If we walked barefoot and had equally long legs we would have a perfect natural gait…but if one leg is longer than the other the rest of the body would be out of kilter and this would affect hips, back, neck, knees etc.
A qualified shoe fitter will often look at the wear pattern on your shoes to see if your gait pattern is irregular and may suggest how they can help, or refer you to a Podiatrist/Orthotist.
The information below has been written to help you understand the essentials of good shoe fitting, the problems you may encounter and how to avoid them.
One of the most important yet most abused parts of the human body is our feet. Feet are designed to take body weight and give mobility.
Whilst vast amounts of money are spent in educating people to look after themselves nutritionally and physically, little effort is made to educate them on the importance of foot health. Feet are therefore crammed into the most unsuitably shaped shoes, made with inferior materials which then become quickly misshapen and uncomfortable. For a child this is particularly dangerous as their bones and gait are developing. It is proven footwear can cause long-term damage – some problems visible immediately, some developing over time.
Feet are only given a thought when they hurt. There is no doubt that from birth to early teens feet are at their most vulnerable, in fact there are 26 bones in the foot, and they do not completely ossify (harden) until around the age of eighteen. Qualified shoe fitters and podiatrists spend the majority of their time trying to correct damage and ease discomfort that could have been avoided if shoes had been correctly fitted when purchased.
Useful pointers when buying footwear – particularly for children:-
1) Have feet measured by a qualified fitter. Do not be afraid to ask what qualification the staff have attained in your shoe shop. Both feet should always be measured for size and width, because one foot may be different from the other. The larger foot usually dictates the size needed.
2) A fitting gauge is merely a guide. Fitting gauges all vary in calibration – no two gauges will measure the same. Sizes and fittings vary dependent on style, country of origin, manufacturer etc. There is no standardisation of shoe sizing in the UK that is why a qualified shoe fitter is so important to interpret the correct shoe for the shape of the foot. What it says on the Fitting Gauge may not be the size or fitting you actually require, it is only a starting point.
3) Feet may be “measured” sitting or standing and foot gauges are calibrated accordingly, but the final assessment should be made whilst standing (secondary fit), as the feet spread when standing weight is applied.
4) Buy footwear made of natural materials e.g. leather, cotton etc. as these materials breathe and mould to your foot. Man-made materials e.g. plastic; make feet perspire and return to their original shape – this can cause fungal infections and abrasions. Some materials have been treated with chemicals to allow them to breathe i.e. Goretex and Sympatex, and these are often found in linings, leisurewear and clothing.
5) Look after your shoes. Polish them and they will look better and last longer. Protect nubuck with spray before wearing to keep clean and repel water.
6) Diabetics should take extra special care of their feet and eyes; they can be problem areas. Shoes should always be comfortable and feet kept warm and dry. Make sure shoes and hosiery are secure – but not tight.
7) Wedding, Christening, day at the races? Wear the right shoe for the right occasion! Ladies – think shoes before outfit for your special event – your shoes will stay on far longer than your hat and will be worn a lot more often than your outfit after the event. Comfortable feet will keep you smiling for the photographs – and a gorgeous dress ceases to look gorgeous once you remove your footwear.
8) When does a child need their first pair of shoes? The simple answer is “when the child is walking most of the day unaided and wants to walk outside”. At that time the child needs a pair of shoes to protect his or her feet. This can be between seven months and two years. Never push your child to walk if they are not ready, just because your friend’s child has been walking for months, they all have different levels of development and some may talk, or read, or write, or crawl etc. before another.
9) Look for shoes that are available in different fittings. The type of shoes you choose for an infant should be designed around the shape of the feet (slim at the heel and wide at the front). Ideally they should also be made in a variety of width fittings, after all there is no standardisation of shoe sizing and feet do not conform to a standard either.
10) Children’s shoes need to be adjustable with a lace/strap/Velcro fastening across the instep, to allow for a finer adjustment without restriction, giving a better overall fit and allowing for thicker/thinner hosiery, also more room if feet get hot and swollen.
