A. According to the Centers for Disease Control and Prevention (CDC) 60% of non-traumatic amputations occur in people with diabetes and about 82,000 lower limb amputations are performed each year on people with diabetes.

The American Podiatric Medical Association (APMA) reported that shoes which are poorly fit are involved in about half of problems that lead to these amputations.

In May 1993, Medicare started to provide partial reimbursement for depth shoes, custom molded shoes and shoe inserts or modifications to qualifying Medicare Part B patients with diabetes. The goal of this program is to prevent foot problems for those patients who are at risk.

To qualify for these benefits a person must meet the following criteria:

1) You must be covered by Medicare.

2)The doctor who is responsible for diagnosing and treating your diabetes must state the following in writing:

A) You have diabetes.
B) Special shoes are required as part of your treatment plan.
C) You now have or have had one of the following conditions:
1) Peripheral neuropathy with evidence of callus formation.
2) History of pre-ulcerative calluses.
3) Foot deformity.
4) Previous amputation of the foot or part of the foot.
5) Poor circulation.
6) History of previous ulceration.

3) A Certificate of Medical Necessity form must be filled out by the doctor managing your diabetes.

Fitting a person with diabetes with proper footwear is not simple. The pedorthist must be able to make the needed modifications to the shoes and inserts to avoid pressure points that can lead to blisters, calluses, corns, ulcers and amputation.

At Cobbler’s Corner we have 3 certified pedorthists and 4 professional shoe fitters on staff. Remember, a shoe fit is as personal as the sound of a person’s voice.

Make sure your footwear, instead of being part of the problem, is part of the healthy solution!

For more information about our pedorthic facility, retail store, shoe repair facility and orthotic lab, or to learn more about the Medicare Shoe Bill or how we can help you get on the road to healthy feet. Please stop in or call.
This link will take you to our contact information.

A. There are 4 brief forms which Medicare requires.

Two of these are for the prescribing doctor:

1. An information sheet explaining the requirements for prescribing medicare approved footwear. This form is to be taken to the doctor’s office by the patient and kept by the prescribing physician.

2. A Medical Necessity Form to be taken to the doctor’s office by the patient and filled out by the prescribing physician then returned to the patient.
This form, along with the patient’s Medicare card is then taken, by the patient, to a Certified Pedorthist.
Here, a copy of the patient’s medicare card will be made and kept in the patient’s file at the Pedorthic Facility and the completed form will be used to submit a claim to Medicare.
IMPORTANT: This form is your prescription for Medicare approved footwear! Your Pedorthist CAN NOT submit a claim to Medicare without it!

The other two forms are for the patient receiving the prescribed footwear:

1. A Medicare insurance form to be filled out by the patient or their legal guardian, then signed and returned to the Certified Pedorthist.
This form authorizes the Pedorthist to bill Medicare on the patient’s behalf.

2. A patient information form which certifies that the patient has received proper instruction for the use and care of the prescribed footwear.
This form is to be read and understood by the patient or their legal guardian, then signed and returned to the Pedorthist to be placed in the patient’s file.

A. At Cobbler’s Corner, we have made it simple for you to find the forms you will need for Medicare’s Therapeutic Shoe Program.
Just drop by our facility any time during regular business hours and we will be happy to provide you with these forms.

If you are unable to come to Cobbler’s Corner, then just click on the “PRINT MEDICARE FORMS” link found on this page and other web pages throughout our website, and you will be redirected to a page of printable medicare forms which you can download to your computer or print directly from that page.

Cobbler’s Corner is the only State Certified, Nationally Accredited Pedorthic Facility in the tri-state area. We have 3 Certified Pedorthists with appointments available 5 days a week. To schedule an appointment with one of our Certified Pedorthists, just stop by or give us a call.

Follow this link to our Contact Information, Hours of Operation, and Available Appointment Times..

A. Medicare has the following reimbursement schedule to reimburse the patient after receiving his/her prescribed shoes and orthoses from an authorized Medicare provider.

80% of $123.82 on Shoes
80% of $75.38 on Orthotic Devices
80% of $371.40 on Custom Made Shoes
Please Note the following:
1). Medicare does not make payment directly to the Medicare provider. The patient must pay for the footwear and any necessary adjustments, then await reimbursement from Medicare.

2). These figures are guidelines only. Medicare frequently deviates from these amounts on an individual case basis. The exact amount of reimbursement can not be known until Medicare approves the claim.

3).You must have a prescription from a doctor before receiving your shoes and orthotic devices. The prescription must have a diagnosis regarding your diabetes and one of the 6 following conditions and the Rx for extra depth orthopedic shoes and accommodative orthotic devices.

History of partial or complete amputation of the foot
History of previous foot ulceration
History of pre-ulcerative callus
Peripheral neuropathy with evidence of callus formation
Foot deformity
Poor circulation
Please be aware – It is common practice among providers to inflate the value of their footwear in order to attempt to get more money from Medicare. If you seem to be getting an incredibly good deal, chances are, you’re getting ripped off. Recently, we had a client bring us a modestly priced pair of shoes with off-the-shelf orthotics which the provider had claimed were worth $700.00! The client came to us because they were not helping his feet.

We do not change the price of our footwear or our services for Medicare claims. We always strive to give our clients the most for their money. That includes quality products, quality service and individual attention. If some one else offers to do what we do for substantially less money,
THEY ARE LYING!

Cobbler’s Corner is a State Certified, Nationally Accredited Pedorthic Facility. To schedule an appointment with one of our 3 Certified Pedorthists, follow this link for Phone No., Location, Hours and Contact Information, and we will be glad to help.

A. No. If you have Medicare Part B, have diabetes, and meet certain conditions (see question A1, on this page), Medicare will cover therapeutic shoes if they meet the following standards.

Depth Shoes:
A depth shoe (A5500) is one that
1) has a full length, heel-to-toe filler that when removed provides a minimum of 3/16″ of additional depth used to accommodate custom-molded or customized inserts;
2) is made from leather or other suitable material of equal quality;
3) has some form of shoe closure; and
4) is available in full and half sizes with a minimum of three widths so that the sole is graded to the size and width of the upper portions of the shoe according to the American standard last sizing schedule or its equivalent. (The American last sizing schedule is the numerical shoe sizing system used for shoes in the United States.) This includes a shoe with or without an internally seamless toe.

