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Orthotics that don't fit in shoes

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Simon Spooner, Jun 12, 2012.

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  1. Twooms

    Twooms Member

    'I wear glasses but would not let the optician choose my frames, so why should people let a podiatrist or orthotist dictate their footwear?’
    -Maybe not but I'm pretty sure you would want them to choose the lenses!

    On an aside from this, how much input does a podiatrist generally have on the shoe choice? Are they expected to be able to choose a specific shoe for the customer or is it sufficient to create them an orthotic device and refer them to a specialist shoe store?

    Pardon my ignorance but this is my first post on here and I am intrigued to learn from the vast expanse of minds on here. I am a recent graduate of Biomechanics and work within the footwear industry and regularly prescribe shoes for customers with various pathologies. Rarely have I been unable to fit a foot to something comfortable and pain relieving and create a custom footbed to fit into that specific shoe. Perhaps I should start making them for wellies and expand my business!
     
  2. Why do prescription shoes all "look ugly"? Because they look like feet, that's why.

    Until the shoe-buying public understands the concept that shoes should be chosen to fit the natural contours of the foot, rather than deforming the foot to fit into a certain preferred style and shape of shoe, shoes that have the same shape as a foot will always be considered as being "ugly" to a large number of individuals in our Western Society.

    See attached photo of two pairs of shoes that were being worn by the same pair of feet...... and she wondered why her feet hurt in her dress shoes but not in her "ugly" running shoes. Amazing.
     
  3. I did a three pair repeat prescription for a farmer about a month ago. One pair for his "best" Wellies; one pair for his day to day wellies; one pair for his dog walking Wellies. It's not too uncommon here in the west country.
     
  4. Amazing!

    And very pretty ;)
     
  5. Twooms

    Twooms Member

    Haha I love it :D, I am a county Cork man so I can totally understand his predicament, however where I'm from the three would be amalgamated and there would be no such notion of having pain alleviated that would give him less to complain about down the pub!
     
  6. And from Kevin's own wardrobe ;)
     
  7. As an ex runner I suspect he has the calves to carry them off. ;)
     
  8. He's from the wild west so I suspect he's got a variety of cattle on his ranch. :dizzy:
     
  9. Yeehaw!
     
  10. I'll get me chaps.
     
  11. blinda

    blinda MVP

    You`ll get your what?
     
  12. Chaps, you know.... wrangling clothes.
     

    Attached Files:

  13. About 30 years ago, I actually saw a guy walking across Castro Street in San Francisco (main gay district in SF) in the middle of the afternoon dressed in a pair of chaps just like this but with nothing else on under the chaps (i.e. his bare posterior was hanging out the back of the chaps). This was the pre-AIDS era of SF and my wife's sister, who we were giving a SF tour to in our car at the time (she was only 15 years old) could not get her jaw to close after it dropped toward the floor when she saw this sight.

    San Francisco....there's no other place like it in the world.:rolleyes:
     
  14. Yep. Been there. I had an ice-cream, stopped at a crossing and a guy said something like "that looks nice", took a lick of my ice-cream and crossed the road. No euphemism here. I didn't cross the road nor finish the ice-cream. Seriously, no euphemism here.
     
  15. Boots n all

    Boots n all Well-Known Member

    You have to laugh when you read this statement and question her IQ...
    "...often in the form of prescription shoes. But these are so ugly and uncomfortable that many people can’t bring themselves to wear them"

    They must have done a sh*t job with the orthosis and shoe fitting if they are uncomfortable...dont wear them:bang:, take them back, the whole lot!:empathy:

    From what you can see of her shoe fit and the Arthritis l would suggest a great looking pair shoes, "Epic" or even boots, "Commander" by Ziera, these will take a full length orthosis as she holds in her hand, with a mild rocker sole and they are far from ugly.
     

    Attached Files:

  16. "Great looking", hmmm. I guess beauty is in the eye of the beholder and whether or not you are employed as a social worker. My mom would probably wear these, but she's 79 years old.

    Here are some of the kind of shoes many women would like to be sporting this season:
    http://www.millionlooks.com/trends/shoe-trends/shoe-trends-spring-summer-2012/
     
  17. Boots n all

    Boots n all Well-Known Member

    Go grandma !

