SHOE BUYING GUIDE

How to avoid foot pain with your shoes

Why we wrote this guide?

I am Dr. Donald Pelto, and I compiled this shoe-buying guide from my clinical experience with input from my partners, Dr. Feldman and Dr. Saviet.

You may have received suggestions from your doctor, friend or even from advertising online. I put this together as a reliable resource to clarify the process for getting shoes that fit right so you don’t have to suffer.

This information is not intended to substitute for a doctor's examination but can help reduce the complexity of shoe shopping.

The shoes in this guide are the ones most commonly recommended to patients in the office.

A specialty shoe store with well-trained staff can help you find the best shoe for your feet, or you can come in for an appointment, and we will help you.

Drs. Pelto, Feldman, Saviet & Associates


The big three shoe-fitting mistakes?

Before we discuss the types of shoes, I want to discuss how to determine whether your current shoes may be causing the problem.

Mistake #1  
Wrong size shoes

The first mistake patients make is wearing shoes that are the incorrect size. A specific brand-size shoe is not always equivalent to another brand-size shoe.

The best way to assess your shoe is the shoe liner test.

The shoe liner test is done by taking the sock liner out of your shoe (it has the shoe brand written on it) and standing on it. You should have a finger breadth of space from the front of the liner.

If your toe goes to the tip or all the toes do not fit in the liner space, the shoe may fit incorrectly.

Mistake #2
Old or worn-out shoes

Old shoes or worn-out shoes can commonly cause foot pain. If your shoes are over 9-12 months old, it is best to get new shoes when you feel pain.Even if your shoes look clean and are not worn out, the manufacturer makes them wear out over time. One secret is to look at the lines on the side of the shoe. Horizontal lines in the foam indicate the shoe is old and should be replaced.

Another tip is to purchase two pairs of shoes simultaneously, and when one is wearing out, start using the other new shoe. If it feels much better and more supportive, it is time to switch your shoes.

Mistake #3
Wrong type of shoe for your activity or activity level

Commonly, we see patients wearing their oldest shoes for the most strenuous activity, for example, mowing the lawn in old, worn-out shoes. This is prone to cause foot pain.

Another problem is not adjusting or purchasing new shoes when starting a workout program. Make sure you get appropriate shoes, and don’t go cheap. We always recommend going to a running shoe store to get professionally fit for your shoes.

Poorly sized or fitting shoes are among the most common causes of foot pain and injury.


Shoe Liner Test

This is the best test to determine if your shoe is the right size.

Instructions: Take the sock liner (which has the shoe’s brand name) out of the shoe and stand on it. If your foot is overlapping the liner, it is probably too narrow. If you want to learn more, click HERE.

Shoe-Buying Videos

We have put together several videos to help buy the appropriate shoes.

● Shoe buying tips for adults and children - HERE.
● Shoe buying tips for diabetics - HERE
● Shoe buying tips lecture - HERE


How do you ensure your shoe is wide enough?

Most of the patients we see have narrow shoes in the toe box, especially for those with bunions and hammertoes.

A wide shoe can often be too wide throughout the foot, including the heel region, so we commonly recommend “anatomic shoes.”

An anatomic shoe is made with increased width in the front of the shoe and standard width within the heel region.

Some brands include Altra, Topo, and Lems.


Do I need orthotics?

Many of our patients benefit from orthotics. It is hard to say if you need them, but my rule of thumb is to try to get the best shoe for your foot to start. If that does not work, then get an inexpensive over-the-counter insert. Remember, these are not orthotics, but they are helpful for many patients. My favorite at this time is a Walk Hero insert. If that does not work, then seek out a professional to make orthotics for you.

As I say every day in the office, “Many of our patients do not have an over-the-counter type of foot.” Because of that, we need to make a custom orthotic that is formed for their foot.

If you need orthotics, make an appointment to come to the office.

In the next section, I will discuss the local shoe stores in Massachusetts, and then you will find the online shoe resources.


Local shoe store list (Central Massachusetts)

Many patients ask me about the best local shoe stores for properly fitting shoes. Here are some of my best recommendations and tips for wearing shoes.

Even if you can buy the shoes online, I recommend going to a local store because they can watch you walk (gait), and many times, they will exchange shoes if they don’t work out for you.

