The Orthofeet Blog

Finding shoes that truly fit can feel like an endless challenge when you have wider feet. The pinching, rubbing, and discomfort from shoes that are too narrow can turn a simple walk into a painful ordeal. Many people don't realize that selecting the right shoe width matters just as much as length when it comes to comfort and foot health. Understanding the difference between wide and extra wide shoes can be the key to finally finding the right footwear that feels as good at the end of the day as it does when you first put it on. What's the Difference Between Wide and Extra Wide Shoes? Shoe width affects far more than just how snugly your shoes fit. The right width impacts your balance, comfort level, and overall foot health. Understanding your foot arch type can help you determine whether wide or extra wide shoes will provide the right support for your arches and reduce strain. Choosing shoes that are too narrow can lead to a cascade of problems, from painful pressure points to alignment issues that affect your entire body [1]. Wide (W) shoes are designed with slightly more room than standard-width footwear. They're built for feet that need minor extra width, particularly in the toe box and midfoot areas. Wide shoes typically add about 1/4 to 3/8 inch of additional width compared to standard sizes, providing relief for people whose feet feel cramped in regular shoes but don't require extensive accommodation. Wide shoes offer a comfortable solution for anyone with a broader foot or mild swelling, such as edema caused by standing for long periods. Extra wide (EW, XXW, or EEE) shoes offer significantly more room throughout the entire shoe. These shoes add approximately 1/2 to 3/4 inch or more of width compared to standard sizing. They're specifically designed for feet with bunions, significant swelling, hammertoes, or chronic foot conditions that require maximum space and minimal restriction. Choosing the correct width isn't just about immediate comfort. Wearing shoes that are too narrow forces your feet into unnatural positions, which can lead to bunions, calluses, blisters, and even changes in your gait that affect your knees, hips, and back. The right width allows your feet to function naturally, distributing weight evenly and preventing the development of painful foot conditions [2]. How Wide Shoes Fit Wide shoes provide a noticeably more comfortable fit than standard shoes, though the difference may be subtle compared to extra wide options. Here's what to expect from the fit of wide-width footwear: The toe box and midfoot area offer slightly more room than you'd find in standard shoes. This extra space means your toes aren't compressed together, and there's less pressure on the sides of your feet. For many people, this additional room is exactly what they need to walk comfortably throughout the day. Wide shoes generally accommodate feet with minor swelling or a slightly broader forefoot without feeling loose or unstable. They strike a balance between providing necessary space and maintaining a secure fit around your heel and arch. This makes them ideal for people who experience mild swelling during the day or have a naturally wider foot structure that doesn't quite fit standard sizing. The overall feel of wide shoes should be comfortable without being roomy to the point of instability. Your foot shouldn't slide around inside the shoe, and your heel should remain firmly in place when you walk. If you feel excess movement or your foot shifts side to side, you may need a different size rather than simply a wider width [1]. How Extra Wide Shoes Fit Extra wide shoes provide significantly more internal space, making them essential for people with specific foot conditions or substantial width needs. Understanding this fit helps you determine whether extra wide is the right choice for your feet. The toe box in extra wide shoes is much roomier than both standard and wide options. This generous space allows your toes to spread naturally and prevents compression that can lead to toe deformities or painful pressure. For people with bunions or hammertoes, this extra room can mean the difference between manageable discomfort and debilitating pain. The midfoot area also expands proportionally, providing additional space for feet that are broader throughout rather than just at the toes. This comprehensive width accommodation helps prevent the rubbing and pressure that often occur along the sides of narrower shoes. Extra wide shoes excel at accommodating significant swelling, whether from medical conditions, pregnancy, or prolonged standing. The additional room means your feet remain comfortable even when they expand throughout the day. Many people who experience fluctuating foot size find extra wide shoes provide consistent comfort regardless of swelling. These shoes often feature removable insoles, making them compatible with custom orthotics or specialized inserts. This removability provides extra depth and customization options for people who need additional support or cushioning [2]. Trying different brands can further enhance comfort and support. The generous fit of extra wide shoes helps prevent common problems like blisters, calluses, and hot spots that develop from friction and pressure. By eliminating these sources of irritation, extra