Common Factors Of Foot Pains

A bunion is a painful swelling that usually occurs at the head of one of the long bones (metatarsal bones) of the big or little toe, which extend from the arch of the foot and connect to the toes. A bunion begins to form when the big or little toe is forced in toward the rest of the toes. This causes the head of the metatarsal bone to jut out and rub against the side of your shoe. The underlying tissue becomes inflamed, and a painful swelling forms. Bone growth may occur at the site of irritation. The toe grows towards the rest of your toes at an increasing angle. Corns. A corn is actually a form of a callus - a protective layer of dead skin cells composed of a tough protein called keratin. A corn itself is cone-shaped and usually develops if a shoe rubs against the toes for a prolonged period. As the skin thickens, the corn forms a knobby core that points inward. Hard corns develop on toe joints, usually on the little toe. A shoe that squeezes the front of the foot may cause one toe to rub against another forming a corn between the toes, which is usually soft. These corns can be painful, however, if they harden and rub against each other. General Guidelines. Nonsurgical treatments for heel pain are effective in 90% of patients. The American Orthopaedic Foot and Ankle Society (AOFAS) suggests trying shoe inserts, medications, and stretching first. One study found that 95% of women who used an insert and did simple exercises that stretched their Achilles tendon and plantar fascia experienced improvement after eight weeks. If these methods fail, then the patient may need prescription heel orthotics and extended physical therapy. Heel surgery to relieve pain may be performed for heel spurs, plantar fasciitis, bursitis, or neuroma. Surgery is not recommended until nonsurgical methods have failed for at least six months and preferably 12 months.foot pain relief The plantar fascia supports the bones of the heels and maintains the arch of the heel. The Foot Conditions is a bony projection that leads away from the plantar fascia into the surrounding tissues of the body. More often than not, heel spurs and plantar fasciitis together cause sharp pain in the foot. The severe foot pain experienced by you, when you put your weight on your foot, while taking first step, is because of the heel spur poking into the surrounding living mass of tissues, nerves, tendons and muscles. Your doctor may advise you to take an X-ray of the feet to detect the heel spur. The blood must be released to relieve the pressure. Some people will tell you that you can do this yourself with a razor blade or a hot needle, which you poke through the skin. That takes guts; you're probably better off seeing a doctor to take care of it. If you don't take care of it in the first couple of weeks, the nail will probably start to come off, and several weeks later it will ultimately drop off. Not to worry, while this is not a particularly attractive process, it's not painful or unhealthy either. Fred Salomon is a foot care specialist with professional and commercial ventures in the podiatry field, including foot care products and foot health treatment options. Many people find it difficult to wake up in the mornings because of foot arch pain. There are different arch pain treatments; one of the simplest solutions to this problem is wearing shoe inserts to relieve foot arch pain. Many foot health specialists recommend podiatrist-designed orthotic insoles by Footminders to relieve this foot health problem. You can find more information and treatment for many types of foot pain at In today's world where fashion rules, lack of willingness to buy more comfortable shoes can lead to disaster. However, with the use of insoles for high heel shoes, ball of foot pain can be relieved with consistent wear. It is advisable to choose shoes that have a heel with a less than 2" heel and with a wider-profile heel such as a wedge to avoid future ball of foot pain. Be sure to elongate foot muscles with a stretch and have them massaged to encourage optimal blood flow to the feet.

