Finding the Best Footwear for Parkinson's Disease Patients

Finding the Best Shoes for Parkinson's Patients

Having Parkinson's disease can make choosing appropriate footwear challenging. Parkinson's symptoms like tremors, muscle rigidity, balance issues and gait changes can make finding comfortable, stable shoes difficult.

The right shoes can provide Parkinson's patients with proper support, improve mobility and reduce fall risks. Read on for tips on choosing recommended shoes for Parkinson's patients.

Parkinson's Effects on Feet

Parkinson's disease is a progressive nervous system disorder that affects movement. Some common foot and ankle symptoms include:

• Reduced range of motion in ankles and toes
• Stiffness or cramping in feet and legs
• Balance and coordination problems
• Shuffling or slowed gait
• Foot drag during walking
• Poor proprioception (body awareness)

These Parkinson's-related changes can make choosing proper footwear more difficult. Supportive shoes are key to maintaining mobility and stability.

Shoe Features to Look For

Here are some ideal features to look for in shoes for Parkinson's patients:

• Low heels: Heels over 1 inch high can undermine balance and posture. Choose shoes with low, broad heels.
• Wide toe box: Extra width and depth accommodates toe rigidity and involuntary motions.
• Velcro or slip-on: Closures that are easy to put on and take off, as Parkinson’s can affect dexterity.
• Stiff soles: Rigid sole construction improves stability during gait.
• Textured soles: Deep tread and traction helps prevent slips and falls.
• Lightweight: Lighter shoes reduce fatigue for shuffling gaits.
• Motion control: Technological elements like gel cushioning absorbs shock.
• Ankle support: Backs that grip the heel and ankle provide lateral stability.

Shoe Styles to Consider

These shoe styles often have Parkinson’s-friendly features:

• Walking shoes: Designed for stability, comfort and shock absorption during extensive walking.
• Cross trainers: Provides flexibility and support during activities and exercise.
• Velcro athletic shoes: Adjustable closures and breathable materials good for swelling.
• Orthopedic shoes: Specifically designed to accommodate foot conditions and improve gait.
• Dress shoes: Leather or suede styles that look sharp yet have non-slip soles.
• Slippers: Supportive, adjustable slippers to wear around the house.
• Sneakers: Casual lace-up or slip-on sneakers with arch support and traction.

Shoe Materials to Use

Consider these shoe materials for Parkinson’s:

• Leather: Breaks in to conform to the foot. Look for soft, flexible leather.
• Suede: Lightweight and flexible. Works well for slip-ons.
• Mesh: Breathable material good for swelling and overheating.
• Velcro: Adjustable for changing feet. Less dexterity needed.
• Rubber soles: Provides optimal traction and slip-resistance.
• Gel inserts: Absorbs shock and cushions stiff, sore feet.
• Removable insoles: Lets you insert custom orthotics if needed.

Tips for Properly Fitting Parkinson’s Shoes

Follow these fitting tips for optimal Parkinson’s footwear:

• Shop later in the day when feet are most swollen.
• Bring any custom orthotics or inserts you use.
• Try shoes on both feet and walk around the store.
• Ensure a thumb's width between longest toe and end of shoe.
• Focus on proper fit and support over style.
• Consider custom orthopedic shoes for severe foot issues.
• Break shoes in gradually at home to prevent blisters.
• Replace shoes every 6-12 months or 500-600 miles.

Everyday Tips for Parkinson’s Foot Care

Implementing good foot care habits can further prevent Parkinson’s foot pain and mobility impairment:

• Clean and inspect feet daily for sores or irritations.
• Use moisturizer to prevent cracked heels.
• Wear clean, dry socks to wick moisture and prevent fungus.
• Soak feet to reduce swelling.
• Stretch toes and ankles daily.
• Get properly trimmed toenails to prevent ingrown nails.
• Consider custom orthotics if over-pronation is an issue.

When to See a Podiatrist

Consult a podiatrist for specialized Parkinson’s footwear recommendations if you have:

• Toe curling or clawing
• Bunions, corns or calluses
• Numbness or tingling in feet
• Difficulty trimming toenails
• Unstable walking pattern
• Leg or foot pain when walking
• Frequent ankle rolling

A podiatrist can assess your gait, recommend orthotics and custom shoes if needed, and provide foot-strengthening exercises.

Other Related Aspects of Parkinson’s Care

Proper footwear is one part of maintaining mobility with Parkinson's. Also consider:

• Balance and gait training
• Exercise classes tailored to Parkinson’s abilities
• Physical therapy
• Assistive walking devices as needed
• Home safety modifications like ramps, railings and lighting
• Regular movement and stretching
• Massage therapy

Consult your neurologist about medical and surgical treatments that could improve Parkinson’s mobility issues.

The Takeaway

Finding proper footwear is crucial for Parkinson’s patients but can be challenging. Look for shoes with ample toe room, stability features, breathable materials and easy closures. Consult a podiatrist for custom recommendations if foot pain, balance issues or orthotics needs exist. Combined with professional treatment, the right shoes can help maximize mobility and quality of life for those with Parkinson's disease.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.