wide shoes allow people with challenging foot conditions to remain active and comfortable throughout their day. Signs You Need a Wider Shoe Width: Finding the Right Fit Recognizing that you need wider shoes isn't always obvious, especially if you've become accustomed to a certain level of discomfort. Here are clear indicators that your current shoes may be too narrow: Your feet feel cramped or squeezed, particularly in the toe area. If you can't wiggle your toes freely or if they feel compressed together, your shoes are likely too narrow. This compression can lead to toe deformities over time if not addressed. Pain or redness appears on the sides of your feet after wearing shoes for a period of time. These are classic signs that your footwear is creating pressure points where it shouldn't. The friction and compression from narrow shoes cause irritation that manifests as soreness and visible redness. Swelling increases after standing or walking for extended periods. While some swelling is normal, especially during pregnancy or in hot weather, shoes that are too narrow can restrict circulation and worsen the problem. Swelling can be more pronounced for people walking during pregnancy, so shoes that offer more room and proper width are essential to reduce the risk of discomfort. If you notice deep indentations from your shoes or significant swelling that doesn't occur when barefoot, your shoes may be contributing to the issue [1]. Bunions, calluses, or blisters develop in predictable locations. These problems often result from repeated friction and pressure in the same spots. Wide or extra wide shoes can help prevent these issues by eliminating the source of irritation. Finding comfortable shoes seems impossible. If you frequently return shoes, break them in for weeks only to remain uncomfortable, or avoid walking more than necessary because of foot pain, width is likely a factor. The right width can transform your experience with footwear entirely [2]. FAQs Can I wear wide shoes if I don't have wide feet? Wearing shoes that are too wide isn't recommended, even if they feel comfortable initially. Shoes that don't fit properly can cause your feet to slide around, leading to blisters, instability, and poor support. Excess width can also affect how the shoe's arch support aligns with your foot, potentially causing discomfort or strain. It's best to choose shoes that match your actual foot width for optimal support and comfort. How do I measure my foot width at home? Measuring your foot width at home is straightforward. Stand on a piece of paper and trace around your foot while bearing weight. Measure the widest part of your foot (typically across the ball). Compare this measurement to standard width charts available from shoe manufacturers. Keep in mind that your feet may be different widths, so measure both and use the larger measurement when selecting shoes. For the most accurate results, measure your feet at the end of the day when they're naturally slightly swollen. Are extra wide shoes suitable for orthotics? Yes, extra wide shoes are often an excellent choice for people who use orthotics. Many extra wide styles feature removable insoles that create additional depth when removed. This extra space accommodates custom orthotics without making the shoes feel too tight. If you’re considering specialized footwear, check if your running shoes are HSA eligible, as some orthotic-friendly or wide-width shoes can qualify for healthcare savings accounts. The generous width also ensures that the orthotic fits properly without distorting the shoe's structure or causing pressure points along the sides of your feet [1]. Will wearing the wrong width damage my feet over time? Consistently wearing shoes that are too narrow can indeed cause long-term foot problems. Chronic compression can lead to bunions, hammertoes, neuromas, and permanent changes in foot structure. Restricted blood flow from tight shoes can cause circulation issues, particularly in people with diabetes or peripheral neuropathy. Additionally, shoes that force your feet into unnatural positions can alter your gait, leading to knee, hip, and back problems. Choosing the correct width is an important investment in your long-term foot health [2]. At Orthofeet, we understand how crucial proper width is for foot comfort and health. Our wide and extra wide orthopedic shoes come in multiple widths to ensure you find the perfect fit. We offer both wide shoes for women and wide shoes for men, all designed with premium cushioning, anatomical arch support, and spacious toe boxes that accommodate various foot shapes and conditions. Understanding the difference between wide and extra wide shoes empowers you to make informed decisions about your footwear. Whether you need slightly more room or substantial width accommodation, choosing the right fit can transform your daily comfort and protect your foot health for years to come. For more guidance on determining if you have wide feet, explore our article on how to tell if you have wide feet, or check out our wide-width shoes size guide for detailed information.   [product-group-tile] Sources: [1] American Podiatric Medical Association. "Shoe Fitting Guide." APMA,https://www.apma.org/Patients/HealthyFeetTips.cfm?ItemNumber=9859 [2] American Academy of Orthopaedic Surgeons. "Footwear: Shoes for Healthy Feet." OrthoInfo,https://orthoinfo.aaos.org/en/staying-healthy/shoe-fitting-tips/