    Careful what you say now Simon, there are three Podiatrists that frequent here that have bought a pair of these boots, each, you could be walking a very fine line indeed

    Now what would you like Simon?
     

    Attached Files:

  18. The girl in the picture is pretty, the boots are still ugly ducklings. A sale of 3 pairs to podiatrists doesn't make them "the must have this season" for the majority of females in the 20-50 age range.
     
  19. blinda

    blinda MVP

    I wear similar, well kinda, biker boots with leathers 'n jeans but you wouldn't catch me in the shoes, epic or not, even tho I have arthritic changes in my feet. Guess It's a 'female issue'. Tell you what, I'll take photos of what women pods wear to the summer school next week and, with their permission, will post some here.
     
  20. Do that, then go to a conference in Portugal and see what women pods wear there. I think you'll see a stark contrast.
     
  21. That conference was indeed most enlightening!

    You can't argue taste. Biker boots can look great with some "looks". The more dainty shoe looks great with others.
     
  22. Joe Bean

    Joe Bean Active Member

    Well folks,

    at last you have achieved the highest of bad taste.

    If this had been in the break room Ok, but.

    Clearly none of you have ever ridden a horse or you would recognize that the leather garments are not 'chaps' look closely the zip is on the inside try rubbing that against a saddle western or English and feel the results.

    As for the rest of the thread it is blatantly sexist and homophobic, shame on you all.
     
  23. Joe:

    Homophobic? Not at all, many of my friends/colleagues in San Francisco and since that time were/are gay and we get along very nicely together. Simon and I were reporting true stories from the past. Since when has reporting true events that occurred in the past been considered "homophobic". If you can't handle reporting true stories, then I suggest quit reading this thread. You can get off your politically correct pedestal now, Joe. I'm tired of it already.
     
  24. N.Knight

    N.Knight Active Member

    see the other half will not go shoe shopping with me any more, she is a medic spends 14hours (sorry that is a typo 12 hour, docotrs in the UK do not work more than 12 hours :) ) she wears shoes like black ones Kevin posted up to work, comes home and complains her knees and ankle hurt, she wears some trainers or sensible shoes pain goes away magic.

    I think Kevin should take a trip to brighton when he is over next week, will see plenty of chaps there.
     
  25. Ian Linane

    Ian Linane Well-Known Member

    Hi Joe

    I'm surprised. Can't say that for one minute any homophobic innuendo came across to me. Just struck me as the typical banter between the guys.

    If Kevin comes to Brighton he can pop into see me for a drink.
     
  26. N.Knight

    N.Knight Active Member

    thats if he can get pass the A27 at Chichester at present
     
  27. Chris Kemp

    Chris Kemp Member

    Bringing things back a little more on track perhaps ...

    With 25 years of experience fitting walking boots before I became a Podiatrist, I saw boots evolve from leather and vulcanised rubber outsoles with steel shanks to multi-density plastic soles with nylon shanks. This progressively halved the weight of walking boots, but one constant every year would be the female customer who would pick the new lighter-than-last-year boot up and say,

    "Oooh, this is heavy".

    Patients, like customers, reserve the right to believe mutually contradictory things, unsupported by evidence :pigs:. I quickly learned that measuring my patients' feet with a Brannock gauge in clinic only upset them, and a gentler, more persuasive approach sometimes yielded better results .....sometimes :bash:.

    I would challenge journalists and the fashion industry to reflect upon their relentless conditioning of customers to believe that a pointy-toed little torture machine for feet is somehow "attractive", and a foot-shaped shoe is somehow "clumpy" and "ugly". Men gave up high heels in the 17th century and are happier for it (please start a separate thread if you want to pursue this thought :D)

    I guess we have to work with where we are now, but I believe we should try to move the debate to more productive ground rather than allow the belief to take root that we are somehow not producing an attractive orthopaedic shoe because we are not trying, or don't care about our patients.
     
  28. RobinP

    RobinP Well-Known Member

    I like to use the analogy of cars. If I take a BMW Z4 convertible and add 2 extra seats because I need a little more space for the kids friends doing the school run. Then I add a solid roof because it p!sses down in the Isle of Man most of the time. Then I put in extra large tyres with big suspension because of the rutted roads that I need to drive down occasionally. I then add child seat compatible seats, I go from a nice sporty car to a landrover defender. I have no problem with how a landrover defender looks. IN fact, I really like them, but I also like brogue shoes and tweed jackets.