Running Injury Clinic

Orthotics like the Metatarsal Gel Pad help to reduce the pressure on the-ball-of-the-foot and also control excessive movement of the foot and ankle joints, reduce pronation and provide cushioning to protect the feet. The orthotic is constructed with the pad placed behind the ball-of-the-foot to relieve pressure and redistribute weight from the painful area to more tolerant areas. Normally use elastic tape to position the pad loosely. Additional Treatment Footwear designed with a high, wide toe box (toe area) allows the foot to spread out. Stabilizer Insoles with arch support reduces pressure on the ball-of-the-foot. Both are ideal for treating the pain. Exercises Pain under the ball of the foot (Metatarsalgia) is a common complaint with women wearing high-heeled shoes, as well as men wearing work boots or other hard shoes while standing for long periods of time. Pain in this area of the foot may also occur when wearing hard shoes without any cushioning inside, such as work boots. What causes Ball of Foot Pain? Metatarsalgia is often described as a burning sensation in the ball of the foot, often combined with excess callous forming. The pain worsens when wearing high heels or tight fashion shoes for longer periods of time. To prevent aching feet, one needs to strengthen lower leg muscles and shin splints. Athletic activities stress the ankles to a great extent. Even walking and standing for long durations of time can cause pain in the ankles. So, to strengthen ankles and leg muscles, plantar flexion exercises are a must. Following are some best suggested exercises to get rid of plantar flexion pain! Ankle rolls. With your right foot ankle crossed over your left knee, lace the fingers of your left hand between the toes of your right foot and rotate your ankle, first in one direction, then in the other direction. Repeat with the left foot. According to the American College of Foot and Ankle Surgeons or ACFAS, tarsal tunnel syndrome occurs when the posterior tibial nerve is compressed or squeezed as it passes through the tarsal tunnel. The tarsal tunnel is a small space on the inside of the ankle through which arteries, veins, tendons and nerves must pass. Some types of foot conditions may be debilitating or excruciatingly painful, including stress fractures, arthritis and gout. According to the American Academy of Orthopaedic Surgeons or AAOS, stress fractures may develop due to overtraining, wearing inappropriate footwear or performing harmful training techniques.ball of foot pain shoes I Have blisters all over my feet (Heels, balls of the feet, under the big toe) from playing soccer all day for the last 3 days and I need to get rid of them quickly before my vacation in 2 days. Does anybody know how to get rid of them or at least make them less painful fast? I have the Puma Powercat 1.12. During a match, i get pain in the ball of my big toe, right where my foot bends. I could feel the stud right on my bone. Any ways to fix this? I'm more of an agressive all mountain boarder. I don't visit the park often, maybe a few small kickers. I'm after speed, deep power, and hard fast turns. I just got new bindings, burton malavitas restrictes, with the curved high backs. And those have helped a lot. I duck out my back foot pretty heavy and these bindings help me keep edge. I have 2 boards that I ride a Burton NUG 146 and a Joystick 155. Ones doing something with ice and cups but the other 3 are just taking the pain along with me. What should we do? do make it go away faster or get a brace? While all the above conditions are easily treated, many athletes often delay obtaining proper treatment out of a fear of having to discontinue their activity. Treatment delay not only allow the injury to worsen, but it also can lead to a more complicated injury pattern that is far more difficult to properly heal from. Sports injuries of the the foot , even seemingly minor ones, should have a proper evaluation by a foot specialist due to the unique nature of the foot in relation to our body and the requirements of walking. Problems associated with microcirculation, common in diabetics, are a frequent cause or contributor to neuropathy and neuropathic pain. Neuropathies are often classified as diabetic or idiopathic meaning without known cause. Yet in either case, improvement in control of blood sugars and circulation of blood and qi may significantly help recovery of nerve function and increase overall health and wellbeing. Laser therapy, in particular, has been documented to improve blood sugars in diabetics, even when being given to address completely unrelated issues. See Laser Therapy in Diabetes At times, pain may worsen due to cold weather. So, keep yourself warm by wrapping yourself in wool, flannel, or fleece blankets. But having worked with people with pain issues for more than 30 years, I also have to say that there are times when we've tried everything, and the person is still in pain. Obviously, those are the times that call for surgery. And sometimes people are just in such severe pain that immediate surgery is the only merciful solution. Raise your feet so that the blood is dispersed equally to the entire leg and foot. To do this, location 2-3 hard pillows on a flat surface then rest placing your feet on the pillow. This will put your feet at a higher height and relieve the discomfort.

How To Treat Flat Feet

In conclusion, plantar fasciitis is a serious medical case. It is not a condition that can be neglected since it can compromise one's health. Like for example in running and military. There are proven military studies that exhibits that people with flat feet are susceptible to injury. Same as in running, there is a so called "pronation" that happens. Pronation is a condition where the ankle turns outward. I bet that by this time, you already know the inconvenience having a flat foot can bring. But there is no point to stress about it since there is a proven medication. Start it from wearing shoes that provides arch support.


The heel size does matter. They may have heels, however, the heels are slight. Excessive heels could force your child to strain your foot or force him/her to walk on his/her toes. An ideal corrective shoe feature is the distribution of body weight throughout the surface of the shoe, so that the concentration is not laid on a specific foot site. Also with the installation of wedges on the outsides of the shoe; it may help to correct out-toeing. Medial and lateral Dutchman are one of the most important and helpful wedges placed on the exteriors of the soles correcting out-toeing.

