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all about aetrex foot health q&a all about aetrex foot health q&a
dr.george dr.george

Co-hosted by Orthopedic Spinal Surgeonand Medical Consultant

DR. GEORGE AMPAT

To celebrate Foot Health Awareness Month this April, we are hosting 5 Live Q&A sessions with our medical consultant Dr. George Ampat.

An Orthopedic Surgeon at Royal Liverpool University Hospital and a Clinical Teacher at the School of Medicine at The University of Liverpool, Dr. George has assisted Aetrex in several orthopedic research projects and recommends Aetrex to his patients. His mission is to provide a quality orthopedic opinion to promote wellness, relieve suffering, and restore health with minimal surgical intervention.

We’ll be discussing different types of foot ailments, their causes, symptoms, and how Aetrex can help! If you suffer from foot pain, feel free to submit your questions below for Dr. George to answer during the Live Q&A!

Tune in & make sure to ask your questions!

Foot Health Q&A

Plantar Fasciitis
Sheila W. : What is the difference between planter fasciitis and neuropathy?

Dr. George Ampat: Hi Sheila! Plantar fasciitis is a very common foot ailment that often feels like a pain in the heel or arch area, usually in the morning or after sitting down for a long period of time. Neuropathy is nerve damage in the feet and is often associated with diabetes. To help re-create the natural alignment in your feet, I recommend trying orthotics to help support each step. The Aetrex L420 Compete Posted Orthotics are great for plantar fasciitis; they have arch support and a posted heel to help keep the foot in the neutral position: https://www.aetrex.com/compete-orthotics-l420w-L420W.html?lang=en_US If you have neuropathy, the Aetrex L200 Conform Orthotics are a supportive choice to help comfort and protect those with diabetes related foot issues: https://www.aetrex.com/conform-orthotics-l200w-L200W.html?lang=en_US As always, it’s best to reach out to a physician if you are experiencing any type on foot pain.

Michelle D. – Hello. I have been diagnosed with plantar fascia & heel tendinitis. What can I do for this? I work at Wal-Mart & I walk all day. The heel seems to bother me more. Thank you so much.

Dr. George Ampat: Hi Michelle and thank you for your question. I would recommend trying the Plantar Fasciitis Kit. The Kit includes a premium orthotic that has arch support and a posted heel to help align your body and prevent overpronation, a pair of orthotic flips to continue your recovery when you’re at home, a foot roller to help relieve pressure and tension in your feet, and a stretching guide to help support your recovery plan:https://www.aetrex.com/plantar-fasciitis-kit/?lang=en_US. These four tools work together to help relieve pain from plantar fasciitis.

Jayashree S. : What type of footwear must one design and custom make for plantar patients?

Dr. George Ampat: Hi Jayashree! If you are experiencing symptoms of plantar fasciitis, it is extremely important to wear supportive shoes. People often shop with the visual style or appearance of the shoe in mind and tend to look past the comfort features. Finding a shoe that is supportive, comfortable, and has enough room inside to insert an orthotic is the key! If you do have plantar fasciitis, I recommend reaching out to a physician to help accurately diagnose you.

Mitali B. : Why are Aetrex orthotics better than custom orthotics and how do they help with Plantar Fasciitis?

Dr. George Ampat: Hello Mitali and thank you for this great question! Our feet were originally designed to walk barefoot on soft, uneven surfaces such as dirt, sand, and grass. However, today we walk mostly on hard surfaces and aren’t able to distribute pressure evenly. Aetrex Orthotics are made with premium, supportive, yet flexible materials to help naturally align your body and help transfer pressure away from high pressure areas. Custom orthotics are commonly very hard, rigid, and can cost a few hundred dollars. Not only are Aetrex Orthotics supportive, but they are also a fraction of the price and range from $60 - $80. Before spending a lot of money on an expensive custom orthotic, I recommend trying Aetrex Orthotics and to reach out to a physician to help you if you are experiencing symptoms of plantar fasciitis.

Edna D. : What is the best way to treat heel spur?

Dr. George Ampat: Hi Edna and thank you for your question. Heel spurs are quite common and at most times not necessarily painful; in medicine we actually call them an “incidental finding.” I recommend seeing a physician to have an X-ray and diagnostic testing to confirm if the heel spur is the cause of the pain first. There are many reasons for heel pain like unsupportive shoes, plantar fasciitis, tendonitis, and more. Many surgeons do operate on heel spurs, but you need to verify if whether the heel spur is the cause of your pain. The simplest way to help with heel pain is to wear an orthotic. Again, ensure that the heel spur is the cause of the pain first by seeing a physician to make sure you are not labeling the heel spur as the cause when it may be something else.

