How Podiatrist-Recommended Shoes Can Help Relieve Back Pain
If you suffer from chronic back pain, you know how debilitating it can be. The pain can interrupt your work, sleep, and enjoyment of life. While many treatments focus on the back itself through physical therapy or medication, the shoes you wear may also play an important role.
Your feet provide the foundation for your whole body. If your shoes do not properly support your feet and gait, it can throw off your posture and alignment, causing increased strain and pain in the back.
Podiatrists often recommend shoes that can help relieve or prevent back pain. Read on to learn why shoes matter for back pain and what features to look for.
How Shoes Impact Back Pain
Back pain and foot problems often go hand-in-hand. As podiatrist Dr. Alan K. Sokoloff notes, Improper foot alignment or motion when walking can cause abnormal tracking of the knees and hips, thus stressing structures in the lower back leading to pain.
More specifically, shoes can contribute to back pain in a few key ways:
- Poor arch support leads to overpronation (rolling the feet inward) or improper foot motion that travels up the body
- High heels shift your center of gravity forward and arch your back excessively
- Thin soles with no cushioning fail to absorb shock, increasing impact on the spine
- Tight toe boxes crowd the toes instead of letting them spread and grip, affecting balance
Features of Shoes that Relieve Back Pain
So when shopping for shoes with back pain in mind, what should you look for? Podiatrists typically recommend shoes with these qualities:
Proper Arch Support
Shoes should fit the arch type of your feet to keep the ankles stable and spine aligned. For example, if you have high arches, cushioned shoes made for this foot type provide comfort and support.
Shock Absorption
Thick, dense foam midsoles will cushion your feet and decrease stress on the back. Lightweight ethylene vinyl acetate (EVA) or memory foam are excellent shock-absorbing materials.
Stability and Motion Control
Shoes with a straight shape, wide heel base, and features to control excess motion help you walk balanced and properly aligned without twisting. This takes pressure off the lower back.
Breathability
Mesh fabric uppers or areas help keep feet cool and comfortable inside shoes during activity. This prevents fatigue.
Flexibility
The shoe sole should still bend at the ball of the foot so you can walk or run naturally without strain. Rigid soles that dont flex lack functionality.
Wide and Spacious Toe Box
Make sure shoes allow your toes plenty of room to move and spread out for balance and leverage when walking or running. Cramped toe boxes cause discomfort.
Podiatrist Recommendations: Best and Worst Shoes for Back Pain
With an understanding of shoe qualities that can either prevent or provoke back pain, consider podiatrists picks for best and worst shoes.
The Best Shoes for Back Pain Relief
Here are shoes often recommended by podiatrists and orthopedists because they have features needed for comfort and support:
New Balance 990 Series
The 990 series includes stability and motion control shoes ideal for various foot issues and pronation. The abdominal arch support and firm heel counter improves gait alignment that takes pressure off the back.
Brooks Addiction Walker
This shoe provides excellent arch support with its innovative overpronation control system and diagonal rollbar. It also has shock absorption and cushioning for comfort during activity without back fatigue.
Hoka One One Bondi 7
The maximalist Hoka cushioning system offers superior comfort and shock absorption so less force reaches the spine with each step, reducing strain. A meta rocker sole also encourages smooth heel to toe motion.
Saucony Guide ISO 2
This stability running shoe features great cushioning and medial support to prevent overpronation. It encourages better motion and foot alignment when walking or running so impact doesnt travel to the back.
Any Athletic Shoe with Custom Orthotics
Custom-made shoe inserts support arches with the right amount of correction for each foot. This helps overcome pronation from flat feet so feet, ankles, and posture stay aligned to avoid back pain.
The Worst Shoes for Back Pain
Podiatrists generally discourage these types of unsuitable shoes if you have back issues:
High Heels over 2 Inches
The strain of walking in very high heels shifts weight forward, over-arches the lower back, and tightens calves. This excessive spinal curvature stresses back muscles and joints.
Flat Sandals or Ballet Flats
Without arch support, shock absorption, pronation control, or proper foot motion, flat shoes let feet collapse inward and overstretch the plantar fascia and Achilles tendon, causing misalignment and back discomfort.
Narrow Toe Box Shoes
Narrow, stiff shoes restrict natural toe splaying when you walk, which is necessary for balance and propulsion. Carrying body weight primarily on smaller bones causes foot pain that radiates upward.
Excessively Flexible Shoes
While rigidity is bad, excessive bending through the sole also fails to control overpronation or stabilize feet. This leads to similarly misaligned posture and back issues.
Worn Out Shoes
Letting athletic shoes go too long past their prime allows shock absorption and stability features to break down. The resulting effects on gait and posture put strain on the back.
Takeaway: Choose Podiatrist-Approved Shoes for Back Pain Relief
As you can see, poor footwear does no favors for back pain, which podiatrists witness first-hand. By understanding what qualities shoes need for comfort and spinal support, you can make informed choices.
Follow recommendations for shoes with ample cushioning, motion control, stability, and arch features made for your foot type. Consult a podiatrist if unsure which specific shoes can help end and prevent recurring back pain.
FAQs
What is pronation vs. overpronation?
Pronation refers to the normal amount of inward rolling of the foot as you walk or run. Overpronation is when the foot rolls too far inward past the neutral position, usually due to flat feet or poor arch support. Overpronation alters gait and posture in a way that increases strain on the lower back.
Should I see a podiatrist for my back pain?
Consulting a podiatrist (foot doctor) about your back pain can be beneficial, as they can evaluate if your feet or shoes are a contributing factor. They can look for foot issues causing abnormal gait and posture and help recommend corrective shoes and orthotics for realigning the body to ease spinal issues.
What shoe features help with back pain?
Some key features podiatrists look for in shoes for back pain are proper arch support, pronation control, shock absorption, stability, motion control, breathability, flexibility, and a roomy toe box. These qualities ensure normal alignment and reduces strain and impact traveling up the body.
How often should shoes be replaced to prevent back pain?
Replacing athletic shoes about every 6 months, or after 300-500 miles of use, will help prevent deterioration. Worn out shoes lack the cushioning, stability, and support features needed to maintain normal gait and take strain off the back. Replace shoes more often if you have foot or back issues.
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.
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