Shopping with Arthritis: My favorite pain-reducing shoes

Myself, Kate and Rudy enjoy some secondhand shopping at Crossroads Trading Company in Berkeley.

Myself, Kate and Rudy enjoy some secondhand shopping at Crossroads Trading Company.

When people find out that I have rheumatoid arthritis (also known as autoimmune arthritis),I’m often asked how I’m able to swing dance and what shoes I find are most comfortable.  As part of the blog carnival “Non-medical ways to ease rheumatoid arthritis pain,” I’d like to share some of my favorite shoes that reduce or prevent foot pain. While I’m at it, I’ll also share my favorite professional and casual shoes, as well as some simple gadgets that can help those with arthritis put on and take off shoes easier. I hope you find it useful, and hey, now that the holidays are here, you just might find a gift idea for a loved one with arthritis!

Shopping for Arthritis-friendly dance shoes

2_flat shoes

The wonderful Brian Gish and myself sporting our white flats in 2008 :-)

Recommendation #1: Flats are where it’s at. While many popular social dances such as salsa and tango favor high heels for the ladies, mercifully swing dancers (specifically lindy hoppers) favor flat, athletic, Keds-like shoes.  I only wear heels for special performances or occasions when I can easily change out the heels for something different (such as my wedding, at which I had 4 pairs of shoes…but that’s a story for another day!).

Heels = ouch.

Heels = ouch.

Heels are difficult to tolerate for many people with arthritis because their design results in excess force on the metatarsal joints, which tend to be inflamed with rheumatoid arthritis. These joints are on what we colloquially call the “ball” of the foot. This article from the American Academy of Orthopaedic Surgeons has a great overview of the foot issues prevalent for those with rheumatoid arthritis, for those interested in learning more.    This article actually measures the force changes when people wear high versus lower heels (and the positive effects of orthotics). If you’d like to take a geeky walk down memory lane, check out this article from 1884 that addresses the negative effects of various styles of shoes including heels!

4_wedding toms

Silver glitter Toms (dance favorite #2, described further below).

Recommendation #2: Find your “sole-mate,” a sole that finds the sweet spot between sticky and slippery.  Dancing will involve a lot of pivoting and turning, which means you want a shoe that will allow you to pivot and turn without getting “stuck” (which causes excess strain on your joints and ligaments, particularly your knees and ankles), but you don’t want a shoe that is so slippery that you will be at risk of losing your balance or slipping and falling.  Many swing dancers prefer leather or suede-bottomed shoes, or rubber that is relatively flat and smooth rather than sticky.  Also, consider that every dance floor will have a certain amount of inherent “stickiness” or slipperyness, so most dancers end up having a variety of shoes they bring with them so they can adapt to the floor and dance most comfortably.

Recommendation #3: Whatever shoe you choose, make sure to have adequate cushioning. To me, this usually means having an orthotic insole such as the Walking Company’s Casual Metatarsal Orthotic, the many offerings of Superfeet, or simply an extra cushion on the ball of my foot.  Put simply, the thinner your shoe, the more force the tender bones and joints of your foot will have to absorb. When you add padding to the shoe (either in the construction of the shoe or in additional inserts), you are requiring that the shoe absorb that force rather than your foot (citation).

So, after all that, here are my favorite dance shoes!

3_aris allen

Aris Allens canvas are my #1 favorite ( photo credit Hilary Mercer).

1.  Aris Allen Classic Canvas Dance Sneaker (see photo to left).

These are the shoes I end up wearing 80% of the time; I have multiple pairs in white and black. They have suede leather soles, can be dressed up or down, and provide just enough support to prevent pain but not so much support that they limit my flexibility.

2.  Toms Silver Glitters  (see photo above)

These tend to be on the slippery side, but I like that they don’t require laces and are thus easy to put on and take off. They also have some arch support, and come in lots of great colors and styles, including glitter!

5_aris allen mesh

I’m wearing the mesh Aris Allen’s on the left, Katie is looking swell on the right!

3. Aris Allen  1940s Peep Toe Mesh Oxford (pictured at right).

These are my exception to the “flats only” rule. The thick, angled heel, the insole and the sueded bottoms make these the easiest heels to dance in. Bonus: they definitely are worthy of a dress and capture the authentic 1940s vibe!

One last note on footwear: the majority of swing dancers I know swear by Keds, however Keds simply don’t fit my feet comfortably. I would recommend checking Keds out since they are very popular across a wide variety of dancers.  Also, check out this interesting discussion thread where various swing dancers weigh in on their favorite shoes and provide tips for purchasing shoes with just the right fit to make dancing pain-free.

Arthritis friendly non-dance shoes for all occasions 

6_professional flats

Contrary to what this picture might suggest, I am not shorter than all my friends, I just prefer flats, even in dressy situations!

