Monthly Archives: January 2008

Orthotics Too Wide For Heels of Shoes

Here’s an example of an orthotic that doesn’t fit properly in the shoe. An orthotic shouldn’t push the sides of your shoes and heels apart as seen in this right shoe.


What an orthotic should do, is easily fit into the back and arch of your shoe. Notice how the heel of the shoe with the orthotic in it is round in shape, whereas the shoe without the orthotic, is much tighter in the back of the heel?

Custom orthotics should not cause your heels to slip or push out the sides of your shoes. Since different types of orthotics can be made for all of your different types of shoes (heels vs. flats vs. running shoes), you should ask your podiatrist about getting multiple pairs of orthotics if you wear lots of different shoes.

Shoe Review – Privo Ronan

In general, I like many of Clark’s Privo Styles. I especially like this Ronan style because:

  • Shallow toe box – If you’re heels slip up and down in casual or flats type shoes, then you foot probably flattens out when you walk. In this case, the volume of your foot is less than the interior volume of your shoe. The Ronan toe box scoops down and is shallow over the toes, matching more closely the volume of your forefoot.


  • Removable insole – The insole of this shoe is thick and removable. That means if your need to wear custom orthotics, you’ll have enough room for your orthotics, once you take out the shoes insoles.
  • Adjustable vamp – This is also helpful if your heels typically slip. The elastic is adjustable and in exactly the right spot for the upper to form fit.


This shoe will work if you have a wide, shallow (low volume) foot, with ball of the foot pain, hallux limitus pain or neuroma pain.

This shoe won’t work if you have a bunion. Unfortunately, there is stitching right over the bump, making the shoe much too tight where you need it the most.

Stay tuned though – I will be blogging about another Privo style that is perfect for a bunion foot.

Nike Air Pegasus vs. New Balance 992

This person’s foot size measured a 7 1/2 narrow. Imagine my surprise when I placed her current shoes side by side, end up and discovered the following:


The Nike Air Pegasus on the left was sized 7 1/2, while the New Balance 992 on the right was sized a 7.0. Even though the New Balance was lasted smaller, it was easily a size longer and considerably deeper than the other shoe.

When shopping for shoes it is important to keep in mind, that size is an approximation only, and not necessarily consistent from shoe to shoe. In the case the size 7 1/2 Nike shoes fit like a glove, whereas the size 7.o New Balance were much too long and deep.

As with everything. Buyer beware – you can’t judge a shoe by a manufactures designated size.

Shoe Review – Men’s Clarks Un.seal

I’m usually not a fan of slip on shoes for anyone (male or female) having a wide foot and a high arch.


Clark’s Un.Seal is an exception. The vamp is long and the elastic insets are minimal. The toe-box is wide but not so deep that you can pinch excess leather in the toe-box area. This person is also wearing men’s 3/4 Superfeet insoles for added support and comfort.


This shoe would not work for someone having a narrow foot with a high arch, or a narrow foot with a flat arch. Those foot types would swim in this shoe.

However, if your foot looks like the foot above, then this a perfect leather, casual shoe for you. You can dress up jeans or Khaki’s with this shoe and you’ll always look great.

Painful 5th Toes, Running Shoe Must Haves

Many people have curled 5th (pinky) toes. This rotation, usually causes the outside of the toe to become prominent. When this happens, your shoe rubs against the protrusion, creating friction against the skin overlying this area. This friction will cause pain, and occasionally, it will form a corn (hard callous).


If your 5th toe is usually crowded in running shoes, you need to pay attention to your shoe design, and more importantly, you’ll want to find running shoes, having mesh over the painful outside spot.


These two different pair of Nike running shoes were brought in today. The shoe on the left caused 5th toe pain while the shoe on the right did not. The difference is the mesh placement. The left shoe’s trim extends onto the toe, whereas the right shoe trim is much lower and the mesh is in exactly the right place.


Looking at the side view, you can also, easily see the difference. Even though the shoe on the left had a deeper toe box, it still caused pain because the mesh and trim were in the wrong place.

If you have a bunion, hammertoes, or a curled 5th toe, you’ll want to find shoes with mesh in the right place.

Bunions and Heeled Sandals

This person has a bunion and brought in a perfectly fitting wedge sandal today.


Notice how the straps near the bunion partially cross but don’t strangulate the bump? If you have a bunion and want to wear a heeled shoe, strappy sandals are a great choice. Anytime a shoe is forgiving over the big toe bump, the bunion wearers foot will be much happier, even in a high heeled shoe.

Also notice how perfectly matched this person’s arch is to the arch of the shoe. The single most common reason for ball of the foot pain is an arch that doesn’t match yours. This is an example of what to look for.

Dress Shoe Orthotics

My practice sees a lot of sports medicine injuries: shin splints, plantar fasciitis, achilles tendonitis, chronic ankle sprains and patellofemoral syndrome to name a few. Custom orthotics are a treatment staple in many of these cases.

Fortunately custom orthotics fit easily into most athletic shoes, but what do you do if you are wearing shoes that your custom orthotics won’t fit into?

Superfeet 3/4 High Heels devices will work when most bulky orthotics, even lower profile dress styles, won’t work.


Superfeet dress devices work incredibly well in high and low heels and occasionally even in flats. They’re narrow, paper thin, and will give your arches the support they need.

You can order them directly from Superfeet, or if you have Nordstrom store close by, you can purchase there as well. Costing less than $25 dollars, your high heeled feet will never feel the same… and that’s a good thing.