In addition to providing relief for painful foot problems or an injury, those who may benefit from orthotics include people who must walk or stand excessively on the job. For those who are active in sports, orthotics will commonly improve endurance, performance and strength. For overweight individuals, orthotics can help to counteract the extra stress on the feet, as minor problems are ordinarily magnified due to the increased weight. This race in high heels is brought to you thanks to the generous support of your local podiatrists and physical therapy association. Every participant gets a free consult and shot of painkiller following the race. A bunion is a bump that appears at the base of the big toe. Left untreated, bunions lead to pain and deformity. Tight, narrow shoes often cause bunions, although some people develop bunions due to family history or cerebral palsy. Bunions can strike children as young as 10 years old. If your big toe has changed shape and is beginning to curve in towards the rest of your toes, you probably have a bunion. Bunions are painful, especially when they rub against your shoes. Using a bunion shield cushions the bunion and reduces its associated pain. A bunion as a bony abnormality of the big toe joint. The joint becomes misaligned with the foot's skeletal structure so that the toe joint points outward. Signs that a bunion is forming include a bulging bump on the outside of the big toe, soreness and pain. The skin around the toe is thicker, and calluses can appear where the toe overlaps the second toe. There are several things to consider when caring for bunions. Surgery may not help how your foot looks, and your toe problem may also come back after surgery. This is more likely if you continue to wear the types of shoes that cause toe problems. But here’s the catch – if you stand in heels, then your feet are tilted up. This creates a chain reaction that can cause your hips to counterbalance your elevated heels by tilting the pelvis forward. Is that all? Of course not! If the pelvis learns to stay tilted forward (which can happen if you wear high heelsand/ or work at a desk most of the day) then as you can see above, when we stand our lower back is swayed in and our upper back must respond by arching back. To prevent bunions , always buy comfortable, well fitting shoes and be sure they have plenty of toe room. If you already have a bunion, most drug stores sell pads that, when applied to the bunion, will protect it from further abuse. Bunions that cause severe discomfort can be treated surgically. Dr. Perlstein is a podiatrist in Brooklyn, NY , treating more than 25,000 patients since 1986. This experienced Brooklyn podiatrist offers a wide range of foot and ankle care including emergency care and treatment for bunions. His office is also open on Sundays. If you happen to find a pair of shoes that you can't live without, but does not offer the right support for your flat feet, then you can buy insoles designed specifically for people with flat feet. These types of insoles will offer you the right type of support in the right areas so that your shoes will give you the stability that you need. It's always beneficial to have at least one pair of these insoles lying around because I can guarantee you that you will need them at one time or another. First, select your shoes with you foot health in mind Limit your use of unnaturally styled shoes to rare occasions. Even then, try to shield the areas most irritated with protective dressings (e.g. moleskin or gel pads). The more deformed your feet or demanding their work, the more they need special shoes to accommodate and protect them to avoid corns and calluses. A podiatrist will evaluate your feet to help pinpoint the problems and their causes so that they might be dealt with professionally. Periodic podiatric care can enhance your own efforts and improve your chances of successfully reducing or eliminating corns and calluses. An orthotic is a custom insole or shoe insert that works to correct the mechanics that causes a bunion to form. By addressing the forces that cause a bunion deformity, an orthotic helps to neutralize them and redistribute them across the foot. The orthotic essentially fools your foot into functioning more efficiently and stops the bunion deformity from progressing. At this time of year many of my patients are attending holiday parties. This can mean being on your feet for long periods of time, standing, dancing, walking in new, stiff dress shoes and high heels, which can cause a real pain in the foot, namely that of blisters and bunions!