The Orthofeet Blog

That sharp, stabbing feeling the moment your foot hits the ground is hard to ignore. Whether you notice it on your first steps out of bed or feel it build throughout the day, heel pain while walking is one of the most common foot complaints podiatrists hear. The good news is that understanding the cause is the first step toward real relief.   What Causes Heel Pain When Walking? Walking puts a significant amount of force through your heel with every step. In fact, the heel absorbs the majority of your body weight during normal gait [1]. When something is irritated or damaged in that area, even routine daily activities like walking to the kitchen or pacing around the office can become genuinely painful. Several conditions are known to cause heel pain when walking, and knowing which one you are dealing with makes it easier to treat. Plantar Fasciitis Plantar fasciitis is the most common cause of heel pain, affecting roughly 2 million people in the United States each year [2]. The plantar fascia is a thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. When this band becomes inflamed from overuse, poor footwear, or repetitive strain, it causes the characteristic sharp pain in the bottom of the heel. This is especially common in people with fallen arches and plantar fasciitis, as reduced arch support places additional stress on the plantar fascia. The telltale sign of plantar fasciitis is sharp heel pain that is most intense during the first few steps in the morning. As the plantar fascia tightens overnight, putting weight on it suddenly stretches the inflamed tissue. The discomfort often eases after a few minutes of walking, only to return after long periods of standing or physical activity. Heel Spurs Heel spurs are bony calcium deposits that form on the underside of the heel bone over time. They typically develop as a response to long-term strain on the muscles and ligaments of the foot, which is why they are frequently seen alongside plantar fasciitis [3]. The two conditions share many of the same triggers: excess body weight, flat feet, and spending long hours on hard surfaces. It is worth noting that heel spurs themselves do not always cause pain. The discomfort more often comes from the surrounding inflamed tissue rather than the spur itself. Achilles Tendinitis While plantar fasciitis causes pain at the bottom of the heel, Achilles tendinitis causes soreness at the back of the heel and up into the lower leg. The Achilles tendon connects the calf muscle to the heel bone, and when that tendon becomes irritated, walking can feel stiff and painful, especially when pushing off the ground. Tight calf muscles are a major contributor to Achilles tendinitis. When calf flexibility is limited, the tendon takes on more stress during every step, making it prone to inflammation and small tears over time. Fat Pad Atrophy The heel naturally has a thick cushion of fatty tissue that absorbs impact when you walk. With age, that fat pad gradually thins out, a process known as fat pad atrophy [4]. Once this natural cushioning is reduced, walking on hard surfaces can feel like stepping directly on bone. This condition is particularly common in older adults and is one reason that sore heels when walking often become more of an issue as people get older. Footwear with adequate cushioning becomes essential once the foot's natural shock absorption starts to diminish.   Why Heel Pain Feels Worse After Exercise One of the most frustrating things about heel pain is the overuse cycle it creates, which helps explain what causes plantar fasciitis to flare throughout the day. Each step adds to the existing inflammation, and by the end of the day, the accumulated stress can leave the heel throbbing even after you sit down to rest. The tissue never fully recovers before it is loaded again. Wearing unsupportive shoes makes this cycle significantly worse. Flat sandals, worn-out sneakers, or any shoe without proper arch support forces the plantar fascia to stretch further with each impact. The result is that pain in the heel of your foot when you walk builds steadily throughout the day instead of staying manageable. By the time you take your shoes off, the heel can feel bruised and swollen.   Symptoms That Indicate Plantar Fasciitis Since plantar fasciitis is the most common culprit behind heel pain when walking, it helps to know the specific warning signs. Use this checklist to assess whether your symptoms fit the pattern: Sharp morning pain that fades to an ache. Pain is usually most intense with the first steps after waking up or after sitting for a long stretch, then gradually eases as the tissue warms up. Pain that flares after, not during, exercise. Many people notice their heel hurts after walking or a workout session rather than at its peak. Tenderness on the bottom of the heel. Pressing firmly on the underside of the heel bone reproduces the pain. Discomfort when climbing stairs or standing on tiptoes. Both movements pull on the plantar fascia and can cause a noticeable increase in pain. If several of these apply to you, plantar fasciitis is a strong possibility. Visiting a podiatrist or foot and ankle specialist can confirm the diagnosis and rule out other causes like stress fractures or bursitis.   