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Shoe Talk
By: Peter L. Gallarello, DPM, FACFAOM

Shoes are at the top of the list. Poorly fitted shoes are involved in as many as half of the problems that lead to amputations. Foot shape and size may change over the years: peripheral neuropathy contributes to change. New shoes shold be comfortable at the time they are purchased – they should not require a break-in period. Shoes should have leather or canvas uppers, fit both the length and width of the foot, leaving room for the toes to wiggle freely, and be cushioned and sturdy.

Avoid high heels and shoes with pointed toes. Never wear shoes with open toes or heels, including sandals, especially those with straps between the first two toes. Shake shoes out and feel inside them for rough stitching or foreign objects, such as small pebbles. Never go without socks.

Peter L. Gallarello, DPM, FACFAOM
Diplomate of the American Board of Podiatric Orthopedics and Primary Podiatric Medicine
Fellow of the American College of Foot and Ankle Orthopedics and Medicine
American Podiatric Medical Association
Nevada Podiatric Medical Association