignment of the foot and lead to long-term structural changes.
- Metatarsal Stress Fractures: The metatarsal bones in the forefoot can become weakened from the repeated impact, leading to stress fractures.
2. SOCCER, BASKETBALL, AND OTHER LATERAL MOVEMENT SPORTS:
- Bunion Formation: Frequent changes in direction, combined with tight-fitting cleats or shoes, can contribute to the development of bunions (bony growths at the base of the big toe).
- Toe Deformities (Hammertoe): Pressure on the toes from cleats or tight shoes can cause deformities like hammertoe, where one or more toes bend unnaturally at the middle joint.
- Ankle Instability: Lateral movements can put a lot of stress on the ankle, leading to chronic ankle instability or even changes in the alignment of the ankle bones.
3. GYMNASTICS, DANCE, AND BALLET:
- Toe Deformities (Hallux Rigidus and Bunions): Gymnasts, dancers, and ballet performers often place a lot of pressure on their toes, leading to conditions like hallux rigidus (stiffness in the big toe joint) and bunion formation.
- Shortened Achilles Tendon: Ballet dancers often work on their toes or in a pointed position, which can shorten the Achilles tendon over time.
- Metatarsal Injuries: The constant stress on the forefoot from balancing on the toes can cause metatarsal injuries, including stress fractures or metatarsalgia (pain in the ball of the foot).
4. TENNIS AND RACQUET SPORTS:
- Calluses and Blisters: The rapid lateral movements in tennis place constant pressure on certain areas of the foot, leading to calluses and blisters.
- Toe Box Deformities: Repeated stops and quick directional changes in tennis can push the toes against the shoe’s front, leading to deformities such as hammertoes or claw toes.
- Achilles Tendinitis: The stress placed on the back of the heel due to frequent jumping and quick sprints can cause Achilles tendinitis, and over time, it may lead to permanent changes in the tendon structure.
5. WEIGHTLIFTING AND STRENGTH SPORTS:
- Arch Flattening: Weightlifters often experience flattening of the arch due to the heavy loads placed on the feet during squats or deadlifts. This can lead to a condition called flat feet (pes planus).
- Toe Splay and Foot Width Increase: Repeated heavy lifting can cause the toes to splay, and the foot may become wider to accommodate the pressure, especially if barefoot lifting is involved.
6. FOOTBALL AND RUGBY:
- Turf Toe: Football players often suffer from a condition known as "turf toe," where the big toe is hyperextended, leading to damage to the joint. Over time, this can cause long-term stiffness or deformity in the toe joint.
- Blisters and Calluses: Tight shoes and cleats, along with sudden starts and stops, can lead to blisters, calluses, and even toe injuries.
7. GOLF:
- Overuse Injuries in the Arch: Golfers who spend a lot of time walking on uneven surfaces may develop arch pain or plantar fasciitis due to the uneven pressure distribution on the feet.
- Big Toe Stress: The twisting motion involved in a golf swing places significant stress on the big toe and ball of the foot, which can lead to overuse injuries like hallux limitus (reduced motion in the big toe joint).
8. CYCLING:
- Metatarsal Compression: Cyclists often experience pressure on the balls of their feet due to the constant downward force applied when pedaling, which can cause metatarsal compression and pain.
- Toe Overuse: Since the foot remains in a flexed position while cycling, the toes may become overused, leading to stiffness or deformities like claw toe.
- Numbness and Nerve Compression: Constant pressure on the soles from cycling shoes can cause nerve compression, leading to foot numbness or conditions like Morton’s neuroma (thickening of tissue around a nerve).
9. SKIING AND SNOWBOARDING:
- Foot Narrowing and Toe Deformities: Tight-fitting ski or snowboard boots can compress the feet and toes, causing deformities such as bunions or hammertoes.
- Foot Arch Stress: The position of the foot in ski boots places stress on the arch, potentially leading to arch pain or collapse over time.
10. SWIMMING:
- Foot and Toe Flexibility: Swimmers tend to develop more flexibility in their feet and toes because of the repetitive kicking movements. While this improves performance, it can also cause hypermobility or overuse injuries.
- Reduced Impact Injuries: Since swimming is a low-impact sport, foot injuries are less common. However, athletes may still develop conditions like plantar fasciitis if dryland training involves high-impact activities like running.
REASONS FOR SWOLLEN FEET
Swollen feet, also known as peripheral edema, can be caused by a variety of factors, ranging from temporary conditions to more serious medical issues. Swelling occurs when excess fluid accumulates in the tissues, particularly in the lower extremities like the feet and ankles.