Sally L. : I have pain on my left foot occasionally on the arch, but primarily on the back of my heel near the Achilles tendon. It's a searing, burning pain as if I have a large blister on the back of my heel. Could this be plantar fasciitis? Should I have a physician evaluate my symptoms so a diagnosis can be made?

Dr. George Ampat: Hello Sally! Pain from plantar fasciitis is usually felt in the arch and heel, and the worst step is the first step in the morning. Since your pain is more in the arch area and on the back of the foot, it sounds like it could be symptoms of Achilles tendinitis. The simplest solution would be to try an orthotic and to see a physician to help you get a clear diagnosis.

Richard F. : Will replays be available as I am not able to attend the April 8th webinar?

Dr. George Ampat: Hi Richard! Yes, all the Live videos will be posted afterwards here and also on Facebook, Instagram, Twitter, Vimeo, and YouTube.

Sandra C. : If my plantar fasciitis is under control now and possibly healed, can it flare back up? In other words, do I have to forever stay vigilant when shopping for shoes?

Dr. George Ampat: Hi Sandra! In many cases, the plantar fasciitis may not come back again and you have relief from the plantar fasciitis you have had, but you must understand if you once had plantar fasciitis you should always be aware that there is a possibility it may come back. An orthotic is a great way to continue proper foot health and is not only needed when you have pain. For example, if you have a decaying tooth, then you don’t need tooth paste and a toothbrush at that moment. You need to use them even when your teeth are not decaying to help properly take care of them throughout your lifetime. Same goes for our foot health; we need to get good miles out of our feet and make sure we have the proper support. A car tire goes about 25,000 miles in a lifetime, but our feet go 110,00 miles in a lifetime; that’s almost 4 times around the globe! Therefore, it’s important to get your feet scanned to find out the best recommended orthotics for you so you can go the extra mile. It is important for everyone to wear good shoes with supportive insoles inside them and especially if you have had a previous episode of plantar fasciitis.

Mary O. : I have plantar fasciitis I have ordered the Aetrex insert for that. What else do I need?

Dr. George Ampat: Hi Mary! The inserts are a great step towards relief from your plantar fasciitis, but it’s important to also make sure you are wearing supportive shoes and properly stretching your feet. The Plantar Fasciitis Kit includes a premium orthotic that has arch support and a posted heel to help align your body and prevent overpronation, a pair of orthotic flips to continue your recovery when you’re at home, a foot roller to help relieve pressure and tension in your feet, and a stretching guide to help support your recovery plan:https://www.aetrex.com/plantar-fasciitis-kit/?lang=en_US. If you are experiencing symptoms of plantar fasciitis it’s best to reach out to a physician for support and a diagnosis.

Theresa S. ; Hi Dr. Ampat, I have had plantar fasciitis for 7 months. I have been to physical therapy. It did help. Then the pain came back again. What can I do to help with this situation? I have tried different shoes etc. It will help for a little while then the pain seems to always comes back. Is this something that I will always have? Will it go away? What can I do to help with this pain? Thank you for your time.

Dr. George Ampat: Hi Theresa and thank you for your valid question. It is good that you are wearing supportive shoes, but sometimes even supportive shoes do not have an orthotic built-in. Nearly 90 to 95% of plantar fasciitis will resolve with appropriate orthotic support and stretching exercises. I recommend that you use an appropriate orthotic and stretch the muscles both in your feet as well as the calf twice daily. This practice, if continued regularly, is likely to resolve your pain. If you are interested, I recommend trying the Plantar Fasciitis Kit. It includes a premium orthotic, a pair of orthotic flips, a foot roller to help relieve pressure and tension in your feet, and a stretching guide to help support your recovery plan:https://www.aetrex.com/plantar-fasciitis-kit/?lang=en_US

Jasmine M. : I have suffered from fallen arches and pronation alignment issues and was born with bow legged syndrome. I have a wide foot and over the years, I have gone through nearly every symptom related to fallen arches and plantar fasciitis with wrong types of shoes and want to know what the best kind of stabilizing inserts and/or leg/ankle posturing exercises for my feet issues effecting my daily routine? When would surgery be necessary?

Dr. George Ampat: Hello Jasmine and thank you for your relevant question. The most ideal would be for you to wear an orthotic with an arch support and a medial posting. The arch support would elevate and restore your normal arches. The medial posting is where there is a greater and thicker support on the inside of the heel as compared to the outside of the heel. This should address the overpronation. Surgery is very rarely required, but you may want to consider seeking advice from a suitably qualified health professional.

Dorothy Z. : I have a talonavicular joint problem with my right foot. What insole would you recommend to buy? Thank you

Dr. George Ampat: Thank you for your question, Dorothy. It depends on the extent of your talonavicular joint problem, but in most cases an orthotic with an arch support to restore your normal arches would be all that is required. However, if you have fixed flat feet then orthotics may not be suitable. I recommend consulting a qualified health professional to help you.

