Category Archives: Orthotic Friendly Shoes

Shoe Review – Mizuno Wave Renegade 4

Mizuno Wave Renegade 4 is one of my favorite shoes for a wide foot needing serious support. The generous amounts of mesh in the upper make this shoe light weight in addition to being bunion and hammertoe friendly.

The outsole retains it’s width throughout the waist area which is also great for a wide foot, especially if you pronate excessively or have a history of posterior tibial tendonitis.

Finally, Mizuno Wave Renegade 4 has a firm heel counter which reduces pronation at heel strike promoting a more forward foot alignment.

All in all, I really like this shoe. It falls in the same class as Asics Gel-Evolution 5 and Brooks Beast. Great shoes!

Shoe Review – Nike Zoom Nucleus MC+

Nike is not generally known for width or durability. Zoom Nucleus MC+ however, gets an A in both of these categories. Although Zoom Nucleus MC+ only comes in a medium width it runs wide and is comparable to many other shoes that do come in wide widths (New Balance, Asics, Saucony). I also like that it flares on the outside forefoot of the outsole, which is something that many running shoes don’t have and need.

The upper of this shoe also has a generous amount of mesh in the places you need it most if you have bunions or hammertoes.

Finally, this shoe is extremely stable with not only firm medial EVA but a non-collapsible heel counter. These two features really help prevent excessive pronation and give Brooks Beast and Asics Gel Evolution a run for their money in the motion control department.

If you didn’t think you would ever be able to find a Nike+ shoe in a wider last with  more stability, then your answer may have arrived. Nike Zoom Nucleus MC+ is a great shoe.

Shoe Review – Asics GT-2140 vs. Asics GT-2150

Asics just debuted their GT-2150 model and I am happy to report it is very similar to the GT-2140 https://drshoe.wordpress.com/2009/01/13/asics-2140-has-arrived/

I am a huge fan of this series as it is one of the few shoes that works for the narrow foot.  Although the GT-2150 model is ever so slightly wider than the GT-2140, I don’t think this will be a problem for most feet.

All in all, the 2100 series remains one of my favorite running shoes and I will continue to recommend it for many of my runners feet.

Shoe Review – J-41 Grand

The reason I don’t blog more about non-athletic shoes is that shoe manufacturers discontinue styles before you would actually be able to go out and buy any shoe I would recommend. Hopefully, this won’t happen with J-41 Grand. This shoe is in the category of Dansko clogs – wide and deep which typically is a hard to fit foot. The strap is Velcro so it’s adjustable, which is a design feature all Mary Jane styles should have. The forefoot is rigid and doesn’t flex which helps with ball of the foot pain (metatarsalgia) or pain under the big toe joint (sesamoiditis).

J-41_Medial

The insole is nicely padded and is removable so that you can fit in a low profile orthotic if you want to.

J-41_Dorsal

All in all, if you are looking for a comfy, cute wide shoe, then J-41 may just be the right for you. And, as of today, you can still get this style at Zappos.com.

Shoe Review – New Balance 1123 Excessive Forefoot Wear

I have reviewed New Balance 1123 in a previous post https://drshoe.wordpress.com/2009/04/13/breast-cancer-3-day-shoe-review-new-balance-1123/.

New_Balance_1123_Medial

This has been one of my favorite shoes for the wide, deep foot. It’s especially good for walkers due to it’s wide base and seemingly firm midsole. Or, so I thought.

Today, someone came in having worn this shoe while walking for the few past months with a recent onset of ball of the foot pain (metatarsalgia). When I turned the shoe over, I was shocked to find that the thin firm, rubber outsole had worn clear through, exposing a butter soft EVA midsole. The midsole was so soft in fact that it provided little in the way of forefoot shock absorption, causing the ball of the foot to be pounded with each step.

NB_1123_Bottom

If you own this shoe, make sure to check the outsole monthly. If it has worn down like this shoe has, replace it immediately or you may do your feet severe harm. Otherwise, I still like this shoe.

