Metatarsal Pads

Metatarsal pads are used to help spread your transverse arch (the arch behind the ball of your foot, that runs across the width of your foot), promote the return of your overextended toes to their normal anatomical position, and encourage the return of your forefoot fat pad to its rightful position supporting your metatarsal heads. Your metatarsals are the long, thin bones in your mid-foot. The heads of your metatarsals are at the ball of your foot, and they connect to the base of your toes. Metatarsal pads help properly realign your metatarsal heads and the fat pad that’s underneath them. This, in turn, can help straighten and realign your toes, especially when your metatarsal pads are used in conjunction with our toe-spacing product (Correct Toes).

The conventional footwear features of heel elevation, toe spring, and toe taper can
negatively affect your foot over time. After many years of weight-bearing activity in shoes possessing these design characteristics, your feet become shaped like the shoes you wear. Your toes become chronically overextended (pointed upward) and tapered toward your foot’s midline. The muscles under your foot, your flexors, become excessively stretched and weakened, while your extensors, on top of your foot, become too tight. In turn, your forefoot’s fat pad, which normally provides cushioning for your metatarsal heads and the nerves between them, becomes displaced too far forward. The bones and nerves in this area are then relatively unpadded and therefore vulnerable. This foot configuration can lead to a host of problems, including, but not limited to, Morton’s neuroma, sesamoiditis, and plantar fasciosis, or more simply: pain in the ball of your foot, heel, or both.

Metatarsal pads, when properly placed within a completely flat shoe with a sufficiently wide toe box, can help undo muscle imbalance in your foot. Metatarsal pads help reconfigure your foot to the position that nature intended; that is, with splayed metatarsal heads, splayed toes, and a fat pad located directly underneath the fragile bones and nerves in the ball of your foot. Numerous foot and lower extremity problems can be prevented or reversed by restoring your natural foot anatomy and function.

It’s important to place your metatarsal pads correctly in your shoes. Please see our document on the proper placement of metatarsal pads. Improper placement of pads is uncomfortable and could possibly worsen your foot condition. Also, as with Correct Toes, it’s important to use metatarsal pads in shoes that are completely flat (i.e have no heel elevation, no toe spring, and no padding under your arch) and widest at the ends of your toes (not just at the ball). Finding such shoes can be challenging. Please see our list of healthy footwear options.

Bottom of pad contains a sticky adhesive for easy placing. Click here for more detailed information on placing metatarsal pads.

To purchase metatarsal pads click here.

–Dr. Ray McClanahan, DPM, Northwest Foot and Ankle / Correct Toes

Raynaud’s

raynauds
Image credit: http://www.nhlbi.nih.gov

Raynaud’s is a health problem that affects the arteries. Raynaud’s sometimes is called a disease, phenomenon, or syndrome, and it’s characterized by brief bouts of vasospasm, or the sudden narrowing of a blood vessel, which results in a reduced flow rate through that vessel. Arterial vasospasm primarily reduces blood flow to the fingers and toes. Though most people with Raynaud’s experience reduced blood flow to the fingers, a significant number of people with this condition (40%) also experience reduced blood flow to the toes. In rare cases, this condition may affect blood flow to the nose, ears, nipples, and lips.

Raynaud’s attacks limit the amount of blood that reaches the skin in affected areas, causing these areas to turn white and blue. When the involved blood vessels do eventually relax, normal blood flow to the affected areas resumes and the skin turns red and throbs, tingles, burns, or feels numb. In only the most severe cases does Raynaud’s cause sores or tissue death. A couple of key triggers—cold weather and stress—are known for this health problem, though in many cases, the true underlying cause of Raynaud’s is unknown. What is known is that people living in colder climates develop this health problem more frequently than those living in warmer climates.

Condition Information

There are two principle types of Raynaud’s: Primary and secondary. Primary Raynaud’s, also known as Raynaud’s disease, is the most common type of the disorder, and it occurs without the presence of any underlying health problem that could induce vasospasm. Secondary Raynaud’s, also called Raynaud’s phenomenon, is less common than primary Raynaud’s and is caused by an underlying medical condition. Raynaud’s phenomenon usually is the more serious of the two types of Raynaud’s. Most people who develop Raynaud’s phenomenon do so around the age of 40, whereas those who have Raynaud’s disease develop symptoms much earlier in life.