11) Never rely on the question “do they feel comfortable?” when fitting very young children. Distortion and cramping can be present without feeling pain and discomfort, and children will often say shoes are comfortable if they like them! If in doubt ask a Supervisor for a second opinion at the time of purchase.
12) Children’s shoes should be professionally checked for correct fit every 3-6 weeks for infants (0-3 years) 6-8 weeks (3-4 years) and 10–12 weeks thereafter. That is not to say your child will need new shoes each time their feet are measured – a qualified shoe fitter will not sell a pair of shoes unless needed, and will be happy to measure and advise accordingly. Children’s feet grow erratically in fits and starts; during this period feet can grow by at least half a size, so it is wise to regularly visit your fitter for advice. Walk out of any shop that asks you the size of your child’s foot and then takes your word for it without checking.
13) Never hand shoes down, they take on the shape of the previous wearer – they will rub and not support in vital areas and can harbour infections.
14) Monitor your child’s sock drawer and discard outgrown or misshapen socks. Buy cotton or wool socks, avoid stretch socks, and check toe seams for a “casting-off” knot that can rub toes (particularly important if you have diabetes). Socks and baby-grows that are too small at the toes, will restrict growth and circulation.
15) No one style of shoe has been designed or constructed to meet every need. Structured shoes are needed for every day support, plimsolls and trainers for sports and occasional wear, and Wellingtons for wet conditions. The right shoe for the right occasion!
16) Back-to-School time is known as blister season because it is often still warm and active feet get hot and sweaty. When they go back to school in new shoes there is a possibility of rubbing. Only let them wear their shoes with socks on. Let them wear their new shoes indoors at home for short periods prior to wearing all day at school.
17) Saturday’s are the busiest days for shopping, so if you and your child need advice, try to find a quieter time in the week to seek assistance.
To keep your feet fit and healthy, you may like to try some exercises below? However, if you have any concerns about your feet, always seek professional advice from your Podiatrist or G.P. and for shoe related queries; a qualified Shoe Fitter from The Society of Shoe Fitters.
Keeping Feet Fit and Healthy …
• Whatever your age, keep your feet clean and dry! Always dry thoroughly between your toes to avoid fungal infections and irritation.
• Cut toe nails straight across – they can become ingrown if shaped like fingernails (the shape should resemble a TV screen). Don’t allow toe nails to grow too long as they will damage hosiery and rub on your shoe uppers.
Reflexologists believe that our feet map the up’s and down’s of our lives and general well being. At differing times in our life, our feet and ankles suffer from aches and pains, and you may be advised to do some foot exercises to strengthen and relax your muscles. For children, you need to make this fun, so we have put together some enjoyable exercises that will benefit both you and your family. Whether you need to correct a problem or help yourself relax…why not give them a go?
Lose your Marbles… Pick up the marbles with your toes one by one and pop them into a container – not as easy as it sounds! Different sized bottle necks or jars, makes it a skilful game.
Move over Monet!… Choose a subject i.e. animal, fruit etc. and holding a pen or chalk between your toes, see what masterpiece you can create. For younger children, take them outside with a bowl of water-based paint and an old roll of wallpaper and watch them make footprints and patterns with pieces of sponge.
Toe the Line… Children love to balance and will often copy circus performers walking the tightrope. Roll out a line of ribbon or string and ask them to tiptoe to the end…and then tiptoe backwards…if you fall off you have to start again. If you think that’s easy – you try it!
Picnic blanket… Lay a towel under your feet (sitting or laying) then gradually ‘claw’ it into a scrunched up heap. Find the corners with your toes and smooth it back out again.
Bath Time… Whilst sitting in the bath, pick up your sponge, flannel or anything else off the bottom.
The following exercises are ideal whether in the office, watching TV or if travelling long distance in cramped conditions, to help avoid DVT (deep vein thrombosis)…
Around the Clock… Sitting or laying comfortably follow a circular motion with your foot – not your leg, clockwise then anti-clockwise. This will strengthen your ankle muscles.
Wiggle… Regularly wiggle and separate your toes one by one. Whatever time of day, wherever you are and whatever your footwear, you should always be able to wiggle your toes….hmmm enjoy!