Shoe Review – Saucony Progrid Omni 8

Progrid Omni 8 is a departure from the 7 version in that the 7 had both moderate and ultimate styles depending on how much stability you wanted. The Progrid Omni 8 is closer to the 7 moderate version in medial EVA firmness as shown below.

Progrid_Omni_7_v_8_Medial

The other big difference is sizing. Progrid Omni 8 runs 1/2 size shorter than Progrid Omni 7. Therefore, if you’re used to wearing a size  10 in the Omni 7 then you will want to size up to a 10 1/2 in the Omni 8.  Below is a comparison length between Progrid Omni 8 W and Asics GT-2140, both in women’s size 8. The 2140 is true to size whereas the Omni 8 is not.

Progrid_Omni_8_v_2140

Shoe Review – Brooks Adrenaline GTS 10

Thank goodness, Brooks has debuted Adrenaline 10. I count  on Adrenaline to fit the most narrow foot, which is why the Adrenaline 9 was such a disappointment. Prior versions were perfect, but version 9 had changed so much from prior versions that it would no longer fit the narrow foot properly. Here’s my post about it.https://drshoe.wordpress.com/2009/02/04/shoe-review-brooks-adrenaline-gts-8-vs-gts-9/.

Now however, I am happy to report that Adrenaline 10 rises to the level of fit for the narrow foot that all versions prior to 9 had. What a relief. This is a classic case of “if it ain’t broke, don’t fix it” and Brooks has been restored to their rightful first place in helping runners with narrow feet find a perfectly fitting running shoe.

As an added bonus, the overall look is much more stylish and sleek making this shoe even nicer. Thanks Brooks and thanks JY for bringing these shoes in for me to evaluate.

Adrenaline_10

Shoe Review – Saucony Hurricane 11

I have previously reviewed the Saucony Hurricane 9 and 10 https://drshoe.wordpress.com/2008/08/12/shoe-review-saucony-progrid-hurricane-9-vs-10/ and Saucony has now released version 11. Overall I like the changes to the 11, but this model has even less volume than the 10, which may be a problem if you’ve been wearing this shoe for it’s roominess.

One of the changes I especially like though  is a thicker forefoot midsole which is great for added cushioning at toe-off as seen below.

Hurricane_2009_Medial

The waist of the 11 is also wider than the 10 providing much better midfoot support and help with pronation.

Hurricdane_2009_Plantar

My only problem with this shoe is how expensive it’s become ($139). Each new version is $10 more than the prior. At this price point the shoe is OK but better designed and less expensive, similar shoes include Adrenaline GTS 9 or Asics 2140. I even prefer Saucony Guide Shoe to this shoe in terms of overall design and fit.

Brooks Introduces New Colors – Beast and Ariel

Brooks is staying cutting edge by not changing the shoe, but giving you more color choices instead. They just released two new colors in the Beast model and one new color in the Ariel model. I am a fan of both of these shoes and have blogged about both before: https://drshoe.wordpress.com/2008/11/05/shoe-review-brooks-ariel-old-vs-newhttps://drshoe.wordpress.com/2008/01/21/shoe-review-brooks-beast/. FYI as of today, Brooks does not have all the colors available on their site, so Zappos.com is a good place to go instead.

Beast_New_Colors

Ariel_New_Colors

Shoe Review – Saucony Progrid Echelon

If you are a runner who doesn’t pronate too much and need maximum cushioning or shock absorption then Saucony Progrid Echelon may be the shoe for you.

It’s upper is similar in design to the Progrid Stabil 6 https://drshoe.wordpress.com/2009/02/04/shoe-review-saucony-grid-stabil-vs-progrid-stabil/ without the firm EVA medial midsole. It’s mesh cutouts also help if you have bunions or hammertoes.

Echelon_Side

The outsole doesn’t hourglass much which is helpful if you have a wide or high arched foot or just need extra width to keep from spilling over in this area.

