A Guide to Shoe Buying
and Foot Care
1. Have feet measured by a Qualified Fitter. Both feet should always be measured for size and width, because one foot may be different from the other. The larger foot usually dictates the size needed.

2. A Fitting Gauge is merely a guide - sizes and fittings vary, there is no standardization of shoe sizing in the U.K. which is why a Qualified Fitter is so important to interpret the correct shoe for the shape of foot.

3. Buy footwear made of natural materials (i.e. leather, cotton or the like) as these materials breathe. Man-made materials (i.e. plastic) make feet perspire possibly causing fungal infections and abrasions.

4. Children's shoes ideally ought to have laces or straps across the instep allowing for finer adjustment without restriction giving a better overall fit.

5. Feet may be 'measured' sitting or standing, but the final assessment should be whilst standing as the feet spread when standing weight is applied. Walk out of any shop that asks you the size of your child's foot and then takes your word for it.

6. Never rely on the question "Do they feel comfortable?". Distortion and cramping can be present without feeling pain and discomfort. If in doubt of fitting, ask a Supervisor for a second opinion at the time of purchase.

7. Children's shoes should be professionally checked for correct fit every three months.

8. Never hand shoes down, they take on the shape of the previous wearer - they will rub and not support in vital areas.

9. Monitor your child's sock drawer and discard outgrown or misshapen socks. Buy cotton socks, avoid stretch socks and check toe seams for a 'casting-off ' knot that can rub toes. Socks and Baby-grows that are too small will restrict growth.

10. Look after your shoes, polish them and they'll look better and last longer. Protect nubuck with spray before wearing to keep clean and repel water.

11. Keep feet clean, dry between toes and cut toe nails straight across - unlike finger-nails, they can become ingrown if shaped.

12.Wear the 'right shoe for the right occasion'.
Taking Care of Our Feet
We're told to take 10,000 steps a day - and with every step, the foot will strike the ground with up to three times your body weight. That's a lot for your feet to put up with, so it's no wonder they're prone to painful problems.

Luckily, paying your feet a bit of attention can reduce your suffering. A good start is to give your feet something sensible to wear.

• Problems caused by footwear
• Other common foot complaints
• Athlete's foot
• How should I look after my feet?
• For further information

Problems caused by footwear

Too-tight shoes can cause or worsen all sorts of foot problems. For example, they can:

• rub the skin, causing blisters and chafing
• make the toes buckle underneath the foot, putting pressure on the toe joints and making the foot less efficient as a lever for your weight
• increase the pressure in certain areas on the feet, causing painful corns (thickened skin over a joint), callus (thickened skin on the ball of the foot) or bunions (when the big toe leans in towards the second toe and the joint becomes inflamed and sore)1,2,3,4

High heel shoes can cause particular trouble, especially if you wear them every day. They push your feet forwards so your toes are squashed and the balls of your feet are under pressure. On top of the problems caused by increased pressure, high heels can shift your centre of gravity and alter your gait, leading to backache.

Another problem caused by high heels is a trapped nerve in the foot (Morton's neuroma), which causes pain, numbness and tingling, and/or aching and burning feet.5 So if you wear heels regularly, try to limit the height to 4cm, and try to alternate between different heel sizes from one day to the next.6

Foot problems may be a combination of poor footwear and underlying problems with bone deformities or the way you walk. Supportive shoes and in-soles (orthoses) can help you walk in a way that won't worsen the problem.4

Other common foot complaints

It's not just painful problems caused by pressure of walking and footwear that can stop us in our stride. The warm, dark and damp environment of feet cramped in shoes provides the ideal breeding ground for infections.7 One common infection is athlete's foot.

Athlete's foot

Athlete's foot is a fungal infection of the skin on the feet, often in between the toes.6 The fungi that cause athlete's foot are usually picked up in communal areas such changing rooms, showers and gyms.9

Common signs of the infection include areas of intensely itchy, flaky, cracked or blistered skin on the soles of the feet or between toes, especially between the third and forth toes. If the infection worsens it can spread to your toenails and become harder to treat.8

Almost five in 100 people in the UK have a fungal foot infection.9 And despite the name, it's not just sporty types who get athlete's foot. But you are more likely to suffer from the condition if you:7

• have sweaty feet - for example, you regularly wear trainers
• use shared changing areas, or communal showers or baths8

Athlete's foot can also affect areas of dry skin, which may be cracked and lacking in protective oils, and is common in summer because the sun dries the skin out.7

You'll also be more prone to the infection if you have a weak immune system, for example, people with diabetes, HIV or AIDS.8

The good news is that you can usually treat athlete's foot easily yourself. There are a number of creams, powders and sprays available to buy over the counter from a pharmacist. These contain drugs that kill or reduce the growth of the fungus, such as miconazole (Daktarin), terbinafine (e.g. Lamisil), or tolnaftates (e.g. Tinoderm-M).8,10 Talk to your pharmacist about using these treatments. Some of them need to be used for some time after symptoms have disappeared to make sure the infection has completely cleared up. If creams and lotions applied directly to the affected skin don't work, tablets are available that your GP can prescribe if appropriate.8,10

Take care with hygiene if you have any kind of foot infection. There's no point in treating it if you're constantly re-infecting yourself by putting on socks or shoes carrying the fungi. Wash your hands after applying any treatment to avoid spreading the infection to other parts of the body.7

How should I look after my feet?

Making foot care part of your daily routine can help prevent or relieve many common foot complaints, so indulge in a bit of foot pampering each day. Follow these simple steps to reduce the risk of infections, blisters, corns and bunions.11

• choose the right shoes for the job, and make sure they are suited to your feet and the way you walk
• wash your feet every day and dry them thoroughly, especially between the toes
• check your feet regularly for cracks in the skin or blisters, which might be signs of an infection
• remove hard skin gently with a pumice stone - but if it's painful or over a bony area or joint, visit a state registered chiropodist/podiatrist
• massage your feet regularly with a moisturizing cream. This will help with circulation, soothe minor aches and soften hard skin
• dust an absorbent foot powder between your toes to help keep them dry and fight infection

If you suffer from diabetes and you are concerned about your feet, particularly if you develop an ulcer, abscess or notice discoloration - you should seek advice from a doctor. Foot complications are common in diabetes and can lead to amputation if they're not properly treated. But by practicing good personal foot care, complications can be detected earlier and treated more easily.12