Hang in there - foot injuries, even when treated correctly, can result in low grade chronic pain and swelling for up to 1-2 years AND, if you wear poor shoegear and are non-compliant (which I know you are not) it can result in re-injury. what is the best shoe i could wear?? Any insert you get should replace the insert that comes with the shoe, otherwise, as you say, it crowds the toes and can cause problems. *Elevate and rest! The only time you should be barefoot and standing is in the shower, no exceptions. I was in NWB cast for 6 weeks.It's been a week since the cast is removed and the bone is fixed too.At this stage, I can walk without support but occasionally using crutch on my good leg.I know it will take couple of weeks to get back to walking normally and I cant wait.I wanted your advice regarding what kind of shoe should I wear at this stage and once I am back to my normal routine esp at work.Also when it is recommended to wear heels post injury or should I avoid them completely. joint, plus an avulsion fracture of the navicular. Because of the swelling, your foot has probably gone up a size and may stay that way for up to 1-2 years. MRI results showed peroneus longus tendinosis with partial tear at the level of cuboid and mild marrow edem in the cuboid which may be stress related. The good news is, you improved previously and you can do it again. Thank you Doctor McCarthy. Wide, soft toebox. Hi Anonymous,It's never to late to start good habits with your feet and to start wearing better shoes! (Continued!! 2. Crocs are only meant to be worn as a bedroom slipper and for puttering around the house. Meanwhile I'm wearing my Rohde slippers in the house - do you think they will do for now? <:) My Lisfranc fracture dislocation injury is also from January but of 2008. On the 1st visit, patients will leave the office in significantly less pain than when they walked into the office using simple non-painful conservative treatment. I really didn't want to wear them because they are...well...Crocs. Didn't dawn on me to see a podiatrist, and went to an orthopedic office and was Xrayed,treated by a PA and was placed in a walking boot. My Feet Hurt!! If you experience dystonia or severe dyskinesia, the muscular strength can force the footplate into the wrong angle in cheaper chairs. Rubber wheels – these can be heavy, but work well outdoors. I am in the UK, so not sure if the shoe availability is as good here. But, he never made any suggestions other than to take an Aleve daily. Meaning, don't jump into dress shoes to quickly - you are still on the mend. Also, check out my article THINKING ABOUT FOOT SURGERY? For dress shoes, I would recommend that you try:1. I was also doing these in barefeet since some schools of thought say barefoot squats are the best. Check out my article MY FEET HURT: TOP 10 THINGS TO DO TO ALLEVIATE FOOT PAIN. I am looking forward to using your tips!Thank you! The basics are:1. *RX Crocs Ultimate Cloud as bedroom slipper - after it heals so you can continue to protect the sesamoid bones. 5. You’ll have a much wider choice at most mobility shops and larger pharmacies. There is a Big 5 sporting goods store here and a Payless shoe store though. Wouldn't this somewhat negate the need to shop all over looking for the elusive rigid men's shoes? I hope this was helpful and I am wishing you tons of good luck!! As a bedroom slipper, you need the Rx Crocs Ultimate Cloud or Relief. First step to feeling better is to forget the whole barefoot thing. My dad was a high school basketball coach at Salem High School in New Jersey and he led the team to win the State Championships in the 1980's. I see on this blog that you told someone she would be OK on a trip in special NB shoes and a brace, but I want to be super careful not to re-injure if I'm healing, since Europe trips typically involve a lot of walking. The Roman Chariot was a very old perambulator that had spent years of retirement in the loft over the coach-house. Or are they garbage? I wonder if she knew that she shouldn't be walking around in bare feet. I have screws in my fourth toes from a hammer toe surgery so would a m.r.i. Again thank you so much for all your help Doctor McCarthy. After reading your blog I realized I have not been wearing proper shoes(too much flex in the forefoot area by toes) and that's probably why my feet and ankle hurt and I cant seem to walk very long. 2.Is there any other place I could purchase the New Balance Shoes you reccomend? Wishing you the best!Please let me know how things are going and, once again, so sorry for the delayed response!Cathy:), Hello Anonymous,I have a terrible feeling that I might have missed your deadline of your trip to Paris! I was even in a wheelchair for about five months when the cast and hard orthotic failed. Stop Walking Around the House Wearing Only Socks. After almost ten weeks, I'm recovering from a fifth metatarsal break (Jones) and the doc has cleared me to ditch my walking boot and start wearing normal shoes again.Not sure what sort of hard soled shoes I should be getting. You may find it helpful to have 