“Raynaud’s attacks” can be triggered by cold temperatures or stress in people who have primary or secondary Raynaud’s. Even relatively mild or brief temperature alterations can provoke a Raynaud’s attack. A person with Raynaud’s who removes something from the freezer or who is exposed to temperatures below 60 degrees F may notice his or her fingers turning blue shortly thereafter. Most people who have Raynaud’s suffer no lasting tissue damage or disability, though people who have severe versions of this health problem may develop gangrene (tissue death) following repeated or prolonged Raynaud’s bouts. Approximately 5 percent of people in the United States have some form of Raynaud’s.

Causes and Symptoms

Physicians and researchers do not completely understand why Raynaud’s attacks occur, but, as previously mentioned, cold temperatures and stress are the two main triggers causing blood vessels in the hands and feet to overreact. Cold temperatures cause the extremities to lose heat, and the body minimizes blood supply to the fingers and toes to keep the core temperature stable. This response is exaggerated in people who have Raynaud’s. Stress provokes a similar kind of reaction, and its effects are, again, exaggerated in people who have Raynaud’s.

There are a number of conditions that may cause secondary Raynaud’s, including scleroderma, lupus, rheumatoid arthritis, Sjogren’s syndrome, arterial diseases (e.g., Buerger’s disease), carpal tunnel syndrome, smoking, injuries (e.g., wrist fractures, frostbite, etc.), certain medications, chemical exposure, and thyroid gland disorders. Another possible cause of secondary Raynaud’s is overuse injuries. Workers who use vibrating equipment for prolonged periods may develop a Raynaud’s phenomenon known as vibration white finger.

Raynaud’s signs and symptoms depend on several factors, including frequency, duration, and severity of the vasospasms. Some of the most common signs and symptoms of this health problem, however, include:

  • Cold fingers and toes
  • Changing skin color in the affected area in response to cold or stress
  • Numbness, stinging, or a prickly feeling with exposure to warmth or decreased stress

Raynaud’s signs and symptoms usually follow this pattern: The skin in the affected area turns white before eventually turning blue and feeling cold and numb. Most people also experience a blunted sense of touch. Once the involved blood vessels relax and circulation to the fingers and toes improves, the affected areas may turn red, and they may tingle, throb, or swell. The order of the skin color changes is not always the same between people, and some people who have Raynaud’s may not experience all three colors (white, red, and blue) during an attack.

In some cases, a person who has Raynaud’s may experience symptoms in just one or two fingers or toes, and the location of symptoms may even vary from one attack to the next in the same individual. A Raynaud’s attack can last anywhere from under a minute to multiple hours.

Treatment

Minor lifestyle changes, self-care activities, and prevention techniques can all help manage this condition. Helpful conservative approaches include:

Quitting smoking: Smoking causes blood vessels to narrow, which in turn lowers skin temperature. Even secondhand smoke can cause problems in people who have Raynaud’s.

Participating in exercise regularly: Raynaud’s sufferers, especially people who have primary Raynaud’s, may benefit from exercise, as physical activity boosts circulation.

Learning healthy ways to manage your stress: Because stress is a key trigger for Raynaud’s attacks, any action taken to reduce stress levels may help manage this condition. Avoiding stressful situations, meditating, practicing breathing exercises, and spending more time in nature are just a few ways to reduce stress levels.

Avoiding caffeine: Caffeine causes blood vessel constriction and can exacerbate the signs and symptoms of Raynaud’s.

Caring for your hands and feet: A person who has Raynaud’s should take special care of his or her hands and feet. Barefoot walking can be problematic for Raynaud’s sufferers and should be avoided. An individual with Raynaud’s should also avoid wearing constricting footwear, rings, tight wristbands and anything else that can compress blood vessels in the hands and feet.

Correct Toes may be helpful in treating Raynaud’s. Correct Toes toe spacers help spread the toes, which helps reduce compression forces on the small arteries that branch at the ball of the foot and deliver blood to the toes. Note however, that a person with reduced sensation in the feet and toes should avoid using Correct Toes until he or she speaks with a doctor.

Avoiding mechanical triggers: Certain workplace tools, especially tools that vibrate, can provoke Raynaud’s attacks. A person with Raynaud’s should consider avoiding these tools to decrease the frequency of Raynaud’s attacks.

To treat an acute Raynaud’s attack, it’s important to warm the hands, feet, or other affected areas quickly. The following can be done to help warm the fingers and toes:

  • Relocate to a place of greater warmth
  • Put the hands under the armpits
  • Wiggle the fingers and toes
  • Perform arm windmills
  • Place the fingers or toes under warm (not hot) water
  • Massage the affected areas

If a Raynaud’s attack is triggered by stress, a person can remove himself or herself from the stressful situation and practice relaxation techniques to help resolve the attack. Biofeedback—a treatment technique that involves relaxation, visualization and other cognitive control methods—can affect body temperature and help treat Raynaud’s attacks too, especially when combined with the warm water treatment.