1. PROLONGED STANDING OR SITTING
2. INJURY OR TRAUMA
3. PREGNANCY
4. LIFESTYLE FACTORS
5. HOT WEATHER
6. MEDICATIONS
7. CHRONIC MEDICAL CONDITIONS
8. INFECTIONS
9. BLOOD CLOTS (DEEP VEIN THROMBOSIS - DVT)
10. HORMONAL CHANGES
11. ALCOHOL CONSUMPTION
12. INADEQUATE FOOTWEAR
13. BLOOD VESSEL ISSUES
14. INACTIVITY OR IMMOBILITY
PREGNANCY EFFECT ON FEET
Pregnancy can cause several changes in the feet due to hormonal shifts, weight gain, and increased fluid retention. These changes can vary from mild discomfort to long-term alterations in foot structure.
1. FOOT SWELLING (EDEMA):
- Fluid Retention: During pregnancy, the body retains more fluid, and this can pool in the lower extremities, especially the feet and ankles. Swelling, or edema, is common in the third trimester and may worsen after long periods of standing or sitting.
- Hormonal Influence: Increased production of the hormone relaxin causes blood vessels to relax, which can contribute to fluid leakage and accumulation in the feet.
2. INCREASED FOOT SIZE:
- Arch Flattening (Overpronation): Due to the increased body weight and the hormone relaxin (which softens ligaments), the arches of the feet may flatten. This can cause the feet to lengthen and widen, often leading to a permanent increase in foot size by about half a size or more.
- Foot Growth: Some women notice that their shoe size increases during pregnancy because of the added weight and changes in foot structure. This enlargement can sometimes be permanent.
3. CHANGES IN ARCH SUPPORT:
- Flat Feet (Pes Planus): As the arches collapse under the increased weight of pregnancy, some women develop flat feet. This can cause foot pain, discomfort, and alignment issues that may extend to the knees, hips, and lower back.
- Overpronation: With the added weight and softened ligaments, many pregnant women experience overpronation, where the feet roll inward excessively while walking. This can lead to joint pain and fatigue in the legs.
4. FOOT AND HEEL PAIN:
- Plantar Fasciitis: Pregnancy-related weight gain and arch changes can stress the plantar fascia, a band of tissue that runs along the bottom of the foot. This can lead to plantar fasciitis, a condition that causes pain in the heel and arch, particularly in the morning or after periods of rest.
- Heel Spurs: Over time, the added strain on the feet can cause small bone growths, known as heel spurs, to develop on the heel bone. These can worsen heel pain and discomfort.
5. INCREASED RISK OF VARICOSE VEINS:
- Pressure on Blood Vessels: The growing uterus can put pressure on the veins in the pelvis, reducing the return of blood from the legs to the heart. This can lead to swelling and varicose veins in the legs and feet, which may cause aching, heaviness, and discomfort.
6. BALANCE AND POSTURE CHANGES:
- Shifting Center of Gravity: As the pregnancy progresses, the center of gravity shifts forward, which may cause changes in posture and gait. This can place additional strain on the feet and lower body, sometimes causing discomfort or imbalance while walking.
- Wider Stance: Pregnant women often adopt a wider stance while walking to accommodate their changing center of gravity. This can alter foot mechanics and contribute to arch or ankle pain.
7. LEG AND FOOT CRAMPS:
- Mineral Deficiency: Some pregnant women experience foot and leg cramps, particularly at night. This is often due to changes in mineral levels, such as calcium, magnesium, or potassium imbalances.
8. INCREASED SENSITIVITY TO FOOTWEAR:
- Foot Sensitivity: Many pregnant women find that their usual shoes become uncomfortable due to swelling, changes in foot size, and sensitivity. Tight or narrow shoes can exacerbate swelling, discomfort, or even cause foot problems like ingrown toenails.
9. HORMONAL EFFECTS:
- Relaxin's Role: The hormone relaxin, which helps to prepare the body for childbirth by loosening the ligaments and joints in the pelvis, also affects the ligaments in the feet. This makes the foot more flexible but can lead to overpronation and arch collapse.
LONG-TERM CHANGES AFTER PREGNANCY:
- Foot Size May Stay Increased: In many cases, the increase in foot size remains after pregnancy, so it’s common for women to need larger shoes permanently.
- Arch Changes: If significant arch flattening occurs, it may not fully return to normal after pregnancy, which could require ongoing use of supportive footwear or orthotics.
SAFETY SHOES & FEET
Wearing safety shoes for long periods, especially in industrial or labor-intensive environments, can lead to changes in the feet. Safety shoes are designed to protect the feet from injuries like impact, compression, or punctures, but they can also cause discomfort or foot problems if they do not fit properly or provide enough support.
1. FOOT DEFORMITIES
- Bunions: Tight or ill-fitting safety shoes can put excessive pressure on the big toe, causing the development of bunions (a bony bump at the base of the big toe). This can be worsened if the toe box is too narrow.
