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Issue: May 2012


In This Issue:
Just because the shoe fits doesn't mean you should wear it!
Postnatal Massage Therapy
Health & Wellness: Shop In-Store or Online!


Just because the shoe fits doesn't mean you should wear it!

dr shima shahidyDr. Shima Shahidy, (Hon) B.Sc., DC
Chiropractor, Acupuncture & Graston Technique Provider

At some point we've all bought uncomfortable shoes hoping we could "break them in" simply because they completed the ideal outfit. For centuries, women have selected footwear on the basis of appearance rather than comfort, so it's not surprising that women experience four times as many foot problems as men. Our feet need all the support they can get especially since they strike the ground an average of eighteen hundred times over a mile long walk and the average person walks five miles each day. So what happens when your boots just aren't made for walking?

Normally, the stresses associated with walking are distributed across the foot's twenty-six major bones. Certain types of footwear, such as high heeled shoes, sandals, and flip-flops, concentrate these stresses on small areas of the feet, which can lead to unsightly calluses, bunions, as well as heel, knee, and back pain. Although it may not be possible to resist all of the trendiest footwear fads, exercising some preventive strategies can help reduce shoe-related problems:

High Heels
Perhaps the most common dress shoe design for women is the high heel or stiletto, which elevates the heel, transferring most of the body's weight onto the balls of the feet. Worse still, high-heeled shoes often have pointed toes, which prevent your toes from spreading out to provide a sturdy base of support for the body.

The body compensates for all this weight shifting by shortening the calf muscles, flattening the natural curve of the low back, and tilting the pelvis forward. Studies show that wearing high-heeled shoes is a risk factor for developing low back pain and that high heels can aggravate pre-existing back conditions [1]. In addition, recent research indicates that wearing dress shoes with heels of just one and a half inches increases the pressure on the knees by up to twenty percent, which may predispose wearers to developing arthritis of the knees. Interestingly, shoes with wide or "chunky" heels were shown to be just as hard on the knees as their narrow-heeled counterparts [2, 3].

The obvious solution is to avoid the use of high-heeled shoes. If you must wear heels, choose shoes with square rather than pointy toe boxes and bring along a pair of flats to change into whenever possible. Regular stretching of the calf muscles may also reduce the pressure on the heels, ankles, and knees.

In the heat of the summer, there's nothing like a pair of sandals to let your feet breathe, but beware of thin-soled designs, which offer little cushioning, as well as flat-soled sandals, with no arch support. It's best to opt for a sturdy pair of sport-styled sandals with wide, adjustable straps, which can be cool yet comfortable.

Originally designed for use at the pool or beach, and consisting only of a thin sole and strap between the toes, the flip-flop has made it to the mainstream. The flat soles of the typical flip-flop offer your foot little or no support or shock absorption and the backless design forces you to hold the shoe on your foot using your toes. These features place tremendous strain on the joints and soft tissues of the feet and legs, predisposing wearers to conditions ranging from ankle sprains to back pain and foot sores.

If you must have a pair of flip-flops, choose a pair with a thicker sole for more cushioning and avoid wearing flip-flops for extended periods of time or while playing sports.

The best time to avoid future footwear frustration is when you’re in the shoe store! Making sensible footwear choices does not mean you have to forgo fashion, but simply that you should exercise caution and common sense when choosing your shoes. Remember, just because the shoe fits doesn't mean you should wear it!

Your chiropractor can provide advice and information about the types of footwear that would best suit your particular needs, and can also diagnose and treat many footwear-related problems. 

Tips for Shoe Savvy Shoppers

1. Shop for shoes in the afternoon or evening since our feet tend to expand throughout the day.
2. When shoe shopping, wear the thickest socks or stockings you would normally wear with the type of shoe you are buying.
3. Always try on both shoes, since one foot is often a bit larger than the other.
4. If a shoe is uncomfortable when you try it on in the store, don't buy it.
5. Choose shoes whose shape resembles the shape of your feet.
6. When buying sandals, choose a pair with strong soles and arch support.
7. If buying flip-flops, choose a pair with a thick sole for cushioning.
8. Have your feet assessed by a chiropractor to determine your specific footwear needs.

1. Franklin ME, Chenier TC, Brauninger L, Cook H, Harris S (1995). Effect of Positive Heel Inclination on Posture. J Orthop Sports Phys Ther. 21(2): 94-9.
2. Kerrigan DC et al. (2001). Women's Shoes and Knee Osteoarthritis. The Lancet, 357(9262): 1097-1098.
3. Kerrigan DC, Johansson JL, Bryan MG, Boxer JA, Crose UD, Riley PO (2005). Moderate-heeled shoes and Knee Joint Torques Relevant to the Development and Progression of Knee Osteoarthritis. Arch Phys Med Rehabil. 86(5): 871-875.


Please call us at 905.465.4595 for more information
and to book your appointment with Dr. Shima Shahidy.

For pricing information please click here.


Postnatal Massage Therapy

Jacki Higenbottam, RMT
Registered Massage Therapist

jacki higenbottam RMTIn the special postpartum period, a huge adjustment is occurring. Whether it's your first birth or fifth, your body has undergone radical adjustments to bring forth a new life. Massage therapy treatment plays a valuable and crucial role in the health and well being of new moms and should be included in postpartum care.

Physical Postnatal Changes:
Your body is now going through signifigant changes. With the shrinking of your uterus, mild or severe cramping may occur as well as pain in your pelvic floor from having an episiotomy or tearing. Not only is your uterus regaining normality, your bladder and intestinal tract are regaining normal positioning as well. Your abdominal muscles will be weak and flaccid and you may have a hard time with sitting up and normal every day functions.

Massage Therapy During the Postpartum Period Can Help:
- low back pain
- neck and shoulder pain
- scar tissue healing
- re-establish the pelvis' structural stability
- support healthy lactation
- postural dysfunctions
- depression
- increase blood circulation
- weight loss by giving tone to your muscles
- restore the uterus to its original shape
- eliminate excess body fluid to aid in water retention

When to Start Postnatal Massage:
For mothers who had no complications, they can start their postnatal massage treatments as soon as they are comfortable and ready. For caesarean delivery, it is best to wait two weeks after in order for the incision site to be healed properly. Sessions are usually scheduled weekly for the first 12 weeks postpartum.

Massage After Caesarean Birth:
Although you may have had a caesarean section, either planned or an emergency, there is no reason why you can't have a postpartum massage. The incision site will be avoided until the scar has closed. After it has closed, massage techniques on the scar can help with the healing process.


Please call us at 905.465.4595 for more information
and to book your appointment with Gabriella Tozser.

For pricing information please click here.


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