Choosing Shoes That Promote Healthy Movement

This is Part III of Dr. Amanda’s series on the Foot-Shoe Connection

Many people wear shoes that actually immobilize their feet. While highly supportive and well cushioned, these shoes lead to restricted movement and additional stress on other parts of the body. By analyzing foot function and footwear, we can address the root cause of the pain, rather than just treating the symptoms.

Choosing the right shoe is more than just a matter of comfort—it’s an essential part of managing and preventing pain and dysfunction.

Key Features to Look for in Footwear:

When selecting shoes, consider the following elements:

1. Toe Shape: Shoes should allow your toes to spread naturally. Avoid shoes that cramp your toes, as this can lead to poor foot alignment and discomfort.

2. Arch Support: Observe how your arches behave when you stand. If your arch collapses, it can lead to improper alignment and pain further up the body. Shoes should support the arch without overly restricting movement.

3. Flexibility: A good shoe should bend easily, allowing your foot to move naturally. Rigid shoes limit your foot's ability to function properly, leading to compensatory movements that can cause pain.

4. Heel-to-Toe Drop: The difference in height between the heel and the toe, known as the heel-to-toe drop, should be minimal. A high heel-to-toe drop can alter your posture and gait, contributing to pelvic tilt and lower back pain.

5. Cushioning (Stack Height): While cushioning can provide comfort, excessive padding, particularly in running shoes, can change the way your foot interacts with the ground, leading to altered mechanics and potential discomfort

Recommended Shoe Brands

Based on these criteria, we often recommend the following brands to our patients:

  • Flux: Flux shoes offer a bit more cushioning while still maintaining flexibility and minimal heel-to-toe drop. They are particularly good for those who need a comfortable yet supportive shoe for everyday activities.

  • Xero Shoes: These are extremely flexible and minimalist, designed to allow the foot to move as naturally as possible, making them a good option for those seeking to strengthen their feet and improve overall foot function.

Choosing the right shoe is more than just a matter of comfort—it's an essential part of managing and preventing pain and dysfunction. By understanding how your footwear affects your body, you can make informed decisions that support your overall health. Not everyone can go to a more minimalist shoe right away, so contact us if you would like more information!

If you're experiencing persistent pain and haven't considered your shoes as part of the issue, schedule an appointment with us so that we can make an assessment and assist you in evaluating your options.

If you missed the first two posts on this topic, Find them here: Part I, Pelvic Health and Part II, Low Back and Hip Pain

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Managing Low Back Pain in Pregnancy: The Role of Pelvic Floor Physical Therapy

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Footwear, Gait, and Posture: Addressing Foot Issues to Relieve Lower Back Pain