Custom-molded shoes:
A custom-molded shoe (A5501) is one that
1) is constructed over a positive model of the patient’s foot;
2) is made from leather or other suitable material of equal quality;
3) has removable inserts that can be altered or replaced as the patient’s condition warrants; and
4) has some form of shoe closure. This includes a shoe with or without an internally seamless toe.

There are many footwear choices available which meet Medicare’s standards. These are available in a variety of styles from various manufacturers.

It should be pointed out, however, that Medicare is very specific as to the amount of reimbursement they offer for diabetic footwear (See Question A4, on this page). Since footwear styles can vary widely in price, one should keep this in mind when shopping for Medicare approved shoes.

Cobbler’s Corner carries a wide selection of Medicare approved footwear in various sizes, styles and colors, and from several different manufacturers, such as Aetrex, Drew and New Balance. To see some of the styles available, follow this link, Medicare Approved Diabetic Footwear, to our diabetic footwear page.

If you would like to drop by and see us, we will be glad to discuss your options with you. Just visit our store in Columbiana, OH, to speak with a professional shoe fitting specialist or schedule an appointment with one of our Certified Pedorthists. Just follow this link:
Contact Info, Location, Hours and Appointment Times

A. Medicare approved diabetic footwear policy:

Footwear Fitting:

At Cobbler’s Corner, we constantly strive to provide our clients with the highest standard of customer service. All Medicare approved footwear which we sell is individually fitted by one of our professional shoe fitting technicians and, in the case of a shoe fitting for a person with diabetes, fitting is supervised by a certified pedorthist.

Adequate, properly fitted footwear is a very important part of diabetes management. Therefore, ALL diabetic clients must come to our facility for an inspection of their feet to determine any potential trouble spots and/or the need for shoe modification or orthotics. Diabetics are at extreme risk for serious foot disorders. Calluses, corns, sores and ulcers on the feet are usually caused by improper footwear and can lead to infection. An infection can result in far more serious consequences, possibly including amputation. Studies show that well fitted diabetic shoes and insoles reduce the development of these problems.
By starting preventive measures early, it is possible to avoid later foot complications and enable you to maintain an independent, active lifestyle.

Pricing Policy:

We always provide our footwear and services at the same cost to everyone regardless of whether the client has Medicare or not. We will not change our prices or the quality of our products and services in order to “cash in” on Medicare or any other type of program.

Medicare Assignments:

Because of our determination to maintain the highest quality standards and due to reductions in Medicare’s reimbursement for diabetic footwear, we no longer accept assignments for the Medicare Therapeutic Shoe Program. Payment for footwear, insoles and/or other devices is due at the time of service.

Our goal is to continue providing you with the highest quality footwear, insoles and service available. WE REFUSE TO LOWER OUR STANDARD OF QUALITY FOR THE FOOTWEAR WE PROVIDE OR OUR LEVEL OF CARE DUE TO REDUCED REIMBURSEMENT AMOUNTS FROM MEDICARE!
YOU, OUR CLIENT, DESERVE AND WILL RECEIVE THE BEST PRODUCTS AND SERVICE AVAILABLE TO MEET YOUR NEEDS!

Keeping your feet healthy is YOUR responsibility. We are here to help keep your feet on the road to good health by offering you the best products and service available.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes is a disease in which blood glucose levels are above normal. Glucose is a natural sugar produced by our bodies. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States. For more information, see the National Diabetes Information Clearinghouse publication, Your Guide to Diabetes: Type 1 and Type 2.*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article “National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on one of these links, you will be directed away from this website. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Federal Government Organizations:
The CDC’s National Diabetes Fact Sheet*

The National Diabetes Information Clearinghouse*

MedlinePlus’s Diabetes Tutorial*

Department of Veterans Affairs – Internet http://www.va.gov/diabetes/*

Health Resources and Services Administration – Internet http://www.hrsa.gov/*

Indian Health Service
Diabetes Program
5300 Homestead Road NE, Albuquerque, NM 87110
505/248-4182 – Internet http://www.ihs.gov/MedicalPrograms/Diabetes/index.asp*

National Diabetes Education Program – Internet http://www.cdc.gov/diabetes/ndep/index.htm*
The NDEP is a nationwide initiative of the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH). It is an inclusive, partnership-based program involving many diverse public and private sector partner organizations. The goal of the program is to reduce the morbidity and mortality of diabetes and its complications. For more information on NDEP, call toll free 1-800-438-5383.

National Institute of Diabetes and Digestive and Kidney Diseases
1 Information Way, Bethesda, MD 20892-3560
800/GET LEVEL (800/438-5383) or 301/654-3327 – Internet http://www.niddk.nih.gov/*

National Eye Institute (NEI)
Bldg. 31, Room 6A32
31 Center Drive, MSC 2510
Bethesda, MD 20892-2510
301/496-5248 or 800/869-2020 (to order materials); 301/402-1065 (fax) – Internet http://www.nei.nih.gov/*

Office of Minority Health Resource Center
US Department of Health and Human Services
P.O. Box 37337, Washington, DC 20013-7337
800/444-MHRC (444-6472) – Internet http://www.omhrc.gov/

Non -Federal Government Organizations:

American Association of Diabetes Educators
100 West Monroe, 4th Floor, Chicago, IL 60603-1901
800/338-3633 for names of diabetes educators; 312/424-2426 to order publications – Internet http://www.aadenet.org/*

American Diabetes Association
1701 North Beauregard Street
Alexandria VA 22311
Telephone 703-549-1500
1-800-ADA-ORDER to order publications toll free; 1-800-342-2383 (800-DIABETES) for diabetes information – Internet http://www.diabetes.org/*

American Dietetic Association
National Center for Nutrition and Dietetics
216 West Jackson Boulevard, Suite 800, Chicago, IL 60606-6995
800/366-1655 Consumer Nutrition Hotline (Spanish speaker available); 800/745-0775 – Internet http://www.eatright.org/*

American Heart Association National Center
7272 Greenville Avenue, Dallas, TX 75231
214/373-6300 – Internet http://www.americanheart.org/*