In some cases, especially with the more severe forms of Raynaud’s, aggressive treatment approaches may be required to decrease the frequency and severity of attacks, protect against tissue damage, and address the underlying disease causing Raynaud’s. A doctor may prescribe medications to help dilate the blood vessels and boost blood flow to the extremities.

-Dr. Ray McClanahan, DPM, Northwest Foot & Ankle

Correct Toes Testimonial

Male Studio ShotDear Dr. Ray McClanahan, I have never met you but I want to thank you. I’m a post-collegiate distance runner who wishes to continue his career as a competitive distance runner. I enjoy running anything from the mile to the half marathon […]. I was constantly broken down in college and running in what many would consider “pronation control” shoes because I was under the impression that I needed support. The past year and a half I’ve made a very good transition into more minimal based shoes, but recently have been running into forefoot/toe pain. Then I discovered your website. I now own a pair of Correct Toes, metatarsal pads, and [minimalist footwear]. I’ve been walking in them and running a little bit. The pain is gradually going away and my feet are feeling healthier and stronger. […] I think it’s safe to say that your ideas on footwear and foot health are very progressive and forward thinking. You must continue doing what you’re doing and get the good word out. Good ideas will always be the best defense against bad ones. And your ideas are clearly good – very good.
— D.S., Clark, NJ

Click here to read more Correct Toes testimonials!

A New Year’s Resolution? A Natural Foot Health Solution!

ImageNew Year’s has come and gone, but the important work of 2013 has only just begun. This year, consider making lasting foot health your new year’s resolution! Attention and time given to natural foot health concepts and activities can yield profound foot health benefits, both for foot injury prevention and improved quality of life. Caring for your feet and allowing them to function the way nature intended can keep you pain-free and performing those activities you love most. In most cases, the answer to long-term natural foot health is simple and involves removing the impediments to optimal foot functioning and remaining disciplined in your natural foot care routine. Here are a few simple and effective ways to care for your feet this new year and beyond:

Wear Healthy Shoes as Much as Possible

Resolve to wear only healthy shoes as much as possible in 2013. This simple strategy will help you treat or prevent some of the most common foot, toe, and lower extremity problems, including bunions, hammertoes, plantar fasciosis, interdigital neuromas, and ingrown toenails. Healthy shoes allow your feet and toes to function the way nature intended; that is, with toes splayed and heel and forefoot on a level plane. Healthy shoes are shoes that don’t get in the way of your feet or alter your gait in any way. Using healthy shoes is especially important for weight-bearing activities, including weight-bearing activities in both casual and athletic situations. Wearing conventional footwear (with its many injurious design features) for running and walking can accelerate toe deformities and lead to chronic foot and toe problems.

Resolve to Make Wise Footwear Purchases

To ensure natural foot health in the new year, make your next footwear purchase one that incorporates all the desired design features we typically look for in shoes. Key design features to consider when shopping for new footwear are degree of heel elevation and toe spring, toe box width, and sole flexibility. An ideal shoe has no heel elevation or toe spring, only a completely flat sole from heel to toe. This flat platform allows your principle foot arch to act as it is supposed to and helps enable natural arch support. A sufficiently wide toe box is widest at the ends of your toes and allows your toes to splay optimally when standing, walking, or running. A shoe with a flexible sole improves your tactile sensation of the ground and helps strengthen your intrinsic, or internal, foot muscles. You should be able to easily fold the shoe in half or twist its sole with little restriction.

Wear Correct Toes Every Day

Wearing your Correct Toes every day is an excellent way to achieve lasting foot and toe health in 2013. Correct Toes creates space between your toes and realigns your toes to their normal anatomical position. In this optimal position, your toes are free to perform as they were intended, and you are less likely to experience the foot and toe problems that plague so many shod, or shoe-wearing, individuals. It’s important to transition into Correct Toes use slowly, as it can take some time for your foot to adapt to this new toe orientation. It’s also important that you use your Correct Toes in shoes that possess sufficiently wide toe boxes. You can use your Correct Toes on your bare feet, over toe socks, or within conventional socks. Some people use Correct Toes as a night splint to help treat bunions and other foot and toe problems.

Perform Relevant Foot Stretches Regularly

Certain foot stretches can enhance your foot health, especially if you perform them on a regular basis, according to your healthcare practitioner’s instructions. We find several foot and toe stretches particularly helpful, including the toe extensor stretch. This stretch helps lengthen tight toe extensor muscles and tendons. Tight toe extensors can cause a variety of foot and toe problems, and the toe extensor stretch helps balance the pull of toe extensor and flexor tendons on your toes. Other helpful foot stretches or exercises include the bunion stretch and the hacky sack grab exercise, both of which can be easily performed at home.

