At M Maddocks Inc, we regularly see patients suffering from preventable foot pain caused by inappropriate footwear. Most are shocked to learn their favourite shoes are causing their discomfort. While shoes may seem like a simple fashion choice, they profoundly impact our foot health and overall wellbeing. Let us share how your footwear choices affect your feet and how making informed decisions can prevent unnecessary pain.
The Impact of Poor Footwear Choices
Wearing improper shoes doesn’t just cause temporary discomfort—it disrupts your quality of life. When your feet hurt, you alter the way you walk, putting abnormal stress on other parts of your feet, your ankles, knees, hips, and back.
Common Foot Conditions Caused by Improper Shoes
Bunions and Hammertoes
Pointed or narrow toe boxes force the big toe towards the smaller toes, creating bunions. Women are affected substantially more than men—largely due to footwear choices. Hammertoes develop when toes are forced into bent positions for extended periods. Both conditions can progress from minor issues to painful deformities.
Plantar Fasciitis and Heel Pain
Shoes lacking proper arch support contribute significantly to both plantar fasciitis and heel pain.
Skin Issues and Nail Problems
Tight shoes can cause painful ingrown toenails. Corns and calluses develop where shoes create friction or pressure, particularly over bony prominences.
The Correct Fit
- Shop in the afternoon when feet are largest
- Ensure 1-1.5cm space beyond your longest toe (not necessarily your biggest toe)
- Align the widest part of your foot with the widest part of the shoe
- Test shoes by walking before purchasing
- Fit to your larger foot
Remember that sizes vary between brands—prioritize comfort.
Age-Specific Considerations
Children
Children’s developing feet need:
- Room for growth
- Flexible soles for natural movement
- Breathable materials
- Good traction
Time spent barefoot (when safe) promotes healthy foot development.
Adults
Adults should:
- Select work shoes appropriate for their environment, foot shape and activity level.
- Invest in activity-specific sports shoes
- Alternate between different pairs
- Replace shoes showing wear (typically every 6-12 months)
Most adults wear incorrectly sized shoes, so regular measurement is important.
Seniors
Older adults need footwear with:
- Low, broad heels for stability
- Adjustable closures for swelling
- Extra cushioning for comfort
FAQ: Common Footwear Questions
How often should I replace my shoes?
Replace everyday shoes after 6-12 months of regular wear or running shoes after 500-800km. Watch for worn heels, diminished cushioning, deformed uppers, or symptoms like pain.
Can wearing high heels occasionally still cause problems?
Yes, even occasional use can be problematic. High heels dramatically increase forefoot pressure. If worn, limit time to 3-4 hours, choose lower heels when possible, and stretch your feet afterwards.
Taking Steps Towards Healthier Feet
Your footwear choices impact your overall wellbeing. At M Maddocks Inc, we believe in empowering clients with knowledge to make informed decisions about foot health.
Investing in appropriate shoes is investing in your health. The costs of foot pain and treatments far outweigh the benefits of following fashion at the expense of function.
If you’re experiencing foot pain or need guidance on proper footwear, our team specializes in comprehensive assessments and personalized recommendations. Call us at 078 060 6744 to schedule a consultation at our UMED Sandton Medical Suites location.
Your feet carry you through life—give them the care they deserve, starting with what you put on them each day.
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