Remedies to Relieve Heel Pain When Walking Active foot care  almost always produces faster results than passive recovery. While many people wonder if plantar fasciitis goes away on its own, simply waiting for heel pain to go away can allow the underlying inflammation to become chronic. Pairing targeted exercises with the right supportive tools gives your foot the best chance to prevent heel pain. A few starting points for managing heel pain at home: Calf and plantar fascia stretches. Stretch your calves against a wall for 30 seconds on each side, and roll your foot over a frozen water bottle for a few minutes to combine stretching with icing. Doing this before getting out of bed in the morning can help ease that first-step pain. Ice after activity. Applying an ice pack to the heel for 15 to 20 minutes after a long day reduces acute inflammation and can prevent pain from settling in overnight. Maintain a healthy weight. Every extra pound of body weight increases the load on the plantar fascia, so even modest weight management can meaningfully reduce heel strain [5]. Consider a night splint. Wearing a night splint keeps the plantar fascia gently stretched while you sleep, which reduces the morning stiffness that makes those first steps so painful. If conservative treatments do not improve your symptoms within a few weeks, it is worth speaking with a podiatrist. More persistent experiences may benefit from physical therapy, corticosteroid injections, or custom orthotics. Wearing Proper Walking Shoes Footwear is one of the most controllable factors in heel pain, and upgrading your shoes can make your foot pain-free relatively quickly. For a shoe to genuinely support a painful heel, it needs more than just a thick outsole. Here is what to look for: Anatomical arch support. Built-in orthotics that follow the natural contours of the foot help distribute weight more evenly, taking pressure off the plantar fascia. Orthofeet's footwear features premium orthotic insoles that realign the foot from the ground up, reducing the stretch and strain on the fascia that drives heel inflammation. Cushioning heel pad. A multi-layered sole absorbs the shock of each footfall before it reaches the heel bone. This is especially important for people with fat pad atrophy, whose natural cushioning can no longer do that job on its own. Orthofeet's anatomical cushioning system is designed to protect the heel through thousands of steps. Ergonomic sole design. A gentle rocker-bottom sole guides the foot through its natural walking motion, reducing the effort needed to push off at the toe. This lowers the overall tension in the plantar fascia with every stride, making walking less painful over the course of the day. Multiple width options. Shoes that are too narrow create additional pressure along the sides of the foot, which can shift your gait and worsen heel mechanics. Orthofeet offers a wide range of widths, including extra-wide options, so the foot sits naturally inside the shoe without pinching or compensating. Choosing the right footwear is one of the most impactful things you can do to manage sore heels when walking. Browse plantar fasciitis shoes, or explore options by gender with plantar fasciitis shoes for women and plantar fasciitis shoes for men. If you prefer open footwear or slip-on comfort, plantar fasciitis sandals and plantar fasciitis slippers are also available. For added support inside any shoe, insoles for plantar fasciitis can be a practical complement to a supportive footwear choice. [product-group-tile] Sources [1] American Academy of Orthopaedic Surgeons. "Plantar Fasciitis and Bone Spurs." OrthoInfo.https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs/ [2] American Physical Therapy Association. "Plantar Fasciitis." MoveForwardPT.https://www.moveforwardpt.com/symptomsconditionsdetail/plantar-fasciitis [3] Mayo Clinic. "Heel Spurs." Mayo Clinic.https://www.mayoclinic.org/diseases-conditions/heel-spurs/symptoms-causes/syc-20355690 [4] Bowling FL, Metcalfe SA, Wu S, Boulton AJ, Armstrong DG. "Foot ulcer risk classification systems: A critical review." Diabetes/Metabolism Research and Reviews. For fat pad atrophy, see also: Waldecker U. "Plantar fat pad atrophy: a cause of metatarsalgia?" Journal of Foot and Ankle Surgery.https://pubmed.ncbi.nlm.nih.gov/11951570/ [5] Riddle DL, Pulisic M, Pidcoe P, Johnson RE. "Risk factors for plantar fasciitis: a matched case-control study." Journal of Bone and Joint Surgery.https://pubmed.ncbi.nlm.nih.gov/12954824/

