Thursday, May 17, 2012

Going barefoot? Think again....

What does a popcorn kernel, an earring post and a sewing needle have in common? They are just some of the items I have found stuck on the bottom of diabetic patient’s feet during a shoe and insert check…..and they hadn’t a clue.

Diabetics especially those with neuropathy know they must be diligent on checking their feet frequently. Without feeling, debris can embed into the foot and in no time at all an ulcer could appear.  

One the best ways to battle objects from attaching to your feet is to wear shoes and socks outdoors or protective sandals and at a minimum for indoors wear firm soled slippers while indoors.

I hear from many of our patients the dislike for wearing shoes in the warmer months. It really is a matter of changing your mindset and look for shoes that will work for you. If your feet tend to be too warm while wearing shoes, opt for styles that are breathable such as mesh or neoprene fabrics.

Remember, the fit is key. Always have your feet measured each time you shoe shop which includes length and width and realize the fitter may need to adjust the size depending on how the particular style runs in size. Don’t worry about the size on the box – it is the fit that matters.

If you don’t like to wear socks, consider the type of materials in the socks you own. Today’s fabrics are varied. Opt for moisture wicking fabrics to regulate your foot temperature fluctuation. Cotton socks are a great natural fabric however moisture is retained and not repeld as with technical fabrics.  

You may have also heard about the barefoot running phenomenon. This has been a controversial topic for many as the less is more concept has moved to shoes. Minimalist shoes are good cross training tools for biomechanically efficient feet. Speak to your Podiatrist for guidance and options to see if minimalist running is for you.

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