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How to keep your feet fit
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How to keep your feet fit


At RNV Podiatry (, Dr. Rachel N. Verville provides you with the best medical advice regarding your feet, the most advanced treatments for your foot condition or disorder and …

At RNV Podiatry (, Dr. Rachel N. Verville provides you with the best medical advice regarding your feet, the most advanced treatments for your foot condition or disorder and the best patient care available in Plano, Frisco, and Dallas, Texas.

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  • Your feet tend to swell a little during the day, and it’s best to buy shoes that fit then.
  • Helps prevent tendonitis, stress fracture, overuse injury…Rubber soles wear-down, which decreases shock absorbance.Need supportive shoes and shoe inserts or orthotics.
  • Grass and Dirt are more shock absorbent.
  • Please stretch prior to any activity
  • OTC Shoe InsertsLess Expensive than custom orthotics.
  • More Expensive than OTC Shoe Inserts.
  • Slight platform shoe gives more support at ball of foot.Metatarsal pad at ball of foot.Heel pads at back of heel to help prevent blisters.
  • Leather minimizes the potential for blisters and other types of irritation.Shoes of any kind should never fold in half.Walking barefoot can expose foot soles to plantar warts and athlete’s foot.
  • Inspect older pairs for wear. If they show signs of severe wear, discard them.This can lead to blisters and possible infections.Even the sturdiest flip-flops offer little in terms of shock absorption and arch support.Always wear a shoe that fully protects feet when doing outside activities, such as mowing the lawn or using a weed-eater.This practice can lead to twisting of the foot or ankle, as well as sprains and breaks.
  • Shoe and sock sizes may change every few months as a child’s feet growAlways measure a child’s feet before buying shoes and watch for signs of irritationJust because a shoe size fits one child comfortably doesn’t mean it will fit another the same way. Also, sharing shoes can spread fungi, such as athlete’s foot and nail fungus.Children may wear through the heels of shoes quicker than outgrowing shoes themselves. Uneven heel wear can indicate a foot problem, which may require shoe inserts.
  • Every shoe fits differently. Letting a child have a say in the shoe buying process promotes healthy foot habits.Feet are seldom precisely the same size.Shoe should be comfortable immediately. Also make sure to have your child try on shoes with socks or tights, if that’s how they’ll be worn.
  • Press on both sides of the heel counter. It should not collapse.The shoe should bend with your child’s toes. It should not be too stiff or bend too much in the toe box area.Does your shoe twist? Your shoe should never twist in the middle.
  • Although bunions tend to run in families, it is the foot type that is passed down—not the bunion. Parents who suffer from poor foot mechanics can pass their problematic foot type on to their children, who in turn are prone to developing bunions. The abnormal functioning caused by this faulty foot development can lead to pressure being exerted on and within the foot, often resulting in bone and joint deformities.
  • Heredity and trauma can also lead to the formation of a hammer toe. Arthritis is another factor, because the balance around the toe in people with arthritis is disrupted.
  • Must trim nails straight across – Do not curve nails.Do not try to remove toenail yourself – may cause harm & infection.
  • Redness due to swelling
  • Diabetes warning signs include the following:Skin color changesSwelling of the foot or ankleNumbness in the feet or toesPain in the legsOpen sores on the feet that are slow to healTrying to avoid any open wounds or infection – limb salvage.
  • Freshly shaven legs or small cuts on your legs may allow bacteria to enter.A razor can cause permanent damage if incorrectly used – and an infection may ensue if too much skin is removed.
  • Rounded toenails may increase the chances of painful ingrown toenails.Cuticles serve as a protective barrier against bacteria. Cutting cuticles increases the risk of infection.
  • Do not leave any moisture between your toes. Moisture left between your toes can promote the development of athlete’s foot or a fungal infection.
