• What Shoe Is Best? Shoe Buying Tips

    by Dr. Don Pelto
    on Nov 13th, 2018

Here is a lecture done for the Worcester Senior center with shoe buying tips. Below you will find the link to the different resources mentioned in the video.

https://www.postwire.com/page/5be181fc84350f51db94286a

Transcript of Video
 
so let's talk first about what type of
shoe is best for you okay and I have a
few points here a few questions you
should ask about buying the the proper
shoe the first question is do you have
diabetes because when you have diabetes
you have to be a little bit more careful
when you buy shoes and when you have
diabetes there's a few things that we we
we look at that are make it dangerous
okay if you have diabetes and don't have
any problems you can probably wear any
shoe that you want and you're probably
going to be okay but what happens is
when you have diabetes for a long time
and your insulin is high and your blood
sugars are high that can affect a few
different areas on your body
the first area that it can affect it can
affect your nerves and some people with
diabetes they start to lose the feeling
in their feet does anyone know what
that's called neuropathy
so neuropathy means it's its path a path
og of the nerve so the nerve is injured
and you and you lose the feeling in your
feet so what would be the problem of
wearing a bad shoot if you have
neuropathy what do you think could
happen to you do you think there would
be a problem what would happen support
that would be one but there's how what
if your shoe is too small
what's gonna happen if you're wearing a
shoe that's too small you and you don't
know because you can't feel it's it
would constrict it what else
how about create a blister create a
bunion but that's going to take some
time the biggest problem with wearing a
shoe that's too small is that it can rob
because there's not enough room it's
kind of like if you if you buy a new
shoe and you have good feeling and you
wear it it hurts doesn't it but what
happens if you don't have that that hurt
feeling it you're gonna keep wearing it
and it's going to cause pain it's gonna
cause a blister now something else that
can happen I had a patient come in last
week she didn't change her shoes but she
had this problem that we talked about of
neuropathy and what some people do I
don't know if you guys do this but what
she did is
she got done wearing her shoe she took
her sock off and he shoved it into the
front of the shoe do you ever do that no
but some people do they take their sock
off they put it in their shoe and she
forgot about it what me she was gonna
make me wear it later on and she forgot
she went to wear that shoe a couple of
weeks later she put the shoe on and she
didn't feel the sock in there because
she had neuropathy and then when she put
the shoe on her feet her toes crunched
up and she ended up losing a couple of
toenails getting a blister and she
didn't know why when she came into the
office she said doctor I don't know
what's going on here I lost a couple of
toenails I have a blister and she didn't
know why and I asked her did you get a
new shoe did you change your shoes she
said no I put my hand in her shoe and I
find her sock there she didn't feel it
because of that problem called
neuropathy so that's one of the problems
that can happen with diabetics it's not
everyone but if you have it you have to
be you have to be checked and you should
know about it the other problem that
affects people with diabetes is is it
can affect your circulation or the blood
flow people with diabetes they tend to
have poor blood flow to their feet when
you have poor blood flow that's a
problem and it's a problem because if
you develop a blister it's gonna take a
lot longer to heal or if you have
another problem it's gonna take a lot
longer to heal or if you have an ingrown
toenail or if you have any problem you
could think it's an ingrown toenail but
really it's a problem with circulation
and if you have the wrong shoes that are
too tight that aren't fitting properly
they could cause a blister and cause you
a problem so that's the second problem
with diabetes okay and the third problem
really is if you have a foot problem
let's say I have a bunion or a hammer
tool or some something that makes your
foot block not look normal and you wear
a shoe
it could cause a problem right but
that's not really anyone can get that
it's not just people with diabetes but
but people with diabetes you need a
special shoe if you have neuropathy or
poor blood flow what type of specialist
- do you need there's there's a couple
of types
of shoes they're called diabetic shoes
most of the time your insurance covers
them okay there's a couple of stores in
town you need a prescription from either
your endocrinologist or your primary
care doctor or your podiatrist and they
can get you a shoe that's appropriate
usually that shoe has a little bit more
depth than the toe box meaning it's not
going to squish your foot and it's gonna
have a couple of inlays in there that's
gonna that are going to give more
cushion and reduce the calluses and
things like that so that's one thing you
have to be aware of if you have diabetes
also if you have a flat foot you have to
be careful because when you have a flat
foot you're going to need a little bit