The main difference between shopping for dance shoes versus professional, casual or non-dance dress up shoes is that I don’t have to consider the surface of the sole in as great of detail since I don’t plan on pivoting or turning with them. Thus, I have a bigger selection to choose from. Having said that, I maintain recommendations 1 and 3 from above (stick with flats, and ensure you have adequate cushioning).

Arthritis Friendly Professional Shoes

7_kumfs flat

Kumfs / Ziera shoes are, indeed, very comfortable!

1. Ziera (formerly known as Kumfs)

I have a super cute pair of black leather Kumfs flats with bows, which are not currently on their website but are very similar to the ones pictured at right. You can see their great arch support on the inside of the foot, and their leather construction means no painful rubbing (which can cause bunions).

8a dansko

Dansko Brinkley, the most comfortable heel ever.

2. Dansko Brinkley

The Dansko heels are the only ones in the world that I can wear for more than a couple hours without feeling pain! They can be dressed up or down super easily, and are unbelievably comfortable (unbelievable in that, “I’m wearing heels and I’m actually comfortable!”). The Dansko designers are geniuses.

8b_gentle souls

Gentle Souls by Kenneth Cole – Isa Bop

3. Gentle Souls by Kenneth Cole Iso Bop

I bought a used pair of the Iso Bop from Crossroads Trading Company, my favorite place to buy “gently used” clothes and shoes. They tend to have great brands for great prices since everything is secondhand. Like many of my recommendations, these are a bit pricey, but if you can find them at Crossroads or Ebay, you probably won’t regret it!  They offer great arch support, are easy to put on and take off, and are very lightweight.

Other brands I would suggest include Born , Clarks, Munro, and Mephisto.

Arthritis-friendly shoes for casual occasions

9_veda

Dansko Veda – casual yet supportive.

1) Dansko canvas: Veda (with laces) and Volley (no laces).

Dansko recently came out with a cheaper, more casual line of shoes with the same awesome support on the sole but with more “give” in the material because they are constructed with canvas. These are my go-to shoes to wear on casual occasions.

10_dansko crepe

Dansko Crepe.

2. Dansko Crepe boots

You can see me wearing these on the first picture of this post.  Again, they have the super supportive base of all other Danskos, yet these are made from a different material that actually does feel lighter.  They have a zipper on the side that’s easy to zip up or down, and are aesthetically pleasing enough to wear with a dress or jeans. Love these!

11 miz mooz

Miz Mooz Bloom.

3. Miz Mooz Bloom boots.

These are a splurge but I get tons of compliments on them and adore them. They are great for people with wider feet or a bunion (I have a bunion on my right foot only).  They don’t offer a ton of of arch support, but the toebox is big enough to easily fit an orthotic or insert.

12_dansko

You can even officiate a wedding in Danskos! Pictured here are Eliza and Trevor Masters with myself :-)

4.  Dansko Sandi sandals

I have ones similar to the Sandi and wear them almost every day in the summer. They are super comfortable and are easier to purchase online than other Danskos because you don’t have as much material to potentially rub on the sides if you have wide feet. I even officiated a wedding in the patent leather version of them!

Bonus tips regarding Danskos:  

As you can see above, I am a huge fan of the Dansko brand because I feel that their rigid, thick soles really absorb the force of my foot hitting the ground in a way that decreases inflammation in my metatarsal joints.  However, some people find that due to the rigidity of the soles, they feel more prone to tripping or rolling their ankles when wearing Danskos (particularly their classic clogs). I would recommend trying them on at the store and walking around a bit to see if they suit you. You will generally want to try on Danskos before purchasing them anyway, because they are all handmade and thus each shoe fits slightly differently.

Bonus recommendation: Simple “dressing aides”

As an occupational therapist, I’m prone to getting geekily excited about the plethora of dressing gadgets (or “adaptive equipment”) on the market. During my schooling and clinical internships I’ve come across some very simple and commonly used dressing aides that can help people who experience difficulty while putting on shoes or socks.

sock aid

Sock Aid.

Sock Aid: I recommend the flexible style of sock aid. They don’t look like much, but in my internships I’ve seen then be extremely useful to those who have decreased strength or range of motion.

shoe horn

Shoe Horn

Shoe horn: One of my favorites, this allows you to push your heel into your shoe using the force of your foot rather than the small joints of your hands.

Concluding thoughts

                Given the length of the above post, you might think that I am intrinsically a “shoe person.” However, up until my diagnosis, I was never “into” shoes (other than soccer shoes, where I was an Adidas girl all the way).  I became more interested in clothes and shoes after starting swing dancing in the mid-2000s, and then truly became a “shoe person” in the late 2000s when I started having increasing foot pain (to the point where I wore a boot on my right foot for a little over a month).