Lori F. : I had plantar fasciitis and went to rehab. A month later I still have heel pain. Podiatrist gave me stretching exercises and talked about trying shadow stimulation for 5 sessions. Said it only works 50% of the time. Insurance doesn't cover it. I have bought Aetrex sandals and the Plantar Fasciitis Kit. Help. Should I get more rehab from a physical therapist?

Dr. George Ampat: Hi Lori and thank you for your genuine question. In most cases of plantar fasciitis, an appropriate orthotic to support the arches and cradle the foot alongside stretching exercises to stretch both the muscles in the feet and the back of the calf is all that is required. Currently I do not think more rehab from a physical therapist is required as long as you can perform the stretching exercises at home twice a day and also use the orthotic. If using the orthotic regularly and performing the stretching exercises twice a day for 15 minutes does not provide adequate relief, then I recommend that you seek advice from a suitably qualified health professional like a physical therapist.

Dana R. : I have suffered from Plantar Fasciitis on and off for years, but last year I sustained an injury that I didn't realize the extent of and thought it would heal. Flash forward after an MRI, I have plantar fasciitis, arthritis, and Baxter's Neuropathy. I have worn a boot, been through physical therapy and both have made it worse not better. Doctor seems stumped. I am now scheduled to get nerve conduction studies. Any suggestions to heal Baxter?

Dr. George Ampat: Hi Dana and thank you for sharing your foot ailments. Baxter’s neuropathy is rare but can cause chronic heel pain which can mimic plantar fasciitis. It is good that you are seeking help from a qualified health professional. Stretching, orthotics, medications, injections, and surgery have a role in Baxter’s neuropathy. Following the advice of your health professional is the most appropriate action.

Cindee J. - Don't know if I have this problem. I had plantar fasciitis before and the orthotics helped me a lot, but now I'm having slight heel pain again.

Dr. George Ampat: Hello Cindee and thank you for sharing your story. If you have had plantar fasciitis before, there might be a possibility it will come back again. If you are currently still wearing orthotics and are still experiencing pain, it may be time to replace your orthotics. I recommend changing orthotics every 6 to 9 months, depending on how frequently they are being used. Since the support does not feel as strong as it used to, it may be time to replace them. I recommend seeing if that helps and to reach out to a physician for a diagnosis.

Marc A. - I don't understand, as it appears to me that Aetrex is only attempting to sell to 1/2 of the market. I have plantar fasciitis, Achilles tendonitis and Haglund’s deformity and have had a very hard time finding shoes that work well. Is there a particular shoe that Aetrex has that would work for a man's 7.5 or 8? I would gratefully appreciate any direction that you could provide. Thank you.

Dr. George Ampat: Hi Marc and thank you for sharing your story. Aetrex Orthotics can help relieve common foot pains like plantar fasciitis, heel pain, and more. At the moment, the only men’s shoes Aetrex sells are orthotic flips like Maui and Bali. We recommend trying a pair of orthotics with a posted heel and memory foam cushioning like L2220 Men’s Memory Foam Posted Orthotics to insert inside of your shoes:https://www.aetrex.com/memory-foam-orthotics-l2220-orthotics-L2220M.html?lang=en_USI also recommend seeing a physician to help you get a diagnosis.

Darlene – What can I do to cure Plantar Fasciitis?

Dr. George Ampat: Hi Darlene and thank you for your question. Many people with plantar fasciitis find relief with wearing an orthotic inside their supportive shoes. The key is to make sure that both your shoes and orthotics have the proper support features to help you go the extra mile. I recommend trying the Plantar Fasciitis Kit which includes a pair of premium orthotics, a pair of orthotic flips to wear around your home (especially since the first step in the morning is usually the most painful), a foot roller to help relieve pressure and tension in your feet, and a stretching guide to help support your recovery plan:https://www.aetrex.com/plantar-fasciitis-kit/?lang=en_USIt would also be very beneficial to see a physician for a diagnosis.

Carleen H. - What is your best advice for getting rid of Plantar Fasciitis. Should I discontinue walking daily?

Dr. George Ampat: Hi Carleen! Wearing supportive footwear with orthotics and daily stretches can help relieve pain and discomfort from plantar fasciitis. The orthotics will help re-create the natural alignment in your feet and will help support each step you take. If you are interested, I recommend trying the Plantar Fasciitis Kit:https://www.aetrex.com/plantar-fasciitis-kit/?lang=en_USThe kit includes a pair of premium orthotics, a pair of orthotic flips, a foot roller to help relieve pressure and tension in your feet, and a stretching guide to help support your recovery plan. Walking is a very healthy and beneficial activity; therefore, I would recommend wearing orthotics in your walking shoes to see if it helps. I also recommend reaching out to a physician for a diagnosis.