Echelon_bottom_2

Breast Cancer 3-Day Shoe Review – New Balance 1123

Having completed the first Avon Breast Cancer 3-Day walk (1998),  I know all too well how grueling the training and walk itself can be. I am therefore always pleased when I can recommend a shoe which withstands the demands and rigors this event requires. New Balance 1123 is a running shoe which provides maximum support, stability and it even has pink trim!

nb_1123_top

This shoe is a tank and it works for wide and deep feet. It also has mesh on the inside which works if you have a bunion. It has medial and lateral midsole EVA and no hourglass in the waist which especially helps if you pronate.  Bottom line, this is a really terrific shoe but pricey, so make sure you use your 3-Day discount card when purchasing.

nb_1123

Here is my other New Balance 1123 Post https://drshoe.wordpress.com/2009/11/11/shoe-review-new-balance-1123-excessive-forefoot-wear/

Shoe Review – Asics Gel Evolution 4 (Men’s)

Trying to find a shoe for a wide foot can be a problem, especially if your foot is deep and wide. Many podiatrists tend to go with Brooks (Addiction) or New Balance (1123) which isn’t always the best choice. In fact, Asics Gel Evolution in many cases is a much better choice, especially if you wear size 2E.

evolution_4_1

As this image below shows, the Gel Evolution in Wide (2E) is much wider than the Brooks Addiction in 2E. It is also has a firm heel counter making it much more stable than the New Balance and much better overall for pronation control in addition to being lighter weight.

evolution_addiction evolution_4_medial2

Bottom line, if you have a wide foot and are wishing for sleeker design, lighter weight, stability and motion control in your running shoe, then Asics Gel Evolution 4 may be just right for you.

Shoe Review – Saucony Grid Stabil 6 vs. Progrid Stabil CS

I recommend Saucony Grid Stabil 6 daily for narrow feet needing a lot of support. This year Grid Stabil was replaced with Progrid Stabil as Saucony’s ultimate support shoe. Unfortunately, Progrid Stabil is nothing like  Grid Stabil and if you wear this shoe, you may be headed for injury if these differences matter to your foot type. Here are the major differences.

  • As the image shows below, ProGrid Stabil is flexible whereas the Grid Stabil is not. Rigidity is important if you pronate excessively or have forefoot pain.

progrid_stabil_1

  • Medial Midsole – The Grid Stabil has a firm medial midsole whereas the ProGrid Stabil has a less firm (softer EVA) midsole. If you are a heavy pronator, you need a firm medial midsole.
  • Deeper Upper – The ProGrid Stabil has more more mesh, is wider and has a deeper uppr than the Grid Stabil, making the shoe much wider overall. This is not good if you have a narrow foot and will cause your forefoot to move side to side motion more, which may cause pain.

grid_stabil_medial_progrid_

  • Flex Grooves – The Progrid Stabil has an additional flex groove which create more forefoot flexiblity. One of the reasons I like the Grid Stabil isthat it doesn’t flex in the forefoot. The same cannot be said of the Progrid Stabil. The Grid Stabil is also narrower overall than the Progrid Stabil.

gird_stabil_v_progrid_stabi

In summary, the Progrid Stabil is not the same as the Grid Stabil. It’s wider, deeper and less stable. If you have a narrow foot and you need firm medial support and an inflexible forefoot, then the Brooks Addiction is a better choice than the new ProGrid Stabil. If you have a medium foot, then Saucony Guide is a much more stable shoe.

Shoe Review – Gel Kayano 15 vs 14

The new Gel-Kayano 15 recently debuted and at first glance I was very excited. The Gel Kayano is at the top of my list for narrow, shallow feet and is narrower than any other of the current Asics available now.

1. Toebox Depth and Length – The 15 has a deeper toebox than the 14 which helps for those whose 5th (baby) toes were getting crowded or develop a corn when wearing the 14 which was the biggest problem I found when people switched from the 13 to the 14.

It also is slightly longer which helps if your heel to toe measurement is bigger than your heel to ball measurement. https://drshoe.wordpress.com/2007/12/05/size-matters-heel-to-ball-vs-heel-to-toe/

5th_toe_corn

kayano_15_v_14_depth2

2. Midsole Construction -This is a significant change from the 14 and may create problems for many runners who were otherwise running pain free in the Gel-Kayano 14. The design is more like the Gel-Nimbus 10 which is one of my least favorite shoes.

kayano_14_15_heel

kayano_14_15_midsole3

The 14 has much more EVA in the lateral (outside) midsole than the 15. This means longer wear and greater support at heel strike with the 14 than the 15.

