Orthopedic shoes for flat feet

Many companies use leather substitutes and artificial materials. These shoes impair the air and heat exchange in the child's body, which poses a serious risk at this age. It can be difficult to distinguish faux leather from natural leather, but there are a few handy tips. Smell the shoes. Leather shoes should smell like leather.

Prevention of flat feet in adults

Flat feet are difficult to treat, especially restoring the arch of the foot is problematic over the years. While it is possible to restore the physiological shape of the foot early in childhood if the alarm is sounded at the right moment, this is impossible in adults. Prevention of the disease is therefore particularly important. The basis of prevention is the elimination of factors that promote flat feet:

• Unsuitable footwear;
• High body weight;
• Weakening of the ligaments:
• Long-term overuse of the feet;
• avoidance of orthopedic aids;

The orthopedist's recommendations for preventing flat feet in adults are as follows.

Choosing the right footwear

The choice of footwear should be made carefully from the first steps. The prevention of flat feet and the right choice of footwear for children are discussed in the relevant article; Here we will focus on the choice of footwear for adults.

1. Women's shoes for everyday use should have a stable, small heel (2-3 cm), and for walking - a heel of no more than 4-5 cm. In rare cases, stiletto heels may be permitted, provided the heel is of good quality and has not been worn for a long period of time.
2. Backless shoes should be avoided. Slippers should also have a back and secure the foot well so as not to put strain on the Achilles tendon.
3. The shoes must be the correct size. Tight-fitting shoes should not be worn. There should be a small gap between the longest toe and the tip so that the toes are loose and do not press against each other.
4. Shoes should be purchased in the afternoon when feet are widest.
5. Shoes should be selected based on their intended use - for running, for volleyball, for hiking, for walking, for work.
6. Shoes with laces should be untied before taking them off.
7. After walking, the insoles should be removed and dried.

Causes of flat feet

Flat feet very rarely occur in one consistent location. As a rule, these undesirable deformities arise from:

• wearing uncomfortable, poor-quality footwear;
• Low physical activity.
• overweight;
• Constant overloading of the feet.

Flat feet occur more often in people who are used to walking in low-profile shoes on flat surfaces (urban asphalt) and less often in people who find time to occasionally walk barefoot on rocky paths, grass or sand. In women, the problem often occurs as a result of significant weight gain during pregnancy.

In order to avoid serious damage to the musculoskeletal system, it is important to react to the first 'alarm bells' as early as possible and consult a specialist who can help choose suitable shoes for flat feet and recommend effective corrective exercises.

Symptoms of Flat Feet

To check how well formed your child's foot is, you can use this method of home diagnosis: smear your child's feet with paint or greasy cream and offer him to take a step on a blank sheet of paper. This will give you a clear impression of your child's foot and allow you to examine it for misalignments.

If the characteristic depression on the inner edge of the foot is less than half the width of the print or appears entirely on the sheet, contact a professional as soon as possible to confirm the diagnosis and receive advice on correcting the error.

Danger!!! This diagnostic method is not useful up to the age of 3, as infants still have an impressive fat pad in the sole area.

In adolescents and adults, flat feet are suspected if the feet tire quickly, pain occurs in the foot area after physical exertion, the ankles swell constantly or periodically, and there is a feeling that the width and length of the feet have increased.

Shoes with a flat sole

The comfort of shoes does not mean that they are safe. Shoes with flat soles do not support the arch of the foot in the physiologically correct position and do not protect the musculoskeletal system from shock loads when walking. The foot is 'flattened'.

There are also shoes with a flat sole that are not attached to the foot with laces and buckles. These are ballet shoes. They are loose and adhere primarily to the toes, causing the toes to constantly stretch and bend inward with each step. Like high-heeled shoes, ballet shoes can cause gait changes: talus and clubfoot.

The famous 'bunion', a deformation of the big toe, is the most common consequence of regularly wearing ballet shoes, sneakers, slippers and Uggs. The 'heel spur', which occurs because the flat sole cannot cushion the impact of the heel on the ground, is accompanied by severe pain. Such slippers cause more serious problems later - with posture and joints.

Such shoes should be replaced with shoes with a raised heel cap, a stable heel and a 'real' insole with a corset.

Shoes too narrow

Shoes that are too tight can constrict the foot. The front part of the foot cannot stand freely. The big toe and little toe are pushed inward and the middle toe is bent. This unnatural position particularly promotes calluses.

The crushed toes also do not participate in the smooth rolling of the foot from heel to toe. Walking is no longer easy and the joints are affected - the effects of walking with clenched toes are not uniform.

Tight shoes disrupt blood flow. This leads to numbness, cramps, early leg fatigue and swelling at the end of the day.

Therefore, shoes that follow the natural curves of the foot as much as possible should be preferred.