METATARSALGIA
Amanda B. – I have Hallux Limitus in my left foot, and I started using an Aetrex insert designed for Metatarsalgia that has significantly helped. However, now it seems like my right foot may be developing Hallux Limitus despite wearing the insert. Is there another insert that would be better for my condition?

Dr. George Ampat: Hi Amanda! Thank you for sharing your story. Orthotics do not prevent the occurrence of Hallux Limitus, but they can help provide relief from pain. I recommend trying an orthotic like the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USThese orthotics have 43% more memory foam cushioning in the forefoot. The L2405 Customizable Orthotics with Metatarsal Support is also a good style to try:https://www.aetrex.com/customizable-orthotics-l2405-orthotics-14-L2405W.html?lang=en_USThese orthotics have removable gel pods that can help customize your comfort. I also recommend seeing a physician to help you get a diagnosis.

Lainie F. – I have a problem with a callous on the ball of my foot, below the space between the second and third toe. It is very painful. I've had it trimmed by a podiatrist, but once he trimmed too much and it still hurts very much. Where could I get metatarsal pads that would ease some of the pressure on that area? Thank you.

Dr. George Ampat: Hi Lainie! Aetrex has a range of orthotics that have metatarsal pads to help provide relief. The callus develops because of increased pressure underneath the heads of the second third and fourth metatarsal heads. The metatarsal pad elevates the metatarsal heads and will help decrease the pressure going through that part of the foot. This can prevent calluses from recurring. I recommend trying the Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USThese orthotics have 43% more memory foam in the forefoot to help with foot discomfort or fatigue.

Richard F. – Will replays be available as I am not able to attend the April 8th webinar?q

Dr George: Hi Richard! Yes, all the live videos have been posted here and are also accessible on Facebook, Instagram, Twitter, Vimeo, and YouTube.

Anna V. – I have used the Aetrex orthotics for a number of years especially in my walking shoes for work. I delivered mail for 35 years. My feet have taken a biting and are always hurting. I have metatarsal calluses. What else can I do? Now that I'm retired, I want to keep walking.

Dr. George Ampat: Hello Anna and thank you for sharing your story. You may want to try an orthotic with a metatarsal pad if you have not been using one yet. A metatarsal pad helps unload pressure at the metatarsal area to help provide cushioning and support. I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USThese orthotics should be able to help provide the comfort that you require to be able to continue walking.

Denise H. – Hello, I was diagnosed with Metatarsalgia in 2017 and I’m also developing hammertoes. I wear inserts which I get from Aetrex and have been wearing them in all my boots/sneakers. I can walk with these…. 6 kms a day. My problem is summer wear. I have some styles that help, but I am looking for a waterproof sandal that I could wear around sand, water, etc. Every flip flop I have worn bother my foot. I like the Maui orthotic flip flops that Aetrex sells, but worried that they won’t work for me. Do you have any suggestions? Thank you for your time.

Dr. George Ampat: Hello Denise and thank you for sharing your story. Aetrex has many supportive and water-friendly sandals to choose from that can help keep your feet comfortable. These styles are water-friendly which means if they get wet, they can dry to their original form:https://www.aetrex.com/water-friendly-sandals/?lang=defaultThe Maui is a great style to try:https://www.aetrex.com/aetrex-flips-grey-L3100W.html?lang=defaultAlong with arch support, they feature Cobra Orthotic Technology that helps alleviate forefoot pressure.

Robert D. – Suffering from Metatarsalgia for 8 years. Condition set in at age 40 after only a few days of jogging in a new pair of top brand running shoes that apparently were very wrong for my feet (high arches). I have been treated by numerous doctors, podiatrists, chiropractors, physiotherapists, osteopaths, and reflexologists. The condition has never improved. Custom orthotics have never helped and the Aetrex inserts have been the most tolerable option I have found so far. Quality of life significantly compromised. What am I missing?!

Dr. George Ampat: Hi Robert and thank you for sharing your story. I’m happy to hear that the Aetrex Orthotics have been helping you. Aetrex makes many orthotics with different technology features and for different activities; therefore, I would recommend to get an Aetrex foot scan at a location near you here:https://www.aetrex.com/store-locator.htmlThe foot scan will be able to help identify your pressure points, arch height, and which orthotics would suit you best. I hope you can find the best orthotics to help provide comfort and support.

Margene C. – I have a very high arch and am currently experiencing Metatarsalgia. Can you recommend which Aetrex orthotics is best for this condition?

