A patient has what my husband affectionately calls “twig legs”, AKA skinny ankles. His everyday shoes were hiking boots, which would otherwise be perfect if not for the big ol’ topline (shoe opening) which for his ankle, were way too wide. No matter how tight his laces were pulled, his boot still wouldn’t fit snug. His before boot is on the right, his after boot is on the left. If you have twig legs, you’ll want to check the shoe’s topline as well as the rest of the shoe fit, including depth, especially if your foot is narrow.
Dr. Jenny Sanders Shoe Blog 