Difference between orthopedic shoes and regular shoes

The main elements that distinguish orthopedic shoes are.

• the scope. Until the age of 4, shoes should fit around the ankle;
• a high, solid heel cuff. This wraps the ankle tightly and keeps the heel in the correct position;
• a wide toe cap that prevents your toes from getting caught. Preferably closed toes so that the child cannot injure themselves;
• Stable and wide Thomas heel (max. height 5-7 mm). For children from 5 years;
• Flexible polyurethane sole, non-slip. The flexibility helps to form the correct roll of the foot. Rubber soles are not recommended by doctors;
• Orthopedic insole with footrest. The pressure when walking is distributed evenly across the foot, putting less strain on certain parts of the foot. The insole should lie flat and not move;
• Comfortable and comfortable. Nubuck, suede or natural calfskin are used. They allow the foot to 'breathe' and not sweat. No chemicals that can cause allergies are used in production. They are flexible and do not deform when worn.

The selection

To find the right size of prophylactic orthopedic shoes, follow these steps:

Try the product on your child. Wide or narrow shoes are not suitable. These shoes are not meant to be outgrown, they just fit.

It is better to buy therapeutic shoes in specialist shops. They serve as frames for orthopedic insoles. The insoles and the way they are worn should be prescribed by the doctor.

Developmental disabilities can be corrected before the child is twelve years old. At this age, the foot has completed its formation and deformities can no longer be fully corrected.

'Appropriate' footwear helps prevent the development of diseases, eliminate deformities and keep the child's feet healthy.

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What shoes cannot be worn with flat feet and how to choose the right ones

Before you start looking for shoes for flat feet, you should understand what this condition is. It is a curvature and deformity of the feet with a pathological change in the arch of the foot and a loss of curvature of the elevation.

Read more articles on this topic:

In today's world, almost every second child and adult has a foot deformity. Some of the most common causes of flat feet include:

In women, this pathology can occur during pregnancy, especially with significant weight gain. In addition, people are becoming more and more accustomed to walking only on flat surfaces, while at least occasionally they should take off their shoes and walk barefoot on sand, grass or stones.

What shoes should you wear if you have flat feet?

The human foot has an important cushioning function to absorb the stress of walking and running. This important function is ensured by the complex ligamentous apparatus that forms the transverse and longitudinal arch of the foot.

One of the main causes of foot deformities is wearing unsuitable or uncomfortable footwear. Over time, this leads to further musculoskeletal problems. Wearing orthopedic footwear is essential for treating and preventing flat feet.

What is the purpose of special shoes?

Second degree flat feet and choice of shoes

At this degree (also called mild), the appearance of the foot changes and the flat foot is visible to the eye. Grade two already causes pain in the ankle and foot. The choice of footwear is crucial for the individual. Attention should be paid to orthopedic function and special insoles should be ordered.

With this degree of deformity, the foot no longer functions properly, but rather an incorrect weight distribution occurs: a certain part of the sole supports a lot of weight. This puts strain on the ligaments, causes pain and causes the heel to retract slightly. The shoe should support the back of the foot without squeezing the toes to avoid further changes.

Therefore, shoes with a high heel or a narrow toe cannot be worn for long periods of time as they cause pain and tire the feet more quickly. The right footwear not only prevents diseases of the feet, but also of the entire musculoskeletal system. The main recommendations for wearing shoes for moderate grade 2 flat feet are:

• hard heel;
• soft sole;
• orthopedic insoles;
• wide round or square toes;
• Special footbeds;
• Heel height no higher than 4 cm.

How can flat feet in children or adults be diagnosed quickly and easily at home?

This is quick and playful for a child (only over 3 years old). To do this we need a piece of paper and some grease or paint. It's very simple: you put some cream or paint on your feet and stand on the piece of paper. You have to stand on your whole foot to get a clear impression. It will be difficult to hold your child in one position, but you can try. Until the age of three, babies have a pad of fat on their feet, making this diagnosis unreliable.

Examine the footprints. The indentation on the inner edge of the foot is just over half the width of the metatarsal bone. If the foot is completely dented or the indentation is less than half the width, it is called flat feet.

The following additional symptoms are also a good way to diagnose flat feet:

• Feet get tired very quickly;
• Feet hurt after exercise;
• swelling in the ankles;
• the foot appears to have grown both in length and width; You need to buy shoes one size larger.

It is important to understand that although the 'home' express methods of determining flat feet give quite accurate results, final conclusions can only be made after a visit to the doctor.

If your child has already been diagnosed with flat feet and prescribed orthopedic shoes, there is no need to worry. If you follow our advice and tips, you will make the right choice and get the problem under control quickly.

How to choose orthopedic shoes for children with flat feet?

