Footwear choices made by young women and their potential impact on foot health.
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Branthwaite H, Chockalingam N, Jones M, Grogan S.
J Health Psychol. 2012 Nov 27
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Patient with Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)
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Yes we needed a study to tell us that too!
l recently spent a large amount of hours over three weeks with our 17 year old daughter looking for a pair of shoes for her end of year formal.
No expense was to be spared, Dads paying! Would you believe after 18 stores and probably 80 pair of shoes tried on ranging from $185 -$300 she found a pair that ticked all the boxes...at Payless $48 and 15cm of heel
Parameters of the search, colour and heel height to match the dress, oh and they must be cute!:rolleyes: comfort was meant to be in there somewhere l am sure, l just never heard it mentioned -
I remember the times I would go out dancing with friends and come home with blood inside my shoes where they'd rubbed my feet raw..... but they looked fabulous so I didnt stop wearing them! :rolleyes:
Youth is an amazing thing! ;) -
From a retail perspective I have this conversation with my customers all the time, I get to see the long term effect from a non-medical perspective. Our comfort shoes tend not to appeal to any age due to there orthopedic look, but we typically cater to age 40 and up. Almost every customer will say something like "when I was younger I never had any problems, why do I have them now?"
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netizens
Contrary to popular belief there is very little independent evidence to demonstrate shoes or the choice of shoes has for the majority of shoe wearers an adverse effect on foot development and or pathomechanics. In the absence of such it remains a myth that shoes cause foot problems.
toeslayer -
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Also, contrary to popular belief there is very little independent evidence to demonstrate walking in the rain makes you get wet. In the absence of such it remains a myth that walking in the rain makes you wet.:rolleyes: -
While on principle I do not side with my friends simply because they are friends, maybe we ought to cut Cameron some slack here. So perhaps he is right - what is the evidence that "poor choice" of shoes causes future deformity? Purely anecdotally, my kids helped themselves from a box of shoes under the stairs - until they found a pair that they wanted - doesn't seemed to have done them any harm! To challange dogma is often beneficial; to run with dogma simply reinforces dogma. Those with the evidence - please put it on the table for us all to see.
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[Check4SPAM] RE: URL Attempt
As stated in a previous post I am not a podiatrist but am extremely interested in the field.
http://www.josr-online.com/content/3/1/2
Yes it's only 25 women so there may be lack of evidence, I also am not sure of some of the medical terms but this may be interesting to look at.
http://jeb.biologists.org/content/213/15/2582.full.pdf
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I have no doubt that shoes cause problems, its just Cameron's point was the actual lack of evidence to back the claim up! -
Re: [Check4SPAM] RE: URL Attempt
Have we come to be, as a profession, so pedantic that we say that things are a "myth" just because they haven't been supported by peer-reviewed randomized research studies?
Here's one that Cameron could have also said, and Rob could have agreed with, using the same logic:
Contrary to popular belief there is very little independent evidence to demonstrate that parachutes actually prevent people from dying when jumping out a flying airplanes. In the absence of such it remains a myth that parachutes prevent death when jumping out of airplanes.
Or, better yet, this one could also apply using the same logic:
Contrary to popular belief there is very little independent evidence to demonstrate that walking in the rain makes a person get wet. In the absence of such it remains a myth that walking in the rain causes a person to get wet.
I will find it to be very sad day when we come to a point in "our development" when common sense means nothing when evaluating clinical research. Is every bit of common knowledge that has not been shown to be true by peer-reviewed, blinded, randomized research studies now to be considered "a myth"?!:bang::butcher::boxing: -
Re: [Check4SPAM] RE: URL Attempt
The current belief is that poor footwear --> foot problems (and is probably right). However, it just could be that those with foot problems choose to wear poor footwear (which is a plausible alternative explanation) and in the absence of prospective data, it is not possible to definitively conclude one way or that other ... which I assume what Cameron was getting at. -
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Just because something hasn't been repeatedly shown to be supported by high quality research does not make it a "myth". It only demonstrates that it is not supported by high quality research. Period. -
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Interesting enough, in Footy Season I get a surge of young male clients with IGTN
They buy smaller footy boots as it increases their proprioception and ball control (apparantly).
Co-incidence?!!? :rolleyes:
My old hairdresser had shocking corns and callus wearing shoes with long, narrow toe boxes. You could see the deformation of the leather from where his feet pressed and rubbed.
But these soft tissue problems must have other causes, naturally ;)
Then there are the young dancers who go en pointe too early and end up with clawed toes and thickening and splitting of the nails. Plus callus and blisters from rubbing in the toe box. Especially if they dont correctly pad the toe area or bandage each digit before a performance.
Yet, you'd think all the time they spent leaping in the air would reduce problems as they are only weight bearing part of the time :drinksLast edited: Dec 9, 2012 -
It is not the pointy ones or the high heels that vex me, it's the flatties that cause all the problems
The ballet pumps, the plimsoles etc. However, as has been mentioned above, I think ou would be hard pushed to provide any evidence that this is the case.
I see it as, and describe it to patients as, an unfortunate confluence of factors that cause pathology that is generally quickly resolved with change of footwear. And if you subscribe to the ZOOS theory then footwear is just one of a number of things that can be changed in order to reduce pathology
Early Teenage girl --> rapid growth of bone with muscles playing catch up in length( in addition, there is probably an increase in activity levels when jumping up to senior school, everthing from walking between lessons in a large school to doing things like weekly crross country which would not have been the case in junior school)--> effective gastroc tightness -->increased PF tension --> in a heeled shoe there may be greater Windlass action -->greater resistance to external pronation moments-->less likelihood of PF problems and other pronation related pathologies
Very simplistic but you get the drift. If you naturally have big ZOOS or have good muscle structure that absorbs the loads that otherwise would have gone through ligaments/PF etc then wearing flat shoes may not cause you any problems as is the case for people who walk barefoot.
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Verrucae Needling Technique in Melbourne, Australia?
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Patient with Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)
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