Gear Archives - Catalyst Physical Therapy & Wellness

bare-feet-ocean-water-1280x840.jpg

 

Are Flip Flops Bad For Your Feet?

Are you searching for bunion pain relief from wearing flip-flops all day?  If so, you are not alone.  Millions of Americans suffer from foot and ankle related issues because of the shoes they’re wearing.  Especially here in San Diego where flip-flops are the norm, we see this often.  Not only can wearing flip flops cause pain, but they can eventually lead to a lack of proper mobility of your feet.


So is wearing flip flops everyday bad for your feet?  The answer is yes, and one of the most common problems we see at Catalyst is bunion growth due to daily flip flop wearing.  In addition, while some of these problems from wearing flip flops all day long require surgery or drugs, many of them can be addressed with less invasive care.  Below we’ll break down the science behind it all, along with at-home tips for how to get your feet back in shape!

 

What Problems Do Flip Flips Create

First, what exactly is a bunion and why does wearing flip flops create one?  A bunion is a condition that is caused by the big toe angling away from your body towards the 2nd toe. The fancy medical term we use for a bunion is hallux valgus, which translates to an “increased toe angle.”

Once the toe starts to angle away from your body, your body enters a protection phase by increasing the production of bone and soft tissue around the joint.  In the early stages, this leads to a purely cosmetic issue around the toe knuckle without pain. In the later stages, patients can complain that the area is painful to touch and even hurts while walking.

 

Bunion Pain Relief

 

What Causes Bunions? 

While the bunion manifests itself in your toe, the actual root of the problem could be higher up in your body.  Wearing flip flops as your daily shoe can create dysfunction in your ankles, knees, and hips.  Therefore, as a result of these dysfunctions, the body compensates for every step you take. 

In the physical therapy world, our fancy term for how you walk is “gait pattern.”  During optimal walking, your big toe is the last part of your foot to leave the ground.  With a perfect gait pattern, your big toe is like a bowstring during these final moments.  Fully taught ready to spring you forward.


However, in people with bunions, the midfoot begins to collapse due to weak hip muscles.  These weak muscles are unable to control the motion of the leg below.  Instead, you push off the inside of your foot like an ice skate, rather than letting your big toe spring you forward.  By taking the recommended 10,000 steps each day, and in shoes that offer little to no support, like flip flops, you can quickly see how your foot structure will change to compensate.

 

Flip Flops and Foot Pain

Still not quite certain that flip-flops could be causing these bunions?  Here’s more research to prove it:

 

Six Steps To Prevent Foot Pain and Provide Pain Relief

Here are a few quick things you can change right now to help prevent a bunion from occurring or for bunion pain relief:

 

1.  Stop Wearing Flip flops All Day Long! 

Instead of flip flops, buy some fun slip-on sneakers. The wider toe box allows your foot to splay on the ground the way it was meant to.  If you’re still not certain if flip flops are bad to wear all day, even after reading the research, try swapping them out for sneakers on your walks.  Heading to the beach?  Wear sneakers and toss your flip flops in your bag!

 

2.  Maintain a healthy weight

Staying in that healthy weight range for your age not only helps you with bunion pain relief, it also reduces your risk of heart attack and high blood pressure.  Plus, it will make you feel good and give you more energy!

 

3.  Exercise regularly

Get into the habit of exercising and adding more movement to your daily routine.  Even if its just 30 minutes a day of brisk walking.  Remember, walk in your sneakers and not your flip flops.

 

4.  Get fitted for orthotics

Orthotics can be helpful to not only support your feet properly but also keep them in the proper alignment when running, walking, or hiking.  In addition, our foot care department at Catalyst PT & Wellness can provide custom orthotic prescriptions!

Fill out our request form now, or call us at 619-501-2195 for an appointment.

 

5.  Massage Therapy

Massage therapy is one of the oldest medical practices still around today.  We’ve adapted this Eastern medicine into our routine care and offer several types of massage- sports, deep tissue, neuromuscular, prenatal, and even chair massages.  In addition, many of our massage therapists see patients that suffer from foot pain due to wearing flip flops all day.

Read more on the styles of massages we offer, what the additional benefits of massage are, and how to become one of our Monthly Massage Members!

 

6.  Rest, Ice, Compression, and Elevation

As with most common injuries, the tried and true method of R.I.C.E. (rest, ice, compression, and elevation) will help alleviate foot and ankle pain due to wearing flip flops.  As an example, a warm soak with Epsom salts or an ice pack in the evening will bring foot pain relief.

 

Bunion Pain Relief

Additional Treatments For Flip Flop Wearers

Bunion Surgery

The quick fix for a bunion as a result of wearing flip flops is a surgery known as a bunionectomy.  During the surgical procedure, the bone and soft tissue on the big toe is cut out and the big toe is reset into position.  Besides dealing with post-surgical pain, recovery can last anywhere from 6 weeks to 6 months.