Requirements for orthopedic shoes to choose for children diagnosed with flat feet:

• Choose only natural materials: leather, nubuck or suede;
• all basic orthopedic features: insole (lengthwise, crosswise or both), fixed medium-high heel, Thomas heel;
• a wide toe sock that doesn't pinch your toes;
• a comfortable and secure seat (the feet should sit firmly and not dangle).

Orthopedic shoes for children in the online store 'Bashmachok' are represented in these areas:

Orthopedic shoes for adults in the online store 'Bashmachok

Orthopedic shoes must have an anatomical insole that corresponds to the anatomically correct shape of the foot (with supinator/supinator and a depression under the heel). Orthopedic shoes for adults are available in the Bashmachok online store: flip-flops (sandals) for men and women, orthopedic sandals for men and women, and sabots for men and women. We recently introduced orthopedic shoes for women, both closed and lightweight.

If you can't find the right pair of orthopedic shoes for you, you can purchase orthotics that can be inserted into closed-toe shoes.

The online store 'Bashmachok' has a fairly large selection of orthopedic insoles:

Tip from Bashmachok:

• Orthopedic shoes for children and adults should be made only of natural materials: genuine leather or suede,
• Children's shoes should not have too much edge; the acceptable margin for children's shoes is up to 1 cm,
• Orthopedic shoes for children or adults must have sufficient orthopedic properties,
• Take care of your feet: massage, self-massage. Walk barefoot on uneven, natural surfaces. Massaging orthopedic mats and puzzle mats can also be helpful. Just walk on them for 5-10 minutes a day and these exercises will have an irreplaceable orthopedic and massaging effect.

Therapeutic exercises for flat feet

LFK (therapeutic exercises) help combat flat feet. The LFK improves blood circulation in the lower limbs, strengthens the muscles of the legs, back, abdomen and chest, increases the strength and flexibility of the musculoskeletal system, and helps to form the correct alignment of the arch of the foot. Physiotherapy courses are carried out after consultation with an orthopedic surgeon to determine the correct alignment of the foot. Physical therapy for flat feet begins with a warm-up exercise. After warming up, start with foot exercises and general strengthening exercises. The LFC exercises should be carried out daily because only then can one be sure that the method is effective.

• lower leg and thigh exercises;
• strengthening of the metatarsal bones;
• exercises to strengthen the heel band;
• Exercises to strengthen the muscles of the foot, plantar aponeurosis;
• Strengthening of the ankle.

Thickening of the arch of the foot with its associated deformities leads to poor blood supply to the lower limbs. Changes in the shape of the foot lead to inflammation of the plantar aponeurosis, to the development of abnormalities in the skeletal, nervous and vascular systems. The effectiveness of physical therapy is increased if the patient walks barefoot on gravel or sand or uses exercise equipment such as gymnastic sticks, rib boards, or small spiked balls to correct flat feet. It is advisable to start LFC exercises for flat feet lying or sitting. The standing position increases the load on the foot and prevents the correct alignment of the foot from being fixed.

• In a lying position. The arms are stretched out along the body, the legs are 20-25 cm apart. Slowly bend and spread your toes. Repeat 10 times;
• Stay in the same position. Rotate your feet toward you in a circular motion;
• same position. Bend your knees. Grab the spike ball with your toes and straighten your legs, lifting it up and lowering it back down. Repeat the exercise several times;
• Position - sitting on a chair. knees together, feet slightly apart;
• Rotate the inside of the foot up and push the outside of the foot toward the floor. repeat 10 times;
• Sitting on a chair. Feet together, hands on knees. crossing feet; Lift inside of foot, push outside of foot down.

Exercises for transverse flatfoot in adolescents

Transverse flatfoot in adolescents occurs when the metatarsal bones separate, causing the forefoot to become flat and wide. One of the toes begins to protrude above the others, and three of the five toes have a hammer-like appearance. This form of flat foot is difficult to treat. In patients with a longitudinal-transverse flat foot, the load distribution between the ligaments and the sole aponeurosis is disturbed. Early stages of flat foot are corrected in the hospital and at home, severe stages of flat foot require special treatment with surgery, apparatus, surgery, pharmacotherapy and massage.

In addition to conservative and surgical treatment, physiotherapy is used to restore the shape of the foot and consolidate the effects after restoring the shape of the foot. Physical therapy for longitudinal and transverse flat feet is combined with massage, special orthopedic insoles and orthoses, and depending on the cause of flat foot, drug and physiotherapeutic treatments are recommended. For third degree flat feet, surgical treatment is recommended. Postoperative rehabilitation is lengthy and difficult; the patient wears a special plaster splint for about four weeks and the bones of the foot are fixed with titanium screws. After the surgical treatment, the rehabilitation teacher draws up a training plan and after some time selects suitable physiotherapy exercises.