American Optometric Association
1505 Prince Street, Alexandria, VA 22314
800/262-3947 or 703/739-9200 – Internet http://www.aoanet.org/*

American Podiatric Medical Association
9312 Old Georgetown Road
Bethesda, MD 20814
301/571-9200 or 800/ASK-APMA; 301/530-2752 (fax) – Internet http://www.apma.org/*

International Diabetic Athletes Association
1647-B West Bethany Home Road, Phoenix, AZ 85015
800/898-IDAA or 602/433-2113; 602/433-9331 (fax)

Juvenile Diabetes Research Foundation
The Diabetes Research Foundation
120 Wall Street, 19th Floor, New York, NY 10005-4001
800/JDF-CURE or 800/223-1138; 212/785-9595 (fax) – Internet http://www.jdrf.org/*

Medical Eye Care for the Nation’s Disadvantaged Senior Citizens
The Foundation of the American Academy of Ophthalmology
P.O. Box 429098, San Francisco, CA 94142-9098
800/222-EYES (222-3937)

National Diabetes Information Clearinghouse
1 Information Way, Bethesda MD 20892-3560
301/654-3327 (phone); 301/907-8906 (fax) – [email protected] (e-mail) – Internet http://diabetes.niddk.nih.gov/index.htm*

Excerpt from the FAQ Section of the CDC (Centers for Disease Control and Prevention) Article
“National Center for Chronic Disease Prevention and Health Promotion Diabetes Public Health Resource”*
*By clicking on any of these links, you will be directed away from this page. Links are provided solely as a service to the readers of this article. Links do not constitute an endorsement of any organization by Cobbler’s Corner or its staff, and none should be inferred. Cobbler’s Corner is not responsible for the content of the individual organization Web pages found at any of these links.

Diabetes frequently results in neuropathy, or nerve damage, in the feet. Nerve damage can lead to loss of feeling in the feet, leaving a person unable to feel pain, heat or cold. You could have a tack or stone in your shoe and walk on it all day without knowing it is there. Always check the inside of your shoes for foreign objects before putting them on.
When a person has diabetes, the gradual loss of feeling in the feet lessens the ability to judge whether shoes and/or orthotics fit and function properly. Friction or rubbing may go unnoticed and worsen into a blister, a break in the skin, or an ulcer. Circulation can also be hindered if shoes are tied too tight.

On the other hand, the feet may have too much movement in the shoes if they are tied too loosely, allowing the feet to slide forward in the shoe, resulting in the toes hitting the end of the shoes. All this can be going on inside the shoe of a diabetic person and they may never feel any discomfort, resulting in serious foot and medical problems.
Shoes and foot orthotics not only protect the feet; they improve the function of the feet. Foot problems can lead to stress on other parts of the body. Since the feet, legs, knees, hips and back all work together, proper footwear can enhance a person’s ability to physically perform.

A.
Look for an extra depth shoe with an insole that extends from heel-to-toe and provides at least 3/16″ of additional depth when removed. This space will accomodate a custom orthotic if needed.
The insole, in addition to being removable, should be made of a material that is soft, yet firm enough to hold an impression during use. It should also be comprised of three layers of material and be able to mold to a person’s foot. These inserts are designed to spread the person’s weight over the entire mold and to help redistribute weight away from areas of excessive foot pressure.
The depth shoe should be made of soft and supple leather, or another suitable material of equal quality.
The shoe should have a lining made of leather or similar material to provide a smooth, non-irritating surface to protect the foot.
The tongue of the shoe should be padded to improve fit and comfort.
The shoe must have a lace or Velcro® closure.
The sole of the shoe should be as wide as the entire upper part of the shoe and the central portion of the sole should be wide enough to provide additional support to the arch area of the foot. The sole’s design will give it a wedge-like appearance so that the entire sole strikes the surface of the ground during walking, thus increasing stability. The sole should also be made of a lightweight material, thus reducing fatigue and enhancing comfort when walking.
There are now a number of manufacturers who provide suitable shoes for diabetics. At Cobbler’s Corner, we have a wide selection of Medicare approved shoes for diabetics. Please stop in or call.
This link will take you to our contact information.

Here are 10 tips for buying shoes which are properly fitted for a diabetic.

1) HAVE BOTH FEET MEASURED EVERY TIME YOU PURCHASE A PAIR OF SHOES.
Over the course of your lifetime, your feet will change in both size and shape. For many people, one foot is slightly longer and/or wider than the other, so fit the largest foot first. Go to a shoe store that measures both feet and wear the type of socks you will wear with the shoes.

2) SELECT SHOES THAT MATCH THE SHAPE OF YOUR FEET.
The shoe should follow the natural outline of your foot. Make sure the shape of the shoe matches the shape of your foot.

3) SHOES SHOULD BE AS WIDE AS YOUR FEET AND LONGER.
When shoes contact the ground during walking or running, feet elongate. Allow adequate space (3/8″ to 3/4″) at the end of the shoe for your longest toe. Judge shoes by how they fit on your feet. Don’t select shoes that feel too tight, too loose, or irritates any part of your foot. If a shoe feels too snug or too loose at the try- on stage, it is NOT a good fit, and may cause foot pain and problems later on.

4) MAKE SURE THE WIDEST PART OF YOUR FOOT (the “ball”) FITS COMFORTABLY INTO THE WIDEST PART OF THE SHOE.
This match permits shoes to bend where your feet flex, giving you a more functional and more comfortable fit.

5) THE TOE BOX (the covering around the toe area) SHOULD BE ROUND, HIGH AND SHAPED LIKE YOUR FOOT.
You should be able to freely move your toes inside the shoe; if you CANNOT wiggle your toes inside your shoes this is NOT a good fit. Toe room is essential for a healthy foot, especially for the diabetic.

6) HEELS SHOULD FIT COMFORTABLY IN THE SHOES.
Don’t buy shoes that are too small just to avoid heel slippage.
If your foot has excessive slippage in the heel of your shoe, try a different shoe or ask your shoe fitter to make some minor adjustments. Selecting shoes that have a combination last (shoes that are made wide at the “ball” and narrow at the “heel”) can eliminate this problem.