Dr. George Ampat: Hi Margene and thank you for your question. If you have a high arch, it is likely that there is an increase pressure on the heads of the metatarsals. One of the options I would recommend is an orthotic with more cushioning and a metatarsal pad like the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_UShese orthotics will provide more cushioning over the entire foot and will be the most ideal for you.

Patricia – I was diagnosed with Morton's neuroma 3 years ago. It's getting worse. What treatment is available to help?

Dr. George Ampat: Hi Patricia. An orthotic with a metatarsal pad can help relieve pressure on the nerves and help provide relief. If you haven’t tried an orthotic with a metatarsal pad yet, then I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_US

Dorene F. – I have pain on the balls of my feet, I have bunions (not too bad, but right foot is a little worse), and often the balls of my feet hurt. I was told at a shoe store that I hit heavy at the heels when I walk. What can I do to ease the comfort? What shoes are best? I do use a pad and inserts in most of my shoes. I did see a podiatrist several months ago and had an x-ray done, but she only suggested a specific little pad that I am to put on near the arch area of my foot.

Dr. George Ampat: Hi Dorene and thank you for sharing your story. I’m sorry to hear you are experiencing pain. I recommend trying the L2405 Customizable Orthotics with Metatarsal Support:https://www.aetrex.com/customizable-orthotics-l2405-orthotics-14-L2405W.html?lang=en_USAlong with arch support and a metatarsal pad, these orthotics feature gel pods that you can remove to help alleviate specific pressure points that best suits your needs.

Dana R. – I have suffered from plantar fasciitis on and off for years, but last year I sustained an injury that I didn't realize the extent of and thought it would heal. Flash forward after an MRI, I have plantar fasciitis, arthritis, and Baxter's Neuropathy. I have worn a boot, been through physical therapy, both which made it worse not better. Doctor seems stumped. I am now scheduled to get nerve conduction studies. Any suggestions to heal Baxter?

Dr. George Ampat: Hello Dana. Thank you for sharing your story. Baxter’s neuropathy is rare, but can cause chronic heel pain which can mimic plantar fasciitis. It is good that you are seeking help from a qualified health professional. Stretching, orthotics, medications, and more have a role in Baxter’s neuropathy. Following the advice of your health professional is the most appropriate action.

Bunions
Rossana V. – I was born with flat feet and had surgery 5 years ago, mainly for a torn posterior tibial tendon (I had several procedures at once - a PTT transfer along with arch reconstruction and bunion correction). It was successful and I now have an arch and no tendon pain, but my great toe has remained slightly raised and the ball of my foot hurts in most of my dress shoes, especially if I wear them without an orthotics. Please advise if there is a way to find relief without resorting to another surgery or any exercises you could recommend to relax my great toe joint and minimize my pain. Thank you!

Dr. George Ampat: Hi Rossana! I’m sorry to hear that you have pain in the ball of your feet. My first suggestion would be to try an orthotic with a metatarsal pad like the Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/memory-foam-orthotic/?lang=en_USThese orthotics have 43% more memory foam in the footbed and also include a metatarsal pad to help with relieve pressure from the ball of foot pain. I also recommend trying the L2405 Customizable Orthotics with Metatarsal Support. Along with a metatarsal pad, they include gel pods that can be removed to help customize to your needs:https://www.aetrex.com/customizable-orthotics-l2405-orthotics-14-L2405W.html?lang=en_USHopefully the orthotics can help provide relief.

Crystal A. – I have hammer toes on my right foot. What can be done to fix these? They hurt sometime and I do NOT want to wear funny shoes to fix them. I have already increased the size of the shoes I wear and that helps, but I still get pain sometimes.

Dr George: Hello Crystal! Comfortable shoes that accommodate your feet and toes are essential. In addition, orthotics with a metatarsal pad may help relax the soft tissues and may help decrease the hammer toes. I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USThese orthotics have 43% more memory foam cushioning in the forefoot and may be able to help provide comfort.

Kathryn C. – How can I re-align my feet to reduce bunions without surgery? Thank You!

Dr. George Ampat: Hi Kathryn and thank you for your question. Comfortable and supportive shoes that accommodate your feet and toes are essential to help with bunions. In addition, orthotics with a metatarsal pad may help. I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USI also showed a few exercises on our Live Q&A on Bunions that can help as well. You can watch it on this page, but here is a link to the video too:https://www.youtube.com/watch?v=Z_R2RRivb_8&list=PLfTlbW4ddDhlIK-M68BCroEK2dWdEK9OR&index=2

Cass C. – I feel like my toes are numb when I wake up in the morning. It's like they are being pushed toward my big toes.