5 tips for choosing orthopedic footwear for children

The question of the need for orthopedic footwear arises sooner or later for all parents, without exception. The child walks inwards, the heel deviates, the child complains of foot pain at night - these are the questions that parents ask the orthopedist. As a rule, the doctor recommends a visit to an orthopedic store to select shoes and insoles. Parents are faced with the choice of which shoes to buy - expensive, imported or Russian-made. The shoes can be bought in a regular store - the sellers assure that they are orthopedic.

How do you understand the flow of information?

First of all, it should be borne in mind that orthopedic shoes are medical devices or technical rehabilitation measures. The marketing of such products in our country is possible only after special registration. After an appropriate check by the Federal Service Roszdravnadzor, the manufacturer receives a registration certificate (RU).

tip 1

Ask the seller for the registration certificate of the Federal Registration Service of the Russian Federation.
If not, you are being misled.

Although the shoes look like orthopedic shoes, they are not as they have not been tested. Such shoes cannot guarantee a therapeutic effect, but they can 'yes' harm a child.

Twiki shoes, which have a Roszdravnadzor registration certificate, can guarantee a therapeutic effect.

Tip #2

Clubfoot and valgus deformities of the feet, like any other disease, can occur in a mild, moderate or severe form. For mild and medium degrees, shoes with low complexity are shown, for severe degrees, complex shoes are shown. This classification is defined in GOST R 54407 – 2011 'Orthopedic footwear'. Low complexity shoes are made to order, complex shoes must be made to order. The design of complex and non-complex shoes is different.

How to train correctly: important principles

Even the most effective exercises for flat feet will not help if the patient does not follow a few rules. Although these rules are quite simple, if you follow them, the effectiveness of the exercises increases many times:

1. In order to keep the stress as low as possible in the initial phase, you should not perform the exercises for flat feet in adults while standing: this will avoid overstressing the feet, especially in the second or third stage of the disease. Over time, the load can be increased gradually.
2. Each complex begins with a warm-up period. Only when the muscles have warmed up can you begin general strengthening exercises and foot complexes.
3. Don't be afraid of overtraining. Two to three times a day is the norm. In addition to the exercises for flat feet in adults described below, you can also walk on your toes or heels, on the outside of the feet and then on the inside: This will help tone the hip and calf muscles and strengthen the back muscles.
4. The best exercises for flat feet are to develop the gripping ability of the toes. To minimize the load on the feet and eliminate the unpleasant symptoms of flat feet, it is necessary to regularly roll objects under the feet: balls, sticks, and so on. This can happen in any free moment, for example while working at the computer or watching a movie.

Please note that gymnastics has certain contraindications. For example, if the patient suffers from a viral disease, skin diseases, respiratory and heart failure, an infectious disease or severe restless legs syndrome, physiotherapy in the classic form is not suitable. Ask your doctor for an individual exercise program.

How to get rid of flat feet: exercises lying down, sitting, standing

The following exercise complexes are particularly effective in the early stages of the disease. With these exercises for grade 1 or 2 flat feet, adults can expect good results in just a few months. In children, the effect usually occurs even more quickly, but only with regular training.

Sit comfortably on a mat, straighten your back (if necessary, lean against a wall or other support) and start with the following exercises:

1. Stretch your legs forward and slowly bend your toes and then spread them apart.
2. Extend your legs and then bring them back together, keeping your feet together. Repeat the exercise several times.
3. Bend both feet and keep your feet on the floor. Spread your heels and bring them together so that your toes touch the floor.
4. Pull the socks towards you. Repeat the exercise 5-10 times;
5. Straighten your legs. Grab the ball with your feet and lift it. Then try to catch the ball with your feet.
6. Bend your knees and roll the ball under your feet from toes to heel and back. Repeat the exercise with the other foot.

The next set of exercises for flat feet in adults is performed on a chair. Do not use an office chair or computer chair with wheels: the chair should be as comfortable and stable as possible. The height of the chair should be such that the legs are bent at right angles (slight deviations are acceptable) and the feet are completely on the floor. For this reason:

1. Begin the cycle by flexing and extending the toes.
2. Pull your fingers toward you and then away from you until you feel a slight tension. Repeat the exercise 5 to 10 times.
3. Draw circles with your toes, first in one direction, then the other. Repeat the exercise 5 to 10 times.
4. Place your toes on the mat by bringing your heels together and spreading them apart.
5. Pull your heels away from the mat and then your toes. If you wish, you can make the exercise more complicated: take the heel of one foot and the toe of the other foot at the same time, and then change positions. Repeat this 10-15 times.
6. Raise your left leg as high as possible and then lower it. Then lift your right leg. Repeat the exercise 5-10 times for each foot.
7. Roll a ball or pencil with your feet. Try to lift the object off the ground.

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