7) INSERTS OR ORTHOTICS AFFECT THE WAY A SHOE FITS.
Shoe inserts or foot orthotics will take up shoe space intended for your foot. If you require inserts or orthotics, you will need a roomier shoe; otherwise, the inserts CANNOT function properly arid your shoes WILL NOT fit right. Purchase shoes that are designed to accommodate an insert or orthotic. There are many shoe styles from major manufacturers available that are designed with extra depth and/or removable insoles for this purpose

8) CHOOSE SHOES APPROPRIATE TO THE ACTIVITY AND THE AMOUNT OF TIME YOU WILL SPEND PERFORMING THE ACTIVITY.
Feet change shape and size during the day and under different conditions: after exercise, in warm weather, with weight gain, or from sitting or standing. When shoe shopping, remember that your feet are generally larger after an activity than preceding it, so buy accordingly, perhaps even timing shoe shopping immediately after the activity.

9) WALK IN THE SHOES TO MAKE SURE THEY FEEL COMFORTABLE.
Walk around the store. Shoes affect the health of our feet and also our emotional well being. If our feet hurt, we are NOT happy.

10) SHOP A STORE THAT OFFERS FULL SERVICE.
A store that measures both feet (length, width, depth, and shape of foot) and that evaluates worn shoes, checking for wear patterns, correct sizing and appropriateness of the shoe style is your best choice for finding a shoe that suits you. Always remember, a store which leaves you on your own to select and measure shoes does not care about your feet. Select a store that has a staff trained in proper shoe fitting, measuring, and most important, in recognizing foot problems and their causes. Avoid stores that try to make a few sizes and styles work for every foot. Not only is this impossible, it can prove dangerous to a diabetic or to others with foot problems.

OUR MANY FOOTWEAR STYLES COME IN SIZES RANGING FROM 4 TO 20
AND IN WIDTHS RANGING FROM 4A (AAAA) TO 9E (EEEEEEEEE)!

At Cobbler’s Corner, A Certified Pedorthist oversees all fitting, custom footwear, custom orthotics and shoe modifications. Your comfort and satisfaction are very important to us. A shoe’s fit is as personal as the sound of a person’s voice. Whether a foot condition is temporary or permanent, shoes and other footwear devices can be part of the treatment plan. For people with diabetes, arthritis, or other foot problems, the right footwear can mean the difference between being able to WATCH and being able to PARTICIPATE!

Make sure your footwear, instead of being part of the problem,
is part of the healthy solution!

Please stop by or call today so we can start you on the road to happier, healthier feet. Just follow this link to view our Location, Phone No. and Contact Information.

According to ABC, “Pedorthics is the design, manufacture, modification of pedorthic devices, to prevent or alleviate foot problems caused by disease, congenital defect, overuse or injury. An ABC Certified Pedorthist is an individual who has studied foot anatomy and pathology, biomechanics, shoe construction and modification, foot orthosis fabrication and materials, footwear fitting and patient/practice management and is credentialed by the American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. To become certified, a pedorthist must meet initial educational requirements and pass a comprehensive written exam given by the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC) which is accredited by the National Commission for Certifying Agencies. Once certified, a pedorthist must meet continuing education and annual renewal requirements to maintain pedorthic certification. The certified pedorthist must also adhere to the ABC Code of Professional Responsibility to ensure the highest scope of professional competence and deportment.”

Or put another way: “Basically, pedorthists are highly trained professionals skilled in the design, fit and function of shoes and orthotics.”
They are experts in external below-the-ankle care. I would also like to add that they practice both the “science and art” of making feet comfortable. Proper shoes and orthotics should not only fit your feet but also your lifestyle.”- Seamus Kennedy, CPed, from InMotion magazine, Volume 15, Issue 3, May/June 2005, published by the Amputee Coalition of America

A Certified Pedorthist is a footwear specialist. He/she has studied foot and lower limb anatomy; pathology; biomechanics (movement of the human body); gait analysis; footwear fitting; lower limb orthotic design; shoe design, construction and modification; and patient and practice management. As they design, manufacture, modify and fit footwear and orthotics, their goal is to alleviate foot problems caused by congenital defects, injuries, overuse, and diseases such as diabetes and arthritis. Footwear, when properly fitted, can relieve or accommodate temporary or permanent foot problems.

A Pedorthist works as part of your health care team. When appropriate, doctors refer patients to us as specialists in using footwear and orthotics to address lower limb problems.

Certified Pedorthists understand the interaction between a person’s feet and their shoes. We are skilled at evaluating a person’s feet and their footwear. We help you select the proper shoes, and then modify those shoes to help you maintain or regain as much mobility as possible. When your ability to walk is affected, everything that touches your foot, such as bandages, splints, braces, foot orthotics, socks and shoes, all interact with your foot. That is why your footwear is a very important part of your recommended treatment plan.

Foot orthotics are also an important part of footwear. They can accommodate foot abnormalities, support and relieve a variety of foot conditions, and also improve the function of your feet. A pedorthist helps in selecting, fitting and modifying your shoes so that the orthotics and the shoes function well together.

Pedorthics offers a wide range of conservative, non-surgical treatment options. Doctors refer their patients to a pedorthist for footwear to help relieve pressure, to redistribute weight, to accommodate foot abnormalities, to support conditions, to prevent further damage to the foot, and to prevent foot injuries. We also can address foot related problems such as pelvic imbalances and lower back pain, to mention a few.

At Cobbler’s Corner, we have 3 certified Pedorthist on staff and our goal is to help our customers and/or patients avoid foot problems and enable them to maintain an independent and active lifestyle. Whether you are experiencing foot problems associated with diabetes, arthritis, congenital defects, injuries or overuse or are simply looking for a shoe that will provide unsurpassed comfort, Cobbler’s Corner has the solution!

Cobbler’s Corner in Columbiana, Ohio is a state licensed, nationally accredited pedorthic facility. We have 3 Certified Pedorthists on staff. We are also a full service shoe retailer, stocking such major brands as Worx and Red Wing work shoes; Danner and LaCrosse boots; diabetic shoes by Drew, P.W. Minor, Apex and New Balance; Brooks and Aetrex athletic shoes; and Kumfs dress shoes and sandals. With a repair facility and a custom orthotic and shoe modification lab on site, we can make any adjustments necessary to assure a perfect fit.