15_jeans shirt

Walking around Orcas Island in my Dansko sandals.

When I was first diagnosed with RA, I never expected it might lead me to become a shoe person, but I can honestly say that I actually do enjoy shoe shopping in that it’s an exercise in having my cake and eating it too; I’d like to wear something that’s aesthetically pleasing as well as pain reducing. The main downside is the price, because I’ve found you simply can’t compromise price for comfort. As warped as this may sound, I actually do consider shoes part of my medical expenses, because I feel they prevent additional pain and address my underlying inflammation.

I hope that these suggestions are useful to you and those you love, I’d love to hear any additional feedback you have and look forward to reading the RA Warrior’s post after the blog carnival is over!

*For those waiting for Part 2 of the “How Hard is it to Learn and Teach Dance” series – it is coming in January 2013!

About Cheryl Crow

My punctuation mark of preference is, without a doubt, the exclamation point! Join me as I explore the wonderful worlds of: studying Occupational Therapy, gluten-free cooking/baking, swing dancing, photography, and living a full life with Rheumatoid Arthritis. There will be parenthetical tangents, there will be cake, there will be almost unbearable amounts of cuteness, but most of all…there will be enthusiasm. (!)
This entry was posted in Occupational Therapy, Rheumatoid Arthritis, Swing Dance and tagged , , , , . Bookmark the permalink.

18 Responses to Shopping with Arthritis: My favorite pain-reducing shoes

  1. RhythmMad says:

    Wow, Cheryl! I don’t have RA, but I certainly appreciate this post. As a dancer and someone with what seems to be an uncommon foot type (at least in the eyes of most shoe companies), I am constantly in seach for comfortable, athletic shoes that don’t look like I’m headed to the gym.

    My feet require a “straight last,” a term that nobody seems to know besides my foot doctor. Most shoes are shaped to curve inward. My feet are straight and wide, which result in my baby toe trying to bust out of the shoe at the side.

    My go-to dancing shoes are Keds. While they still have the curve, I find that if I rip out the insole and stuff my superfeet into the shoe, it works out okay (I use Orange E insoes – this color is marketed as a men’s insole, but the women’s don’t work for me).

    I’m not entirely happy with the Keds option, but it’s the best I have found thus far. I would love to find a shoe similar to this that already has removable insoles. The Keds are too shallow for me not to remove the original insole (my heels would pop out if I didn’t). Going without insoles is not really an option, as the straight last is not the only issue.

    Do any of the shoes you’ve posted come with removable insoles? I’m always looking for shoes of all styles, and some of these look like promising prospects!

    Thanks for posting this! Really! I think this will be beneficial for a lot of people, both those with RA, and without.

    • Cheryl Crow says:

      Hi Madeline! Your conundrum is interesting – I wonder if you have tried ordering wide or extra wide shoes? I know you can search for a variety of widths from websites such as Zappos.com. That might solve the problem, if the problem is that most shoes taper too greatly on the pinkie toe side. Interestingly, I found a website that details the different types of lasts from the New Balance brand – perhaps you could get a straight last shoe from them and suede it?

      As far as removable insoles, unfortunately my go-to shoe brand (Dansko) does not have removable insoles. However, the Aris Allen ones I linked to DO have removable insoles, although you might have the “heel slipping out of the back” problem (as I have had that before with certain insoles). The Toms do not have removable insoles that I can tell, but they come up pretty far in the back and you might be able to put an insole in there. The Kumfs and Gentle Souls do not have removable insoles, which I’m guessing is because their insole is part of the main feature of the shoes.

      I’m sure you’ve thought of this but you might want to go to Nordstrom, as their shoe salespeople tend to be super knowledgeable and could probably point you in a good direction as well…let me know how your search turns out!

      • Madeline says:

        Thanks for the info, Cheryl! I’ve tried Nordstrom, but I didn’t get much help from them. However, I do recall having some success with wide shoes a while back, and perhaps I need to explore that option further. The chart you linked to is very interesting! I’m definitely going to look into that. Thanks for the follow up!

  2. Pingback: Ideas for Relieving Rheumatoid Arthritis Pain | RA Education | Rheumatoid Arthritis Warrior

  3. kyle says:

    As a OT is there any hand splints you can make to help us with RA?My RD sent me to one but I haven’t gone yet.Is there really anything they can help with?

