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  • Writer's pictureTina Dang

Title: The Importance of Proper Footwear: Insights from a Podiatrist


Your feet, the foundation of your body, play a crucial role in your overall health and well-being. As a podiatrist, I've witnessed first-hand the impact that footwear choices can have on foot health, posture, and even long-term physical health. In this blog post, we will delve into the significance of good footwear from a podiatrist's perspective, focusing on different types of shoes such as high heels, sneakers, leather work shoes, and heavy steel cap boots.

The Anatomy of the Foot

To understand the importance of proper footwear, it's essential to grasp the intricacies of the human foot. The foot is a complex structure comprising 26 bones, 33 joints, and a network of muscles, ligaments, and tendons. This intricate design is intended to provide stability, mobility, and shock absorption. Therefore, any disruption in this delicate balance, often caused by improper footwear, can lead to a cascade of problems.

Anatomy of the foot and ankles
There are 26 bones and 33 joints in the foot

High Heels: Fashion vs. Functionality

High heels are a staple of many wardrobes, exuding elegance and style. However, from a podiatrist's standpoint, they are a significant concern. High heels force the feet into an unnatural position, pushing the body weight onto the balls of the feet and increasing pressure on the toes. This can lead to conditions such as bunions, hammertoes, Morton's Neuroma, and metatarsalgia. Additionally, the altered posture can cause strain on the ankles, knees, hips, and lower back, potentially resulting in chronic pain and alignment issues.

High heels pushes pressure on the ball of the feet and toes
High heels pushes pressure on the ball of the feet and toes

Sneakers with Minimal Support: A Misconception

The rise of athleisure wear has popularised sneakers as both fashion statements and athletic footwear. While some sneakers are designed with advanced cushioning and support, many trendy styles prioritise aesthetics over functionality. Sneakers with minimal arch support; flimsy heel counter and midsoles fail to provide the necessary shock absorption and stability that the foot requires, especially during high-impact activities. Prolonged use of such footwear can contribute to plantar fasciitis, shin splints, and even stress fractures.

Sneakers with minimal support can contribute to foot pain problems
Sneakers with minimal support can contribute to foot pain problems

Leather Work Shoes with Flat Forefoot Support: Hidden Dangers

Leather work shoes, often favoured for their formal appearance, can pose risks if they lack proper support. These types of shoes are not designed for you to walk in all day. Most leather work shoes have very low and flat forefoot support which doesn't provide the shock absorption your foot requires. Some dress shoes also have very minimal arch support, which over time, can strain the arches, contribute to flat foot pain, and lead to ankle, knee, and lower back pain. It's crucial to find leather shoes that offer both styles with adequate arch support and forefoot cushioning and width to maintain foot health, especially for individuals who spend extended hours on their feet.

Flat leather work shoes can contribute to foot pain
Flat leather work shoes can contribute to foot pain

Heavy Steel Cap Boots: Balancing Protection and Comfort

Industries such as construction and manufacturing necessitate heavy-duty footwear for safety reasons. Steel cap boots are designed to protect feet from falling objects and other hazards. However, these boots are often heavy and rigid, which can lead to discomfort and fatigue. Prolonged use of steel cap boots without proper cushioning and support can result in conditions like plantar fasciitis, Achilles tendonitis, and even stress fractures. It's crucial for individuals in these fields to choose boots that combine protective features with adequate support and cushioning.

Choosing the Right Footwear: Podiatrist's Recommendations

  1. Arch Support: Opt for shoes that provide proper arch support, regardless of style. Adequate arch support helps distribute body weight evenly and maintain proper foot alignment. If your shoes don't have adequate arch support, discuss this with your podiatrist and get proper support.

  2. Cushioning: Having enough cushioning in your shoes is like having a protective barrier for your feet. This is super important, especially when you're doing sports or activities that involve a lot of jumping and moving around. Cushioning helps to absorb the shock that happens when your feet hit the ground. So, whether you're someone who loves sports or just someone who walks around, it's really important to choose shoes that have good cushioning. Think of it as a way to keep your feet comfortable and protected from the impact of all the moving around.

  3. Toe Box Space: Make sure the front part of your shoes, called the toe box, has enough space. Shoes with a roomy toe box stop your toes from getting squished together. This is a big deal because squished toes can lead to problems like bunions and hammertoes. So, when you pick shoes, make sure your toes have space to move around comfortably. This can save you from future foot troubles and keep your toes happy and healthy.

  4. Heel Counter: The heel counter is the back portion of the shoe, and plays a pivotal role in stabilising the foot. Its job is to provide structure and prevent excessive side-to-side movement, ensuring that each step you take is steady and aligned. Make sure the heel counter on your shoes is firm. You can test this by pushing against the heel counter and it shouldn't collapse.

  5. Midsoles of the shoes: The midsole of shoes serves as a crucial source of comfort and protection for your feet. It acts like a cushion, absorbing the impact when you walk, run, or stand, which helps reduce the strain on your joints. Ensuring the midsole's firmness is equally important. You can test this by gently twisting the middle part of the shoe with your hands. If the midsole doesn't twist or bend easily, it's a good sign. A firm midsole provides better support to your feet, enhancing stability and reducing the risk of injuries. It prevents your feet from feeling the direct pressure of the ground, which can lead to discomfort and problems like plantar fasciitis.

  6. Material Matters: Opt for footwear crafted from breathable materials such as mesh, canvas, or genuine leather, as they effectively reduce moisture build-up and minimise the onset of fungal infections. It's essential to prioritise materials that allow proper air circulation, especially if you're prone to sweaty feet.

  7. Activity-Specific Shoes: Invest in shoes designed for the specific activities you engage in. If you enjoy jogging, invest in proper running shoes that offer the cushioning and support needed for your feet while pounding the pavement. For your workdays, opt for shoes designed to provide the right support for your specific job demands, such as sturdy and comfortable leather work shoes with proper arch support. And when it's time for casual outings, slip into comfortable sandals that offer a relaxed fit without compromising support.


As a podiatrist, I've seen the profound impact that improper footwear can have on foot health and overall well-being. The choices you make in selecting your shoes can determine not only the comfort of your feet but also your posture, alignment, and long-term physical health. Whether it's high heels, sneakers, work shoes, or heavy-duty boots, understanding the specific needs of your feet and choosing appropriate footwear is a vital step toward maintaining optimal foot health. Prioritise functionality alongside style, and remember that investing in your foot health today can prevent a multitude of problems down the road.

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