Careless use of flip-flops harmful

During the summer months, flip-flops and similar shoe styles are a popular choice.

But Mount Sinai School of Medicine Orthopaedic doctors are seeing an increase in the number of patients with injuries related to wearing unsupportive shoes like flip-flops, particularly when worn all day, when walking on concrete or pavement, or worn while exercising or playing sports.

Concerns are that this type of footwear often offers limited support and coverage for the feet, resulting in a modification of gait, which can cause foot, ankle, leg, hip and back pain.

Examples:

Arch pain, plantar fasciitis and nerve issues: A flat and flimsy shoe bed does not provide the foot with adequate support for all-day wear.

Those who overpronate (feet roll in excessively) can be especially susceptible to problems when wearing shoes that don’t provide sufficient stability.

Kinetic stress: People modify their normal walking pattern when wearing flip-flops, gripping with their toes in order to keep the shoes in place. This can lead to needless strain and overworking of different muscles and increased risk of injury.

Sun damage: Sandal wearers must remember to apply sunscreen to the feet. Mount Sinai Podiatrist, Dr. Bryan Markinson has seen a sharp rise in foot melanoma in his practice.

Few people understand or think of the foot as a place where skin cancer can arise, but foot melanoma can be deadly.

Lower extremity pain: Lack of shock absorption can cause pain to feet, legs, hips and back.

Toes and nails: Broken toes and toenails are frequent problems when wearing flip-flops.

Andrew Weil, M.D., and Phil Vasyli, podiatrist and founder of Orthaheel, say that many people claim that comfort is a top priority, yet that’s often the last thing they are getting with the flattest flip-flops and rubber straps.

The solution is to look for shoes that hold The American Podiatric Medical Association (APMA) Seal of Acceptance.

The APMA offers these tips when selecting flip-flops:

• Ensure that your foot doesn’t hang off of the edge of the shoe.

• Wearing a sturdy pair of flip-flops when walking around a public pool, at the beach, in hotel rooms and in locker room areas is appropriate and a safer way to go.

• Don’t re-wear flip-flops year after year.

• Don’t wear flip-flops while walking long distances.

• Don’t do yard work while wearing sandals/flip-flops.

• Don’t exercise or play sports in unsupportive footwear.

Marjie Gilliam is an International Sports Sciences master-certified personal trainer and fitness consultant. She owns Custom Fitness Personal Training Services, LLC. Write to her in care of the Dayton Daily News, call her at (937) 878-9018 or send email to marjie@ohtrainer.com. Her website is at www.ohtrainer.com.

About the Author