- Hammertoes: Prolonged wear of tight safety shoes can cause the toes to become bent or curled at the joints, leading to hammertoes. This occurs when the toes are pushed into an unnatural position due to a lack of space.
2. ARCH ISSUES
- Flat Feet (Overpronation): Wearing safety shoes with insufficient arch support can cause the arches of the feet to collapse, leading to flat feet or overpronation (excessive inward rolling of the foot when walking). This can lead to pain in the feet, knees, and back.
- Increased Arch Pain: Safety shoes with hard soles or inadequate cushioning can lead to arch pain, particularly for workers who stand or walk on hard surfaces for extended periods.
3. PLANTAR FASCIITIS
- Safety shoes with poor shock absorption or inadequate arch support can lead to plantar fasciitis, a condition where the plantar fascia (the ligament that runs along the bottom of the foot) becomes inflamed. This causes sharp pain in the heel, especially in the morning or after periods of rest.
4. CALLLUSES AND CORNS
- Calluses: Pressure and friction from safety shoes, especially if they are too tight or too loose, can lead to calluses (thickened areas of skin). These commonly develop on the ball of the foot, heel, or toes.
- Corns: Corns, similar to calluses but smaller and more localized, can form on the toes or other areas that experience constant pressure or rubbing from tight safety shoes.
5. TOENAIL PROBLEMS
- Ingrown Toenails: Wearing safety shoes with a narrow or tight toe box can cause ingrown toenails, where the toenail grows into the surrounding skin. This can be painful and lead to infection if not treated properly.
- Black Toenails: Repeated trauma to the toes from the front of the shoe, especially in steel-toed boots, can cause black toenails, where the toenail bruises or falls off due to damage to the nail bed.
6. ANKLE AND HEEL PAIN
- Achilles Tendinitis: Safety shoes that lack proper heel support or have an overly stiff heel can put strain on the Achilles tendon, leading to Achilles tendinitis. This causes pain and stiffness at the back of the heel.
- Heel Spurs: Prolonged pressure on the heel, combined with poorly cushioned footwear, can contribute to the development of heel spurs, which are bony outgrowths that cause heel pain.
7. METATARSALGIA
- The front of the foot, especially the metatarsal bones, can experience excessive pressure due to stiff or poorly cushioned safety shoes, leading to metatarsalgia. This condition causes pain and inflammation in the ball of the foot.
8. TOE BOX PROBLEMS
- Splayed Toes: Tight safety shoes can crowd the toes together, leading to discomfort and long-term changes in toe alignment. Over time, the toes may begin to splay or deform as they attempt to fit into the narrow toe box.
- Cramped Toes: Shoes that do not provide enough space can cause the toes to cramp, leading to stiffness and discomfort in the toes and forefoot.
9. CIRCULATION ISSUES
- Poor Blood Circulation: Tight or heavy safety shoes can restrict blood flow to the feet, causing numbness or a feeling of coldness in the toes. Over time, this can lead to more serious circulation issues or exacerbate conditions like peripheral neuropathy.
10. FOOT FATIGUE
- Prolonged use of poorly designed safety shoes, particularly those without adequate cushioning or support, can cause foot fatigue. This is a condition where the muscles and tendons in the foot become overworked, leading to pain and discomfort, especially after long periods of standing or walking.
HOW TO MINIMIZE FOOT ISSUES FROM SAFETY SHOES:
- Proper Fit: Choose safety shoes that fit properly, with enough room in the toe box to allow your toes to move freely. Ensure that the shoes are not too tight or too loose.
- Arch Support: Select safety shoes with proper arch support to prevent issues like flat feet, overpronation, and plantar fasciitis. You can also consider adding custom orthotics for extra support.
- Cushioning and Shock Absorption: Look for shoes with good cushioning, especially in the heel and forefoot, to reduce the impact on the feet and prevent conditions like metatarsalgia and heel pain.
- Breathable Materials: Choose shoes made of breathable materials to prevent excessive sweating, which can cause discomfort and increase the risk of skin issues like blisters and fungal infections.
- Regular Foot Care: Keep your feet clean and dry, and trim your toenails regularly to prevent issues like ingrown toenails. Use moisturizers to keep your skin soft and prevent calluses.
- Take Breaks: If possible, take breaks to rest your feet, especially if you stand or walk for long periods. Elevating your feet during breaks can help reduce swelling and improve circulation.
LONG -TERM CONSIDERATIONS:
- Prolonged use of safety shoes that don’t provide proper support and fit can lead to chronic foot problems and may even affect other parts of the body, such as the knees, hips, and back. Proper shoe selection and foot care are essential to prevent long-term damage.