2 or 3 walking sticks, so that one can be kept on each level of your house and another for outdoor use. I was hoping to spend time at the beach and other water areas with my daughters and husband this summer. !My daughter recently suffered a lisfranc injury (luckily no surgery) and is due to come out of the walking boot after 6 weeks weight-bearing in it (post 6 weeks nwb), do you think this new balance model http://www.newbalance.com/pd/new-balance-624v2/KX624Y-V2.html?dwvar_KX624Y-V2_color=Black&chart=size#color=Black&size=6&width=M would be suitable as a replacement for the 928? My sparring partner stomped on my left foot as hard as he could during our match and that is how I received my lisfranc injury. Hello again, Cathy, "Anonymous Veteran" from Sept 18 here. This cues you to step over the light when your feet freeze. The Lisfranc injury (if that is what it is) is on the OTHER foot. Extra stair and wall railings can give you more support and guidance in areas of your house where it’s easier to fall, such as staircases, corners or entryways. I think it's really important that you wear the NB 928 (and make sure that the sole doesn't bend at all!) What am I wearing on my feet? They had to manipulate my arch joint back into place. I hope they are ok for my foot? I would recommend that you follow up with your Pod to get x-rays to make sure that you don't have a stress fracture. For an exercise shoe, I would recommend the NB 928 with orthotics or the Hoka One One Stinsen. Auction Ends on Thursday January 14th, 2021 at 7PM. Thanks for reading the blog!Best wishes, Cathy:), Hi cathyI really loved your blog wow you're awesome 8 days agoI was hit by a car and had my 5th metatarsalThe doctor described me to wear those rigid boots its heavy and painful i feel better when i take it offIt hurts my ankle Am i wearing it in a wrong way?Is it better when i sleep to take the socks off or wear them?I'm scared for not getting healed Sorry for askinf alotThank you. Thank you SO much for the info here! If you are still having discomfort, ask your doctor to dispense (or you can purchase online) a Bioskin Tri-Lock brace (pull the white strap to whichever side of the foot hurts the most). Do not get the backless/clog Dansko - make sure it has rearfoot control. My feet are tiny and even women's size 7 is sometimes too big for me. I have a comminuted fracture of the 5th metatarsal after a slip and fall. 7. The surgical solution for what you are talking about is to fuse the joint. "I've been using this walker for about a year now and it's really made people want to help me more. What about Rx crocs or motion control shoes i.e trainers for flat footedness. I'm glad to hear you're getting better and getting back to activites. rearfoot control4. I would also recommend an excellent brace from your podiatrist - to use for any exercise for 1-2 years at least. Also, if you want to wear a sandal, I would recommend the Wolky Jewel, Tulip or Ruby. Thank you for the great recommendations. Or you can ask your Dr for an RX for the NB 928 or 1540. It's one of the more frustrating foot injuries as the sesamoid bones are in a high pressure area and they are located within the flexor tendon, which means it has a less than optimal blood supply and therefore can be a slow healer. I'm sorry to hear that you've been struggling with foot issues! Try them on at a store and if you like them they may work for you. I will definitely apply them asap. Yield mapping, canola sieves, near new tyres, chaff chute, new rotor belt. I tried the aircast walker again one afternoon and it's the only way I can walk without pain,so may have to go back into it for a while. The brace I prefer is the Bioskin Trilock brace, which may be a bit bulky for some dance shoes but is worth a try. You can get Extra-Depth toebox shoes for more room in the forefoot area. Hi Zachary,I would highly recommend that you continue with motion control shoes for the rest of your life. 1540? Shoe Recommendations For Patients Recovering From Foot Fractures and Injuries. I am non weight bearing for 2 weeks then begin walking in boot for 4 weeks. Thank you so much!!! He said in 2 weeks I can prob start wearing regular gym shoes. Pneumatic wheels – these are good for walking trails or cross country, but can be heavy and more expensive. No surgery, thankfully. Reading your letter, I'm hearing a couple of things -- ballet slippers and barefoot. My dilemma is that my family and I have prebooked a tour of Italy that leaves in 3 1/2 weeks. I am recovering from a midfoot fracture. He said in 2 weeks I can prob start wearing regular gym shoes. A cushion can be used in a wheelchair to prevent excess pressure if you feel uncomfortable after sitting for over half an hour. The Shape-Ups are available online and at some stores for under $100. Thank you Cathy, that is super helpful. I went to the hospital ER, who took xrays to determine the above diagonis. Just remember, for the rest of your life, if you wear any shoes that allow motion through the bottom of your foot -- the pain will never stop. Have you any experience with Aebo