Make sure your footwear, instead of being part of the problem,
is part of the healthy solution!

Cobbler’s Corner has 3 Certified Pedorthists on staff with appointments available Monday through Friday. Click here for store hours and available appointment times.

The American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) is the national certifying and accrediting body for the orthotic and prosthetic professions. It is the body that regulates who becomes a certified pedorthist (CPed). For detailed information on the steps involved in becoming certified, you should visit the organization’s Web site at http://www.abcop.org/Default.asp*
*By clicking on this link, you will be directed away from this Website.

According to ABC, “To become certified, a pedorthist must meet initial educational requirements and pass a comprehensive written exam given by the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC) which is accredited by the National Commission for Certifying Agencies. Once certified, a pedorthist must meet continuing education and annual renewal requirements to maintain pedorthic certification. The certified pedorthist must also adhere to the ABC Code of Professional Responsibility to ensure the highest scope of professional competence and deportment.”

Briefly, to become a certified pedorthist, one needs to complete a four-step process:

Obtain college credits in ancillary courses, such as anatomy, physiology or biomechanics.
Complete a minimum of 120 hours of pedorthic education in a program reviewed and approved by the ABC.
Many approved courses are given throughout the country several times a year.
Gain practical hands-on work experience in pedorthics.
Study the appropriate materials and books about pedorthics and shoe-fitting, and pass the certification exam, which is held twice a year.
In addition, a Certified Pedorthist is required to continue his/her education by attending classes and seminars which are focused on keeping the Certified Pedorthist current in the latest information and techniques of proper foot care. These education requirements are necessary for maintaining continuing certification. The Pedorthist must also renew certification each year.

Cobbler’s Corner has 3 Certified Pedorthists on staff with appointments available Monday through Friday. Click here for store hours and available appointment times.

Diabetes increases a person’s risk of having foot problems. Even ordinary problems can get worse and lead to serious complications. Since the extreme consequence is amputation, caring for the diabetic foot is a daily priority.
Diabetes frequently results in neuropathy, or nerve damage, in the feet. Nerve damage can lead to loss of feeling in the feet, leaving a person unable to feel pain, heat or cold. The gradual loss of feeling in the feet lessens the ability to judge whether shoes or orthotics fit and perform properly. Friction or rubbing may go unnoticed and worsen into a blister, a break in the skin, or an ulcer. You could have a tack or stone in your shoe and walk on it all day without knowing it is there. Also circulation can be hindered if shoes are tied too tight. On the other hand, the feet may have too much movement in the shoes if they are tied too loosely, allowing the feet to slide forward in the shoe, resulting in the toes hitting the end of the shoes. Poor blood flow or changes in the shape of your feet or toes may also cause problems. The longer a person has diabetes, the more likely he is to develop this problem.
A Certified Pedorthist, being the footwear specialist on the health care team, works toward long term maintenance of healthy feet and prevention of foot damage. Measuring a person’s feet, evaluating their footwear, and making sure their new footwear fits properly is just the beginning of the path to healthy feet. Our goal is to help the diabetic person prevent foot complications by educating them on how to properly care for the diabetic foot and footwear. We also communicate any potential problems to the other specialists on the health care team.
The wear and tear on a shoe reflects patterns of movement, examining this wear shows us where problems such as blisters, calluses and ulcers are most likely to start. To alleviate foot problems, a pedorthist may fabricate foot orthotics or modify the interior and/or exterior of the footwear. Foot orthotics can only be worn in a shoe; hence it is absolutely necessary that the orthotics, shoes and feet all be treated as one unit. Only then can all be assured that the orthotic is working effectively.
Another thing to keep in mind is what type of activities the person performs while wearing the shoes. And what is the foot’s major need; protection, accommodation or support. Shoes and foot orthotics not only protect the feet; they improve the function of the feet. Foot problems can lead to stress on other parts of the body. Since the feet, legs, knees, hips, and back all work together, proper footwear can enhance a person’s ability to physically perform, just as improper footwear can degrade physical performance.
Once the adjustments are made, continuing follow-up care with the pedorthist is essential to ensure that the shoes, orthotics and modifications continue to perform properly. Also, persons with diabetes must examine their feet everyday, and tell their pedorthist immediately if they see any changes or develop any problems.
Care of the diabetic foot needs the team approach with the person having diabetes being the team leader. The Certified Pedorthist is the footwear specialist who works with the patient and the other members of the health care team to make sure shoes and orthotics, instead of being part of the problem, are part of the healthy solution.

Cobbler’s Corner has 3 Certified Pedorthists on staff with appointments available Monday through Friday. Click here for Store Hours and Available Appointment Times.

1.) Expect to have both feet measured. Over the course of your lifetime, your feet will change in both size and shape. For many people, one foot is slightly longer and/or wider than the other.

2.) Expect current footwear to be evaluated. The wear and tear on a shoe reflects patterns of movement. This reveals where problems such as blisters, calluses, sores and ulcers are most likely to start.

3.) Expect a diabetic/arthritic foot evaluation. This will include a scan of your feet to identify pressure points and foot type. Identifying pressure points and making insole or shoe modifications to relieve the pressure are essential in the prevention of foot ulcerations.

4.) Expect to be asked to purchase new shoes which will be properly fitted to the correct size and shape of your feet. We have found that 75% of new customers entering our store are wearing the wrong size and/or wrong shaped shoes. For a diabetic, this can be a very serious problem.

5.) Expect follow-up visits (at no extra charge) to be scheduled to insure that your feet and footwear are functioning well together.

6.) Expect to receive instruction in diabetic foot care and proper maintenance of your footwear.

Cobbler’s Corner has 3 Certified Pedorthists on staff with appointments available Monday through Friday. Click here for store hours and available appointment times.

Foot injuries are among the most common sports injuries. The reason being, the foot contains 26 bones plus dozens of joints, tendons and muscles that can be injured. Because there are so many components of the foot, it is easy for a routine injury, like a sprain, to mask a more serious problem.