Developing a consistent daily routine for foot care at home is one of the most important steps you can take to maintain healthy feet. These simple habits can prevent many problems and help you identify issues early. Daily Care Tips Wash your feet thoroughly every day with warm (not hot) water and mild soap [4]. Pay special attention to cleaning between your toes, where moisture and bacteria can accumulate. After washing, dry your feet completely, especially between the toes, as moisture in these areas can lead to fungal infections. Apply moisturizer to keep skin soft and prevent cracking, but avoid putting lotion between your toes where excess moisture can cause problems [4]. Use a quality foot cream or lotion specifically designed for dry skin, and pay particular attention to your heels where cracking is most common. Inspect your feet daily for any changes, including cuts, bruises, swelling, redness, or changes in skin color [4]. Use a mirror if necessary to see the bottoms of your feet, or ask a family member to help if you have difficulty seeing all areas clearly. Look for any signs of infection, such as increased warmth, persistent redness, or discharge from cuts or sores. Early detection of problems allows for prompt treatment and prevents complications. Healthy Habits Elevate your feet regularly to reduce swelling and improve circulation. When sitting, prop your feet up on a footstool or ottoman so they're level with or slightly above your heart. Even 15-20 minutes of elevation several times throughout the day can help reduce fluid buildup. Perform gentle stretching and exercises to improve circulation and maintain flexibility [4]. Simple ankle rotations, calf raises, and toe wiggling can help keep blood flowing and joints moving, offering seniors a good way to promote foot health. These exercises are particularly important if you spend long periods sitting or lying down. Wear clean, moisture-wicking socks that keep your feet dry and comfortable [4]. Change socks daily, or more often if your feet tend to sweat. Choose socks made from materials that pull moisture away from your skin, and avoid socks with tight elastic bands that can restrict circulation. Keep your toenails trimmed straight across to prevent ingrown nails [4]. If you have difficulty reaching your feet or have vision problems, consider having a podiatrist or other healthcare provider trim your nails safely. When to Call a Doctor Consulting a specialized doctor can offer the best solutions for persistent issues. Certain signs and symptoms require prompt medical attention [4]. Any sign of infection, including persistent redness, warmth, swelling, or discharge from a wound, should be evaluated by a healthcare provider immediately. Persistent or worsening pain that interferes with walking or daily activities needs professional evaluation. Don't assume that foot pain is a normal part of aging that you must tolerate. Numbness, tingling, or burning sensations that don't improve may indicate nerve problems that require medical treatment. These symptoms are particularly concerning for people with diabetes or other conditions that affect circulation. Sudden or severe swelling, especially if it affects only one foot or is accompanied by pain, could indicate a serious condition requiring immediate care. Any wound that doesn't heal within a few days or shows signs of getting worse should be examined by a healthcare provider, especially if you have diabetes or circulation problems. Choosing the Right Footwear for Aging Feet Proper orthopedic shoes become increasingly important as your feet change with age. The right shoes can prevent many problems and provide the support and comfort your aging feet need. Orthofeet offers a wide variety of HSA and FSA eligible shoes, which is a great way to cover the cost of new, supportive footwear. Must-Have Features Wide toe boxes give your toes adequate space and prevent pressure on bunions, hammertoes, or swollen areas. Shoes that squeeze your toes together can worsen existing deformities and create new problems over time. Adjustable closures such as Velcro straps, elastic laces, or multiple strap systems allow you to modify the fit as your feet change throughout the day [4]. This adjustability is particularly important if you experience swelling or have arthritis that makes traditional laces difficult to manage. Comfortable slip-resistant shoes for men and women provide stability and reduce fall risk. Look for shoes with textured rubber soles that provide good traction on various surfaces, both wet and dry. Lightweight cushioning helps absorb impact and reduces stress on your joints. Quality cushioning in the heel and forefoot areas compensates for the natural loss of fat padding that occurs with age. Orthotic support helps maintain proper foot alignment and reduces strain on muscles and joints. Built-in arch support is particularly important if your feet have flattened over time or if you have conditions like plantar fasciitis. The Fit Factor Measure your feet regularly because aging feet often change in size and shape [2]. What fit perfectly a year ago may no longer be appropriate. Have your feet measured at least once a year, or whenever