This difference is HUGE, so make sure if you decide to upgrade, you have a professional evaluate you in both pair as the 15 may make your heel strike more wobbly causing things like ankle sprains or tendonitis. Everyone doesn’t necessarily need firm lateral EVA but if you do, you would be better off with the new 2140 than the Gel Kayano.

3. Asymmetrical Lacing – According to Asics this system of lacing “conforms to the bony structure of the foot for an enhanced fit” – My findings and common sense both say, No. In fact this lacing tends to pucker the toebox area for a worse fit, creating an elf-shoe-like appearance with no benefit whatsoever, except maybe irritation at the base of the toes. In fact, I wound up re-lacing as below to simulate a normal (and better) straight lacing design. If you wear this shoe, I would recommend that you do this too.

kayano_assym_lacing

All in all, I’m very disappointed in the Gel-Kayano 15 and will probably not be recommending this shoe for as many of the runners that come in as I did with the 14.

Note – I have also reviewed Gel-Kayano 16, the post can be found at https://drshoe.wordpress.com/2010/01/31/shoe-review-gel-kayano-15-vs-16/

Shoe Review – Asics 2140 Has Arrived!

When Zappos.com puts  a particular running shoe on sale, it’s usually because they are clearing the way for an upgraded model. This is the case with the new Asics GT-2140 which are replacing the GT-2130.

Unfortunately, these two shoes are not the same.

1. Width – The 2130 is much wider overall than the 2140. Great if you have a narrower foot, not so great if you have a neuroma, metatarsalgia (ball of the foot pain) or a bunion. If you have these conditions, you will want to try both the medium and wide widths on to determine which fits the best.

2130_vs_2140

2. Toebox Length – 2140 has a longer toebox with a more acute pitch than the 2130. This will benefit those having a longer heel to toe than heel to ball.

asics2130_vs_2140_side

Overall, I like the new look and slightly more cushioned design of the new 2140. My only concern is how narrow it is. In fact it reminds me more of the older 2120’s. All in all though, this is a great stable shoe which will also accommodate an orthotic perfectly.

Shoe Review – Saucony Progrid Guide

If you have a shallow foot then the ProGrid Guide may be the shoe for you. This is one of my favorite shoes because of it’s stability and fit, available in both medium and wide widths.

The Saucony Guide is similar to Asics 2130 but is around $10 less, which helps.

guide_2130_top1

It has a removable insole which can accommodate an orthotic and has mesh in the inside and outside of the forefoot which helps if you have bunions and need a little extra room here.

guide_2130_side

It is torsionally stable (doesn’t twist) and has an inflexible forefoot sole which not only prolongs wear but also prevents excessive pronation or rearfoot collapse.

guide_2130_bottom

Shoe Review – Brooks Ariel Old vs. New

I have always been a fan of Brooks Ariel for the wide, deep foot. The shoe is torsionally stable with a stiff heel counter and an inflexible forefoot sole. Recently Brooks changed the model which may or may not be a good thing depending on your foot volume.

The first change is toebox depth. The old Ariel (left) is shallower than the new Ariel (right). If you have a deep foot than this will be great. It’ won’t be great however, if you’re wearing the old Ariel and it was already too deep in the toebox.

ariel_depth

The next change is overall length. The old Ariel is shorter, given the same size, than the new Ariel. This only applies to the toebox length, as the heel to ball measurements remain the same in both shoes. This will matter if your heel to ball is a 9 and your heel to toe measurement is a 7, because the extra toe box length may make the shoe uncomfortably long for you.

ariel_side1

The back of the shoe in the old Ariel is lower than the back of the shoe in the new Ariel. This change is generally a good thing, as the new Ariel will accommodate an orthotic as well as reduce heel slippage.

ariel_heel_counter_depth1

In summary, the new Ariel is deeper, wider and longer than the old Ariel. For many people who wear this shoe, the changes won’t matter. However, if you try them on and it seems you’re swimming in them, you might want to try the Brooks Addiction which is also deep but a bit narrower.