  • Any kind of foot pain – see a podiatrist – we can help!I’m all about wearing heels and dress shoes – but all in moderationTry different padding and inserts to help make your shoes more comfortableComfortable shoes with orthotics – moisturizing – pedicures – RESTING & ELEVATING –


  • 1. How to Keep Your Feet Fit Rachel N. Verville, DPM RNV Podiatry
  • 2. Fun Foot Facts The Human Foot Consists of 26 Bones and 33 Ligaments The 52 Bones in Your Feet Make Up 25% of All the Bones In Your Body The Average Person Takes 8,000 to 10,000 Steps Per Day – Which Adds Up to 115,000 Miles In a Lifetime (More Than 4x Circumference of Globe)
  • 3. Shoe Shopping Some shoes might be too hard Some shoes might be too soft Some shoes might be just right
  • 4. When to Buy Shoes American Podiatric Medical Association (APMA) states buying shoes is best done during the afternoon.
  • 5. Running Shoes Purchase New Shoes Every 6 – 9 Months -Avoids Injury -Shock Absorbance -Arch Support
  • 6. Running Shoes 3 General Types of Foot Types: 1. Low Arch 2. Normal Arch 3. High Arch
  • 7. Low Arch Feet Choose a Supportive Running Shoe Designed For: 1. Stability 2. Motion Control These Shoes Help to Correct for Over- Pronation
  • 8. Normal Arch Feet Choose a Running Shoe With Equal Amounts of: 1. Stability 2. Cushioning These Shoes Help Absorb Shock
  • 9. High Arch Feet Choose a Cushioned Running Shoe With: 1. Softer Midsole 2. More Flexibility These Shoes Provide Compensation for Poor Shock Absorption
  • 10. Runners Avoid Overtraining Properly Fitted, Supportive Running Shoes Avoid Concrete – Try a more Shock Absorbent Surface Properly Stretch
  • 11. Stretching Exercises Helps Prevent Any Ligamentous or Tendon Injury
  • 12. Foot Padding Shoe Inserts Custom Orthotics Heel Pads Heel Cups Metatarsal Pads U-Shaped Metatarsal Pads Callus Pads Toe Spreaders Toe Separators
  • 13. Shoe Inserts Place Into Closed-Toe Shoes Provide Extra Cushioning and Support Lasts a Couple Months Cannot Cure Biomechanical Foot Problems
  • 14. Prescription Custom Orthotics Specifically Designed for You and No One Else Match the Contours of Your Feet Designed for the Way You Move Control Abnormal Foot Motion Can Last Up to 2 Years
  • 15. Orthotics
  • 16. Heel Pads Reduces Blisters at Back of Heel Helps Prevent Heels from Slipping Out of Shoes
  • 17. Heel Cups Cushions and Protects the Heel With Each Step We Take
  • 18. Metatarsal Pad Cushions Ball of Foot & Reduces Pressure While Walking or Standing
  • 19. U-Shaped Metatarsal Pad Surrounds Callus & Reduces Pain by Transferring Pressure From Callus to Cushion
  • 20. Callus Pads Surrounds Callus & Reduces Pain by Transferring Pressure From Callus to Cushion
  • 21. Toe Spreaders Helps Prevent Friction and Blisters from Over-Lapping Toes Most Helpful Between the Big Toe and 2nd Toe
  • 22. Toe Separators Helps Relieve Pain and Pressure Between the Smaller Toes
  • 23. High Heels All About Moderation Platform Gives More Cushion Feel Free to Use Foot Pads
  • 24. Flip-Flop Do’s & Don’ts
  • 25. Flip-Flop Do’s Do Shop For a Flip-Flop Made of High-Quality, Soft Leather Do Gently Bend From End-to-End, Ensuring it Bends at Ball of Foot Do Ensure Your Foot Does Not Hang Off the Edge Do Wear Around a Public Pool, Hotel Rooms, & Locker Rooms
  • 26. Flip-Flop Don’ts Don’t Re-Wear Flip-Flops Year After Year Don’t Ignore Irritation Between Toes Don’t Wear When Walking Long Distances Don’t Do Yard-Work When Wearing Don’t Play Sports When Wearing
  • 27. Children’s Footwear Children’s Feet Change With Age Shoes That Do Not Fit Properly Can Aggravate the Feet Never Hand Down Footwear Examine the Heels
  • 28. Children’s Footwear Take Your Child Shoe Shopping Always Buy for the Larger Foot Buy Shoes That Do Not Need a “Break- In” Period
  • 29. Children’s Footwear Look For a Stiff Heel Check Toe Flexibility Select a Shoe With a Rigid Middle
  • 30. Common Foot Problems Bunions Hammertoes Plantar Fasciitis Ingrown Toenails Toenail Fungus Athlete’s Foot
  • 31. Bunions An Enlargement of the Joint at the Base of the Big Toe Caused by Abnormal Foot Types – Excess Pressure on Certain Areas of Foot Treatment: Wide Shoes Padding Orthotics Surgery
  • 32. Bunion Pad
  • 33. Hammertoes Toe Contracture at the First or Second Joint Caused by Abnormal Balance of Muscles in the Toes – Results in Increased Pressures on Joints & Tendons Treatment: Wide & Deep Shoes Padding Orthotics Surgery
  • 34. Hammertoe Pad
  • 35. Plantar Fasciitis Inflammation of Band of Tissue Along Bottom of Foot Tissue Becomes Strained Over Time Common Amongst Active Individuals Results in Heel Pain & Swelling Treatment: Icing Stretching Orthotics Supportive Shoes
  • 36. Ingrown Toenails Nail Corners or Sides Dig Into the Soft Tissue Surrounding the Nail Caused by: Toe Pressure Trauma Improperly Trimmed Toenails Treatment: Remove Edge of Toenail by Podiatrist
  • 37. Toenail Fungus Thickened, Discolored Toenails Fungi Thrive in Damp Areas – Such as Swimming Pools & Locker Rooms – Barefoot Areas Prevention: Wear Shower Shoes When Possible in Public Areas Wear Shoes that Fit Well with Materials that Breathe Disinfect Home Pedicure Tools Treatment: Antifungal Medication / Creams / Ointments
  • 38. Athlete’s Foot Skin Disorder Caused by Fungus Fungi Thrive in Dampness around Swimming Pools & Locker Rooms Symptoms: Dry, Itching, Scaling Skin Redness Treatment: Antifungal Creams / Ointments
  • 39. Diabetes Body’s Inability to Manufacture or Properly Use Insulin – Resulting in a High Blood Sugar Diabetes Greatly Affects Your Eyes, Heart, Kidneys, Nerves, & Feet 25.8 Million Children & Adults have Diabetes 8.3% of the Population
  • 40. Diabetes Warning Signs in the Feet Skin Color Changes Swelling of the Foot or Ankle Numbness of the Feet or Toes Open Sores on the Feet that are Slow to Heel Pain
  • 41. Diabetic Foot Care Inspect Feet Daily Wear Thick, Soft Socks Have New Shoes Properly Fitted Exercise Do Not Walk Barefoot Do Not Try to Remove Corns or Calluses on Your Own Regular Check-ups With a Podiatrist
  • 42. Pedicure Pointers Watch to Make Sure the Pedicurist Opens Sterile Tools in Front of You Resist the Urge to Shave Legs Before Receiving a Pedicure Do Not Let a Foot Razor be Used on Your Callus – Instead Use a Pumice Stone or Foot File while feet are wet
  • 43. Pedicure Pointers Do Not Round Edges of Toenails – Cut Straight Across Cuticles are a Protective Barrier - Do Not Cut Your Cuticles! – Please Gently Push Back Cuticles
  • 44. Pedicure Pointers Use an Emery Board to Smooth Nail Edges – File Lightly in One Direction Apply Emollient- Enriched Moisturizer Daily to Keep Soles Soft
  • 45. Foot Massage Ease Tension Increase Flexibility Helps Increase Circulation Relaxation
  • 46. Conclusion No Need to Live with Foot Pain MODERATION is the KEY Try to Place COMFORT FIRST Take Good Care of Your Feet Feel Free to Visit a Podiatrist with any Questions
  • 47. Thank You 6300 West Parker Rd. Suite 425 Plano, TX 75093 (214) 385-8822