Category Archives: Shoe Fit

Cycling Shoes – Bunions

If you have a bunion, finding a cycling shoe that’s wide enough can be a challenge, especially if the rest of your foot isn’t wide. One solution is to find a shoe with mesh over the bunion which will be more forgiving than leather or vinyl trim. The image below shows an older model Pearl Izumi shoe which had trim over the bunion, making the shoe too tight.

In this case, the simple solution was cutting away the trim in the area of the bunion, to expose the mesh. This allows for expansion of the forefoot without compromising the rest of the shoe fit.

Shoe Review – Nike Air Max Assail Trail

Finding a trail shoe for a narrow foot is not an easy task. The Nike Air Max Assail Trail fits the bill even though it’s listed as a D-Medium width and not narrow. An added plus is torsionally stability (no side-to-side twist) and an inflexible, thick, shock absorptive sole. This can help alleviate ball of the foot pain. It will also accommodate an orthotic which is great.

Skating Boots – Modifications

This is the same roller derby boot as my earlier post. https://drshoe.wordpress.com/2008/08/05/skating-pain-bay-area-roller-derby-girls/

These principles would work for any sport boot including hockey, figure skating and roller blading.

Although the modified lacing I previously blogged about helped, it wasn’t enough to alleviate all the outside of the foot pain, so I added permanent padding on the inside of the boot to off-weight the painful prominences and it worked like a charm.

Just because a boot isn’t custom, it doesn’t mean you can’t customize the fit. All you need is a creative shoe repair person and you should be fine.

Women’s Asics 2130 – Updated Colors

Women’s Asics 2130 is one of my favorite shoes. It works for narrow and wide feet, which are shallow in depth. It’s not quite as narrow as the now discontinued 2120 but it does come in a 2A width which is great.

Recently (7/08), Asics released new colors of the 2130 which is good or bad depending on what you’re looking for. The new version is slightly narrower and a 1/2 size shorter, than the older models. The new colors can be found on Zappos.com, in Black/Platinum/Cherry and Storm/Lightening/Hot Pink, which is the shoe below.

If you’re wearing the old version and purchase one of the newer colors of this shoe, carefully compare it to your existing fit. You may need to go up in size or width to get the same fit.

Shoe Review – Adidas Terrex Low Hiking Shoe

Narrow, shallow hiking boots are usually difficult to find. The Adidas Terrex Low Hiker is a perfect match to this foot type. It is torsionally stable (doesn’t twist) and has an inflexible forefoot sole which you want, especially when hiking on irregular terrain.

Here is what the Adidas Terrex looks like from the top and side views.

The following images compare the Adidas Terrex on the left with the wider North Face Furry, Gore-Tex, XCR on the right. Notice the difference between the outsole width. The Adidas is much narrower and shallower than the North Face.

The Adidas laces also extend closer to the toes, which provides more adjustability in the forefoot width than the North Face.

If you have a narrow foot and need a great lightweight low top hiker, then this shoe may just be for you.

Body Language Interview – Head to Toe

My public radio interview went live today on www.healthradio.net. You can hear the interview with show host Chris Springmann at www.bodylanguage.org – Show 5, Head To Toe, segment four, right after the vet interview. I would love to hear what you think!

Skating Pain – Bay Area Roller Derby Girls

Today, one of the Bay Area Roller Derby Girls (B.A.D.) http://www.bayareaderbygirls.com/ came in having outside of the foot pain and swelling, primarily in her new boots. The pain was partially due to the motion of skating (push off) and partially due to boot forefoot compression and tightness because the outside of her foot was enlarged in this area.

A simple fix is to modify the laces. Whenever a shoe laces, you can always skip the eyelets to increase forefoot width as above. Here are some other posts where I blog about lacing modifications.

https://drshoe.wordpress.com/2008/02/03/top-of-the-foot-bump/

https://drshoe.wordpress.com/2008/01/07/shoe-lacing-narrow-feet-hiking-boots/

https://drshoe.wordpress.com/2008/05/02/heel-slippage-improper-shoe-lacing/

Modifications Part 2 can be found at:

https://drshoe.wordpress.com/2008/08/11/skating-boots-modifications-part-2/

Spin Class – Arch Pain

Reader Pete asks “I have been in a spin class for 8 months. Recently I have developed chronic right arch foot pain to the point that it’s difficult to walk for several days after class. I have severe flat feet that pronate inward-no arch at all. I am cycling with cage on pedal. Would cleats be better for the foot pain? The problem is worse when standing or climbing.”