Any flat feet treatment starts by the examination of the feet to determine the severity and type of flat foot This can be done at home by wetting your feet and stepping on a piece of paper. The wider your footprint is, the more severe it is. However, try to get more specific results by a undergoing your feet in a medical examination. In most cases it is caused through a biomechanical complaint (abnormal walking) such as Fore Foot Varus. This is a condition in which the subtaler joint in the foot over pronates (rolls in too much).

One product which hikers swear by is Superfeet These are definitely the highest endorsed insole and even can be purchased in different types depending on your boot/shoe model and the type of activity you'll need them for. The Green Superfeet would be the best insole meant for hiking boots. Hammer toes form the same way bunions do. The fallen arches cause misalignment of the toes. When the bones push upward, the middle joint can move out of alignment. The friction from your shoes rubbing against that joint causes corns to form and eventually a bony structure that becomes a hammer toe.Flat Feet

When an infant or child is suffering from bone growth issues or diseases, pediatric orthopedics can help. They can be hard to diagnose at times and the pain can be intense. It is important to find the best doctor in this area of medicine. The doctor needs to work well with children and be understanding. The success of any treatment, including foot and ankle treatment depends on the severity of the condition. There are patients who purchase custom orthotic device like 'arch supports' that are made of fur as well as more compressive materials. To say the truth, this custom orthotics obviously helps people curing their foot problem.

If you want small double folded hems then this is the foot for you. Use it for medium to lightweight fabric. The groove on the bottom of the foot is the width of the finished hem. You will be able to sew hems with a straight stitch, zig-zag or decorative stitch. This has so Flat Feet many uses, think of lingerie, ruffles, curtains, scarves, table linen, wonderful. This is a very handy foot, the metal roller feeds the fabric and keeps it from stretching and bunching, great for thick, heavier fabric and fabric with a nap. Often called an even feed foot.

It would be the most frustrating thing in any one's life when they suffer with back ache either it is a mild or severe. The article would helpful to the patients suffering with back pains and searching for suggestions to have a relief from it. The developments in therapeutic innovation have offered a few options to the recommended pharmaceuticals. Neurofeedback treatment is one such reasonable choice. The medication has been great in medicine of patients experiencing frenzy strike and strain disarranges. Cervical dystonia is a type of focal dystonia affecting the cervical muscles. It is primarily a neurological disorder in which involuntary muscle constructions lead to abnormal involuntary postures.

You will feel good, light, sharp, clear, and full of energy within days. You will effortlessly lose excess weight in a matter of weeks without dieting (ie. eating just the right size meals regularly throughout the day). You will look and feel healthy. Your body will start to heal immediately and you will see the top health progress after a few weeks. After a couple of months you will feel exploding with energy and jumping for joy! American and European scientists have found that increasing natural marijuana-like chemicals in the brain can help correct behavioral issues related to fragile X syndrome, the most common known genetic cause of autism.Flat Feet

What Is A Hammer Toe?