Unfortunately, the success rate of these surgeries is mixed.  The bunion is not the actual problem, but rather the area in the body that is compensating for the problem.  If you’re still wearing flip flops post-surgery, your feet will continue to work in the same way.  Therefore, we have seen bunions re-develop after surgery.   The cause of the foot pain or bunion is never addressed and you end up back where you started.

 

Physical Therapy

Physical Therapy treatment involves assessing your walking mechanics.  First, we identify the contributors altering your foot and ankle mechanics.  We watch you walk in your shoes or flip flops.  Often we find imbalances in muscles and joints of your hip, knees, ankles, and even your core muscles! 

Second, we teach you about strengthening and stretching techniques.  Third, we have you move in functional patterns.  This allows your body to incorporate your new strength and range of motion into daily life.

 

Not sure if flip flops are causing your injury? Or if your foot pain can be treated with physical therapy?  This is why we offer free injury screenings.  An injury screen is a quick, 15-minute video or in-person chat that can allow a doctor of physical therapy to assess your signs/symptoms.   

If your therapist determines your symptoms stem from an orthopedic issue like wearing those flip flops all day, together you can discuss which course of action will work best for you.  Whether it’s telehealth or in-person PT appointments, we can help you get your body back in action.  Fill out our request form, or call us at 619-501-2195 to book an appointment.

 

Bunion Pain Relief

Summary

If we haven’t convinced you yet, wearing flip flops all day long is bad for your feet.  The constant pain you develop as a result is not only uncomfortable, but it can also make it harder to do the things you love- run, jump, play with your little ones.  Spend a little time taking care of your feet now, and you’ll be pain-free for years to come.

 

Looking for more information about foot and ankle health?  Check out our Foot and Ankle Guide. 

 


blog_products_northwest_adult_orthotics_1920-1280x720.jpg

As a biomechanical specialist that has made endurance sports my life, I’m often asked the question by my clients, “Do I need orthotics?”

Let me disclose that I personally use custom orthotics, and have found them to be one of the BEST ways to rid myself of chronic shin and foot pain. I’ll explain why later in the post. To help you decide if orthotics are right for you, here are five questions to answer and discuss with your practitioner/orthotics fitter:

1. Are orthotics something you plan to use to improve performance?

Some people don’t have pain, but have poor foot foundation, causing their balance and proprioception to suffer. Perhaps you have diabetes or a heart condition that limits the amount of blood flow reaching your feet. Poor sensation can lead to poor balance and faulty mechanics. This population can benefit immensely from using custom orthotics regularly, in all of their footwear, to improve balance and reduce the risk of falling.Athletes can benefit from orthotics, too, by correcting faulty loading mechanics at the foot, ankle, knee, and pelvis. These mechanical deficits are oftentimes the result of improper foot positioning, and thus shock absorption, when the foots hits the ground.So what’s causing an improper foot position? The answer is feet that are too rigid, or too soft.Orthotics can help your feet achieve a more beneficial platform, allowing your body to disperse forces more evenly to the neighboring muscle and joint systems.

2. Do you have pain?

Consider this: Where is your pain? How long have you had it? Does anything make it better or worse?For example, do you feel that every time you buy a fresh pair of running shoes the pain decreases? This may be an indicator that your foot craves more stability and needs assistance from an orthotic.If your pain has only recently started, then I’d recommend getting more bodywork (massage), and being seen by a specialist that can assess your biomechanics, flexibility, strength, and tissue “feel” to determine if your pain can be reduced without an orthotic.If your pain is chronic and you’ve already tried seeing a specialist with no improvement in symptoms, then it’s possible a custom orthotic can be used to decrease your pain. That said, the orthotic should be prescribed ONLY after watching your mechanics and assessing your foot properly. This ensures you get the correct style of orthotic, as well as a good prescription for bodywork that will help correct any imbalances within your muscle structure.

3. What type of foot do you have in non-weight bearing, and weight bearing positions?

If you have extremely flat feet, but no pain, then I wouldn’t recommend an orthotic unless you’re involved in a high-risk sport like soccer that has a ton of cutting, and you can’t control how far your knee dives in or out.If you have regular arches while sitting (you can see a crescent shape in the arch) but they drop largely with full weight bearing, then you might have a high amount of pronation and require assistance with controlling the speed of collapse.If you have high arches in both seated and standing positions, then you might have a high degree of supination that limits your success with dispersing forces in the ankle, knee, and ultimately the hip and spine.Again, having a qualified practitioner that understands how to measure and assess these different foot types will be necessary. I’ve seen plenty of over-pronators and over-supinators for whom I didn’t recommend getting custom orthotics because they have effectively compensated for their foot structure. It’s the people with poor foot structure, plus recurring injuries or pain that often need custom orthotics.

4. Are you willing to perform exercises most days of the week to improve your foot structure?

If you’re one of the unlucky people that have poor foot mechanics, pain, and hobbies/work that involve heavy impact, you still may not have to get custom orthotics. However, in order to avoid them, you’ll need to put in the work to make your foot both strong and/or flexible.Perhaps you’ve been labeled an “over-pronator” and you rushed out to buy the “Born to Run” book along with a pair of the Vibram 5-Toed minimalist shoes with the intention of gaining strength. Well, the disclaimer that must be included is this: it doesn’t happen overnight, and you have to be very diligent with your strengthening as well as with your foot recovery techniques to regain an arch, and get rid of pain.On the other hand, if you’re one of those rigid-foot-supinators that needs mobility, you’ll have to commit time to regaining flexibility in the ankle, toes, and hips. Increased motion at these joints allows for the foot and arch to collapse in a manner necessary for absorbing shock in the ankle and leg muscles, without stressing bones.So, if you’re willing to put in the effort, you might be able to save yourself some money, though, I’ve seen most people struggle to do so, and end up purchasing a pair after a few months of non-compliance. Rest assured, I don’t blame them. After all, I’m in the same situation, not making the time to change my feet.

5. What are your job, or daily life demands?

If you have poor foot structure, but work at a desk and don’t find yourself walking or spending long amounts of time on your feet, then you might not require custom orthotics. Perhaps you only walk casually, and on fairly stable surfaces. People that have this style of living often just require supportive shoes for their daily walks that have more rigid lasts built into the sole of the shoe to decrease shock. There’s even a maximalist movement by shoe companies now to thicken the soft cushioning in a shoe (although keeping the material extremely light) in an effort to create decreased impact forces in the leg, and a larger sweet spot with landings.However, if you have poor feet and a job that demands a lot of standing, or hobbies with high amounts of impact, you might find a custom orthotic to be your saving grace. In my experience, it’s not a matter of if pain will eventually creep into your legs, but when it will force you to be sidelined in some manner.I’ve seen the arthritic build-up in knees, hips, and spines developed from years of overdoing on poor foot structure. These patients show up in the clinic with back pain resulting from years of bad mechanics that could’ve been prevented. While I don’t prescribe them orthotics on the first day, I do have a conversation with them about the compensations their body has undergone to adapt to the stresses that ultimately begin in their feet. These stresses, when discovered at a younger age, can ultimately be reduced, allowing for less degeneration, but early identification is the key. Most of these people will end up in some form of custom orthotics once pain has set in, which will hopefully prevent surgical repair to worn out areas!

The most important thing to consider when deciding on orthotics is: what type is necessary? There are a myriad of choices out there ranging from $25-50 on the cheap side to $200-800 on the expensive side. While the cheaper orthotics can serve as a nice temporary support for your foot, they use weaker materials and base their design off a common posting angle that may not benefit your particular foot mechanical problem. On the other hand, the custom-molded, more expensive orthotic may not be the right choice for you either. The actual making of the custom orthotic relies heavily on having the correct expert assess your foot both statically and dynamically under different loads, or ground reaction forces. Without an expert that understands how to assess your foot under different stressful situations, it’s nearly impossible to get the correct orthotic prescribed.

In the end, a custom orthotic is a big investment and shouldn’t be taken lightly by the practitioner responsible for getting you properly fit. I’ve seen way too many patients limp into my clinic carrying a bag of orthotics they have been “prescribed” through weight bearing scans, crush boxes, and treadmill video recordings. You can imagine the disgust they feel when I show them the reasons their $1000+ investment in foot care is really just a scam that has been played over and over to them by some of the best sales teams in the industry. I’m forced to try to use foam padding and tape to post and position their foot better with the orthotic they bring in, but this never serves as a long-term solution. They’re just a number to these sales teams, and no attention has been paid to their individual foot needs based off of their hobbies and work demands.

That’s why at Catalyst we’re expanding our foot care department to provide the best orthotic prescription in San Diego. We’ve partnered with Northwest Podiatric Laboratory and Smartcast Systems to get rid of the outdated plaster casting. This allows us to use 3d technology in printing and scanning in our orthotic prescriptions. We can now scan a patient’s foot to get an exact 3-D replica model. Taking it one step further, we use a foot positioning system at Catalyst that includes a laser alignment device to ensure each foot is positioned optimally when scanning and prescribing the perfect orthotic. With no time wasted, our patients will be back in action with the proper fit in a little over a week and their feet will send us “Thank You” cards.