you notice your shoes feeling different. Shop for shoes in the afternoon or evening when your feet are slightly swollen to their largest size of the day. This ensures that shoes will be comfortable even when natural swelling occurs. Ensure shoes are snug but not tight. You should have about a thumb's width of space between your longest toe and the front of the shoe. The shoe should hold your foot securely without creating pressure points or allowing excessive movement. Look for adjustable features that accommodate daily changes in foot size due to swelling or stiffness. Shoes that can be loosened or tightened as needed provide better comfort throughout the day. Orthofeet Footwear Options for Elderly Foot Care At Orthofeet, we understand that how to care for aging feet includes choosing footwear designed specifically for the challenges that come with age. Our orthopedic shoes address the common problems that affect older adults while providing the comfort and support needed for daily activities. Our shoes feature premium orthotic insoles that provide targeted arch support and help maintain proper foot alignment. This support is crucial for people whose feet have changed shape over time or who have conditions like arthritis that affect foot function. Extra depth and wide-width options accommodate foot deformities, swelling, or the need for custom orthotics. Our designs ensure that people with bunions, hammertoes, or other age-related foot changes can find comfortable, supportive footwear. Cushioned, shock-absorbing soles help compensate for the natural loss of fat padding in aging feet. This cushioning reduces impact on joints and makes walking more comfortable on hard surfaces. Breathable, stretchable uppers adjust to your foot's shape and accommodate minor swelling that may occur throughout the day. These materials help prevent pressure points while providing a secure, comfortable fit. Easy-to-use closures make our shoes accessible for people with arthritis or limited mobility. Many of our styles feature Velcro straps, elastic laces, or other adjustable systems that don't require fine motor skills to operate. Our specialized collections include shoes for foot pain, shoes for swollen feet and edema, and orthopedic shoes for women and men’s orthopedic shoes. Taking proper care of your aging feet is an investment in your independence and quality of life. By understanding the changes that occur with age, developing consistent daily care habits, and choosing appropriate footwear, you can keep your feet healthy and comfortable for years to come. Remember that foot care for elderly individuals isn't just about treating problems after they develop. It's about preventing issues before they start and maintaining the mobility that allows you to continue enjoying the activities you love.[product-group-tile]================================Sources: [1] PubMed. "Foot care for the aging." 1987. https://pubmed.ncbi.nlm.nih.gov/3194453/  [2] PMC. "Foot Examination for Older Adults." 2021. https://pmc.ncbi.nlm.nih.gov/articles/PMC9614715/ [3] PubMed. "Foot disorders in the elderly: A mini-review." 2017. https://pubmed.ncbi.nlm.nih.gov/28826743/  [4] Emory Healthcare. "Foot Care for Seniors: 10 Important Tips." https://www.emoryhealthcare.org/stories/wellness/foot-care-for-seniors-10-important-tips   

This article will begin with an exploration of the anatomy and definitions of hammertoes, mallet toes and claw toes. It will then delve into the causes of these deformities, their effects, and conclude with information on managing the associated problems. But before diving in, let's start with some basic anatomy. Human toes, excluding the big toe, typically consist of three bones connected by two joints, much like fingers. The big toe, on the other hand, has only two bones connected by a single joint, akin to the thumb. Now, let's explore what exactly is a hammer toe, a mallet toe and a claw toe. What is a hammer toe? A hammer toe is a deformity where the first joint of the toe is contracted, causing the end of the toe to bend downward, resembling a hammer. What is a mallet toe? A mallet toe is a deformity at the second joint (on all but the big toe) where the end of the toe is contracted or bent downward. What is a claw toe? A claw toe is a deformity of both toe joints (on all but the big toe) where the two joints are contracted, causing the entire toe to bend or curve downward, appearing as a claw. Common additional deformity In all three deformities, there can also be an additional deformity at the joint connecting the toe to the foot (metatarsal-phalangeal joint), where the joint is contracted, causing the first bone to elevate. This creates a more involved and complicated deformity. Causes The most common cause of these deformities is abnormal mechanics of the foot joints, leading to overuse of the muscles in the lower leg that attach to the toes. These muscles serve as stabilizers of the foot, attempting to correct imbalances resulting from factors such as congenital conditions, ill-fitting shoes, or diseases like arthritis. When these muscles overwork as stabilizers, they exert excessive pull on the toes, eventually resulting in permanent contracture or tightening of the associated tendons. Overworking of the flexor muscles and tendons on the bottom of the foot