walking shoes?Thanks!! Go figure. Caitlyn’s office is a mess. I would highly recommend that you get the NB 928 as they are better than the 1540 for the injury you are recovering from. Use a custom-molded orthotics or an OTC insert like Powersteps. I should talk to her about it. I hope that your fracture heals well. It might be an issue. Before buying a walking frame, think about where you will want to use it. They are very slightly too big, but I am pretty sure the next size down would be too small. What I need to know now is when can I start wearing them? I will also make a list of questions and concerns for my podiatrist. Thinking About Foot Surgery? I have some helpful information to add to this blog entry. You can also get the Mammoth Crocs, which are fleece lined. I'm doing PT 2x a week but haven't gotten guidance on shoes. Parkinson's UK is the operating name of the Parkinson's Disease Society of the United Kingdom. Can Croc's be work outside for the same kind of protection, or are they meant only for indoors for sesamoid? Found your blog very helpful. Thank you so much Cathy! A common mistake is adding moleskin over the area of the hump/pain, which only increases the pressure and causes more pain. For the rest of your life, you MUST wear proper shoes and inserts. They might be useful for shopping or in social situations where where you want to take lots of breaks. I will never be able to train or run again! I just hope that I can be able to box again?! (fix: if you've injured yourself, go to you pod and get an evaluation and x-rays)3. Could you help on my next steps and let me know your recommendations for my foot condition.ThanksSrini, Hi Pickle,What a great name!Sorry for the delay in response. Need to know what kind of shoe for work after. June 29th I broke my 3rd and 4th metatarsal bones of my right foot. Do I also need to be wearing a tri-lok brace?I have a NB 927 (according to an older blog you wrote) on order. I've ordered the NB 928s and am happy to have them on hand as a transition shoe. Consultant agreed that working through the pain wasn't a good idea - common sense really. Your advice would be appreciated.Yours truly,Twisted Twice. Start with the basics: Rx Crocs and NB 928 or 1540.Once you are comfortable in the NB (all day) - then you can bump up to different types of shoes. Hi Mary,Sorry to hear about your injury. I would highly recommend that you make an appointment with a Pod for x-rays and evaluation of your other foot. I am pretty active and walk a lot and never had problems with my feet before, but this all happened because I stupidly started doing heavy squats in the gym with barbells and my form was bad, so I kept rolling onto the balls of my feet. (not sure if that will affect my shoe choice for the wedding) Thank you so much, I am soo happy I found your blog!! Thank you so much for caring enough to respond, any suggestions are much appreciated. My husband and I were on our annual vacation and have been out of the country. Best wishes and Happy New Year!Cathy:), Hi Becky B,Sorry for the delayed response! Hi Cookie, Sorry for the delayed response. Hope that was helpful and good luck! Updated List! But sometimes people find the seat gets in the way or adds too much weight to the frame, making it difficult to push or move around. And now you just want to know, which is the fastest electric scooter you can get … There is no particular brand of DM socks I recommend, but you can do an internet search for options. *burning and pain (L&R)I need shoe recommendation that supports 2nd metatarsal plate/screws, plantar fasciiti and especially Metatarsalgia.A big challenge, please help. I just bought a pair of slip-on MEN"S Keens...and I can wear most shoes with a rocker bottom. Dr Mc Carty could you recommend a shoe for someone recovering from a dislocated 4th toe. Alternatively, are there other shoes anyone knows of that might work for me? 3. Please follow up with your doctor for treatment and monitoring of the fracture. If you are in an amazing shoe with inserts and you are healed and having no pain, then you can ease back into doing squats. The irony is I was walking perfectly well (with cushioning for the neuromas) with no problem at all before this injury. Thanks, Terri, Hi Terri,Sorry to hear about your injury! I have 4 screws inside my foot, and still feel that I am slowly progressing. I'm glad to hear that you are healing well after your Lisfranc's injury!For a summer sandal (dressier), I would look at:1. You can either fuse a joint surgically OR you can 'fuse' the joint by wearing a shoe that never allows you to put motion through that joint. When you are 90 years old and not as active, then you can wear Crocs all day! MAX! It's those or standard Crocs at the moment. Hi Anonymous,I apologize for my delayed response!I would recommend RX Crocs around the house (with the strap to the back), New Balance 928 with custom-molded orthotics for exercise and a men's dress shoe with a hidden steel shank in it. Yes foot stomping is perfectly legal in m.m.a ; but purposely injuring your sparring partner is against the