    Take a Pretty little ballet pump and add space for a hammer toe, extra depth throughout because of oedema, add extra depth to accommodate an insole that has to be minumum 6mm thick because there is a metatrsal that is at least that much more prominant than any of the others. Add some extra width for a bunion and a thick sole unit with a rocker as the patient has hallux rigidus(all things that might arise in the typical RA patient) and you end up with something like an orthopaedic shoe

    One would think that we make a distinct effort to make shoes look especially ugly for some very peculiar reason. Can they not see that our life would be easier if we could just just give them nice looking, rubbish fitting shoes.

    The reality is that no one would use orthopaedic footwear unless they had to and the reason they have to is because normal shoes that one can buy in a shop do not fit because their feet are NOT SHAPED LIKE A FASHION SHOE. If they were, they could wear a fashionable shoe

    Can you tell this topic gets my goat?;)
     
  29. Joe Bean

    Joe Bean Active Member

    Homophobic? Not at all, many of my friends/colleagues in San Francisco and since that time were/are gay and we get along very nicely together. Simon and I were reporting true stories from the past. Since when has reporting true events that occurred in the past been considered "homophobic". If you can't handle reporting true stories, then I suggest quit reading this thread. You can get off your politically correct pedestal now, Joe. I'm tired of it already.
    __________________


    Kevin just because many of your friends are gay and you get along nicely does not mean your and Simonds's posts were not homophobic. The image posted was not of wrangling gear but of stereotypical gay clothing. As I pointed out chaps would not have an internal zip.

    As far as reporting true stories I have no problem, but what relevance did they have to the tread?

    I'm sorry my observations tire you or is it just that you are not used to being criticized and do not like it?

    Joe
     
  30. Boots n all

    Boots n all Well-Known Member

    Not all shoes that have depth and a removable foot bed are ugly, everyone's taste is different.

    Here is a link to 63 styles (just from one brand)of footwear that have those features and only, in my clinics store anyway, about 20% are purchased to have an orthosis put in, the rest are "fashion & comfort" purchases.
    http://www.zierashoes.com/Shoes/Orthotics#1

    Mona and Mira (2nd page)a good example, have been huge sellers and have a 6mm full length removable foot bed and the toe strap is velcro to give even more depth if needed, but most dont even know that feature is there as they bought it for fit, fashion and comfort and are far from ugly.


    PS l dont agree that all of these 63 shoes should take an orthosis, but they do have the room to, some half length and some full length, have a look for yourself
     
  31. Joe:

    I like being criticized if the criticism has any merit or is based on fact, and not is based solely on the odd opinion of someone who is offended by a discussion that is not solely regarding the original question. Joe, if you want to believe that my and Simon's (not Simond's) posts are somehow remotely "homophobic" then it is your right to have that opinion. However, most reasonable people who haven't placed themselves high above others on their self-made politically correct pedestal, would not find our postings "homophobic".

    As far as being on topic, Joe, when was the last thread that ever stayed totally on topic here on Podiatry Arena. If you want all posts here on Podiatry to stay solely on topic, then I suggest you volunteer your services to Craig Payne and Podiatry Arena so you can become the "official thread sterilizer" so you can eliminate all posting that you deem to be "politically incorrect" and that harm your delicate sensibilities.

    That should make Podiatry Arena a much more boring forum for everyone to contribute to and participate in.

    Have a great day.:drinks
     
  32. Joe Bean

    Joe Bean Active Member

    Si,

    Admitting to reading the Daily Mail does your street cred no good.:D
     
  33. DTT

    DTT Well-Known Member

    Joe

    Neither does yours with your attention to detail on "gay clothing" personally I wouldn't have noticed but your comparison with the chaps was impressive.

    To coin a George Michael quote " Closet bummers usually come out in the end"

    ??????????????????????????????????????? :rolleyes:

    Cheers
    D;)
     
  34. Joe Bean

    Joe Bean Active Member

    Kevin,

    My post has nothing to do with political correctness but about the duplicity exhibited by members of the dominant cabal on Pod A.

    Simon’s initial posting IMO deserved due consideration. Rheumatoid Arthritis as we all know can be a devastating disease being both painful and deforming. If like DTT says we are part of a caring profession then surely we should be able to empathise with the lady in the article?

    Instead you posted pictures of shoes no arthritic could contemplate wearing and suggested the patient was stupid because she did not know why her feet hurt.

    Then it started the schoolboy humour, innuendo that suggested you were a cross dresser, a posting from a fetish leather site, then anecdotes about gay encounters. The second one was thanked by a member of the forum who is boasting about making a complaint to the HPC about disparaging comments.

    Next a jibe at Social workers.

    So Ian “typical banter between the guys” what on “this respected forum”?

    “Joe:

    I like being criticized if the criticism has any merit or is based on fact, and not is based solely on the odd opinion of someone who is offended by a discussion that is not solely regarding the original question.”

    Those threads could hardly be called a discussion.

    Joe, if you want to believe that my and Simon's (not Simond's) posts are somehow remotely "homophobic" then it is your right to have that opinion. However, most reasonable people who haven't placed themselves high above others on their self-made politically correct pedestal, would not find our postings "homophobic".

    That of course is just a matter of your opinion.

    As far as being on topic, Joe, when was the last thread that ever stayed totally on topic here on Podiatry Arena.

    Probably seldom, but it’s OK for members of the cabal to drift off watch what happens when an outsider does.

    If you want all posts here on Podiatry to stay solely on topic, then I suggest you volunteer your services to Craig Payne and Podiatry Arena so you can become the "official thread sterilizer"


    Shouting is a sign of frustration Kevin.

    so you can eliminate all posting that you deem to be "politically incorrect" and that harm your delicate sensibilities.

    There is a difference between ‘political correctness’ and discrimination, I am vehemently opposed to censorship so would never contemplate being a moderator, however as a valid member of this forum I do have the right to express my opinion.

    That should make Podiatry Arena a much more boring forum for everyone to contribute to and participate in.

    And you do not find your in house banter boring?

    Have a great day.

    Thank you, you too

    Ah D erudite as ever.
     
  35. Joe:

    Thank you for your opinion of the synopsis of our discussion. It seems that you were the only one so offended by our discussion in that it did not stay completely on topic. It seems that you were the only one that thought that our comments were homophobic and sexist. I'm sorry to have offended you and bore you with a discussion between a friend and colleague of mine, Simon Spooner, that I have enjoyed learning from, attending and lecturing seminars with and laughing with over beers for over the past 10 years. I do have this problem of being happy most of the time, and enjoying teaching and learning here on Podiatry Arena, except, of course, when I'm being told by someone who I have never met, never heard of before, never read any of their publications and otherwise doesn't know me in any way, shape or form that I am homophobic and sexist. This type of nonsense makes me wonder why I am spending so much time here on Podiatry Arena, being accused of being homophobic and sexist by someone who I have never met.

    In the next life, I will be sure to be much more on topic, much less boring and not make any remarks that could be miscontrued by even the most picky, politically-correct person as being somehow homophobic, sexist, racist, purist or whatever adjective that this person finds my comments to be.

    However, Joe Bean, in this life, I'm not changing. Therefore, you will just have to deal with it the best way that you can and cope with my imperfect nature the best way that you can find. Or alternatively, I will just quit posting to Podiatry Arena and find another more pleasant avenue to teach from where I am not accused of being homophobic and sexist and so that your feelings won't be hurt so badly next time around.

    Have a nice day.:drinks
     
  36. blinda

    blinda MVP

    Do not feed the trolls.

    The pseudonym that is Joe Bean is on my 'ignore' list, but unfortunately every time he/she is replied to with quotes, I see the provocative, spiteful remarks of someone whose sole motive is to cause as much disruption as possible. Probably as some form of misguided vendetta.

    Anonymous posters like these would like nothing more than to see the respected members here react by leaving the Arena. Please don't give them the satisfaction.

    Cheers,
    Bel
     
  37. phil

    phil Active Member

    Hey, I thought it was a photo of Simon in his chaps. Are you saying it isn't?
     
  38. Bug

    Bug Well-Known Member

    David, I admire your passion but it will be a long time before you catch this little pod in those.

    I have a sneaking suspicious I would fit in well with the pods Blinda works with. I might have to link the "Funky Footwear Friday" that has been initiated in the podiatry department. Granted, only those of use with primarily desk jobs take part.
     
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