Contrary to popular belief, many people with foot problems do not have any pain in their feet. Instead, the area of pain is transferred up the body, to the knees, hips, lower back, or even neck. An example of this is one whose feet roll inward, which causes their pelvis to jut forward. This, in turn, causes the upper back to and the head to move forward, all in an attempt to keep the body balanced. In fact, 80% of people over forty years of age experience bodily distortions directly resulting from supinated (rolled out) or pronated (rolled in) feet. The most common symptom of this problem is not pain, but rather, a general feeling of fatigue. Your feet must be flexible enough to adapt to changes in the terrain, yet rigid enough to provide solid propulsion when walking. Problems arise when there is too little or too much mobility in the foot and ankle. This is especially important for women, as they are four times more likely to have foot problems due to the type of shoes they wear. Shoes have been shown to be the principle cause of forefoot disorders in women, and 88% of women wear shoes that are too small for their feet. Proper footwear for the proper activity reduces fatigue because the bone alignment is correct. When buying shoes, pay attention to the width and arches of the shoe as well as the length. Each type of shoe has a particular arch to support the movements the foot needs for that activity. Alternate shoes daily and with each activity. All fitting should be done weight bearing. You should have your feet measured by a qualified professional occasionally, as our foot size tends to change with age. When standing in a shoe, there should be three eighths to one half inch space from the longest toe (which is not necessarily the big toe) to the front of the shoe. The toe box must be wide, high, and long enough to allow for toe movement. If it is too narrow, the toes will be crowded and calluses will form. If it is too short, the shoe will cause nail problems and jammed toes. Any shoe that does not have laces is too tight; as it needs to be so to prevent the shoe from falling off, so avoid these if at all possible. If, after some time of wear, your shoes show a over vamp (the lace area), it is probable that you have biomechanical foot problems. To stabilize the feet, well fitted shoes and custom made orthotics are necessary. By providing proper support for each phase gait, these will ensure balanced function throughout the musculoskeletal system. 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