A hammertoe is a crooked toe that is painful because the first knuckle of the toe sticks up and rubs on the toe box of the shoe. A mallet toe is a toe in which the last joint is bent downward at a right angle so that the tip of the toe is pushed into the sole of the shoe. A claw toe is a toe that is bent at both joints so that it is shaped like a claw. Pain in the ball of the foot is common with hammertoes and claw toes. Each of these deformities occurs because of muscle imbalance of the toe. Flexor to extensor tendon transfer Girdlestone-Taylor procedure. This procedure involves a release of one of the tendons that pulls the toe downwards (the flexor digitorum longus) at the tip of the toe (distally) and a transfer of this tendon to the top of the toe (dorsal aspect of the proximal phalanx). This procedure aims to convert one of the primary deforming forces leading to clawing of the toes into a force that helps correct the deformity. It produces a fairly predictable correction of the toes, however, the surgery is slightly more involved than some of the other procedures. Recovery from Surgery The goal of hammertoe surgery is to correct the deformity in order to relieve pain and/or restore function to the digit. The degree of surgical intervention will depend on the severity of the deformity. Flexible deformities often require less aggressive surgery. Surgery that decreases the pull of the muscles responsible for the deformity may be used alone or in combination with other procedures at the joint to correct the position of the toes. If the deformity is only partially flexible, or completely rigid, then surgery on the bone structures as well as muscles and joints may be necessary. The APMA says that hammertoe can result from a muscle imbalance in the foot that puts undue pressure on the joints, ultimately causing deformity. Inherited factors can contribute to the likelihood of developing hammertoe. Arthritis, stroke or nerve damage from diabetes or toe injuries such as jamming or breaking a toe can affect muscle balance in the foot, leading to hammertoe. The Mayo Clinic says that wearing �improper� shoes often causes hammertoe. Shoes that squeeze the toes, such as those with a tight toe box or with heels higher than two inches, can put too much pressure on the toe joints. You Might Also Like Treatmentsclaw Bruces foot massage had called my attention back to those numerous deformed toes Id discovered at the shoe store on our first date. I asked him if he had pain with those as well. Apparently he had a history of difficulty with his feet since the stroke. He had one pair of orthopedic shoes in his closet that were so dusty the leather could not be seen. The heels had worn down from walking and the cost to repair was well above his means. It was funny how he felt that just owning the shoes was all that was needed to keep his feet healthy! The very last resort for bunions is surgery. I have seen this operation performed many times. There are various types of operation done and there does not seem to be any definitive procedure, each surgeon having their own method. If you do decide on this, if bunions affect both feet, do not request both feet being done together. You will be in plaster for a number of weeks and getting around will be very difficult. It can be successful but will alter the integrity of the foot and unless the pain is unbearable it may be simpler to consider less intrusive methods first. I decided that she was born with this bonus accessory for a reason and if it didn�t hurt her, it didn�t hurt me. We�ve never had a problem with it being caught in our adventures here in the mountains so my advice is to love and accept all of your pet just as they do you- quirky extra-terrestrial toes and all. Tiffany Narron is proud of her dog Bellas extra doggie appendage and, despite being a little freaked out at first, has grown accustomed to it. It certainly does not hinder their adventures together on the streets and mountain trails in and around Asheville, North Carolina. The quick and crucial answer to the question, �What�s the difference between flat and flaccid feet?� is that flat feet, though they have fallen arches, retain mobility whereas flaccid feet have lost the ability to move at all. Both conditions are long term consequences of the polio virus, which in its most severe form can lead to paralysis and deformity. Ninety-five percent of the time, the virus never makes it out of the intestinal tract, and so the infected person is spared the more serious symptoms and instead suffers from what feels like symptoms of a common flu or cold.claw An individual dinosaur footprint can provide a considerable amount of information to an ichnologist (a scientist specialising in the study of footprints and tracks), however, much more data can be obtained if a set of prints, a trackway of an animal is preserved. Although it can be difficult to associate a particular genus or even a family to a set of prints (unless of course the maker of the prints is found preserved as a fossil at the end of the tracks), scientists can tell a lot about the movement of the animal, even an estimate of the speed of travel can be made.

Are Fashion Favourite Shoes Causing Your Foot Pain?

