Neuropathy and foot care
As many as 50 percent of people with diabetes will develop peripheral neuropathy, a type of nerve damage that can cause numbness and loss of sensation in the feet and hands.
More than 20 million people in the U.S. have peripheral neuropathy, and diabetes is the most common cause. In people with diabetes, the nerve damage is due to the toxic nature of elevated blood sugar. (Good blood sugar control can help reduce the risk.)
The nerve condition can also be caused by chronic diseases (kidney disorders), trauma (fall or fracture), heavy alcohol use, medications (chemotherapy), autoimmune disorders, like lupus, and infections like HIV.
People with peripheral neuropathy will typically experience numbness, tingling, burning, or pain in the feet and legs. Therefore, choosing the right shoes for neuropathy is one of the best ways to limit nerve damage and protect your feet. Your podiatrist can check if a shoe is right for you, too.
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What are the best shoes for neuropathy?
“Wearing proper shoes is critical to preventing many lower-extremity and foot problems,” says Sheri Colberg-Ochs, exercise physiologist, diabetes motion expert, and author of The Athlete’s Guide to Diabetes. “For both men and women with neuropathy in their feet, the recommendation is for them to wear good-fitting shoes to minimize the potential for blisters and other trauma.”
An important part of this is choosing shoes based on whether you rotate your feet inward (or overpronate) or rotate your feet outward (or supinate) when you walk. “If your shoes do not compensate for this, you may place extra stress on your knees, hips, and ankles that can result in injuries or increase your likelihood of developing other diabetic foot issues,” Colberg-Ochs says.
Other things to look for: Extended width options, extra cushioning through the sole, and coverage of the top of the foot. “Diabetics with neuropathy should also choose polyester or cotton-polyester socks to prevent the formation of blisters and keep their feet dry during physical activities,” adds Colberg-Ochs. Not one shoe is going to fit all patients, so you may need to try more than one to find the shoe that works best for your feet.
To help you find the ideal pair of footwear, we spoke with experts who shared their top picks for the best shoes for neuropathy, whether it’s related to diabetes or not.