leads to abnormal pulling on the toes, resulting in hammertoes, mallet toes, and claw toes. The specific deformity that develops depends on the complex interaction between the short and long flexors of the toes. Similarly, overworking of the extensor muscles on the top of the foot can cause tightening and contraction, resulting in elevation of the toe at the metatarsal-phalangeal joint that connects the toe to the foot. This elevation exacerbates conditions such as hammer toe or claw toe, leading to a more severe deformity. Issues that result from these deformities Toe deformities can cause a myriad of problems, especially when wearing women's or dress shoes. Hammertoes and claw toes, particularly when the toe is also elevated, can rub inside the toe box of the shoe, resulting in irritation, painful calluses or corns (a corn is essentially a hard callus), and sometimes ulcers or wounds at the top of the toe. Mallet toes often lead to corns at the tip of the toe, which can be quite painful. Treatment Shoes play a crucial role in managing these deformities. A deep wide toe box shoes are the most important aspect of proper shoe gear. The toe box should be high or deep to minimize rubbing on the top of the deformed toes. A wide toe box is especially helpful for deformities affecting the big toe and small toe. Since mechanical issues cause overuse of the lower leg muscles, resulting in contraction of the tendons to the toes, shoes once again become important. Well-made, stable shoes with supportive insoles are crucial. The more supportive the shoes and insoles, the less strain the muscles and associated tendons have to endure, reducing the likelihood of worsening the deformities and their effects. In addition, heels should be low to the floor, as elevated heels tend to stress the toes. Orthofeet's solution Orthofeet shoes are well-designed for most toe deformities. They feature wide, deep toe boxes that reduce rubbing on the toes. For severe cases, there are stretchable fabric shoes that are flexible and can accommodate even the most severe deformities. Orthofeet shoes are also designed for stability, aiming to reduce the overuse of the muscles that pull on the toes. The insoles are supportive and the shoes are deep enough to allow for orthotics, if needed, for additional support. In severe cases, surgery may be required for toe deformities. However, proper shoes offer the best chance to avoid surgery and provide comfort with toe deformities. Orthofeet shoes are well-suited for this purpose and may be the most comfortable shoes you ever wear. Shop Hammer Toes Shoes

A crooked big toe can lead to many issues and should not be ignored. This blog will deal with a very common foot deformity: Hallux abductus, the medical term for when the big toe is curved inward. It will cover the causes of this deformity and discuss what can be done to address it, including the importance of proper footwear/shoes.  Hallux abducto valgus is the term that describes bunion deformity. In effect, there is a bump on the side of the big toe joint while the big toe bends or curves toward the second toe. Hallux means big toe, abducto valgus means big toe curves toward the second toe, while it also twists or rotates (valgus). This is a common deformity, especially in women.  Less common is a simple curvature of the big toe toward the second toe without the bump or bunion on the big toe joint. A bunion is a common cause of this, and addressing bunions promptly can prevent complications. When this occurs, the big toe often rides under the second toe, elevating or lifting the second toe and causing further issues as it rubs in the shoe.  What causes a big toe to be curved inward? Causes of this deformity are usually some type of biomechanical abnormality in the foot, causing the big toe to be forced into the floor while walking. Bent toes can result from various common foot problems, impacting overall foot health. The ground pushes back against the big toe, which then pushes it toward the second toe. Over time, this permanently deforms the toe into the curved position. The big toe's bent position often worsens with certain types of footwear. The underlying biomechanical issues are often genetically influenced. Other causes that can contribute to this condition are hypermobile or loose joints in the feet, pregnancy, which also loosens foot joints, or just abnormality in the way the foot moves.  In addition, the wrong footwear that compresses the big toe inward can gradually push it towards the second toe. Shoes that are too tight or narrow can cause this issue. How do I stop my big toe from bending inwards?  The most important way to slow down or prevent bunions from getting worse and causing deformity comes down to proper shoes, and sometimes orthotics or well-made inserts in the shoes.  