OUR ERGONOMIST/CERTIFIED PHYSIOTHERAPIST, EVA JANGDIN, AT ERGONOMEVA EXPLAINS AND SUGGESTS
PROBLEM TO FIND SHOES WHERE BOTH THE FOOT AND A SPECIAL INSERT CAN FIT
Arbesko received an email from a customer who had trouble finding a shoe that was high enough to allow the person to have both a carbon fiber insert and an orthopedic insert in it. The customer wanted to get into his shoe easily and feel that it all felt well, not get a shoe that became unnecessarily wide if the customer went up a size to increase the height of the shoe inside.
It is very important to inform you and everyone else that you can´t have two inserts in the same pair of shoes. This is because the protection via the safety toe cap does not work as in should in case of an accident. The so-called residual height for the safety toe cap is simply not sufficiently high. Only one insert is okay. Arbesko’s shoes usually handle a 8 mm height increase for the insert due to leg length difference, without getting too tight or too wide in the heel.
If you need an height increase due to leg length difference for example, we recommend that you contact our partner at www.castmedical.se located in several locations in Sweden. Their individual inserts are tested and approved in Arbesko’s models.
Our ergonomist, Eva Jangdin talks of Hallux Rigidus:
HALLUX RIGIDUS – STIFFNESS IN THE MAIN JOINT OF THE BIG TOE
Problems with stiffness in the main joint of the big toe often develops slowly over time and results in swelling and stiffness in the toe, causing pain when walking and lifting the foot off the step. Symptoms such as pain while resting, and cracking of the joint are also fairly common. Very often wearing the right shoe at work, with a somewhat rounded toe can help alleviate the problem. Good shoes decrease movement of the joint in the toe when walking, hence less pain.
Several Arbesko models have a somewhat rounded toe, and where there is an insole with nail protection, the movement of the main joint of the big toe is even more rigid. Due to ergonomic reasons, we do however not recommend a fully rounded toe, such as MBT shoes because of the risk of slipping and falling as these have a much smaller support surface underfoot and demand better balance when walking up and down stairs and/or ladders.
It’s also useful to have individually moulded shoe inserts for best possible support, and remember not to use too soft an inlay sole. Sometimes cortisone can be injected into the painful joint. If the problems become too severe surgery is an option, in most cases arthrodesic surgery so that the joint cannot be moved at all. As there is often arthritis present in the toe before surgery, the patient usually does not experience too many problems walking etc afterwards, as the foot is accustomed to the toe not moving normally. Surgery is usually done under a local anesthetic in an outpatient clinic.
For more information and advice on choosing the right shoes, based on your line of work, please feel free to contact the Arbesko customer service team.
MORTON’S NEUROMA AND CHOICE OF ARBESKO SHOES
We were contacted by a customer in need of advice on choosing the right Arbesko model when suffering from Morton’s neuroma. In this particular case we suggested shoes that offer good support and shock absorption, and that are wide enough to suit this customer. The other requirements were shoes designed for indoor wear on concrete floors and with ESD function. The customer already had individually made inserts from an orthopedic surgeon.
Our reply and recommendation
Arbesko 380 and 384 are two models that would be ideal to help alleviate your foot problems and both meet the further requirements you have from a safety shoe. It’s important that you buy shoes with laces so that you can adjust the fit, and not tie them too tightly over the front of the foot, over your Morton’s neuroma. It is also important that your individually made inserts lift up the arch and relieve pressure from the front of the foot, to give you the best support. You seem to have already received help with this.
What is Morton’s neuroma / Morton’s pinched nerve
If you suffer from pain in the front of the foot it might be due to Morton’s neuroma. It is caused by a nerve being trapped between two of the metatarsal bones. This can cause the nerve to swell and become even more pinched. Morton’s neuroma is relatively common and present in all ages, though it occurs more frequently in women than men. This could be due to poorly fitting shoes, shoes that are done up too tight or that the front arch has fallen slightly. Despite this there is no clear cause. In most cases, getting appropriate footwear or special shoe inserts is enough to cure it.
The most commonly reported symptoms are loss of sensation in the front of the foot, or severe pain in the area (a burning, cutting sensation that comes and goes). Putting pressure on the foot tends to aggravate the problems.
Wearing appropriate footwear will alleviate the problems, and individually made inserts can help relieve some pressure off the front arch, so that the nerve is no longer pinched. If the condition does not improve sufficiently from wearing special inserts and you still suffer from the aforementioned symptoms a cortisone injection can help. In some cases surgery might be suggested in order to free the pinched nerve.
Cast Medical make individually molded inserts. www.castmedical.se (in Swedish)
Achilles tendonitis/thickening of the achilles tendon & suitable Arbesko shoes
Whatever the underlying cause of Achilles tendonitis, there is often thickening around the actual tendon or tendon disc. This thickening can be persistent. Usually the tendon or tendon disc is sore to touch. Other symptoms such as joint stiffness in the mornings and pains in the tendon may be present. Some people may also experience a crackling feeling (crepitation) in the tendon during movement.
If you suffer from this kind of excessive strain injury, we recommend that you wear either Arbesko 886 (with nail protection) or Arbesko 885(without nail protection) at work. Shoes that have a sturdy heel counter, which moulds itself around the heel without pushing on the Achilles tendon.
It is also advisable that you see your physician for treatment. If the problems are caused by, for example, over pronation, you would benefit from custom made inserts from Cast Medical.
Have Arbesko developed a shoe specifically designed for people of a heavier build whose shoes wear out faster?
We received a question from a customer wondering if we had any shoes specifically designed for heavier people who wear out their shoes faster.
The answer is no, not specifically for weight, but this is our thinking:
The environment in which the person works is the first thing we look at, it’s important for us to understand the working conditions and tasks before we can advise which of our models is the most suitable. Does your work require safety toe caps and /or nail protection? Maybe you need heat resistant footwear, and slip resistant outsoles?
If we were to recommend a safety shoe (i.e with a toe cap), in low model it would be Arbesko 382, for the following reasons:
• A shoe with nail protection and aluminium toe cap
• A very spacious last
• An insole with a steel shank for extra arch support
• Asymetrix functional sole which is hardwearing and not too soft – and has a nitrile rubber heel.
• A combination of the X-40 Duo insert and the Energy Gel® 2.0 gel cushion in the heel for maximum shock absorption, resilience and sense of rebound.
Arbesko 382 also features:
• Scuff guard on the toe
• Hardwearing microfiber at the back
• Airy mesh lining
• An upper made of impregnated, full grain Super8 leather and durable Cordura®
Remember that a lace up shoe should be done up properly for a secure fit around the foot.