Welcome to our carefully curated list of the top 10 shoes recommended for insertional Achilles tendonitis. Before we jump into our selection, just a heads-up: you can find in-depth medical insights about this condition further along in the article, courtesy of podiatrist Dr. Steven Gershman.  Now, let's outline the key design features recommended by Dr. Gershman for treating and alleviating insertional Achilles tendonitis, all of which are embodied in the shoes on our list: A solid heel counter to address pronation at the heel bone. A fairly stiff midsole with a solid outsole to provide stability. A deep shoe design to control pronation and accommodate inserts or orthotics commonly used in treatment. A round and wide toe box to promote proper foot alignment during gait.   With that groundwork laid, it’s time for the main event: the list of recommended shoes. Best walking shoes for insertional Achilles tendonitis Women’s Verve [product-tile="/products/verve-975-turquoise"] Why you’ll love it A hidden fastening system on both sides allows you to micro-adjust the fit  Anatomical arch support and firm heel counter keep your gait in check   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: stretch knit Available colors: turquoise, fuschia, black   At first glance, the Verve isn't your typical clunky ortho shoe. They are stylish, with clean lines and pops of color that make you feel put-together, rather than like you’re sacrificing fashion for function. But the magic is really in the fit. The tie-less lacing system is a revelation. No more fumbling with knots, no more uneven pressure points. Just slip your foot in, adjust the heel strap for a snug fit, and you’re ready to roll.  The secret of this sneaker is in its hidden fastening system on both sides, allowing you to micro-adjust the fit to your exact foot shape.  Made from lightweight, breathable material, these sneakers are ideal for any activity. Picture air circulating within the shoe, keeping your feet cool and comfortable at all times. The stretchy construction adapts to your foot shape, providing a pressure free haven for every step. Then there’s the cloud-like cushioning sole, blending air and foam technology to soften every impact, along with anatomical arch support that keeps your gait in check. Feedback from users “The answer to insertional achilles tendonitis. These shoes gave me the first real pain relief in 6 months from insertional tendonitis. Physical therapy was only marginally helpful and these shoes enabled me to walk normally again and reduced the inflammation so it could heal. Now I am able to hike again and not feel crippling pain afterward. The ability to tailor these to my feet by adjusting as needed is amazing. I also bought a pair of the Malibu sandals and they also feel great and enable me to walk painlessly.” Diane Robertson  Men’s Sorrento [product-tile="/products/sorrento-brown"] Why you’ll love it Shoes that understand the importance of proper alignment Built to tackle various terrains with advanced grip rubber outsole   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: soft leather and fabric Available colors: brown, blue-gray   If insertional Achilles tendonitis is your unwelcome companion, the Sorrento walking shoes might just be the answer you've been searching for. These aren't your average clunky hiking shoes. Sure, they're built to tackle various terrains with soft yet firm uppers and advanced grip rubber outsole. But the real magic lies in the comfort and support they offer. First off, forget about pressure points and friction. The seamless, soft interior cradles your feet, even after miles of exploration. Add to that the plush foam padding for a soft, seamless environment. The Sorrentos understand the importance of proper alignment. The removable anatomical insole provides arch support, ensuring your plantar fascia isn't stretched, minimizing that familiar heel pain. Multiple layers of shock absorbing materials and strategically placed air pockets further cushion your steps, taking the stress off your Achilles. And let's not forget efficiency. The optimal heel-to-toe drop and the slightly curved, ergonomic sole work together to propel you forward with every stride, ensuring your feet don't tire easily. Feedback from users “Bought three pairs of shoes. I am a 73 year old woman with a left foot that is larger than the right. Also have problems with bilateral plantar fasciitis and left insertional achilles tendonitis. I buy men's size 8 extra wide. Your shoes have saved my feet. If my feet are happy, I am happy.” Christine McClure Best slippers for insertional Achilles tendonitis Women’s Lorin | Men’s Vito [product-tile="/products/lorin-black"]   Why you’ll love it Full foot protection indoors and out Keep your feet warm and well supported for more pain-free hours   Specs Sizes: women 5-12; men 7-14 Widths: women Standard (B) - Extra Wide (2E) | men Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: Lorin - bordeaux, light brown, black | Vito - olive, black   Forget the awkward bending to put on slippers. These ingenious slippers feature a patented slip on system, a built in spring gently guiding your foot in and securing a snug fit without you lifting a finger. Then, an adjustable strap lets you personalize the fit, ensuring your foot finds the perfect balance between comfort and