While, in some cases, the deformity will occur despite all interventions, more often than not it can be slowed down or prevented from worsening. The only way to undo the deformity once it has occurred, is surgery. One key to minimizing the likelihood of developing or worsening this deformity is to manage abnormal forces in the foot and address the increased motion issues. Why does a crooked big toe impact foot health? A crooked big toe can significantly affect your feet, contributing to long-term problems. A crooked big toe, also known as hallux abducto valgus, or a bunion, can cause a variety of health issues in the foot. When the toe joint becomes misaligned, it results in pain and discomfort and can lead to arthritis if not addressed effectively. It's important to be aware of the pain associated with bunions and other toe issues. This condition can significantly impact daily life, making walking painful. The affected toe often bends or rotates, overlapping the second toe, increasing pressure, which can lead to issues like hammer toe, claw toe, or mallet toe development. Hammer toes and mallet toes can also be related to crooked toes. Early recognition and intervention of this deformity are vital to prevent it from affecting your quality of life. What type of shoes are best for a big toe that curves inward? Understanding how your shoes should fit and choosing the right footwear is crucial in managing and preventing toe deformities like a crooked big toe. Shoes must be properly fitted to provide ample room, preventing toes from overlapping. Opting for shoes designed to support foot alignment and accommodate orthotics can prevent bunion development and alleviate existing pain. For severe cases, footwear that includes features like cushioning can provide considerable relief. Shoes that are stable, well made and allow for proper foot alignment are critical. In addition, as orthotics are often required in severe cases, the shoes should be extra deep and work well with orthotics.  The other important factor is proper shoe FIT. Shoes must be wide enough to not push the big toe toward the second toe. The toe box needs to be wide and ROUND, not pointed and deep. That's where Orthofeet comes in - their orthopedic shoes meet these criteria and are designed with features that allow for proper foot alignment and motion. In addition, the specialty shoe brand has stretchable shoes that accommodate the deformity when required. This can be especially helpful when the second toe is lifted up by the big toe. Orthofeet also has well-made orthotic insoles that further control some of the abnormal forces that can bend the big toe inward. BioSole Gel Sport orthotics are especially helpful in supporting the foot and controlling some of the forces that cause the deformity.  Experience relief and comfort with Orthofeet's specialized shoes and inserts designed for big toe deformities, including wide-toe box shoes, shoes for hallux rigidus, and wide-width shoes.

Don't ignore your toes when they cry out for help. The world can be cruel to them, especially when they have to face it in ill-fitting shoes.  What your toes actually need is the correct environment for them to fit without being squeezed, move about freely and proper protection, which they won’t get if you end up buying the wrong shoes. Whether you have a common foot condition, or if your feet are model material,  wearing shoes designed without consideration of the forefoot can cause more harm than not. Here is everything you need to know about how to find shoes that fit you correctly, protect your toes and help alleviate existing foot conditions.  Where should your toe be in a shoe? Your longest toe should be about half an inch, which is about the width of your finger, from the front of the shoe.  Here's an age-old trick that still works like a charm when you’re looking for a pair of shoes that protect and fit your toes properly:  Place your thumb between your big toe and the tip of the shoe. Your thumb should be able to press down all the way to the bottom of the shoe, without any toes getting in the way. If this doesn’t happen, try a larger size. While standing up, spread and wiggle your toes to make sure they have enough room to move comfortably. Now, try standing on your toes to make sure that your big toe’s bend matches the shoe bend. If you feel the joint of your big toe is either before or after the shoe bend, it’s not a good fit.  Always try on and buy shoes towards the end of the day after your feet have been through activity. Even if you don't suffer from edema or swelling, your feet, including toes, will be different after many hours on your feet.  Make sure to try on shoes with the pair of socks you usually wear or intend to wear with these shoes. There's nothing more annoying than trying shoes with a pair of thin store peds and liners, only to come home and realize they are too tight with your thicker athletic socks.  What is the toe box of a shoe? The technical name for the part of the tip of the shoe is toe box.  The toe box gives your toes protection from impact and if you choose wide toe box shoes, it will give your toes enough room to move comfortably. It’s worth knowing that the width span of your toes should be wider than the balls of your feet. If you suspect your feet might be wider than average, read about the signs you may have wide feet to understand better. Here are some other toe box realities to keep in mind:  Worst case scenario of an ill-fitting toe box Cramping or crushing, leading to blisters, corns, calluses, ingrown toenails and even black toenails. And if you already suffer from a foot condition, such as hammertoes or bunions, an ill-fitting toe box can not only be painful, but also worsen your condition. Love your toes, but don't ever let them get hugged too tightly.  