- Get the right fit; modify if necessary
- Get compatible shoes; avoid bad shoes
- Start low and light, progress slowly
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Consistent foot exercising
- Functional work w/ CTs/shoes - walking, running, hiking, gym work
- Targeted work barefoot or w/o CTs - mobilization, stretching, coordination, targeted exercises
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Wrong size/fits → CTs should ideally align your toe bones with foot bones and that’s what your long-term goal should be; its OK to start slower and work progressively by adding shims
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CTs too small → not enough splay, rubbing, chafing, blisters, compressing toes
- Solution: size up, modify
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CTs too big → slipping off, buckling
- Solution: modify, size down
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Size chart is a guideline
- Size up if on the cusp or if wider feet, thicker toes
- Modifications
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CTs too small → not enough splay, rubbing, chafing, blisters, compressing toes
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Incompatible footwear → toe box too narrow/tapered and compresses toes into CTs causing discomfort, pain
- Shoe liner test to evaluate toe box shape
- “Wide” shoes are often widest at the ball of the foot but still taper the toes together
- Even “wide toe” shoes might not be wide enough
- Every step in shoes that are bad for feet is a step in the wrong direction
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Too much too fast → discomfort, pain; need load management
- Slow transition down
- Incorporate stretching and strengthening exercises
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Expecting immediate results / not exercising → this process takes time
- Minimum 6 months of regular PT to make lasting changes
- Requires many steps and active foot
- More active = sooner results
- Takes years to truly build up strong resilient feet
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Goal - toe bones aligned with metatarsal bones
- *except if metatarsal bones have shifted
- Too big examples
- Too small examples
- Modification solutions - shim, pinky toe trim, short toes, thin toes-socks
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Shoe liner test
- Pass - with CTs/splayed toes
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Fail
- Regular shoe fail
- Wide shoe fail
- Solutions= remove shoe liner, trim pinky toe spacer, move shoe lacing back
- Length = ½-1 thumbs width difference
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Upper
- Restrictive
- Stretchy
- Open
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Day 1 - 30 mins passively
- Increase by 30 mins each day as tolerated
- Increase the intensity of activity slowly= passive/sitting → standing around home → short walks → long walks/ short runs/ gym → hikes/ long runs
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Expect soreness in the forefoot as toe splay and dormant toe muscles engage
- Expect soreness in the arch of the foot as dormant arch muscles engage
- Many will notice immediate stability and strength gains from forefoot support, but lasting changes take time
- Minimum of 6 months for lasting changes to be made
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Correct Toes is just a tool to help, it won’t fix your toes alone
- Requires many steps to be taken