security. Step onto the lightweight, cushioned sole, and feel how it softens impacts, taking the pressure off your joints, including your Achilles. Each stride becomes smoother, easier, almost effortless. But true comfort goes beyond just physical ease. The Vito and Lorin slippers understand the link between foot health and overall wellbeing. That's why they come equipped with premium orthotic insoles, featuring removable arch support, that actively realign your foot and posture, ensuring your arches get the support they crave and promoting a healthier body alignment. These slippers are also designed with a non-binding fit, allowing your toes to splay naturally. And if you have custom orthotics, the removable insoles welcome them with open arms. Feedback from users Lorin “Best Slippers ever! I just never can get comfortable slippers that don’t get too big after wearing them and they slide down in the back and you can easily fall down the stairs. I decided to get the Lorin Hands-Free slippers. I love Orthofeet shoes and sneakers so I had nothing to lose. Let me tell you, I love them. They actually have a piece in the back of the slippers that they cannot fold down. They stay on your feet plus help my feet. They are comfortable and help your feet feel refreshed.” Debbie Wiegman  Vito “Finally! I bought these slippers for my dad because I recently received a pair for myself as a gift and loved them. My dad has struggled with finding slippers that he liked and has gone through dozens of pairs in his attempts to find one he liked. It seemed like there was a new box delivered a couple of times a month from various online orders he placed for slippers, and then returned because he didn't like how they felt. It became a running joke in our house every time a delivery came, I'd ask if he had ordered more slippers. He has now had his Orthofeet slippers for a month and LOVES them! He got rid of all his other ones. We have FINALLY found him a pair of slippers that he likes. He loves the support and the feel. I love mine too! Thank you, Orthofeet!” Nicole Brouillette   Best boots for insertional Achilles tendonitis Women’s Rosel [product-tile="/products/rosel-hands-free-boots-brown"] Why you’ll love it Patented hands free technology lets you simply step in and go  Expertly cushioned sole with a mild rocker design softens impacts   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: leather Available colors: brown, black   No more struggling with laces or bending over. Rosel's patented hands free technology lets you simply step in and go, leaving the fumbling behind. And once your foot finds its home, prepare for pure comfort. The wide toe box and padded interior offer a pressure free environment, even for swollen feet, bunions, hammertoes and other protrusions. But comfort isn't just about plushness. Rosel recognizes the connection between foot health and overall wellbeing. That's why they come equipped with premium orthotic insoles, featuring removable arch support. This isn't just any insole; it actively realigns your foot and posture, helping to correct overpronation and ensuring your arches are supported, potentially alleviating heel and foot pain, including that familiar Achilles ache. Plus, the expertly cushioned sole with a mild rocker design softens impacts and adds a spring to your step, making every walk smoother and more enjoyable. Feedback from users “Several years ago, my feet were crushed in a head on traffic collision in which I was the victim. They were able to save my feet, but I have been in a yearly search for footwear that would relieve my ever changing pain and not inflame my nerve pain issues. I have spent thousands in my search, even purchasing orthotics from a specialist who custom creates them for diabetics who have lost toes or parts of their feet due to the condition. This very expensive endeavour did not bring me any relief.  I have lived in bouts of incredible pain, until I encountered the Orthofeet sight on my computer! I am so grateful to have found what I call ‘a friend’ in my Orthofeet shoes! They have given me back much of my quality of life. My Orthofeet have provided the comfort, space and support my feet (one in particular) have needed to go about my daily life without interruption. And because my feet are each a bit different in length and width now, the insoles enable me to snug up my right foot while keeping the space needed for my left foot. The frosting on the cake is that they are handsome…I love it when I get comments on my attractive footwear and asked where I purchased them…” Leslie Staanden-Trujillo Men’s Verno [product-tile="/products/verno-hands-free-boots-brown"] Why you’ll love it Forget about bending over to tie laces and just step in Extra depth, a padded interior and a wide toe box for a pressure-free fit   Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: black   Ditch the contortions and awkward bending required by traditional boots. Verno's ingenious slip on system welcomes your foot with a simple step in motion, leaving you free to conquer the day without a fuss.  Picture stepping into a plush, padded sanctuary – the wide toe box comfortably embraces even swollen feet and protrusions, making your life painless and more comfortable. Yet, true comfort goes beyond mere softness. Verno features premium orthotic insoles with removable arch support that is a master of realignment, ensuring your feet don’t overpronate to alleviate Achilles pain.  Stability is paramount, and Verno doesn't falter. The solid midsole and grippy outsole form an unwavering partnership, providing steadfast support on even the most uneven terrain. The low heel design, meanwhile, encourages a natural, balanced walking motion, keeping you sure footed and confident. And finally, there’s also great ankle support that also helps keep you stable on your feet. Feedback from users “Ultimate comfort!!! I love wearing these boots, especially in the rain. They really grip the sidewalk and prevent me from slipping.” Frederick Wright Best casual shoes for insertional Achilles tendonitis Women’s Stroll [product-tile="/products/stroll-blue"] Why you’ll love it Stylish shoes that come equipped with premium orthotic insoles Built-in arch support actively realigns your feet   Specs Sizes: 5-12 Widths: Standard (B) - Extra Wide (2E) Upper materials: suede Available colors: blue, black, taupe   Stroll's chic patterned suede exterior blends seamlessly with its therapeutic features, making them as pleasing to the eye as they are to your feet. But unlike ordinary shoes, Stroll prioritizes optimal support. Imagine stepping into a world of softness. The heel-to-toe cushioning sole, a clever blend of air and foam, cradles your feet with every step, absorbing impact and providing support. The slightly curved sole adds a spring-like feel to your stride, making even long walks feel effortless. But the Stroll shoes know that comfort isn't just about plushness. That’s why they come equipped with premium orthotic insoles, featuring built-in arch support. This isn't just any insole; it actively realigns your foot, addressing issues like overpronation and potentially alleviating that familiar Achilles ache. And if you have insertional tendonitis, you'll appreciate the thoughtful design even more. The wide, round toe box offers enough space for swollen feet, ensuring comfort throughout the day. The extra depth adds to the roomy feel, eliminating any pressure you might experience. Feedback from users “Excellent. I love these shoes. They are very comfortable. My feet never felt so good.” Cindy Bonagurio Men’s Moreno [product-tile="/products/moreno-black"] Why you’ll love it So aesthetically appealing, incredibly supportive Cushioned soles that promote better posture and prevent overpronation Specs Sizes: 7-14 Widths: Standard (D) - Extra Wide (4E) Upper materials: leather Available colors: brown, black   These shoes won’t pinch or bind your feet. Moreno's soft, water repellent leather embraces your feet in a non-binding fit, a must have for anyone wrestling with insertional tendonitis.  Still, the comfort runs deep. When you step into the Moreno, you'll immediately feel its plush, padded embrace, free from any irritating overlays. Each stride becomes a pleasure, courtesy of the supportive interior lining. Moreno was designed with a deep understanding of the science behind pain relief. That's why they are constructed with premium orthotic insoles featuring anatomical arch support. These insoles help prevent overpronation, actively working to reduce discomfort and promote better posture. And as for efficiency, the cushioning sole with its gentle rocker design doesn't just soften impacts, it actually propels your foot forward with each step, adding a spring to your gait and making walking effortlessly smooth. To help you maintain stability, Moreno’s rubber outsole provides advanced road grip, helping you navigate your day with confidence, pain free. Feedback from users “Love everything about this shoe, quality of leather and craftsmanship. It is so comfortable that my feet don’t hurt anymore.” Edgar Ramirez Best sandals for insertional Achilles tendonitis Women’s Sahara [product-tile="/products/sahara-tan"] Why you’ll love it Three comfy straps open completely, welcoming your feet Sandals that are as versatile as they are comfortable   Specs Sizes: 5-12 Widths: Standard (B) - Wide (D) Upper materials: synthetic Available colors: tan, pewter, red, bone, gray, black   You can put the awkward struggle of squeezing your feet into sandals behind you. Sahara's three comfy straps open completely, welcoming your foot with a gentle step-right-in ease. No more contortions, just pure comfort, like a personalized hug for your feet. This innovative design ensures a secure fit, no more slipping out and missing out on the fun. Sahara also knows the importance of support. The soft, foam padding in the uppers is gentle on your feet, while the expertly cushioned soles provide just the right amount of impact absorption. And let's not forget the arches - the strategically designed soles offer supportive comfort, potentially alleviating that familiar Achilles ache and keeping your stride pain free. And the best part? Style doesn't have to take a backseat to comfort. These sandals are as versatile as they are comfortable. Dress them up or down, hit the beach or the bustling city streets - Sahara will keep you looking and feeling good, all day long. Feedback from users “Really helped with my condition, insertional Achilles tendinitis.” Christina C.  Men’s Clearwater [product-tile="/products/clearwater-573-brown"] Why you’ll love it Bungee cord, instep strap and heel strap work together to allow customizable fit They look like regular sandals but offer advanced cushioning and support   Specs Sizes: 7-14 Widths: Standard (D) - Extra Extra Wide (6E)  Upper materials: stretch knit Available colors: brown   Say goodbye to fiddly buckles and awkward adjustments. Clearwater's bungee cord, instep strap and adjustable heel strap work together in perfect harmony, creating a personalized, secure fit that prioritizes stability on any terrain. The Clearwater features fully cushioned, ergonomic soles with excellent anatomical support. This isn't just soft padding; it's strategic support that potentially alleviates pain in your foot, leg and even your back, leaving that Achilles ache like a receding tide. Protection is key, too. The fisherman style closed toe design embraces your foot securely, offering protection from bumps and scrapes, while the non-binding fit ensures no unwanted pressure. But protection doesn't mean stuffiness. The breathable stretch knit upper and strategically placed cut outs keep your feet cool and ventilated, ensuring optimal airflow, even on the hottest days. Finally, every inch of Clearwater's interior is padded, offering a gentle embrace that eliminates rubbing and irritation. Feedback from users “These sandals are the most comfortable sandals I have owned. With the double strap system it is very easy to put on and adjust.” Rick Ruder What type of shoes are best for insertional achilles tendonitis? Before discussing the ideal shoe type, Dr. Gershman explains, “The Achilles tendon is the large thick tendon on the back of the heel, connecting the posterior calf muscles (gastroc and soleus) to the heel bone (calcaneus). Its primary function is plantarflexing the ankle or foot, but it also plays a role in controlling foot pronation. The gastroc-soleus muscles complex acts as significant pronation decelerators to reduce the speed and extent of foot pronation.” Continuing, Dr. Gershman elaborates, “When the foot overpronates (rolls in and lowers the arch), the calf muscles overwork, exerting tension on the Achilles tendon and its attachment to the heel bone. This can result in inflammation of the Achilles tendon, known as tendonitis, leading to pain at the tendon or heel bone insertion point. Over time, it may cause a spur to develop at the insertion point on the heel bone and bursitis in the area, as there is also a bursa (fluid-filled sac).” In addressing treatment for insertional Achilles tendonitis, Dr. Gershman emphasizes, “It is important to address the underlying issue to prevent recurrence and chronicity of tendonitis.” He further explains, “While there may be medical reasons for tendonitis in some cases, such as inflammatory arthritis, certain bowel diseases, and specific antibiotics, overpronation is the most common cause. Therefore, reducing pronation is a key aspect of treatment. Since shoes form the foundation of support, proper footwear is the initial step in treatment.” Regarding specific shoe features, Dr. Gershman recommends, “The shoe should have a solid heel counter, because this part of the shoe contains the heel bone and talus bone above it, where pronation begins.” He adds, “The midsole should be fairly stiff with a solid outsole for stability. A deep shoe is also crucial for pronation control, along with an insert or orthotic, often necessary for Achilles tendonitis treatment. A round and wide toe box can also contribute to proper foot alignment in gait.” What is the best support for insertional Achilles tendonitis? “A quality shoe is the foundation of support,” reiterates Dr. Gershman. “However, a well made insert or custom orthotic, added to the quality shoe, is often necessary to effectively control abnormal forces from overpronation. A non-custom orthotic is a good starting point to provide support for overpronators. If additional support is needed, a true rigid custom orthotic is required,” he concludes. Is it okay to run with insertional Achilles tendonitis? According to Dr. Gershman, “It’s generally not a good idea. There is a risk of exacerbating inflammation and possibly causing a catastrophic rupture of the tendon or detachment from the heel bone insertion point. Achilles tendons have poor blood supply and heal slowly. Gentle walking is okay, except in severe cases where immobilization in a walking boot may be necessary. In any case, avoid hills when walking.”