Appropriate footwear can help athletes avoid or lessen foot injuries. Although footwear con not prevent injuries entirely, it can play a major role in rehabilitation and recovery. Certified pedorthists specialize in shoes and foot orthotics, and can play a significant role as part of an athlete’s health care team. When foot injuries do occur, a pedorthist can help an athlete during treatment and rehabilitation.

Many sports subject the to weight loads far in excess of the body’s weight. During a 10 mile run, for example, the foot strikes the ground about 15,000 times with a force equal to 3 or 4 times the runner’s body weight. The foot must absorb the stress the weight creates. Sports such as basketball and tennis require sudden starts, stops and changes in direction, placing extraordinary demands on the feet and shoes. As more stress is placed on the feet and the footwear, the risk of injury to the foot increases. Because the foot has so many parts, such a foot injury can often go under diagnosed.

Most sports injuries can be broadly categorized as acute or chronic. Acute injuries are new, with a clear cause. Chronic injuries usually occur from overuse or repetitive movement or stress. Sometimes an athlete plays through the pain, ignoring an injury or favoring the injured area and putting unusual pressure on another spot, causing additional damage without realizing it. For example, favoring an injured knee can place additional stress on the foot, leading to foot injury.

The shoe is probably the most important piece of equipment for elite, as well as part time athletes, because foot and surface contact is fundamental to success. Most athletes recognize this by choosing sport-specific footwear. Unfortunately, sport-specific footwear, however well designed, can not address individual factors such as:
•the amount of training time;
•the intensity of training;
•the training surface;
•the athlete’s physical condition, weight, foot type and foot shape;
•congenital foot conditions and/or previous injuries;
A certified pedorthist can help an athlete choose the appropriate footwear based on a knowledgeable assessment of these factors.

Many sports create considerable stress on the foot, which over the course of months or years, causes more wear and tear than would normally occur. A Certified Pedorthist can help an athlete accommodate, correct or compensate for the greater than average stress their feet experience by shoe modifications and foot orthotics.

For example, over the years, the natural fatty heel pad wears down, lessening the heel’s ability to absorb shock. A Certified Pedorthist can recommend footwear that can help deal with this natural breakdown. Most shoes have a removable insole that can be replaced with an insole tailored to the athlete’s needs. Such shoe modifications, however, must be individualized for the athlete and the sport.

Whether the footwear need is preventative, accommodative, conservative or compensatory, pedorthics can help athletes remain active and continuing to enjoy their sport.

Cobbler’s Corner has the solution!

For advice on footwear, socks and foot care products,
call our state licensed, nationally accredited, pedorthic facility,
or stop in and speak with one of our professional shoe fitters or pedorthists.
You’ll be glad you did!

Just follow this link for our → Phone No., Hours and Contact Information.

A bunion (hallux valgus) is a deformity characterized by lateral deviation of the great toe, often erroneously described as an enlargement of bone or tissue around the joint at the head of the big toe (metatarsophalangeal joint). As the great toe (hallux) turns in toward the second toe (angulation) the tissues surrounding the joint may become swollen and tender.

The term is used to refer to the pathological bump on the side of the great toe joint. The bump is partly due to the swollen bursal sac and/or an osseous (bony) anomaly on the mesophalangeal joint (where the first metatarsal bone and hallux meet). The larger part of the bump is a normal part of the head of first metatarsal bone that has tilted sideways to stick out at its top.


Bunions may be treated conservatively with changes in shoe gear, different orthotics (accommodative padding and shielding), rest, ice, and medications. These sorts of treatments address symptoms more than they correct the actual deformity. Surgery, by an orthopedic surgeon or a podiatrist, may be necessary if discomfort is severe enough or when correction of the deformity is desired.
[edit]Orthotics
Orthotics are splints, regulators while conservative measures include various footwear like gelled toe spacers, bunion / toes separators, bunion regulators, bunion splints, and bunion cushions.
[edit]Surgery

A podiatrist performing surgery to remove the bony enlargement and restore normal alignment of the toe joint.
Procedures are designed and chosen to correct a variety of pathologies that may be associated with the bunion. For instance, procedures may address some combination of:
removing the abnormal bony enlargement of the first metatarsal,
realigning the first metatarsal bone relative to the adjacent metatarsal bone,
straightening the great toe relative to the first metatarsal and adjacent toes,
realigning the cartilagenous surfaces of the great toe joint,
addressing arthritic changes associated with the great toe joint,
repositioning the sesamoid bones beneath the first metatarsal bone,
shortening, lengthening, raising, or lowering the first metatarsal bone, and
correcting any abnormal bowing or misalignment within the great toe.
At present there are many different bunion surgeries for different effects. The age, health, lifestyle, and activity level of the patient may also play a role in the choice of procedure.
Bunion surgery can be performed under local, spinal, or general anesthetic. The trend has moved strongly toward using the less invasive local anesthesia over the years. A patient can expect a 6- to 8-week recovery period during which crutches are usually required for aid in mobility. An orthopedic cast is much less common today as newer, more stable procedures and better forms of fixation (stabilizing the bone with screws and other hardware) are used.

A callus (or callosity) is an especially toughened area of skin which has become relatively thick and hard in response to repeated friction, pressure, or other irritation. Rubbing that is too frequent or forceful will cause blisters rather than allow calluses to form. Since repeated contact is required, calluses are most often found on feet because of frequent walking. Calluses are generally not harmful, but may sometimes lead to other problems, such as skin ulceration or infection.