The best kind of toe box to look for The one that offers extra depth and has a stretchable, breathable upper as well as a soft, padded interior that conforms to your foot’s unique shape, keeps your feet dry to ward off bacteria build up and odors, and prevent irritation. Not all toe boxes are actually boxy The word “box” may be misleading, because toe boxes come in a wide variety of shapes and styles. The right toe box style is individual and depends on your specific foot shape and whether or not you have any foot conditions, but it should always be long and wide enough to accommodate your toes comfortably.  Toe boxes to avoid Unless they are wide enough, avoid toe boxes with pointed toes, often found in dress styles, pumps and ballet flats..If your feet are not shaped in a pointed manner, how can they possibly fit a pointed toe shoe?  This pointed style will prevent your toes from lying flat and can cause many conditions described above, including metatarsalgia—commonly known as a stone bruise—which causes pain and inflammation in the metatarsal bones and the ball of the foot. The only shoes not to feature a toe box Open toe shoes, sandals and flip flops. Since toe box refers to the enclosure for your toes, open toe shoes that expose your toes do not have a toe box. This means that most warm weather closed toe shoe styles or ones designed to wear during the summer months are ideal for your toes, and allow maximum toe movement.  Should my toes touch the end of my shoes? If the shoes are too short for your feet, your toes might rub against the edge of the toe box, exacerbating existing foot problems, such as hammertoes, and causing injuries and even deformities.  On the flip side, if the toe box is too big, aside from making you more prone to accidents and falls, the natural foot reaction would be to try to keep the shoe on your feet by scrunching up the toes. This could result in bunions (which is ironic, because you might think that wider shoes would provide some relief from bunions), as well as hammertoes. In addition, shoes that are too big could also apply excessive pressure on your toes and balls of the foot, causing corns, calluses and metatarsalgia, and disrupting your natural stride.  So, no, your toes should not touch the end of your shoes. More specifically, you should leave at least half an inch between your toes and the end of the shoe.  What does a big toe box mean?  A big toe box, more commonly referred to as a wide toe box, means the shape of the front of the shoe is generous, round, tall, and does not taper at the ends - basically resembles the shape of a foot.   The size of the toe box is also relative to the width of the shoe. So, for example, an extra wide width shoe will have a much bigger toe box than a medium width shoe. As you go up in width, every aspect of the shoe is bigger and wider. Quality shoe brands offer shoes not only in various length sizes, but also in a variety of widths, to accommodate all types of foot shapes and widths, including ones that are on the wider side.  What foot conditions need a big toe box? Understanding the significance of a properly fitting toe box is crucial, especially when dealing with foot conditions that can impair daily activities. A well-designed toe box, or roomy toe box, is extremely important, not only for preventing a variety of foot issues but also for providing relief from existing conditions. It is particularly beneficial for individuals looking for shoes for wide feet, ensuring comfort and proper fit without compromising on style or functionality. Explore our specialized footwear collections to find the correct shoes for your needs: Shoes for Hammertoes:  Our shoes provide ample room for hammertoes, reducing pressure and preventing further discomfort, perfect for those needing a wider toe area. Shoes for Bunions: These shoes feature a wide toe box that helps relieve pressure on bunions, enhancing comfort and reducing pain. They are ideal for wider feet or those with a narrow shoe issue.  If you're interested in further adjustments for comfort, learn more about how to make shoes wider for bunions. Plantar Fasciitis Shoes: To prevent plantar fasciitis from worsening, target the root cause with shoes that offer exceptional arch support and cushioning. Diabetics Shoes: Designed for those suffering from diabetes, these shoes reduce the risk of foot injuries while offering superior comfort and a roomy toe box. Arthritis Shoes: Ease joint pain and enhance mobility with our arthritis footwear, which provides additional room and cushioning for the pinky toe and other sensitive areas. Shoes for Swollen Feet: Ideal for managing and comforting swollen feet with extra room and adjustable features. Shoes for Gout: Specifically crafted to alleviate discomfort associated with gout by offering spacious toe boxes and soft, flexible materials. Morton's Neuroma Shoes: Provide targeted relief with shoes designed to reduce pressure on the forefoot and ease the pain of Morton's Neuroma. Discover our complete orthopedic shoe collection today. Choose shoes that cater specifically to your foot health requirements, ensuring comfort and enhanced mobility for all types of foot problems, from narrow shoes that cause discomfort to wider feet that need extra space.  

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.