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16 wellness<br />

focus<br />

Are Your Shoes Giving<br />

Your Back Pain?<br />

We spend a large part of<br />

the day standing and walking<br />

in shoes. Footwear may have<br />

an effect on the way the body<br />

moves, body posture, and gait<br />

– contributing factors to the<br />

presence of back pain. If you have<br />

been experiencing back pain, it is<br />

very likely that wrong or poorly<br />

fitted shoes are causing the<br />

problem.<br />

When choosing the best shoes<br />

to manage or eliminate back pain,<br />

evaluate your gait and the shape<br />

of your foot. Keep your level of<br />

activity and the types of activities<br />

you pursue in mind as you make<br />

your choices.<br />

High-heeled shoes: High<br />

heels are one of the biggest<br />

factors leading to foot problems<br />

in women, with up to a third<br />

suffering permanent problems<br />

as a result of prolonged wear.<br />

A high heel shoe puts your foot<br />

in a plantarflexed (foot pointed<br />

downward) position, placing an<br />

increased amount of pressure on<br />

your forefoot. This causes you to<br />

adjust the rest of your body to<br />

maintain your balance. The lower<br />

part of your body leans forward<br />

and to compensate for that, the<br />

upper part of your body must<br />

lean back to keep you balanced.<br />

This is not your body’s normal<br />

standing position. Women who<br />

wear heels also walk with their<br />

feet flexed and their toes pointed.<br />

As a result, they put greater strain<br />

on the muscles of the calf. Over<br />

time, this increased amount of<br />

muscle tension may amp up the<br />

risk of injury due to strain.<br />

Flip Flops: Because they have<br />

no support, they make the wearer<br />

scrunch up their toes to keep<br />

them on. This can change the way<br />

people walk, leading to back pain,<br />

as well as foot and leg pain.<br />

Flats: Absolute flats don’t<br />

provide much cushioning, and so<br />

when the foot hits the ground,<br />

the shock of the impact travels<br />

up the leg to the spine, stressing<br />

the joints in the back, the discs<br />

between the vertebrae, and the<br />

ligaments.<br />

Platforms: Platforms can put a<br />

strain on the spine, causing back<br />

pain, and can make people more<br />

likely to fall, which could cause a<br />

back injury. This is especially true<br />

when walking on uneven ground.<br />

What you can do<br />

Keep them short – Don’t let<br />

the heel of the everyday pair be<br />

more than 2.5 inches.<br />

Alternate shoe types – Try<br />

to alternate different styles of<br />

shoes on different days, changing<br />

the heel height and type of shoe<br />

regularly to allow muscles and<br />

joints to recover. Keep high<br />

heels for special occasions or<br />

alternate them with comfortable,<br />

supportive and well-fitting<br />

flat shoes with cushioning. On<br />

days that might require a lot<br />

of standing or walking, wear<br />

shoes with a lot of support and<br />

cushioning.<br />

Go wide – Shoes with a<br />

wider toe box avoid forefoot<br />

compression.<br />

Stretch – Take off your shoes<br />

and allow your feet and calves to<br />

stretch from time to time.<br />

Replace footwear regularly –<br />

Men, especially, don’t change<br />

their shoes as often as they<br />

should. This can ruin your back in<br />

the long run. Pay close attention<br />

to the state of your sole tread and<br />

if you notice a significant wear<br />

and tear, it’s time for a new pair.<br />

Good shoes are expensive,<br />

but they are vital to overall good<br />

health. If your purchase of good<br />

quality, supportive footwear<br />

does not resolve or improve<br />

your problems within a week or<br />

so, be sure to see your doctor,<br />

chiropractor or podiatrist for a<br />

proper diagnosis and treatment.<br />

yourwellness.com

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