Normally, a callus will form on any part of the skin exposed to friction over a long period of time. For example, people often develop calluses on the middle finger of their dominant hand due to writing with a pen or pencil. Another cause is from playing string instruments like the violin or the guitar; calluses will develop on the four left hand fingers used in holding the strings down to the fingerboard, and sometimes right hand fingers used for pizzicato or strumming. Calluses are also very common on the fingers of bassists who use both the pizzicato and slapping techniques. There are many activities that can result in the formation of a callus, and having one is sometimes viewed as a badge of honor.[1] Activities that are notorious for causing calluses include (but are not limited to) playing musical instruments, martial arts, many sports (specifically racket sports), weight training, dancing (especially ballet), digging, praying, chopping wood, and wearing high heels. Tenpin bowlers will often develop calluses on their thumbs and occasionally their middle fingers from frequent bowling.[2] Although often found on the foot (where the most pressure and friction are applied), calluses can occur anywhere on the body as a reaction to moderate, constant “grinding” pressure. It is the natural reaction of the palmar or plantar skin. Too much friction occurring too fast for the skin to develop a protective callus will cause a blister or abrasion instead.
Biologically, calluses are formed by the accumulation of terminally differentiated keratinocytes in the outermost layer of skin. Though the cells of calluses are dead, they are quite resistant to mechanical and chemical insults due to extensive networks of cross-linked proteins and hydrophobic keratin intermediate filaments containing many disulfide bonds.[3]
Sometimes a callus occurs where there is no rubbing or pressure. These hyperkeratoses can have a variety of causes. Some toxins, such as arsenic, can cause thick palms and soles. Some diseases, such as syphilis, can cause thickening of the palms and soles as well as pinpoint hyperkeratoses. There is a benign condition called keratosis palmaris et plantaris, which produces corns in the creases of the fingers and non-weight bearing spaces of the feet. Some of this may be caused by actinic keratosis, which occurs due to overexposure to sun or with age and hormonal shifts.


Calluses and corns may go away by themselves eventually, once the irritation is consistently avoided. They may also be dissolved with keratolytic agents containing salicylic acid, sanded down with a pumice stone or filed down with a callus shaver, or pared down by a professional such as a podiatrist or a foot health practitioner.[6]
Before 1937 (when commerce in medicinal cannabis was effectively banned by a federal law in the United States), topical corn remedies usually contained tincture of cannabis, whose antibacterial properties were an effective agent. In addition, the inclusion of cannabis provided the herbal green appearance expected by consumers of the day.[7]

Hammer toes develop when the ligaments and tendons tighten in the toe causing the middle toe joint to curl downward. This action can lead to severe pressure and pain. Hammer toes can occur in any toe except the big toe. Often the top of the toe becomes irritated and inflamed because the toe is rubbing against the shoe. Calluses and corns may also form on the top of the toe because of excessive rubbing.

There are two types of hammer toes – flexible and rigid. In a flexible toe the joint can move. A rigid hammer toe has very limited, if any movement, and can be extremely painful. Hammer toes may also cause extra stress at the ball of the foot, possibly causing calluses and corns to form.

A very important step in the treatment of hammer toes is changing the type of shoes you wear. When choosing a show, make sure the toe is high and wide, nd is able to accomodate the hammer toes, this will result in less rubbing against the shoe. Also, having the toe box stretched up at your local shoe repair shop will give your toes more room. Other conservative treatments such as hammer toe splints help hold down the hammer toe, and gel toe shields and gel toe caps may eliminate some friction between the toe and the show.

Make sure your footwear instead of being part of the problem, is part of the healthy solution! For more information about our Pedorthic facility, retail store, shoe repair shop, orthotic lab, the Medicare Shoe Bill or how we can help you on the road to healthy feet, please stop in or call us at 330.482.4005.

Every mile you walk puts 60 tons of stress on each foot. Your feet can handle a heavy load, but too much stress pushes them over their limits. When you pound your feet on hard surfaces playing sports or wear shoes that irritate sensitive tissues, you may develop heel pain, the most common problem affecting the foot and ankle. A sore heel will usually get better on its own without surgery if you give it enough rest. However, many people try to ignore the early signs of heel pain and keep on doing the activities that caused it. When you continue to use a sore heel, it will only get worse and could become a chronic condition leading to more problems. Surgery is rarely necessary.

Diagnosis
Heel pain can have many causes. If your heel hurts, see your doctor right away to determine why and get treatment. Tell him or her exactly where you have pain and how long you’ve had it. Your doctor will examine your heel, looking and feeling for signs of tenderness and swelling. You may be asked to walk, stand on one foot or do other physical tests that help your doctor pinpoint the cause of your sore heel.

Treatment
Conditions that cause heel pain generally fall into two main categories: pain beneath the heel and pain behind the heel.

Pain Beneath the Heel
If it hurts under your heel, you may have one or more conditions that inflame the tissues on the bottom of your foot:

Stone bruise. When you step on a hard object such as a rock or stone, you can bruise the fat pad on the underside of your heel. It may or may not look discolored. The pain goes away gradually with rest.
Plantar fasciitis (subcalcaneal pain). Doing too much running or jumping can inflame the tissue band (fascia) connecting the heel bone to the base of the toes. The pain is centered under your heel and may be mild at first but flares up when you take your first steps after resting overnight. You may need to do special exercises, take medication to reduce swelling and wear a heel pad in your shoe.
Heel spur.When plantar fasciitis continues for a long time, a heel spur (calcium deposit) may form where the fascia tissue band connects to your heel bone. Your doctor may take an X-ray to see the bony protrusion, which can vary in size. Treatment is usually the same as for plantar fasciitis: rest until the pain subsides, do special stretching exercises and wear heel pad shoe inserts.
Pain Behind the Heel
If you have pain behind your heel, you may have inflamed the area where the Achilles tendon inserts into the heel bone (retrocalcaneal bursitis). People often get this by running too much or wearing shoes that rub or cut into the back of the heel. Pain behind the heel may build slowly over time, causing the skin to thicken, get red and swell. You might develop a bump on the back of your heel that feels tender and warm to the touch. The pain flares up when you first start an activity after resting. It often hurts too much to wear normal shoes. You may need an X-ray to see if you also have a bone spur.

Treatment includes resting from the activities that caused the problem, doing certain stretching exercises, using pain medication and wearing open back shoes.

Your doctor may want you to use a 3/8″ or 1/2″ heel insert.
Stretch your Achilles tendon by leaning forward against a wall with your foot flat on the floor and heel elevated with the insert.
Use nonsteroidal anti-inflammatory medications for pain and swelling.
Consider placing ice on the back of the heel to reduce inflammation.

The calcaneus, or heel bone, is the largest bone in the foot and absorbs most of the pressure and shock as you walk. Heel spurs are calcium deposits that form on the heel bone when the plantar fascia ligament, which is attached to the heel bone, pulls away from the heel bone, causing a heel spur to form. Heel spurs can cause extreme pain in the heel area of the foot when standing or walking. Women develop heel spurs more than men because of the type of shoes they wear.