Dr George: Hello Cass and thank you for sharing your story. It’s important to make sure you are wearing supportive footwear with a large toe box to help give the toes space. For example, shoes with narrow toe boxes put a lot of pressure on toes and may cause pain. I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USWe also showed a few exercises on our Live Q&A on Bunions that can help as well. You can watch it on this page, but here is a link to the video too:https://www.youtube.com/watch?v=Z_R2RRivb_8&list=PLfTlbW4ddDhlIK-M68BCroEK2dWdEK9OR&index=2

Priscilla G. – I have bilateral bunions, really not sure about surgery.

Dr George: Hello Priscilla! My advice would be to consider an orthotic with a metatarsal pad to see if it provides relief. The L2305 Premium Memory Foam Orthotics with Metatarsal Support may be able to help:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USThese orthotics include a metatarsal pad that helps unload pressure at the metatarsal area and provides cushioning to help relieve discomfort.

Kama L. – I have used a bunion bootie, but they wear down pretty quickly. I don't understand with all the innovations in surgery, why bunion surgery requires a year and a half of downtime. I am not able to do that! I need to work, and if I can't even swim, or walk, or run, I will get fat. So that is not an option. My feet keep growing, which is why the bunion happened. I have gone from a 7 to a 7.5, to an 8, to an 8.5, to a 9 in running shoes. So not sure if the surgery would be worth it ANYWAY. What devices do you like as the bunion bootie wears down too easily, and it is costly as well. Thanks.

Dr George: Hi Kama and thank you for sharing your story. Bunion surgery may involve osteotomies and in this form of surgery, the bone is broken and then allowed to heal in the corrected position. This takes time and hence the downtime. My advice would be to consider an orthotic with a metatarsal pad to see if it provides reasonable relief. The L2305 Premium Memory Foam Orthotics with Metatarsal Support may be able to help:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USAlong with arch support and a metatarsal pad, they feature 43% more memory foam cushioning in the forefoot.

Emma M. – Are there exercises I can do to reduce a small bunion?

Dr George: Hi Emma and thank you for your question. We answered your question and showed a few exercises on our Live Q&A that can help with bunions. You can watch it on this page, but here is a link to the video too:https://www.youtube.com/watch?v=Z_R2RRivb_8&list=PLfTlbW4ddDhlIK-M68BCroEK2dWdEK9OR&index=2

Edward S. – What are some shoes and orthotics that can help with bunions?

Dr George: Hello Edward! Choosing a supportive shoe with a wide toe can help relieve pressure from the bunion area. I also recommend choosing a style that has a removable insole so you can insert an orthotic with memory foam cushioning inside. I recommend trying the L2200 Memory Foam Orthotics:https://www.aetrex.com/memory-foam-orthotics-l2200-orthotics-L2200M.html?lang=en_USThese orthotics feature a layer of slow recovery IQ150™ memory foam that customizes to your foot to help relieve pressure and provide superior cushioning.

Jennifer B. – Are bunions hereditary? Also, can bunions cause foot drop? Thank you!

Dr George: Hi Jennifer and thank you for your question. Yes, bunions are hereditary. Bunions do not cause foot drop.

Patrice E. – Is there a good orthotic for tailor’s bunion relief. I am wearing wider shoes, doing foot exercises, and losing weight.

Dr George: Hi Patrice. It is good to hear that you are wearing wider issues and doing foot exercises in addition to losing weight. Orthotics with metatarsal pads may help with the tailor’s bunion:https://www.aetrex.com/search?q=metatarsal+support&prefn1=arch-type&prefv1=HighA metatarsal pad helps unload pressure at the metatarsal area and provides cushioning to help relieve discomfort.

Carollynn – I'd like to see you make more sandals with a wider front strap that goes over baby bunions rather than exposing them or digging into them. Do you plan to?

Dr George: Hi Carollynn and thank you for your feedback. I will forward your ideas to the Aetrex Product Development Team.

Per my podiatrist's recommendation, I have been using custom orthotics I purchased through his office in my shoes most days for the last several years. I also have another pair of short boots in which I keep another pair of orthotics so that I have a choice of footwear from day to day. (The boots were not recommended by my podiatrist, but are a pair I found that my orthotics fit in and stay in place.) I am flatfooted, overpronate and have bunions. This seems to have kept my bunions from progressing much more and I rarely have pain in them anymore. In the summer, I have a pair of sandals I wear for casual footwear and a pair of Aetrex Sydney wedges I wear with skirts. Do you have other recommendations I could add to my options? Also, I have heard some debate about whether it is harmful to walk barefoot. What is your opinion? Thank you.