    • Cheryl Crow says:

      Hello, and I apologize for the delay in response! I’m happy to report that OTs can and do make many splints to help with RA. The type and nature of the splint will always depend on the type and nature of the problem you are experiencing; some splints are designed to take stress off of certain joints in order to prevent pain, while others are designed to elongate or shorten tissues to position the hand for better function. I’m guessing your doctor referred you to an OT with a specialization in hand therapy. Certified Hand Therapists can be either OTs or PTs who have spent a large amount of time studying and treating conditions affecting the hand, and have passed a rigorous test to become certified. However, even if you do not see a certified hand therapist, all OTs are educated in a variety of splints that can serve patients with RA. If your doctor has recommended it, I would urge you to see the OT, who can look at your specific hand issues and recommend something tailored to your needs. Good luck and let me know how it goes!

  4. LilSherry says:

    Hi, I’d like to add for professional or casual shoes, birkenstock now makes a soft footbed! I bought a pair of their paris shoes in black with the soft footbed in june, and my knees have not hurt me since, neither have my feet. Except for the toe joint that sometimes hurts no matter what, but that’s not related to walking or not walking. (I hope that makes sense.) These are the shoes for me, I would like to encourage others to try them out. You have to try a lot of shoes before you find ones that help. Danskos are wonderful shoes as well, they just are not something I can handle for 12 hours on my feet, whereas I can work in birkenstocks and not give my feet a second thought.

    • Cheryl Crow says:

      Hi there – thanks so much for the post, I didn’t know that Birkenstock had branched out and made a soft footbed. The Paris shoes look super comfortable, and it appears that the have a flexible material, which would be great for people with bunions as well as other foot issues! I totally understand what you mean about certain joints that hurt no matter what, and others that hurt as a specific result of walking or other activity :-) I also agree that you have to try tons of shoes before determining which ones ultimately work best for your body. Thanks for putting in your recommendation, I’ll try them out next time I’m shoe shopping!

  5. Elyse says:

    Hi Cheryl,
    I read your article in an arthritis magazine and just had to contact you because I was shocked and comforted by how much we have in common! I am also a dancer, was diagnosed with RA at age 20, and am about to become an Occupational Therapist! It is great to know that there are other people out there trying to stay very active with RA.
    Thank you for this post, I will definitely be looking into buying some new shoes!
    Thanks,
    Elyse

    • Cheryl Crow says:

      Hi Elyse! It’s so great to hear from someone who shares the same interests and unique RA experience! What kind of dance do you do? Where are you going to OT school? I’m currently studying for my board exam and am hoping to take it in April, before the national conference in San Diego. Let me know how the shoes work for you and I look forward to hearing from you! – Cheryl

      • Elyse says:

        Hey Cheryl,
        I currently teach Zumba, but I grew up doing ballet, jazz, tap, and did modern in college. Looking into doing ballroom with my boyfriend and swing is one of my favorites! I’m going to OT school at Springfield College in Massachusetts. Good luck on your boards!!! Are you going to the conference? because I will be there and would love to meet you! Feel free to email me at edolde165@gmail.com.
        Thanks!!
        -Elyse

      • Cheryl Crow says:

        Hi Elyse! I hope you are loving OT school! I’m studying for my boards, which will be in 2 1/2 weeks. After the boards, I WILL be going to the AOTA conference! I will email you about finding a time to meet. Thanks for getting in touch!

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  8. Rita says:

    Hello Cheryl,

    Thanks for your article and recommendations. I am very interested in the Aris Allen peep-toe mesh oxfords. I have seen them previously but compared to custom dance shoes, the price point so reasonable I thought there is no way they could be very comfortable. Is the leather very soft and does the leather and mesh give? Is there good cushioning and arch support? Room for orthotic if I gett one?

    I had bunion surgery probably 30 years ago and now doctors are talking about taking wedges out of the big toe and forefoot to realign. (The first surgery– just shaving down each bunion — didn’t help at all but the pain left me terrified of doing it again.) I also have some arthritis in the big toe joint. I am trying to stave off surgery as long as possible because of fear of the pain, fear of the outcome and the need to be give up dancing for at least a good while.

    Thanks for listening and I look forward to your response.

    • Cheryl Crow says:

      Hello and thanks for getting in touch! I have to say that I do not wear the Aris Allen peep-toe mesh oxfords on a normal basis but do wear them on special occasions. For my foot, they are comfortable for dancing an hour to two hours with some breaks. The mesh definitely gives and I find the leather to be soft. There is a small amount of cushioning and arch support although if you need lots of arch support, you might want to get one of those small glue-on arch supports for added comfort.

      I’m sorry to hear about the bunion surgery and big toe arthritis, I hope that you are able to dance for a long time both before and after the surgery! I would definitely try the Aris Allens out, you might find they are just great, and if not, you can always return them!

  9. Pingback: Arthritis Gadgets/Approaches that Help During Pregnancy and Pregnancy Gadgets/Approaches that Help for Arthritis | The Enthusiastic Life

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