Receding toe box creates silhouette with long, slender look. Compromises toe space:
Toe Box Shape:
Rounded toe box provides more room for width of toes. Pointed box provides less.
Worse of both worlds: pointed and receding.
TEN POINTS OF SHOE FIT:
Do not select shoes by the size marked inside the shoe. Judge the shoe by how it fits on your foot.
Select a shoe that conforms as nearly as possible to the shape of your foot.
Have your feet measured regularly. The size of your feet changes as your grow older.
Have both feet measured. Most people have one foot larger than the other. Fit the larger foot.
Fit at the end of the day when your feet are largest.
Stand during the fitting process and check that there is adequate space (3/8 – 1/2 inch) for your longest toe at the end of your shoe.
Make sure the ball of your foot fits snugly into the widest part (ball pocket) of the shoe.
Do not purchase shoes that feel too tight, expecting them to “stretch to fit”.
The heel should fit comfortable in the shoe with a minimum of slippage.
Walk in the shoe to make sure it its and feels right.
PATIENTS SATISFIED WITH OUTCOME OF BUNION SURGERY, LANDMARK STUDY FINDS
ANAHEIM – Patients who go to an orthopaedic specialist for bunion surgery typically report significant improvement after just six months, according to a major multi-center study conducted by the American Orthopaedic Foot and Ankle Society (AOFAS).
The study asked 305 patients to evaluate factors such as foot pain and shoe comfort before surgery and at six months follow-up. Comparisons of preoperative and follow-up data confirmed what lead researcher David Thordarson, M.D., Los Angeles, expected to fine – that bunion surgery is highly effective when performed by an orthopaedic surgeon.
“The study demonstrated that at six months, patients had significantly better physical function, better overall foot and ankle function, greater shoe comfort and decreased pain,” said Dr. Thordarson, chairman of the Clinical Outcomes Committee. “Most importantly, patients say that they are happy with the results.”
Presented at the AOFAS Annual Winter Meeting, February 7th in Anaheim, California, the study is the first large-scale effort to evaluate patient perception of bunion surgery. AOFAS members from medical centers throughout the United States enrolled patients, each of whom completed a questionnaire before surgery to determine a baseline for later comparison.
Developed and tested for validity by the American Academy of Orthopaedic Surgeons and a task force of national musculoskeletal specialty societies, the MODEMS questionnaire gathered data on medical history, activity level, foot and ankle function, foot pain and shoe comfort, as well as demographic information.
At six months, patients again completed the questionnaire, and the results demonstrated significant improvement. The average score on the global foot and ankle scale, a measure foot and ankle function, improved from 75.8 to 90.7. Shoe comfort improved from 34.3 to 54.8. Scores for overall satisfaction – measured on a 1 to 5 scale, with 5 completely satisfied – increased from 1.6 to 3.4.
A common problem, especially among women in shoe-wearing populations of the world, a bunion is a bump or bony prominence that forms where the big toe joins the foot. Generally, bunions form due to a condition known as hallux valgus, a alignment of the big toe. Shoe pressure on this area can cause inflammation and pain.
Often, bunions can be treated without surgery. When surgery becomes necessary, there are a variety of procedures used to remove the bump and correct the underlying cause.
The AOFAS study represents “the largest pool of normative data ever compiled on the outcome of bunion surgery,” Dr. Thordarson said. “This will be the database, the landmark study that will guide future research.”
The AOFAS plans to gather data from patients again at 12 months and 24 months after surgery. Plans also call for breaking down results by the type of procedure performed, Dr. Thordardson said.
The leading medical organization for orthopaedists specializing in foot care, the AOFAS is dedicated to advancing research and educational objectives in orthopaedic foot and ankle medicine.