Dr George: Hello and thank you for your questions. All Aetrex shoes have comfort features built-in to help support your feet like arch support and pressure relief technology throughout the footbed:https://www.aetrex.com/footwear/?lang=en_USWalking barefoot on hard surfaces like concrete or wooden floors can be harmful and cause foot pains, which is why you should wear an orthotic when standing on those surfaces. However, if you are walking barefoot on soft ground like grass or sand, then that is okay since the soft ground cradles your foot with each step.

Athletic Lifestyles
Chris – I am a 30-year-old runner and I have flat feet with infrequent arch pain. I wear medial posted orthotics in my everyday shoes. However, my “wear pattern” of neutral running shoes without any inserts show a supinated running wear pattern on the outside of the shoe, so the running store told me to wear a neutral running shoe without support. I have been having chronic knee pain and was wondering if you would recommend switching to a support shoe or just add orthotics to my neutral running shoes or both? Or just quit running altogether and find an exercise with less impact on the body?

Dr George: Hi Chris and thank you for sharing your story. It truly depends on what provides you with maximum comfort. If a neutral running shoe with orthotics provide comfort, then my recommendation would be to use that. Even in a supinated foot, orthotics allows for wider area of weight bearing. I don’t think you will have to quit running, but I recommend listening to your body and choose what feels comfortable.

Gwen M. – My yoga and barre instructors want us to exercise barefoot. I wear supportive running shoes with Aetrex insoles with arch support. Should I try to work towards exercising barefoot? If I wear the arch supports, is it ok to go up on toes?

Dr George: Hi Gwen! There is no harm in exercising barefoot as long as you are on soft ground. However, if the ground is hard and not soft (sand or grass) then walking barefoot is not going to be comfortable.

Linda P. – I had LizFranc surgery over 2 years ago. I have a high arch and am having problems finding the correct insole. I need some support in my arch, but if it is too high it hurts my arch. I walk about 5 miles fast paced every day and want to get back to tennis. I would appreciate any advice you could give me. Thanks!

Dr George: Hi Linda! I would recommend to get an Aetrex foot scan at a location near you here:https://www.aetrex.com/store-locator.htmlThe foot scan will be able to help identify your pressure points, arch height, and which orthotics would suit you best. If you do not want to get your foot scanned, then I recommend trying the L805 Train Orthotics with Metatarsal Support:https://www.aetrex.com/train-orthotics-l805w-L805W.html?lang=en_USYou may also want to see a physician to help.

Gail J. – I have flat wide feet. What is the best athletic shoe and sandals to wear? Thank you

Dr George: Hi Gail and thank you for your question. Supportive and comfortable shoes and sandals are essential. I recommend trying a style that has support features built in or ones that can accommodate an orthotic with a posted heel to help support flat feet like the L405 Compete Orthotics:https://www.aetrex.com/compete-orthotics-l405w-L405W.html?lang=en_USMany athletic shoes have a removable insole, so you can easily remove them and insert an Aetrex orthotic. You can also try the Xspress Runner 2:https://www.aetrex.com/women-xspress2-runner-pink-XS109W.html?lang=en_USThese sneakers come in a wide width option and include many comfort features. A sandal like the Jillian Sport has arch support and adjustable straps to help accommodate different widths:https://www.aetrex.com/jillian-braided-quarter-strap-sandal-black-SC450W.html?lang=en_US

Fre W. – What is a good shoe for running and walking with the heel not pounding on the floor and more cushion to the bottom end? Older feet need comfort too.

Dr George: Hello Fre. Inserting an Aetrex orthotic into your athletic shoes can help provide comfort and support. I recommend trying the L400 Compete Orthotics:https://www.aetrex.com/compete-orthotics-l400w-L400W.html?lang=en_USAetrex also has many supportive sneakers for lightweight activity like the Carly:https://www.aetrex.com/carly-arch-support-sneakers-AS106W.html?lang=en_USand Xspress Runner 2:https://www.aetrex.com/women-xspress2-runner-pink-XS109W.html?lang=en_US

Wendy R. – My heel hurts toward the side too. I was playing pickleball and moving more than usual. What can it be, how to I treat it? Thank you

Dr George: Hello Wendy and thank you for your question. It’s important to wear supportive shoes and orthotics, especially if you are on hard surfaces. I recommend trying an orthotic like the L800 Train Orthotics to support your feet while playing pickleball:https://www.aetrex.com/train-orthotics-l800w-L800W.html?lang=defaultThese orthotics have a center layer of FitGuard™ that cushions every stride with slow recovery memory foam.

Don B. – I play golf and prefer to walk. Toward the end of my round and after completing my round, my feet are very sore especially under the ball of my feet and in the heel area. What can I do to lessen the discomfort?

