Cold feet, many culpritsIf your toes are always cold, one reason could be poor blood flow - a circulatory problem sometimes linked to smoking, high blood pressure or heart disease.
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We all have to wear shoes to protect our feet from the environment and it is crucial that they are the correct design, not just to accommodate our feet comfortably but for the activity that we are doing. There are many manufacturers of high street footwear that provide a variety of styles and widths which will accommodate the majority of feet and foot problems. When you have joint problems and painful feet then comfort and support for your feet is a priority, particularly for high levels of activity such as shopping and walking distances. The front of the shoe over the toes should be deep enough to accommodate any toes that may be clawed. There should be sufficient depth over the instep for you to easily get your foot inside the shoe. It is best to choose shoes that are made from leather or a material that will conform to the shape of the foot. The soles and heel should be of material that is firm enough to provide support to your feet and the shoe uppers but soft enough to provide good shock absorption.
The shoe should have a fastening (either lace, strap or Velcro) which is needed to hold the foot in the back of the shoe to prevent slippage.
The back of the shoe above the heel (heel counter) should be firm enough to support the rear of the foot but the top edge should not dig into the foot. Elastic laces can be easier to use because one pull ensures a snug fit, and they don’t need to be tied again. Many shoes are now available with Velcro fastenings, which can be fastened and adjusted using only one hand.
A zip fastening can be easier to manage than laces or buckles, and a ring (such as a key-ring) added onto the zip pull can make it easier to pull up. Many people prefer to wear slippers in the house rather than shoes as they are often soft and comfortable for clawed toes and prominent joints.
Slippers aren’t a good idea for those who have to wear special insoles or foot orthoses.
Backless slippers and slippers with a high heel should not be worn as they are both unsafe and do not provide stability.
Therefore, slippers should be reserved for foot protection and warmth whilst resting or for low levels of activity.
It is not recommended that high heels or court shoes are worn for everyday footwear, particularly if you need to wear foot orthoses. However there may be occasions when this type of footwear can be used for periods of low level activity such as social events when you are sitting down for most of the time. Wear them for very short periods and always keep a pair of comfortable shoes handy in case you are desperate or to go home in. You may feel that the footwear is more comfortable when very 'worn in' but the lack of support can cause problems. It is intended for general information purposes only and does not address individual circumstances.


Over a lifetime our feet will walk the equivalent of five times around the world so it is important that we invest time in choosing the right shoes.For people with conditions that affect the feet such as Rheumatoid Arthritis, the right footwear is essential to maintaining function, resting symptomatic joints and preventing or limiting structural foot problems. It is difficult to recommend particular manufacturers and styles as all feet are different.
Try and find a shoe shop with a shoe fitter who can provide guidance as to the right design of shoe for your feet or an online shop with a free returns policy.
A useful leaflet on Finding Suitable Footwear and other subjects related to the feet and footwear are available from the Disabled Living Foundation. Foot orthoses generally don’t fit into court shoes but it may be that the addition of a cushioning insole may be of some help in providing comfort. Foot orthoses are a type of moulded insole that is used to modify the structural and functional characteristics of the foot. Whether your footwear is specialist or purchased on the high street it is important that you have the heels of your shoes repaired on a regular basis. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Where disease control with medical management is relatively good, addressing the mechanical causes of foot problems before changes in the feet become well developed can have significant benefits. These differences are not just in length but in the width of the forefoot, depth over the toes and the instep, arch height, flexibility of the joints, and angle of the toes to name just a few of the variations.
The Healthy Footwear Guide contains contact details for organisations that can provide you with a list of manufacturers that have fulfilled the requirements to be registered with the Health Footwear Group which is supported by The Society of Shoefitters and the British Footwear Association.2. If shoes are purchased to fit the overall length of the left foot then the widest part of the foot will not be at the widest part of the shoe. Each manufacturer’s designs will vary in relation to all these aspects and so matching the right feet to the right footwear can sometimes feel a bit of a lottery.
Therefore it is important for people with toes such as these to buy shoes to the length of the foot as it would be if the toes were straight. Think about how the shoe fits around your toes, under the soles, and at the back of the heels.5. Whichever design is chosen or supplied, the footwear has to both accommodate and complement the function of these additions to the footwear. Each NHS hospital trust will have its own arrangements for footwear referral and entitlements. Once the upper part of the footwear is aged over time, particularly around the heel counter this will not provide the support that the footwear originally gave you. Do not rely on shoe size alone – it is the fit of the shoe and how you feel in the shoes that are more important.
In this respect, footwear acquires different roles and has different meanings dependent on a person’s taste, identity, social status, and gender. Size is just a guide - there are some important tips and advice in the next sections that should make choosing shoes easier.
Styles are often limited in comparison with retail footwear and you may wish to discuss options and look at the styles available before you decide whether you should be referred or not.
Here lies the challenge: for people with feet that may be painful, swollen, wider and deeper than the average foot, finding footwear that is both comfortable and suitable for all occasions, including social events can be a difficult task.


One possible cause: exercise that was too intense, particularly high-impact sport like football and distance running. Make sure you try on shoes that have not been on display as these shoes will have been tried on frequently and may have stretched.6. Red, white and blue toesRaynaud's disease can cause your toes to turn white, then bluish, and then red and then return to their natural tone. Arthritis, excessive exercise and poorly fitting shoes also can cause heel pain, as can tendonitis. Dragging your feetSometimes the first sign of a problem is a change in the way you walk - a wider gait or slight foot dragging.
Nerve damage also can be due to infection, vitamin deficiency, alcoholism, and nervous system disease. Lung disease is the most common underlying cause, but it also can be caused by heart disease, liver and digestive disorders or certain infections. Diabetes can impair sensation in the feet, circulation and normal wound healing, so even a blister can become a problem wound. People with diabeties should wash and dry their feet and check them for any wounds every day. Slow-healing of sores also can be caused by poor circulation from conditions such as peripheral artery disease. Pain in the big toeGout is a notorious cause of sudden pain in the big toe joint, along with redness and swelling (seen here).
A reaction to chemicals or skin care products - called contact dermatitis -- can cause itching, too, along with redness and dry patches. If the skin of your itchy feet is thick and scaly, it may be psoriasis, an over-reaction of the immune system.
Claw toeThis foot deformity can be caused by shoes that are tight and pinch your toes or by a disease that damages nerves, such as diabetes, alcoholism or other neurological disorder.
Your toes will be bent upward as they extend from the ball of the foot, then downward from the middle joint, resembling a claw. They may respond to stretching and exercises of the toes - or you may need special shoes or even surgery. Foot spasmsA sudden, sharp pain in the foot is the hallmark of a muscle spasm or cramp, which can last many minutes. Dark spot on the footWe associate skin cancer with the sun, so we're not as likely to check our feet for unusual spots.
Spoon-shaped toenailsSometimes an injury to the nail or frequent exposure to petroleum-based solvents can create a concave, spoon-like shape. If part or all of a nail separates from the nail bed (shown here), it can appear white - and may be due to an injury, nail infection or psoriasis.If the nail is intact and most of it is white, it can sometimes be a sign of a more serious condition including liver disease, congestive heart failure or diabetes.



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Comments to «Sore ball of foot and big toe»

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