Foot problems are a natural part of the aging process. They arise from the normal daily wear and tear of joints as well as thinning skin that becomes more fragile due to dryness and a loss of elasticity. We typically begin to see foot problems in our 40s and 50s, with some of the problems getting more severe or numerous as we age. Below is a list of the most common foot issues affected by age, as well as a look at some treatment options to reduce foot pain for each condition. 1. Arthritis Arthritis is often a reality of aging. Osteoarthritis is what we think of as wear-and- tear arthritis: that inevitable consequence of years of stress on the joints. The ankle joint, subtalar joint, and the big toe joint (first MTPJ) are three joints that frequently develop arthritis, which can significantly impact mobility in older people. Symptoms associated with hammer toes and bunions may worsen over time due to the progression of arthritis within those toe joints. Another joint problem that can develop in older adults is gouty arthritis. Gout is a metabolic disease that often manifests as intense arthritis symptoms at the big toe joint. As these conditions advance, they can contribute to pain and swelling, further affecting overall foot health. The effects of arthritis tend to increase with age, making it even more important for seniors to prioritize proper foot care and supportive arthritis footwear. 2. Circulatory Changes and Foot and Ankle Swelling One of the most common foot and ankle problems associated with aging is swelling. The cause of the swelling can be elusive, especially if it's not associated with an injury. Leg vein problems are a common cause of swelling and usually occur in a single limb at a time. Cardiovascular disease, certain medications, and hormonal changes are possible causes of swelling that occur in both limbs. One solution to swelling can be wearing footwear that provides extra depth and a wide toe box, such as our women’s shoes for swollen feet and our swollen shoes for men. 3. Bunions Bunions are a result of years of added pressure on the balls of the feet that force the toes out of alignment and eventually cause the big toe joint to stick out. This creates not only an unattractive bump, but a painful one as well. Women who wear pointy-toed shoes frequently and for a long period of time commonly suffer from this condition. Treatment options  to prevent bunions from getting worse vary depending upon the severity of the bunion and the amount of pain it causes, but include switching to roomy shoes with a wide toe box. Wide-toe box shoes help alleviate pressure on bunions. Other ways to help improve this foot condition include:    Using OTC non-medicated bunion pads Taking pain medication Applying ice to the bunions after a long day of standing  Wearing supportive orthopedic insoles or buying specifically designed shoes for bunions 4. Hammertoes Hammertoes are a deformity of the toe in which the muscle or ligament surrounding the toe joint is imbalanced. This causes the middle joint of the toe to bend and get stuck in a claw-like position. The bad news is that without proper treatment, hammertoe will get progressively worse and might require surgery to fix it. The good news is that discomfort can be treated with simple exercises such as picking up marbles with the afflicted toe, stretching the toe manually several times a day, and wearing hammer-toe shoes. This footwear is designed with a unique combination of comfort, support, and functionality to address the challenges of bent toe joints for pain relief. If the pain gets very sever, your podiatrist can use a cortisone injection for pain relief. Surgery is the last option and is only considered when the hammertoe cannot be corrected non-surgically. 5. Morton’s Neuroma Morton’s neuroma is caused by a thickening of the tissue around a nerve leading to the toes. Neuromas most often appear between the 3rd and 4th toes and can be extremely painful. The severity of the symptoms determine the treatment needed.  A possible treatment option is shoes for Morton’s neuroma, which are designed to alleviate pain and discomfort in the ball of the foot, providing support and advanced cushioning to help reduce pressure on the nerve. 6. Heel Pain Heel pain is another common foot problem that generally begins in the 40s and 50s. One of the most common causes of heel pain, plantar fasciitis, results from inflammation of the thick strand of tissue running along the bottom of the foot that connects the heel bone to the toes. If left untreated, the pain can worsen over time, increasing the risk of altered gait and discomfort in other parts of the body. It may also correspond with an increase in physical activity or a change in footwear.  