more arch support and that's going to
give you more space in your shoe also
you have to be careful that your foot
doesn't collapse there's other problems
sometimes you need a brace so you have
to be aware if you have a really flat
foot not every shoe is going to work for
you and it may make your your feet more
tired if you have flat feet now and also
do you have a wide foot how wide is your
foot if it's really wide a lot of shoes
that they say are wide really aren't
wide even if you buy you go to the store
and you buy a doubly triply a lot of
times the width isn't appropriate and
I'm going to teach you a little
technique to see if the shoe is wide
enough for you because a lot of the
problems come if you wear a shoe that's
not wide enough or this is another
problem right now we're going from
summer to fall to winter so you're gonna
bring out some new shoes that you
haven't worn maybe in a few months and
the problem is a shoe that you wore last
year might not fit you this year and one
of the problems is is that when you're
wearing it throughout the summer for
example or through the fall and winter
that shoe stretches out the leather
stretches out but then after you don't
wear it for six or seven months what
happens that leather hardens and then it
doesn't stretch as much so you could
have a problem with the shoe you can you
could have been wearing the shoe for
years and years when you only wear it
for a few months and if it's not
stretched out enough it's going to give
you a problem it might and might cause a
blister blister it might cause a problem
so one of the tips that I want to give
you for finding the right size shoe is
pretty simple do you see what they're
doing here this is someone they took off
their shoe and they have their sock on
and what they're doing with this pencil
or this marker is they're tracing their
foot this is really important if you
have a wide foot so you step on a piece
of paper and you have someone else trace
it for you then when you go to the store
you you take that and you see if it fits
in the shoe or even better yet you take
the shoe the shoes have a sock liner you
know what a sock liner is basically it's
that that thing inside the shoe that
says Nike New Balance Asics it's that
thing that you pull out and a lot of
better quality shoes they have a sock
liner that comes out so what you do is
you take this tracing in and when you do
this tracing you actually cut it out
with the scissors kind of like arts and
crafts and you trace it you cut it out
and you bring that tracing and you take
the shoe and you pull the sock liner out
and you see if it fits and if you find
that the tracing on your foot is a lot
wider it's not going to be the right
size for you and you know what you're
probably gonna find out most shoes are
too narrow for your foot and that's just
the truth because the people that make
shoes they're making them for these
mannequins that don't really exist and
especially for females what happens with
a female every time you have a child and
if you've had two or three children your
foot size goes up your foot size goes up
a half size or a full size and sometimes
it might get wider sometimes it might
get longer and another thing you have to
be aware of
just because you've always been a size 6
or size 7 you should go and have them
measure your foot don't just assume I've
always been a size 6 and by a size 6 you
have to try it on you have to have
someone professionally measure it
because that the brands change just
because you're a size 6 in a clark
doesn't mean you're going to be a size 6
6 and
a six or a size six because there's
hundreds of shoes and they all make them
on a different format that's called a
last and so it differs so you should
really be fit in size every time but
this is a good tip take a tracing of the
shoe with you good tip for you another
tip to find it wins the best time to
shoe shop I just gave you the answer if
you read it when's the best time is the
best time in the morning
know when when's the best time in the
afternoon why your feet expand at the
end of the day your feet are a little
bit bigger you feel a little bit more
swollen so what happens if you go and
you buy shoes in the morning when your
feet are not swollen and there's no
problem you're gonna buy it but by the
afternoon your foots going to be bigger
and that shoe isn't gonna fit you so
it's better to buy the shoes in the
afternoon and also it's better to buy a
shoe at a place where you can return it
I have so many patients they come in and
they say doctor I bought 10 or 20 pairs
of shoes and none of them fit or none of
them feel good so you have to find a
store in most stores if you if you get a
shoe and then you go home and practice
wearing it in the house and you don't
get it dirty normally they'll take it
back if it's not comfortable that's what
you need to find because if you don't
like your shoe you shouldn't keep it you
should give it away or return it or
donate it and talking about donations at
our office in Worcester we actually take
donations for shoes that people don't
don't need or don't want and they give
them their I think their athletic shoes
<div class="cue style-scope ytd-transcript-body-rend
Author Dr. Don Pelto

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