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Foot & Ankle Pain

Two Thirds of Us Are Wearing the Wrong Size: How to Buy Shoes Properly

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Here is an uncomfortable figure to start with.

A systematic review of the literature on footwear fitting found that between 63% and 72% of participants were wearing shoes that did not accommodate either the width or the length dimensions of their feet.

Not shoes they disliked. Not shoes that were merely uncomfortable. Shoes that physically did not match the feet inside them.

The same review found that incorrect fitting was associated with foot pain and with foot disorders including lesser toe deformity, corns and calluses. In certain groups the width problem was worse still — with somewhere between 46% and 81% wearing footwear that was too narrow.

When Does It Hurt? Your Heel Pain’s Timing Is a Clue

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Most people describing heel pain lead with where it hurts and how badly.

Both are useful. But there’s a third piece of information that’s often more revealing than either, and it usually goes unmentioned: when it hurts, and how it behaves across a day.

Different causes of heel pain follow genuinely different daily patterns. Once you know which pattern is yours, the field of likely explanations narrows considerably.

“My Child’s Heel Hurts”: A Parent’s Guide to Sever’s Disease

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It usually starts the same way. Your child limps off the pitch, or complains going up the stairs after training, or asks to skip a session. By the next morning they seem fine, so nobody thinks much of it.

Then it happens again the following week. And the week after.

Heel pain in an active child aged roughly eight to fifteen is most commonly a condition called Sever’s disease, or calcaneal apophysitis. The name sounds alarming and the condition isn’t. But it does need managing properly, because the alternative is a child who quietly stops enjoying their sport.

Here’s what’s actually going on and what to do about it.