If the shoes fits….

If the shoes fits….
Prepared for the
CFPM Podiatric Assistants
Sonia Maragoni, D.Ch. B.Sc. Podiatric Medicine, B.H.A.
In 30 min we will cover:
Overview of
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Shoe Anatomy
How to Measure Foot Size
Types of Feet
Types of Footwear
Types of Lasts
Types of Lacing
Demonstration – Hands On
 Shoe Size Measuring
 In office shoe padding
Shoe Anatomy
How To Measure Foot Size
 Brannock device
Steps to Measure Foot Size
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Appropriate Brannock device for gender
Socks on feet
Standing measurements
Measure heel-to-toe length right and left
Measure heel-to-ball (arch) right and left
Measure width
Measure twice order once! - often may need to add ½
half size to larger foot to accommodate foot deformities
Measure but don't argue
Female patients will often argue that they “can't possibly
be that size…. I have always worn a 6 !”
Look at the size they are wearing now, measure both of their feet
and record your findings.
Explain to the patient that approved therapeutic shoes sometimes
run differently than “regular” shoes.
If fitting an orthotic assure them that once their inserts are molded
and placed inside the shoe that they will be comfortable.
Size is only a number!!
How To Match
Types of Feet = Types of Lasts = Types of Shoes
Pronated-Flat arch foot = Straight Last = Motion Control Shoe
Neutral-Normal arch foot = Semi-Curved Last= Stability Shoe
Cavus-High arched foot = Curved Last = Cushion or Neutral Shoe
Athletic Shoe Categories
Motion Control
 Shoes designed to provide maximum support to the excessively
pronated foot.
- Includes medial post and/or medially placed wedge of denser
material to slow the rate of overpornation.
- Often utilize a full contact outsole to limit excessive collapsing of
the foot.
- Straight last
Athletic Shoe Categories cont…
Stability
 Shoes designed with support on the medial side of the shoe to
protect the foot against low to moderate levels of pronation.
- Includes medial denser material as well as engineered to provide
both support and cushioning
- Not a full contact sole but sculpted
- Light weight midsole
- Straight or semi-curved last
Athletic Shoe Categories cont…
Cushioning
 Shoes designed to give the neutral or high arched foot the most
cushioning and flexibility possible.
- They do not include medial post or double density medial
midsole.
- Midsole typically as a uniform density
- As a sculpted midsole
- Light weight midsole
- Curved or semi-curved last
Lacing Systems
http://www.fieggen.com/shoelace/lacingmet
hods.htm
How long should shoes last?
Vincent van Gogh
Shoe Replacement
Guidelines
S.A.M.S. rule
Size: Body Weight x 3 x 1700 steps
Amount: the average midsole delivers optimum shock
absorbency for 500-800 km
Mechanics:
foot mechanics ranging from biomechanically
gifted to the biomechanically challenged will affect wear
Surface: when the foot hits the ground, the ground imparts an
equal and opposite force back. Cement no as forgiving as grass or
treadmill.
Shoe Wear Signs
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Creasing – wrinkles in midsole
Heel counter soft or crooked on an angle
Shoe bends in the arch
Wear of the outsole
In Office Shoe Padding
Materials: scissors, semi-compressed adhesive felt, prefabricated poron or PPT pads…
Common in office shoe padding:
- Tongue pads
- Metatarsal pads
- Valgus or Arch pads
- Heel lifts
- Medial heel wedge pads
- Toe crest pads
- Deflective padding from lesions (corn/callous)
f.
a. Metatarsal pads
b. Metatarsal bars
c. Metatarsal cookies
d. Longitudinal Metatarsal pads
e. Scaphoid pads
Heel Cushion/Lift – Heel Spur pads
g. Dancer’s Pads
Hands on
Demonstration of
Shoe Measuring
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Shoe Padding
Thank You!
Questions???