Sounds like you’re getting plantar fasciitis (arch or heel pain). Your flat feet are most likely the cause. As long As long as you have stiff soled cycling shoes, it shouldn’t matter whether you use cages or cleats. As for the pronation, you might want to try a non-custom orthotic and see if this helps. Superfeet are good, and they make a cycling specific insoles (new yellow below). 

Have you been to a podiatrist? If not, you should see one. He or she should be able to get you back on track (stretches, physical therapy, taping, custom orthotics) in no time.

Bunions – Increased Forefoot Width

Here’s an image of a bunion which shows what the condition looks like on x-ray from two different views.

A bunion is a drift of the bones about the great toe joint. As you can see from the above images two things generally happen with a bunion:

  1. There is an increase in the angle between the the first and second metatarsals (long bones)
  2. There is a drift of the big toe toward the 2nd toe.

The net effect is an enlargement of the big toe joint on the inside of your foot and a widening of the forefoot in this area.

Bunions can make shoe fitting especially challenging. Things to consider are soft materials over the bump like mesh or weave materials. You will also want to avoid stitching or decorative trim over the bump. And finally, shoe stretchers can also help, see my post https://drshoe.wordpress.com/2007/11/29/its-a-stretch/

Shoe Of The Month – Ash® Patent Leather Ribbon Lace

This is a beautiful and well designed shoe. Unfortunately, you won’t be able to find it anywhere online, as I just checked. It does however have some great features which are worthwhile to search for when buying a pair of high heels.

  1. The ribbon tie is adjustable accommodating different foot depths.
  2. The toe box is wide and rectangular which won’t pinch the toes.
  3. The heel comes straight down from the back of the shoe vs. offset, i.e. kitten style.
  4. The heel is 3″ which will work for most women.

The reason I don’t do many reviews on women’s shoes is because, whenever someone brings in a blog worthy pair, by the time they get to me the style has been discontinued. I therefore try and show you the design of shoes and what to look for.

Shoe Review – Saucony Progrid Omni 6 Ultimate

This shoe has a lot of mesh in the forefoot upper, which can help if you have hammertoes and /or bunions. The back of this shoe has a firm heel counter, which helps guide heel strike if you pronate excessively. This shoe also has firm EVA (ethyl vinyl acetate) in the midsole extending from the arch to the back of the shoe which makes it very stable.

A general rule of thumb is the darker (more grey) the outsole, the more firm or less flexible the shoe will be. This design feature helps those feet who need lots of support, especially at the rearfoot. The difference between the Ultimate and the Moderate version is the Ultimate has EVA which wraps around to the heel wheras the Moderate just has EVA in the instep.

The mens and womens version of this shoe come in medium and wide but not extra-wide and the toe-box is not too deep which can help fit considerably if your foot is wide and shallow.

Version 7 has just been released and from what I can see on Zappos.com, it looks to be essentially the same as version 6, but I’ll keep you posted if that changes. The other good news is, because version 6 is being upgraded, you can probably find this shoe on sale. At Sports Basement in San Francisco, this shoe is marked down from $100 to $64. Quite a deal for a well made shoe!

Shoe Review – Nike Air Pegasus Trail Shoe

D.M. came in today with his barely worn Nike Air Pegasus Trail shoes. He was recovering from a fractured sesamoid bone (small bone under the big toe joint) and wanted me to evaluate his shoes before he resumed running.

He had purchased the running shoes prior to his injury and spent over two hours in a specialty running shoe store, trying on every shoe in the store, because of his difficult to fit narrow foot. Finally, with the help of the sales staff, he found this Nike Air Pegasus Trail shoe. It was apparently rated highly by a runners magazine, which helped to close the sale.

The above image shows the shoe which on first glance appears moderately deep and wide, but I was keeping my fingers crossed, at least until I saw D.M. stand in the shoes.

Normally, the back area of the shoe (heel counter) should be perpendicular to the standing surface. As this image shows, the heels are turned out, which is not good for healing sesamoids, knees or alignment in general. No wonder he wasn’t getting better.

Moral of the story. Just because someone says shoe xy or z is the best shoe ever, make sure the shoe works for your foot and not someone elses. It could me the difference between healing and continued pain.

Shoe Review – Adidas 7406 Soccer Cleats

Finding a wide shoe for soccer is no simple task. Most soccer shoes fit painfully snug, so if your foot is outside of the bell shaped curve, trouble may loom ahead. I found this shoe for someone having serious ingrown nails, because of the narrow toebox fit. Luckily I found the Adidas 7406 which have a couple of great features and fit him perfectly.

  • The eyelets extend beyond the ball of the foot, closer to the toes. This allows for width adjustability. Many soccer cleats don’t lace down this far and if your foot is wide, this can really help.