While every shin splint injury has its own specific biomechanical causes, most are rooted in tight calf muscles and relative weakness in the front leg muscles. Whats going on is that your tight calves are pulling up on your heel, which in turn pulls the front of your foot down. This puts strain on the muscles in the front of your leg, which unfortunately are not strong enough to resist the pulling. This causes a big pain in the leg! This is very, very common in runners, since running tends to exercise the calf muscles more than those in the front. Arch pain and overpronation can cause difficulties for people of all ages and can even influence an athletes performance during every type of activity. For many people who experience pain like this, they may not be aware of the 3 common triggers. Most of the causes are preventable, but some can be inherited. According to the Cleveland Clinic, three of the preventable causes for foot arch pain include pointed-toe heels, shoes that are too snug, and insufficient arch support These poor decisions can all lead to painful foot problems like bunions, hammertoes, and plantar fasciitis. One of the most commonly found pain and numbness causes is an underlying problem called Mortons neuroma. Here, the painful symptoms are felt in the area that lies in between the base of the third and fourth toes. It is caused due to thickening of the nerve tissue or growth of tumor. As a result, normal transmission of messages by the nerves get affected and one gets painfully numb toes. When the condition gets aggravated then the symptoms get extended to the ball of the foot and make walking difficult. This is quite common in runners. Thus, it is common after injury to feel unsteady or awkward walking. When Beckham injured his tendon, he screamed "Its broken, its broken!!!" Complete rupture of the tendon can be very painful and is sometimes described as getting shot in the leg. Like Beckham, many will mistake the injury for a broken bone. There is often an audible pop accompanying the injury. With a complete rupture, one will be unable to stand on their toes or walk on the injured leg. Partial tears can also occur and will have similar symptoms but one will still be able to walk. Bunions are usually caused due to structural foot deformities, however, pain may sometimes be self-inflicted. Wearing ill fitting footwear is one of the most common causes. If you have a habit of wearing pointy shoes or shoes that are too tight, the friction caused due to constant rubbing against the toe joint will give rise to the inflammation of the skin. Prolonged use of such uncomfortable shoes could give rise to pain. Pain might also be accompanied by other symptoms such as redness, inflammation and swelling. Those who are suffering from diseases associated with the joints could also suffer from this foot problem. A bunion begins when a bursa (a pod of fluid between the bone and tendons) becomes irritated down the edge of the joint at base of big toe. Bunions can cause extreme pain. Bunions can result from bursitis within the toe joint which causes a fluid-filled pod which causes deformity of the big toe joint. A bunion can be painful or not painful. The severe form of a bunion is painful. Bunions can exist in any foot part though it occurs mostly in big toe joint, the place where the first metatarsal bone joins the proximal phalanx (where big toe joins the foot) of the big toe. Bunions, referred to in the medical community as Hallux Valgus, are one of the most common forefoot problems. A bunion is a prominent bump on the inside of the foot around the big toe joint. This bump is actually a bone protruding towards the inside of the foot. With the continued movement of the big toe towards the smaller toes, it is common to find the big toe resting under or over the second toe. This causes a common forefoot condition called overlapping toes. Some of the symptoms of bunions include inflammation, swelling, and soreness on the side surface of the big toe.