Running, walking & athletic shoe stores

Sneakerama — Worcester, Massachusetts
Marathon Sports — Shrewsbury, Massachusetts

Dress shoe, difficult to fit foot type

Evans on the Common — Townsend, Massachusetts
Red Wing — Shrewsbury, Massachusetts
Limmer - Custom Hiking Boots — Intervale, New Hampshire Hitchcock Shoes - Hingham, Massachusetts
The Forgotten Foot — Framingham, Massachusetts

Shoe Repair

Carbonneau’s Shoe Repair — Worcester, Massachusetts


Online shoe recommendations

1. Running/exercise/walking — stability & motion control

These shoes are for flat feet and pronated feet

 a. New Balance: 1540* 1012* 587* 993 1260
 b. Asics: Foundation - Evolution - Kayano
 c. Brooks: Beast* / Ariel* - Addiction - Adrenaline - Vapor  
 d. Saucony: Grid Stabil* - Omni - Hurricane
 e. Altra: Provision

2. Running/exercise/walking — neutral & cushioned

These shoes are for standard feet without flat or high arches or those wearing orthotics

 a. Hoka: Bondi - Stinson - Gaviota
 b. Altra: Olympus - Paradigm

3. Anatomic shoes — wide toebox

These shoes are for bunions, hammertoes, or using Correct Toes

 a. Altra - Walking or Running shoe
 b. Topo - Walking or Running shoe
 c. Lems - Everyday shoe
 d. Vivobarefoot - Everyday shoe
 e. Whitin Shoes - Everyday shoe
 f. Feelgrounds - Everyday shoe
 g. Xero Shoes - Everyday shoe

4. Children's shoes

 a. Anya’s Reviews - Here is an excellent list of foot-healthy shoes for kids
 b. Vivobarefoot
 c. Be Linka Barefoot
 d. Mukishoes

5. Slip-on shoes

These are for those who don’t want to tie their laces and a slip-on shoe

 a. Zeba Shoes

6. Hiking boots — increased stability for ankle stability

 a. Oboz Boots
 b. Altra Boots

7. Work boots - wide toe - steel toe - composite toe boots

 a. Amazon
 b. Keen
 c. Wolverine
 d. Timberland
 e. Red Wing

8. Work boots — anti-skid

 a. Amazon (Crocs are wide)
 b. Brooks Addiction Walker

9. Sandals — built-in arch support

 a. Oofos
 b. Fit Flop
 c. Hoka Sandals
 d. Birkenstock
 e. Archies - flip-flop

10. Sandals — can accept custom orthotics

 a. Naot
 b. Finn Comfort
 c. Aetrex
 d. Alegria

11. Dress shoes — women

 a. Anya’s Review - This great review site has many types of shoe     recommendations that are good for your feet
 b. Correct Toes - Master list of anatomic shoes for women
 c. Rockport
 d. Dansko
 e. Ecco
 f. Naot
 g. Jambu Shoes

12. Dress shoes — men

 a. Birchbury - These have a nice wide toebox and are zero drop
 b. Rockport
 c. Hush Puppies
 d. Dansko
 e. Naot
 f. Timberland
 g. Ecco
 h. Cole-Haan
 i. Allen Edmonds
 j. Samuel Hubbort

13. Golf shoes — men & women

 a. Ecco
 b. True Links

14. Extra depth shoes

These shoes are for patients with diabetes, bunions, hammertoes, and those wearing braces

 a. Apex
 b. Aetrex
 c. Orthofeet
 d. Drew
 e. Dr. Comfort

15. Rocker sole shoes

 a. Hoka
 b. Dansko
 c. Altra: Alegria

16. Cavus foot (high arch foot)

 a. Drew Shoes

17. Cycling shoes

 a. Bont Anatomic Cycle Shoes

18. Turf shoes (cleats)

 a. Bont Anatomic Cycle Shoes

19. Slippers

 a. Vionic
 b. Spenco

20. Ski boots

 a. Helpful Article


Shoe accessories

No tie shoelaces (caterpy)

Caterpy — There are great shoelaces that you don’t have to tie.

Correct toes

Correct Toes - Correct toes are spacers for your feet to promote foot health. We recommend 1st try anatomic shoes and 2nd try the correct toes.

Socks

Here are some recommended shocks that offer added cushion and compression.
 a. Juzo Silver
 b. Thor-Lo
 c. Cool Max
 d. Smartwool
 e. Jobst
 f. Wrightsock