Women’s Footwear have been implicated as being responsible for the majority of foot deformities and problems that physicians encounter in women. ln our original study of 356 women, the majority of women studied wore shoes that were too small for their feet, had toot pain and deformity, and had increased in shoe size since the age of 20. The women without foot pain or deformities also woЅ.e shoes that were smaller than their feet but to a lesser degree. In the present study, data on 255 of the original 356 women are evaluated. Tracings were made of the standing foot and women’s footwear. Measurements were made of forefoot and the heel width. An index of forefoot width to heel width was developed. The Тndices do not vary much among women, Based on linear rneasurements, as forefoot width increases, so does heel width. As foot length increases, forefoot width increases to a greater extent than heel width.
For thousands of years, humanity has worn shoes. It has always been recognized that shoes provide protective coverings for the feet, but in more recent times, shoes have also been implicated as the principal cause of the majority of forefoot deformities encountered in women. The harmful effects of footwear have been noted by several authors. The deforming effects of ill-fitting shoes on a normal foot can cause hammertoes, hallux valgus, bunionettes, corns, and other disabling problems. The majority of 356 women studied by the members of the American Orlhopaedic Foot and Ankle Society (AOFAS)Council on Women’s Footwear were shown to wear shoes that were significantly smaller than their feet and to suffer from painful foot deformities.6 ln that study, measurements were reported only on the discrepancy of forefoot width and shoe width. Although forefoot widths vary widely among women, little is known about heelwidth. Women who have a large discrepancy between forefoot width and heel width require a combination last for good shoe fit. Because the combination last is not widely available, these women may be the ones to suffer most from poor shoe fitting. Furthermore, as shoe length increases, manufacturers typically enlarge all key internal dimensions in fixed proportions (a process called scaling). However, a longer foot may not necessarily be wider. The purpose of the present study is to measure forefoot width and heel width, evaluate how they vary with foot length, and note variations and their effect on shoe fit and foot pathology.Download Full Article Here