Initially, the pain starts off in the morning but then passes fairly easily. However, as the condition worsens, every step can become painful, potentially leading to balance issues that could contribute to falls in older adults. The quality of life can be significantly affected if proper treatment is not implemented. Treatment options include:   Taking anti-inflammatory medication to reduce pain and swelling Applying ice and performing heel stretches to alleviate discomfort Undergoing physical therapy to stretch the plantar fascia and Achilles tendon Receiving steroid injections for severe inflammation and pain relief Wearing men's heel pain shoes and women's heel pain shoes or even orthopedic shoes for stability, for that provide better support and pressure distribution 7. Calluses Calluses, which are not to be confused with corns, are a result of too much pressure or friction on the bottom of the foot. Ill-fitting shoes are a common culprit for this foot problem. Frequently wearing shoes or sandals without socks can also cause calluses. If left untreated, calluses can lead to cracked skin, increasing discomfort and the potential for infection. Generally, calluses are treated by gently scraping and/or trimming the build-up of hard tissue. Wearing properly fitted, supportive shoes with good shock absorbing soles can also help alleviate pressure on the calluses and prevent future build-up. For optimal care, consider investing in the best shoes for calluses and corns.     8. Corns  Unlike calluses, corns usually form on the top of the feet or toes over a bone or joint. Corns are typically dense and have even greater thickness at their center. They can cause discomfort and make walking or running with shoes uncomfortable. There are several different types of corns, but most can be treated in the same way.  Treatment options include: Wearing wide-toe box shoes to reduce pressure on toe joints Using moleskin pads to cushion the sore and minimize friction on the skin Wearing orthotics that, when paired with supportive orthopedic shoes, help redistribute weight and relieve pressure Having a professional trim thickened areas of the corn (this should not be done at home) Considering surgery as a last resort if other treatments fail 9. Degenerative Diseases   Certain degenerative diseases, such as osteoarthritis, can start to manifest in your 40s. Symptoms include pain, stiffness and tenderness in the joints accompanied by loss of flexibility and possibly a grinding sensation during movement. Osteoarthritis requires special treatment, so a doctor should be contacted for care as soon as possible.  10. Achilles Tendinitis   Achilles tendinitis is an overuse injury and most commonly occurs in runners who have suddenly started running longer distances and/or more frequently. “Weekend Warriors” (middle-aged people who run, play tennis or basketball only on the weekends) also frequently get this foot problem. The pain is due to an injury of the Achilles tendon – the band of tissue connecting the calf muscles of the lower, back leg to the heel bone. In addition, this condition can cause muscular imbalance issues. The good news is that it’s fairly easy to treat. Anyone suffering from Achilles tendinitis should begin by reducing the activity levels and stretching and strengthening the calf muscles. Additional treatments include: Wearing specially designed Achilles tendinitis shoes Icing the area after exercising or when experiencing pain  Elevating the foot to reduce swelling  Taking anti-inflammatory medication Choosing shoes with arch support and a soft padded collar to relieve pressure on the back of the heel 11. Diabetes   With diabetes, risk increases with age and patients who have diabetes often experience neuropathy, or decreased sensitivity to pain. Consequently, injuries can go undetected and result in infection and a diabetic ulcer. In addition, poor blood flow and oxygenation to the legs can affect the healing process. It is critical that diabetics receive proper care for all aspects of their illness including diabetic neuropathy. The doctor may suggest shoes designed specifically for the diabetic foot. 12. Nail Fungus   Fungal infections occur as a result of too much fungi under, in, or on the toenails. Moist, warm environments are where fungi thrive. Fungal infections are most effectively treated with oral medication prescribed by a doctor. Topical creams are not usually recommended simply because they are rarely effective. For diabetics who have a nail fungus, it’s especially important to see a doctor, as a nail fungus can cause serious complications later on if not treated. 13. Clogged Sweat Glands or Parakeratosis   While perspiration is an important skin function that helps regulate body temperature, sweat glands that become clogged can cause health problems. Parakeratosis is a general term applied to different skin conditions that block sweat glands. The bumps parakeratosis cause can sometimes be confused with corns, but they are two entirely different problems. The bumps created by this skin condition can make walking and even wearing shoes very painful. In addition, the lesions can later become cancerous if not treated. To treat parakeratosis, certain medications might be prescribed and the lesions excised. Managing the problem includes limiting sun exposure, washing your feet thoroughly and regularly and wearing soft, breathable shoes.