DROP FOOT Device works for many!

Footup Device 1.14

There are many causes for Drop Foot, where literally the forefoot is unable to come up (dorsiflex) so that toes clear the ground during walking (swing phase of gait).  The muscles that enable dorsiflexion (bringing up forefoot) are weakened because of stroke, neuropathy, or some other cause.  AFO’s or Ankle Foot Orthotics are prescribed fit so that plastic runs from behind leg, then under foot and keeps the foot from dropping.  These generally work well.  BUT shoe fitting can be a nightmare since they make the foot 1-2 sizes larger.  Fortunately, we carry several models that have double depth to help with fitting.

BUT the FOOT-UP Device can be used INSTEAD of the AFO for some patients.  Who?  Those with milder cases of foot drop.  The ADVANTAGES are COMFORT, EASE OF FIT, and keeping the muscles of the affected limb from as much atrophy.  Clients/patients love them.  These can be effective and enable wearing of existing lace shoe wardrobe, at least for part of the time.  It’s obvious if this isn’t a good choice and we have inventory in stock to try out.

Comfort Shoe Specialists are the foot problem solvers!



TT Lavilin 1.14The VERY BEST foot deodorant!

One woman told me it saved her marriage.  Another said that her 2 sons were able to bring their shoes in from the garage…and she had hated walking past them even there!

My friend Bill told me that his wife became more loving!  Not exactly sure what he meant by that…but happy that he’s getting more love!

I recommended it to one elderly woman because I could smell her feet even with her shoes on.  She was very grateful.

Let’s face it:  SMELLY FEET STINK!

Lavilin Foot Deodorant stops smelly feet IMMEDIATELY.  The amazing part is that it doesn’t take the entire jar either.  Applied just once/week after a shower and the cycle of contamination starts to crack.  Odor is from bacteria on the feet.  Bacteria that thrives in dark, damp environment.  When you begin to eliminate that, the cycle is broken and rarely comes back.

Got Stinky Toes?  Let’s Talk!

NEOS Overshoes work wonderfully!

TT NEOS 1.14

NEOS may not be beautiful, but they work beautifully!  Essentially waterproof, slip resistant shoe coverings that fit over any footwear.  Pants legs tuck in with draw-string to hold in (see arrow) then Velcro closure down front with adjustable instep strap.  This means the boots can fit over any type of shoes, versatile as can be.

We have clients who wear sandals year round and this enables them to go out and/or keep appointments in bad weather.

Several years ago, we had a man come in who did not own shoes due to his size.  We cast him for custom molded shoes then fit him with 1/2″ think plastazote inside of a pair of these.  He had some protection during the 4 weeks to get his custom shoes then he had boots to wear during inclement weather.  WIN-WIN is going for the GOLD  with the best possible solutions.  That’s what we do!

You got toes?  Let’s talk!

Custom Molded Shoes: CUTE can happen

CMS Black Pat Grif Chukka 1.1473 year old female with diabetes presented with feelings of frustration that she is unable to do what she wants in her retirement because of her feet.  After evaluation and assessment we agreed to prioritize her desires:

1.  Reduce pre-ulcerative calluses at balls of feet, currently endangering her health

2.  Accommodate her different sized feet (LEFT 8 1/2 narrow and RIGHT 7 1/2 wide)

3.  Walk safely since her balance is compromised with mis-shapen feet

4.  Look CUTE and STYLISH

At Comfort Shoe Specialists, we believe in helping people look as good as possible, especially when we came to agreement of her list of priorities and in this order.  First things first since footwear is physical medicine, dramatically capable of improving her health and well-being.

She worked with a wound center and various physicians with little improvement during the past 2 years.  We believe that within 6 months her state of health, at least with her feet, will be substantially improved.  That is our experience with wearing correct footwear, acclimating gradually as we direct and doing follow up.  At our pedorthic facility, correct footwear means everything put on the feet from shoes to lotions to socks:  we recommended Anastasia lotion and Thorlo Tennis Socks with extra cushioning under the entire foot PLUS additional protection at the balls of the feet (now available in BLACK). I was wearing Finn Comfort Soho in Black Griffin patent leather on the day that I worked with this patient and she said she wanted her shoes to look as close to them as possible.  Finn Soho blk grif

While we require custom footwear to be high tops for greater stability and support, our shoemakers did a wonderful job fulfilling her desire for style and fashion.  At the fitting, the soles will likely be sculpted to provide some  designs and lines for panache.  Subtle but make the shoes look more youthful.

What else?  Regular maintenance is required with custom made footwear to get best results.  Often, the wearer has unusual and/or demanding walking gait which requires follow up and sole maintenance.  Give your local cobbler the business or bring back to us, but keep the soles repaired and leveled for optimal performance and results.

We learned that one of her physicians thought the cost of our shoes was excessive.  We understand this reaction but we respectfully disagree.  Per her requests, we provided styling and leathers that do not look like the typical custom molded Frankenstein looking shoes.  She can go anywhere looking smartly fashionable.  We are providing 3 sets of inserts to rotate, providing a minimum of 3-4 years of support.  Since she has only one pair of safe shoes, we recommend 3 pairs of inserts so she can rotate, providing daily fresh support for healing and sanitation:  regularly the custom inserts cost $395 pair X 3 pairs= $1,185 + special styling made with specialty black patent leather per customer request (cost is $112) + duplicate last ready for next pair (cost is $45) +cost of casting ($100) so total cost of shoes is $1,632.  The normal cost of these shoes in black, brown, or taupe leathers with one set of insoles would have been $1060.

Medical costs of an amputation is greater than $40,000 PLUS prosthesis is $10,000 plus.  Rate of mortality is 75% withing 5 years of an amputation.  Proper footwear saves lives and lots of money.

With maintenance, shoes like these can last up to 10 years or more, especially when/if another pair is purchased so the shoes can be rotated as well as inserts.  Not only is this effective and efficient physical medicine compared to alternatives of ulcer care and possible amputation(s), but client regains much if not all of her previous activities.  Walking safely often improves mental states and can add to greater physical well-being.  A reasonable investment in overall health?  We believe so!

And she gets better balance and STYLE to boot!

(pun intended)

Giesswein Slippers provide Comfort & Support

Giesswein Vent Giesswein rasp slippersBeautiful craftsmanship on boiled wool lodge shoes and slippers are beautiful for another reason:  they help prevent falls!  Contoured footbeds support arches of the feet to provide greater balance and stability, a key to fall prevention.  Most falls occur in homes with worn, slick slippers on OR in stocking feet.  Older feet are often tender and walking without shoes is done just because the shoes hurt.  Humans avoid pain!  If shoes hurt, we won’t put them on until we have to.

TEST:  if shoes are kicked off as soon as you get home, it’s because the shoes are not comfortable.  When shoes feel good, people keep them on…all the way to bedtime UNLESS they have something else to put on.  We call these Recovery Footwear:  supportive but usually looser and feel like FOOT HUGS!

We stress that safe, supportive “house shoes” are an important component of total foot health and well-being.

The lodge shoes and slippers shown above are washable!  Though naturally water resistant, stain resistant, and dirt resistant, these can be laundered then air dried.  Removable footbeds provide relief for foot pain whether balls of feet, bunions, flat feet, or posterior tibialis tendonitis.  We customize them when more support is needed to make them perfect!

Everyone deserves a hug…especially our hard working feet!  Take care of yours and they will take care of you!