Most often, the cause of heel spurs is the excessive stretching of the plantar fascia, usually caused by over pronation, or lack of arch support in your shoes. Many types of footwear do not have enough arch support, which allows excessive stretching of the plantar fascia. Due to this fact, an orthotic which provides arch support and rear foot posting, and is made of shock absorbing materials is very effective and promotes healing. Other treatments are stretching exercises, elevating the heel, using heel cushions and wearing shoes that offer good arch support.

Make sure your footwear, instead of being part of the problem, is part of the healthy solution!

For more information on how to keep your feet healthy, Please stop in or call us at (330) 482-4005

Plantar Fasciitis is an inflammation caused by excessive stretching of the plantar fascia, which is a ligament-like band that runs from the heel to the ball of your foot. When the plantar fascia is excessively stretched, this can cause Plantar Fasciitis, which can also lead to heel pain, arch pain, and heel spurs. The pain is often worse the first thing in the morning and after a long rest.

Plantar Fasciitis can be caused by over-pronation (flat feet), feet with unusually high arches, a sudden increase in physical activity, excessive weight on the foot, and/or footwear that does not fit properly. The key to proper treatment of Plantar Fasciitis is determining what is causing the excessive stretching of the plantar fascia.

Common treatments include:
•Wearing shoes and orthotics that fit properly,
•Cushioning the heels,
•Absorbing shock, and
•Supporting the arches.
Also, elevating your heels and wearing Plantar Fasciitis night splints can help.

Make sure your footwear, instead of being part of the problem,
is part of the healthy solution!

For more information on how to keep your feet healthy, please stop in or call us. Click this Link for contact Information.

Here are 10 Tips to Ensure a Proper Fit.

1) Shoe sizes are not all the same, and vary by brands.
2) Since your feet change over time, always have both feet measured when buying shoes.
3) Choose shoes that match the shape of your foot.
4) Try on Various Types and Styles for the Most Comfortable Fit.
5) Shoes should be wider than your foot and longer than your longest toe.
6) Be sure the arch of your foot feels comfortable and supported in the shoe.
7) Check to make sure your heel isn’t slipping out of the shoe.
8) If you wear inserts or orthotics, they can affect the way the shoe fits. Be sure to bring them along when buying shoes.
9) Be sensible and match the type of shoes to your activities.
10) Don’t rush when choosing shoes. Walk around in them to make sure you are satisfied with a great fit.

AND THE MOST IMPORTANT TIP OF ALL! ALWAYS have your shoes fitted by a professional shoe fitter! Catalogs and On Line Ordering can not assure a proper fit!

Cobbler’s Corner has 3 Certified Pedorthists and 4 Professional Shoe Fitters on staff. Stop in or call today. Click here for Location and Hours.

The following tips are good general guidelines to consider when selecting athletic shoes:

The upper part of the shoe should be made of quality leather or mesh that allows breath-ability and strong weather protection.
The shoes should be lined with fabric that quickly moves heat and moisture to the vented areas of the shoes. this will result in dry, cool, comfortable feet.
The shoes should have cushion insoles to absorb shock, especially at the ball and heel of the foot. The insole should be removable for easy cleaning and/or to accommodate an orthotic device or modifications.
4) The shape of the shoes should match the shape of your feet. If you have wide, fleshy feet, Choose shoes with a generous toe area. You should be able to wiggle your toes in your shoes, if not, they are too narrow, too short, or both.
5) The soles of the shoes should be as wide as the entire upper part of the shoes. If the sole is cut in at the arch area, you will lose vital support in the arches of your feet.
6) The shoes should not bend at the arch area, if it does, the shoe WILL NOT effectively support the arches of your feet.
7) The shoes should have a firm heel box, this will stabilize your heels and ankles.
8) The shoes should have flex grooves on the soles from the ball area of the shoes forward. This will allow your feet to flex naturally.
9) The soles of the shoes should be made from high density materials to ensure stability, shock absorption, traction and durability.
10) Choose your shoes for fit and function first, fashion last.
Remember, whether you’re a marathon runner or a weekend walker, properly constructed shoes, as well as properly fitting shoes are vital for healthy feet and a healthy body.

At Cobbler’s Corner, we provide shoes for the serious athlete, as well as the casual walker. We go to great lengths to accommodate our customers of all fitness levels, foot types, and sizes with quality footwear that is properly designed and professionally fit for each individual. There is not a pair of feet we cannot fit.

In a lifetime, the average person walks enough miles to circle the globe 4 times. The right footwear WILL make a difference in your life.

Make sure your footwear, instead of being part of the problem,
is part of the healthy solution!

For more information on how we can start you on the road to healthy feet, stop in or call. Just follow this link→Hours, Location & Phone No.

Feet, like people, come in a wide variety of shapes and sizes and no two feet are exactly alike. In fact, for most people, one foot is larger than the other, so it may be said that there are twice as many different feet as there are different people in the world! That is why there are so many different shapes, sizes and styles of footwear available. That is also why we offer so many different footwear styles from nearly 20 different brands and in sizes ranging from 4 to 20 and widths ranging from 4A(AAAA) to 9E(EEEEEEEEE)!

The fit of a person’s shoe is as individual as the sound of their voice. Most people have a pretty good idea what their shoe size is, and probably even their width, but with so many different feet and so many shapes, styles and sizes of footwear to choose from, knowing the size of the shoe you are wearing doesn’t take into account such factors as the shape of the foot vs. the shape of the shoe or the effect that different shoe types, manufacturing techniques or materials may have on the shape and fit of the shoe. A person may wear a size 7 in one style, but in a different style, they may need a 7½ or an 8. Widths vary too. A narrow in one shoe may be a wide in another. Even within the same shoe company, footwear styles can differ greatly from one another. Just one of our shoe suppliers offers over 160 different footwear styles! Given the complexity, buying shoes over the internet becomes a lot like buying mail order dentures. It’s just not a good idea.

There are also various foot conditions that can affect shoe fit. Bunions, Corns and Hammer Toes, just to name a few, can have a major impact on how your shoes will fit and feel. The fact is, there are so many foot conditions that can affect how your shoes fit and function that listing them all is beyond the scope of this article.

Another factor to consider is that our feet change with time just as the rest of our bodies do. