Guide to Finding the Best Shoes for Handicapped Adults

Finding the Right Shoes for Handicapped Adults

Having a disability or mobility impairment shouldn't mean compromising on style or comfort when it comes to footwear. Fortunately, there are now more options than ever before for handicapped adults to find shoes that meet their unique needs.

Understanding Footwear Challenges

Many handicapped adults face difficulties when trying to find suitable shoes. Some common footwear challenges include:

• Limited mobility making it hard to put on or take off shoes
• Deformities requiring customized fits
• Amputations needing extra space or inserts
• Poor circulation requiring breathable, non-constricting materials
• Foot pain or injuries needing cushioning and support
• Balance issues requiring stability

On top of functional considerations, handicapped individuals also want shoes that provide comfort, style, and dignity. The good news is shoe technology, customization options, and adaptive designs make it possible to address both form and function.

Different Types of Disabilities and Impairments

There are various disabilities and mobility limitations that can impact shoe needs. Some key examples include:

Arthritis

The joint pain and stiffness caused by arthritis can make putting on shoes very difficult and painful. Features like slip-on styles, Velcro closures, and padded openings can help.

Diabetes

Peripheral neuropathy and changes in foot shape caused by diabetes require shoes that minimize pressure points and irritation. Custom orthotics and inserts are often needed.

Cerebral Palsy

The muscle tightness caused by cerebral palsy can create pain and deformities in the feet. Made-to-measure shoes with customized support are ideal.

Spinal Cord Injuries

Paralysis from spinal cord injuries decreases sensation in the feet while wheelchair use can cause swelling. Extra depth, adjustable closures, and seamless linings allow room for changes.

Amputations

Individuals missing part of their foot or leg require shoes that accommodate prosthetics and avoid irritation at the amputation site. Removable insoles allow fitting prosthetics inside.

Neuropathy

Nerve damage in the feet increases risk of uncontrolled movements, tripping, and falling. Rocker bottom soles and durable materials provide stability.

Important Features to Look For

When shopping for handicapped footwear, here are some beneficial features to look for:

• Adjustable closures like Velcro and straps make it easier to put shoes on and take them off.
• Non-skid soles improve traction and prevent slipping.
• Wide and deep toe boxes accommodate deformities without squeezing.
• Removable insoles allow fitting orthotics for customized support.
• Heel counters provide stability when walking or standing.
• Easy slip-on styles minimize the need to bend down or use fingers when putting on shoes.
• Seamless linings prevent irritation and blistering on sensitive skin.
• Rocker profile soles make the shoes easier to walk in with less joint stress.
• Lightweight materials reduce fatigue for weakened legs and feet.

Types of Handicapped Shoes

There are different categories of shoes made to accommodate a variety of disabilities and limitations:

Custom Orthopedic Shoes

For conditions like severe arthritis, deformed feet, diabetes complications, and amputations, custom shoes are often necessary. An orthotist takes impressions of the feet and creates personalized shoes from scratch.

Extra Depth and Width Shoes

Many companies now offer shoes built with added depth, width, and adjustability to accommodate braces, bandages, swelling, and deformities. Velcro closures allow flexibility.

Rocker Bottom Shoes

Rocker profile soles roll the foot gently through each step, reducing strain on joints, tendons, and muscles. They improve stability in conditions like neuropathy.

Slip-on and Step-in Shoes

Elastic gores, zippers, and Velcro make step-in and slip-on shoes easy to don even with limited mobility and flexibility. They limit the need to bend over.

Therapeutic Shoes

Some shoe brands design therapeutic footwear to help with certain issues like edema, foot pain, and toe deformities. They provide cushioning and special insoles for treatment.

Important Considerations for Proper Fit

Achieving the proper shoe fit is crucial for maximizing comfort and avoiding problems. Key fitting tips include:

• Have both feet measured since they are often different sizes
• Try shoes on at the end of the day when feet are most swollen
• Wear the type of socks you normally wear when trying on shoes
• Stand up and walk in shoes before purchasing rather than just sitting
• Ensure adequate width and depth for toes - at least 1/2 inch space
• Allow thumb width between longest toe and end of shoe
• Shop later in the day when feet are most swollen
• Break shoes in slowly at home to check for rubbing issues

Where to Shop for Handicapped Shoes

You can find footwear adapted for many disabilities at the following retailers:

• Online stores: Zappos, Amazon, Orthofeet, PW Minor, Finn Comfort
• Specialty retailers: Custom orthopedic shoe specialists or prosthetic limb providers
• Department stores: Nordstrom, DSW, New Balance stores often carry wider sizes
• Outlets: Visit brand outlets like Nike, Adidas, Reebok for potential sales or discounts
• Drug stores: Walgreens, CVS, Rite Aid frequently stock adjustable and diabetic shoes

For custom shoes, work with an orthotist or prosthetist who can design shoes for your specific needs.

Financial Assistance for Handicapped Shoes

Since handicapped footwear can be expensive, there are some resources that help provide financial assistance or discounts:

• Medicare may cover therapeutic shoes for diabetes under Part B
• Medicaid programs in some states pay for handicapped shoes
• Social services organizations like the Salvation Army sometimes assist with costs
• Non-profits like Shoes That Fit and Soles4Souls donate shoes to people in need
• Contact shoe companies directly about possible discount programs

Finding the proper footwear is essential for handicapped individuals to maintain mobility, independence, health, and quality of life. Thankfully shoe manufacturers today provide more options than ever to meet the needs of adults with disabilities.

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.