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Staying steady

What your feet have to do with staying steady

Foot pain changes how you walk long before anybody calls it a balance problem. Sorting it out is one of the more useful things you can do to stay independent.

In short

Sore feet shorten your stride and make you walk more cautiously, which over time reduces how far you go and how steady you feel. Comfortable feet, shoes that fasten, and getting nails and hard skin dealt with all help more than people expect.

People rarely arrive saying they are worried about their balance. They arrive because a nail is sore or a corn is uncomfortable. The connection between the two is real, and it is worth spelling out.

How sore feet change the way you walk

When something hurts underfoot, you adjust without deciding to. The stride shortens, the foot is placed more flatly and carefully, and push-off from the big toe weakens. You spend more time with both feet on the ground because it feels safer.

None of that is dramatic on any one day. Over months it means you walk a bit less, and walking less is what reduces the strength and confidence that keep you steady.

What tends to be behind it

  • Thickened nails pressing on the end of the toe inside a shoe
  • Corns and hard skin under the ball of the foot
  • An arthritic big toe joint that will not bend as you push off, see arthritis in the feet
  • Heel pain that makes the first steps of the day something to brace for
  • Shoes that no longer fit, or slippers worn all day indoors

Every one of those is manageable, and most are dealt with in a single appointment.

The slipper problem

Backless slippers are worth a paragraph of their own. They do not hold the foot, so the toes claw slightly at every step to keep them on, and they offer nothing underfoot on a hard floor. If you are indoors most of the day, indoor shoes that fasten are one of the simplest changes available.

What helps

Keep the feet comfortable, which means nails and hard skin dealt with before they become a reason to walk differently. Wear something supportive indoors as well as out. Keep walking, because the strength you need comes from using it. And get anything that hurts looked at early rather than adapting around it, because the adapting is the part that quietly costs you distance.

Worth mentioning to somebody

If you have had a fall, or you have started holding furniture as you move around a room, tell your GP as well as us. Balance has several inputs and feet are only one of them, though they are the one people most often overlook. What we can do is take away the reasons your feet are making it harder.

If you would rather someone looked at it

We can usually sort it in one appointment.

Thirty minutes, £35, no referral needed and no new patient fee. If it turns out you do not need us, we will tell you that too. Home visits are £55 across Chester-le-Street and the villages around it.

More foot advice.

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