Hallux Limitus vs. Hallux Rigidus

Reader Mike writes“I was recently diagnosed with functional hallux limitus after developing a strong interest in hiking (and having never done any other long distance running, or walking type things before that) Do you have any recommendations for a good hiking boot/shoe? I’m currently using Montrail CTC.”

Hallux limitus is a condition whereby the big toe joint becomes restricted during weight bearing but is otherwise healthy, hence the name functional. In this condition you still have cartilage with little to no arthritis in the joint. Pain arises with excessive flexion of the great toe or while standing due to pronation and rolling onto the big toe joint, causing restricted motion.

In Hallux rigidus, the great toe joint becomes arthritic with associated cartilage loss, resulting in bone on bone motion which is very painful. This is a structural problem usually requiring surgery to correct.

In hallux rigidus, you want to stop motion, in hallux limitus you want to improve motion. For both conditions an inflexible or stiff soled shoe is usually best which fortunately most hiking boots have. I have several patients with hallux rigidus, who I have wear only hiking boots becuase this eliminates the pain. For my hallux limitus patients I can usually stop the pain by getting them into shoes that are primarily inflexible in the forefoot. Montrail CTC is a classic example of this. Custom orthotics can also help since they improve big toe joint function.

For even more information about hallux limitus read my other post https://drshoe.wordpress.com/2008/01/08/shoe-design-for-hallux-limitus-ie-turf-toe-non-bunion-pain/ which talks about sole design.

Difficulty Fitting Orthotics Into Shoes

JLC writes I have very high arches and just bought my first custom orthotics but have not yet found a pair of shoes that work with them.”

Finding shoes to accommodate an orthotic can be a challenge. If you are ordering orthotics, be sure to show your podiatrist the shoes you plan on wearing them in, so that an appropriate pair can be made. If you’re primarily wearing flats and your orthotics are made for tennis shoes, they generally won’t work in your flats.

On the other hand, if you already have orthotics the profile may be able to be reduced, i.e. narrowing and/or removing length. A 3/4 length orthotic works just as good as full length orthotic, so shortening can usually help. The below images illustrate this principle.

Unfortunately, most non-athletic shoes will not accommodate an orthotic. Typically orthotics are too bulky unless your podiatrist orders a “dress shoe” or lower profile pair. This type of device is illustrated below. If you never wear athletic shoes, then this is the type you should have for your shoes. This style of device is sometimes called a cobra based on the design shape.

An orthotic made for a pair of flats or dress shoes will never be as good as a pair for athletic shoes, so if you can it is always best to have both pairs. Generally the 2nd pair is not as expensive as the first which helps.

 

Shoe Review – Brooks Addiction 7 vs. 8

The Brooks Addiction is similar to the Beast in that it is wide, deep and very stable which is good for heavy pronators. Recently the Addiction 8 was released and it is a significantly different shoe than the Addiction 7.

Toebox Length and Depth – Substantially longer toebox in the Addiction 8 vs. the 7. This may be good or bad depending on whether your heel to ball or heel to toe measurement is longer https://drshoe.wordpress.com/2007/12/05/size-matters-heel-to-ball-vs-heel-to-toe/ The toebox depth in the Addiction 7 is much deeper than in the 8, or put differently, the 7 has more overall volume than the 8.

Width and Outsole Shape – The Addiction 8 is much narrower and has a much straighter last than the Addiction 7. If you have been successfully wearing the 7 you may need to go wider in the 8.

Overall, I’m pleased with the changes and much prefer version 8. It is more streamlined and proportional to the average foot than then 7. If however you have short toes, then you may want to try the Brooks Dyad, which has a shorter toebox than the newer Addiction 8.

For my review of Addiction 9 see the following post https://drshoe.wordpress.com/2010/08/03/shoe-review-brooks-addiction-8-vs-9/