rules of the gym, but my sparring partner didn't care. as well as shoe suggestions.Thank you so very much!!! Would the New Balance ones still be the best suggestion? But wot shoes to get? Hope to hear from you asap!! 5. I'm sorry that you're going through so much frustration with your foot pain! Top 20 Comfortable Women's Dress Shoes - Podiatrist Reecommended. You can get the NB 928 or the 1540 in men's which are both good for your condition. Respectfully, Michelle. I fractured distal shaft 5th metatarsal 5 weeks ago. Which would be best for my injury? In retrospect it seems unlikely conservative treatment was ever going to work as there was malunion and bony fragmentation visible on the CT at that time.7 1/2 weeks ago (more than a year after the initial diagnosis) I had a debridement, removal of bony fragments in the joint, and a bone graft, screws and a plate. I heard a pop one night in my R foot and couldn't walk on it. If you have any history of an Achilles tendon injury or issues -- do not try this shoe. Hello Dr McCarthy,Thank you for the detailed guidelines on Lisfranc injuries. Went to urgent care to rule out a break and did RICE for 3 weeks, and when not better went to pod who said I developed cuboid syndrome. 2. That should be the best one. Work shut down early and now I can go do whatever I want! Then lost the crutches. I need to have new inserts made next month. arch support, which you can add with Powersteps or a dress orthoticI hope you are healing well and remember that you should never wear a shoe that puts any motion through the previous site of injury! !Cathy:), Hello GoPack,Sorry for the delayed response! You may also want to get a Bioskin tri-lock brace to wear with the NB sneakers as you ease back into exercise. I can't afford expensive insoles. If that is the case, then with sneakers, you can 'skip a lace' over the hump and that will help decrease pressue. You are in the healing period and it is really important that you rest, elevate and wear your CAM.Have a wonderful trip!Cathy:). I will follow all of your recommendations. 4. Hi Alex,I'm sorry for my delayed response! *After six weeks in a surgical shoe - if it has not healed - then you may want to talk to you Pod about a Bone Growth Stimulator, which is often covered by insurance and significantly speeds up the healing rate. Something casual for the office and with the holidays not too far away I cannot even imagine what I’m going to wear! He even told me that I did not have to wear the boot and can walk normal. Hi! Thanks for reading the blog and I hope this proves helpful!Cathy:). I have become obsessed with trying to (discreetly) bend shoes I find in shoe stores!One follow-up question I do have, is (and this is related to men's dress shoes and rigid soles)... you mentioned inserts, what kinds of inserts do you usually recommend for sesamoid? You need to heal first and then EASE back into your sports. What would you recommend. They have arch support, thick soles. I had great hopes that I would be advised more... that some miraculous shoes would be made for me so I can dance again with no problem! I WILL make sure that my soles do NOT bend! If you work in a boot, I would recommend a boot with a full length steel shank and, of course, a thick rigid sole. I agree that when it comes to feet that you can't be too careful!Thanks for reading!Cathy:). I am so sorry to hear about your long journey on the way back from a navicular stress fracture - they can be very challenging and frustrating!! So thanks a lot Cathy for taking the time to help us!Fleur. Foot isn't getting better after the 'strenuous' physiotherapy. I will get my wrist splint cast off next week, and had thought that my foot would have progressed quicker. 4 weeks in a cast then X-ray showed bone union had started, so no more cast, just walking with one crutch and advised to start putting weight on foot, no crutches. Thank you, thank you. Thinking on it some more, he might admit that the fact that there was nothing was, maybe, a part of the problem. Pneumatic wheels – these are good for walking trails or cross country, but can be heavy and more expensive. The Wolky Cloggy or an Alegria enclosed shoes with rearfoot control should work well for Paris. As soon as you get out of the shower, dry yourself, put on your Crocs. What would you suggest? Two days ago I was able to get some loafers on my foot. Debbie :). Other things that help with pain:1. I found out the Brooks will sell you 2 shoes of different sizes. Thank you for reading the blog!If you have any limpers in your life I would love it if you can share the blog with them,Cathy:). I recently bought my husband a Dansko 'Wayne', which is a casual dress shoe and it is working well for him. I would also suggest you have a discussion with your Pod about either a custom-molded orthotic or an excellent over-the-counter insert for arch support. Best of luck!Cathy:). Other options are the Z-Coil shoe, which helps with shock absorption. A tendon usually takes from 6 weeks to maybe 2-3 months to heal, but - did you mean to say six weeks? Dear Twitpic