Dr George: Hi Don and thank you for your question. Golf involves striking the ball with aim and at a great force. Even though golf is a non-contact sport, the amount of energy transferred is significant. I recommend trying an orthotic with arch support and a metatarsal pad to help. Along with arch support, the L405 Compete Orthotics feature a cupped heel to cushion and stabilize the back of foot and a metatarsal pad to redistribute weight to relieve ball-of-foot discomfort:https://www.aetrex.com/compete-orthotics-l405m-L405M.html?lang=en_US

ARTHRITIS & DIABETES
Dorothy Z. – I have a talonavicular joint problem with my right foot. What insole would you recommend to buy? Thank you.

Dr George: Hi Dorothy! I recommend trying a memory foam orthotic like the L2300 Premium Memory Foam Orthotics:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-orthotics-L2300W.html?lang=en_USThe arch support should be able to help stabilize the talonavicular joint and the rest of the orthotic would help cradle the entire foot.

Roxane T. – Is there anything good for neuropathy?

Dr George: Hi Roxane! I recommend trying the L200 Conform Orthotics:https://www.aetrex.com/orthotics-for-diabetes.html?lang=en_USThese orthotics customize to the foot during the gait cycle, transfer pressure away from “hot spots,” and providing shock absorption for extra protection. If you are experiencing symptoms of neuropathy, it’s best to reach out to a physician for support and a diagnosis.

Shirley D. – Approximately, 8 years ago I was diagnosed with idiopathic peripheral neuropathy in my lower extremities. My legs don't seem to be bothered too much. My feet though always ache and are numb from the pad of my foot up into my toes. My toes are particularly bothered. I've tried many different shoes, shoes, arch supports, and socks but nothing helps relieve the discomfort. I don't usually have any sharp pains. Can you make any suggestions regarding footwear? I always make sure that I have enough room in the toe box. I usually lean towards wearing good athletic sneakers because they seem to be the best for my situation. I'm 62, very active (walking, aerobic exercise, strength training, some treadmill running, and hiking). I make the best of it, but it seems like my feet are always on my mind, both day and night. Thank you!

Dr George: Hi Shirley and thank you so much for sharing your story. It’s great that you are making sure your footwear is supportive and have tried different options. Have you tried memory foam orthotics yet or orthotics with a metatarsal pad? I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_US. These orthotics are made with 43% more memory foam cushioning in the forefoot. You can also try the L205 Conform Orthotics with Metatarsal Support:https://www.aetrex.com/conform-orthotics-l205w-L205W.html?lang=en_USThese orthotics customize to the foot during the gait cycle, transfer pressure away from “hot spots,” and providing shock absorption for extra protection.

Cybil B. – I have been diagnosed with Talonavicular arthritis of the hindfoot. Can you recommend an over the counter orthotic or treatment to aid with this condition? I find that if I walk, hike, or exercise the pain which radiates up my ankle increases. Will one of the sessions address this condition?

Dr George: Hi Cybil and thank you for sharing your story. I recommend trying a memory foam orthotic like the L2300 Premium Memory Foam Orthotics:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-orthotics-L2300W.html?lang=en_USThe arch support should be able to help stabilize the talonavicular joint and the rest of the orthotic would help cradle the entire foot.

Janice R. – I am an older dancer with arthritis in my feet, high arches, and drop metatarsal so I have all the pain going in my metatarsals when I'm on my feet dancing. Is there anything I can do?

Dr George: Hi Janice and thank you for your question. I recommend trying the L2305 Premium Memory Foam Orthotics with Metatarsal Support:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-w-metatarsal-support-L2305W.html?lang=en_USAlong with arch support, these orthotics have a metatarsal pad that helps unload pressure at the metatarsal area and provides cushioning to help relieve discomfort and are made with 43% more memory foam cushioning in the forefoot.

Clare W. – Neuropathy. My daughter has vibrations in her feet, but does not have diabetes.

Dr George: Hi Clare and thank you for your question. I recommend for your daughter to try the L200 Conform Orthotics:https://www.aetrex.com/orthotics-for-diabetes.html?lang=en_USThese orthotics customize to the foot during the gait cycle, transfer pressure away from “hot spots,” and provide shock absorption for extra protection. If she is experiencing symptoms of neuropathy, it’s best to reach out to a physician for a diagnosis.

Bonnie K. – What kinds of treatment are available for rheumatoid arthritis in your feet?

Dr George: Hi Bonnie and thank you for your question. A memory foam orthotic may help with rheumatoid arthritis in feet. I recommend trying L2300 Premium Memory Foam Orthotics:https://www.aetrex.com/women-s-premium-memory-foam-med-high-arch-orthotics-L2300W.html?lang=en_USThese orthotics are made with 43% more memory foam cushioning in the forefoot. I also recommend reaching out to a physician for a diagnosis.

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