  • The arch width doesn’t hourglass in like most soccer cleats, given the arch full support as seen below.

And the overall width is slightly wider than most other soccer shoes and has a removable sock line which will accommodate an orthotic if you need one.

Saucony Grid Stabil – Lock Lacing Design

Saucony Grid Stabil has incorporated lock lacing into their design. It requires longer laces and if you don’t know how to cinch up the excess laces using this method, you could just trip and fall. 

When you look at the eyelets from the side, lace through all of them just like this image shows.

Now, instead of making the bow on the inside, take the end of each lace and thread through the loop on the opposite side. 

Finally, cinch tight pulling the laces horizontally from side to side. This method of lacing will stay tight until otherwise loosened. The only down side… it takes more time to tie and untie and if you don’t have a problem with heel slippage, then you have excess lace length for no reason at all.

Shoe Review – Saucony Grid Stabil

Saucony Grid Stabil is one of my favorite shoes and I recommend it at least once a day for the narrow (rectangular) foot. Surprisingly it works for shallow (flat) and deep (high arched) feet, because it comes in both medium and wide widths. For a refresher on foot width determination, refer to my blog posting https://drshoe.wordpress.com/2008/01/14/narrow-vs-wide-feet/.

As for the construction, this is one of the few running shoes which is proportional, meaning the heel to ball and heel to toe measurements are true to size (https://drshoe.wordpress.com/2007/12/05/size-matters-heel-to-ball-vs-heel-to-toe/). It’s also deep enough to accommodate a sport orthotic once you remove the sock liner.

It has a non-collapsible heel counter which helps guide heel strike and it has a firm inside mid-sole (grey above) which helps with pronation or foot collapse. Lastly the toe box is shallow meaning it will pass the pinch test (https://drshoe.wordpress.com/2008/01/15/pinch-test-shoe-toebox/), providing a secure fit, if your foot is lower volume than most.

Shoe Review – Pikolinos Romana 8809

Pikolinos is a Spanish company which has been around since 1984. Because they are imported, their price is higher than a lot of US brands, but Pikolinos are well made using quality materials which helps.

Someone came in today having a bunion, wearing the above shoe. Notice how the flowers on the upper are actually cut-outs? This is a great design and many Pikolinos have similar styling. This open weave eases tightness over protruding bunions or hammertoes, making it a very foot friendly fit. The only problem with this particular style is it won’t fit a really wide foot. 

Other styles can be found at Pikolinos website http://www.pikolinos.com/

Shoe Review – Asics 2130 New vs. Old Differences

Asics 2130 is one of my favorite shoes and I recommend it daily. Today however, someone brought in a pair of the new 2130’s in the storm/lightening/hot pink color. Her previous pair were the white/gold/python color and much to my dismay, the shoes were not the same width.

The new 2130’s (right) were 5mm narrower than the old 2130’s (left), which makes the fit more like the old 2120’s which have been discontinued.

If this is your running shoe, make sure you check the width as subtle changes can make a big difference. If the new 2130 seems too tight, switch to the D width which will probably work.

Shoe Review – MBT’s (Masai Barefoot Technology)

Reader Joey asks “I need professional, non-biased opinions on the MBT’s”.

I reviewed MBT’s, on my 12/22/07 posting. Here’s the link: https://drshoe.wordpress.com/2007/12/22/cnettv-me-on-masai-barefoot-technology/

As an additional summary, I’m not a huge fan of MBT’s because they are heavy and expensive and don’t work at all for narrow or shallow feet.

Research the company cites to validate their findings were done on healthy college students, having little or no pathology. Not surprisingly, there have only been three studies, all sponsored by the company and none within the past several years.

Typically when someone comes into the office wearing MBT’s, I work with them to transition out of the MBT’s into a more normal type of shoe and I have never recommended MBT’s as a first line of treatment.

Wedge Sandals – Added Height without Added Pain

Ebony brought in this great platform wedge sandal today, purchased from Gap.

Platform style sandals are a great way to add height without increasing ball of the foot pain. This sandal has the added bonus of buckles at the ankle and over the top of the foot for even better fit. All in all this shoe rates an A for summer style and wear.

Shoe Review – FitFlops

Reader and Medical Student Tony asks “What do you think about the FitFlop?”.

I think FitFlops are great. They have nice wide straps and a thick, contoured soles. I have used them successfully with narrow, shallow feet (Wiley’s Felt Remedy required) and wide, deep feet. I don’t however believe the company’s claims about muscle work-outs, toning and trimming of the legs so don’t buy them for this reason.

If you’re looking for a fun, comfy, well designed, well made and well fitting flip flops, then FitFlops may just be for you.