Be Active & SMART!

Being physically active in 2013 is an excellent way to ensure natural foot health, especially if you choose to be active in footwear that allows you to incorporate Correct Toes and respects nature’s brilliant foot design. We encourage you to select an activity that you find truly enjoyable to help put your feet and toes to good use. We also encourage you to set fitness goals that are SMART—Specific, Measurable, Attainable, Realistic, and Time-Bound (e.g., “I want to be able to run 5 miles in 40 minutes by May 15.”). A SMART approach to fitness or health goals keeps you engaged in the process of health attainment, and it ensures that you experience frequent successes to keep you motivated.

Resolve to make natural foot health a priority in 2013. Visit our website to learn more about the strategies to do just this. May 2013 bring you all lasting foot and toe health!

FREE Injinji with Purchase of Correct Toes Order

Give the Gift of Cozy, Correct Toes!

Black Friday through Cyber Monday, Nov 23rd – Nov 26th, www.CorrectToes.com will be offering a FREE pair of Injinji Toe Socks with the purchase of Correct Toes.

Please select sock size when checking out here.

Fine Print: While supplies last. Socks may not be exchanged or redeemed for cash value and may not be used with any other offers or promotions.

Tapering Toeboxes

Have you ever noticed the foot of a child? Particularly a child who has just been born? The child will have a forefoot that is wider than the rest of the foot. Meaning, the tips of the toes are wider than the ball of the foot and there are natural spaces in between the toes. Unfortunately, we fail to recognize the importance of these natural findings and begin to cripple the foot of the child by placing the child’s feet into shoes that push the toes into an unnatural alignment. It is practically impossible to find a pair of shoes or boots that are manufactured wider at the end of the toes than at the ball of the foot. On the contrary, almost all shoes and boots, including athletic models, squeeze the toes into a triangular shape that compromises their natural grasping and balancing functions. We accept this because we have been doing it since people began to wear shoes, but we also accept it because most people do not fully understand the importance of the function of the toes, including many doctors entrusted in the care of them.

The toes are critical for our sense of balance, which is very important when we go onto our toes just before we toe off in the part of walking and running that we call propulsion. When our toes are not properly spaced and grasping the ground, our legs and upper bodies are forced to make compensations for the instability of our toes and our gait is less balanced and less efficient. Most shoe wearing people begin to lose the function of their toes early in life because almost all shoes push the toes together and hold them above the ground surface. We make compensations for our faulty walking, but the cost of these compensations is foot deformity, leg and back pain and abnormal gait. Thus, it makes sense to find shoes that allow an individual to spread their toes and have the ends of their toes next to the ground. Unfortunately, there are few such shoes available, and furthermore most shoes have an elevated heel which further compounds the imbalance within the toes of the foot. A good example of a shoe that would be healthy is a shoe that is shaped like a Birkenstock sandal.

So, how do we go about the task of finding shoes that give our toes the room they need? I do not have much hope that shoe and boot manufacturers are going to make any radical changes, since fashion and cosmetics have been the traditional motivators in their market.

Consequently, the best recommendation is to find a shoe store that specializes in wide shoes and removable insoles. To see if the toebox will have adequate room for your toes, it is recommended that you find shoes with removable insoles and stand on them with the socks that you intend to wear, preferably with your toes spread. If no part of your foot expands beyond the insole, especially your toes, that shoe may work for your feet. Unfortunately even amongst wide brands you will find that most toeboxes are more tapered, narrow and pointed than the average foot. So why do we tolerate it? We tolerate it because we are not educated about the potential problems associated with this bad positioning of our toes and the front of our feet. And we tolerate it because that is the way most shoes are built.

Some of the potential problems are:

Bunions
Hammertoes
Corns
Calluses
Ingrown Toenails
Tailor’s Bunion
Heel Pain
Metatarsalgia
Athletes Foot Infection
Tendon Imbalances
Morton’s Neuroma
Bursitis
Fungal Toenail Disease
Black Toenails
Blisters

These problems occur very rarely in cultures where shoes are not worn, but they are exceedingly common in our shoe wearing culture.

It is interesting to note that the above foot problems include most of the common foot problems that are treated by medical professionals, yet treatment most often does not include education as to how to prevent these problems once they have been identified. Worse still, reconstructive surgery is often recommended for some of these conditions, without mention of need to modify the types and shapes of shoes that are worn.