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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