Perfect Jogging Sneakers For Flat Feet

The Plantar Fascia acts as a 'bowstring' connecting the ball of the foot to the heel. It forms the longitudinal arch of the foot and helps to lift the heel off the ground to prepare the foot for the 'take-off' (propulsive) phase of the gait cycle. During walking, at the moment the heel begins to lift off the ground, the Plantar Fascia endures tension that is around twice our body weight. The Plantar Fascia also act as a natural shock-absorber during walking and running. However, long term, effective treatment of Plantar Fasciitis consists of a simple program of daily stretching exercises, combined with wearing an orthotic to support the arches. A night splint holds the foot at 90 degrees during your sleep. The aim of the splints is to keep your foot and calf muscles stretched during the night. Normally during rest the plantar fascia and calves tend to tighten and shorten. So when you wake up in the morning and take your first steps, the fascia are being pulled all of a sudden, causing the sharp pain in the heel. People with flat feet tend to pronate or roll their feet inwards when they walk. This causes the leg to rotate inwards. With internal rotation, there is stress on the hips that results in hip pain. You may perform stretching exercises to help relax your foot muscles or apply a cold compress to reduce swelling, but these remedies may not provide lasting relief if the real problem of wearing the wrong footwear is not part of the solution. Similarly, intense physical therapy or chiropractic treatment may not leave you with best outcome if you continue to wear uncomfortable shoes. Professional guidance can help to take good care of your feet as well as selcecting the proper shoes made to support them. Adults can develop a flat foot when they are 60 - 70 years old. This type of flat foot is usually on one side. Symptoms Rigid or painful flat feet need to be checked by a health care provider. The treatment depends on the cause of the flat feet. For tarsal coalition, treatment starts with rest and possibly a cast. Surgery may be needed if pain does not improve. Some causes of painful flat feet can be treated without surgery. If other treatments do not work, surgery may be needed to relieve pain in some cases. These supports and insoles are available in a variety of forms and sizes; depend on the type of your footwear. Below are some types of arch supports that are used hugely by flat footed people. Persons with pain caused by flat feet, heel spurs, or who need plantar fasciitis treatment can get relief by using orthotics in their shoes. They give the needed support to stabilize the areas in the arch that have been weakened. They also give cushioning in areas where too much pressure in the ball of the foot and heel. Orthotics are available in an array of sizes and types and are made to keep up with anyones activity level. Flat feet (pes planus) refers to a change in foot shape in which the foot does not have a normal arch when standing. Alternative Names The keywords in choosing the right shoes are stability, motion control, and support. Stability identifies which pair of shoes works for relieving over pronation; motion control on the other hand, focuses on enhancing stability and support. Support is the most important factor in holding the arch to relieve pain. Infants and young children naturally have flat feet. The arch should develop over time. Sometimes, the arch does not develop. It is not always clear why this happens. It may be associated with Physical therapy may relieve discomfort. You may be given a specific stretching and strength program. You may also have treatment to help manage the discomfort. Some patients with flat feet may automatically align their limbs in such a way that unpleasant symptoms never develop. In such cases treatment is not usually required. Pain in the foot that is caused by flat feet may be alleviated if the patient wears supportive well-fitted shoes. Some patients say that symptoms improve with extra-wide fitting shoes. Fitted insoles or orthotics (custom-designed arch supports) may relieve pressure from the arch and reduce pain if the patient's feet roll or over-pronate. The benefits of an orthotic only exist while it is being worn. Your foot arch is your natural shock absorption system. Nature designed it so that when you put your body weight over your feet the shock is absorbed by this mechanism in order to alleviate the impact (and subsequent injuries) that would otherwise hit your feet, ankles, knees and hips. A flat foot is the most visible sign of overpronation, meaning that your arch collapses during the impact on the ground. As a consequence, your ankle twists inward and your knees overcompensates. Flat feet are a particular concern for runners, as during the running gait the arch is supposed to support on average 3 times their body weight. Symptoms - Pain that feels like a stone bruise. Swelling, tingling, and burning in the ball of the foot. Neuroma is a nerve inflammation that is a result of the fallen metatarsal arch. Cause - Pain is caused by collapsing of the metatarsal arch. A callus will often develop beneath the collapsed metatarsal. Runners with high arches are susceptible. You are not alone with your foot problem. The American College of Foot and Ankle Surgeons report that 5 percent of US adults have painful flatfeet and fallen arches Your doctor may be able to diagnose your fallen arches just by looking at them. The main technology found in Stability shoes is a medial post of dual density foam Footwear producers inject a harder compound of foam right below the medial side of the arch and sometimes extended all the way to the heel. It is easily recognizable as a darker (almost always gray) piece of foam on the inside of the midsole (view picture). Pick up a ping-pong ball with your toes A simple exercise anybody can do at any time, even while watching tv. Recommended by many podiatrists, this exercise will give you incredible results in the long run.

Searching For Height Raising Insoles

Height increasing shoe insoles are more and more popular on the market right now. It's actually a given undeniable fact that the ladies generally long for some additional inches, on the other hand today, a lot more guys have become excited about these height increasing products. The primary reason behind this is the simple proven fact that modern day women are usually likely to go out with guys who tend to be at the very least , a few inches more elevated compared to what they are, and because a lot of women have on at least four-inch shoes, small sized men are often urged to seem tall. Aside from looking larger compared to what they might be, guys who decide to wear shoe lifts become more comfortable with their looks. Gentlemen distinct from most women dislike remaining long inside department shops. Blokes quite often drive to the shops, choose and pay up for the item that they wanted to buy, and then exit instantly. Consequently, the perfect place to shop for height creating shoe inserts is from a web retail store because men do not need to leave the comfort of their houses or workplaces to order shoe lifts. With the purchase of from an online retailer, there are a couple of simple steps that an individual need to take to locate the most suitable height building shoe inserts. The most suitable thing, in that form of purchasing, is to be diligent. A man will certainly have to be patient because there are a substantial amount of shops on the internet these days that sell these particular goods. The first step requires you to keep the shoe dimension in the mind. A guy who wants to increase height should be aware that height insoles are available in sizes. Such insoles can come in sizes just like shirts for instance small, medium, large and indeed, extra large. He has to ensure the insole will suit the footwear. The second step is to locate a fully reliable online retailer. The buyer might question his good friends for a reference. Even without other sorts of reliable people, he is able to search online and study customer reviews. He could also visit the sites and browse comments of their newest and furthermore past buyers. It is also advisable to buy from the seller that offers customized insoles with regards to both the fit and also the design and style. After the height increasing shoe inserts are brought to you, the buyer must try them on by inserting them within the shoes or boots and walking to ensure he feels happy with the most popular fashion within the shoe field.