Community - thank you for all the wonderful photos you have taken over the years. Environmental. Non-wheeled walking frame – these may have an adjustable height. I'm a professional minor league athlete and I suffered a jones fracture in march, got cleared in June, re-injured in June/July. The people in your life who are not being supportive have no idea what kind of foot pain that you are dealing with and I hope they never find out. A lap strap can be helpful, especially when going over kerbs or single steps. Hi Cathy - all your advice has been spot on. Rx Crocs Ultimate Cloud or Relief as a bedroom slipper (or Birkenstock sandals with rearfoot strapping) -- to use just to putter around the house until you can get into a better shoe. Ugh! They offer excellent support and shock absorption, which is very helpful for any heel pain issues. be okay to have on my lisfranc sprain? But my left foot still hurts so very bad! Price: $968. Look for one that meets the criteria! I am dying to take my 2 mile walks again as I have gained weight since the injury. Thanks for reading!Cathy:), For affordable shoe lifts you can visitshoe inserts for height, Doctor McCarthy,Thank you for the amazing resource of your blog. 2-3mm displacement. what about wedges? The Rx Croc Cloud is also appropriate for using as a bedroom slipper. I am doing my third session of physical therapy now. Of course, check with your podiatrist...Thank you for reading!Cathy:). I didn't even know ho bad it really was. Thanks for reading!Cathy:), Hi. 3. Then be quiet (don't say a word! They often have replaceable tips to suit different surfaces, such as pavements or soft ground. Since you live in a small town and are not sure of what will or will not fit - what you are looking for is an 'amphibious sandal' that you can wear in the pool -- it needs to have a thick, rigid and non-flexible sole with forefoot, midfoot and rearfoot strapping. I will definitely order a new pair of crocs rx for around the house. So, don't skip a moment of wearing good shoes. Ive been in Abeo brand sandles and gym shoes but can't figure out what else is going to get past the hump. Scottish dancing is beautiful, but very rough on the sesamoids. If you are wearing shoes that don't meet the 4 criteria of what makes a proper shoe and if you are not wearing Rx Crocs Relief or Ultimate Cloud as bedroom slippers -- the pain will not stop. New Balance 928 with a trilock brace as you ease back into activites. It wasn’t anything in particular that made it happen, there was no tipping point, no nameable thing that he could point to and say and that was the proverbial last straw.. 9. Hello, I would be happy to schedule a phone consultation (please ask for Callie and tell her we need 30 minuteseither right after lunch 480 563 5115). ** VERY IMPORTANT NOTE: **Do NOT order from their website, but go to a "specialty running store" ...like a running shoe store. 1. It was internally fixed, with the fixings removed 6 months ago. I have just recovered from taking 20-year-old hardware OUT of one foot, and I am back in my regular shoes. Don't forget good old rest and elevation of your feet at the end of the day. A custom-molded orthotic or Footstep or Powersteps OTC inserts. Hi, My 12 year old daughter broke her sesamoid bone 12 weeks ago. Comfort Lyrica Velcro Strap Hiking Boots. I wish you could teach my orthopedic surgeon about feet and ankles. http://www.charlesclinkard.co.uk/womens-c1/slippers-c6/rohde-allison-ladies-unlined-slippers-2292-p6549.Many many thanks again for your great advice - and it all makes such sense. I had a traumatic lisfranc injury to my left foot a year ago while pregnant. 5. On the list of recommended sandals he gave me, Birkenstock was listed but with no specific information about what styles would be permissible. Apparently it is a tendon injury with tendinopathy - my posterior tibialis tendon - so explains pain and protrusion on left side of mid foot and underneath. VA labs are excellent at making orthotics! Power packs – many people attach a power pack to the bottom of their manual wheelchair, which means that less force is needed to push the chair. It's ok I'm getting old but the choices are small and the prices can be unaffordable most of the time. I'm doing very well, all things considered, after a very long recovery...back in the gym walking on a 8.5 incline, resumed all my old activities. I've always felt better in more of a padded shoe with cushion due to the years of teaching aerobics. ;)I did call your office this morning after approximating my shoe size according to a chart I found on the net --evening foot tracing measured at almost exactly 10" heel to longest toe and 4" widest part of ball of foot (both largest foot) which gave 9D or 9 wide on the chart-- since my shoes at home range in size from 8-10 and from medium to extra wide!! I'm not keen on the thinner straps - they are a bit harsh and uncomfortable, but will tolerate that for the soles. Hello Anonymous, I am so upset that you have been put through so much pain and suffering! 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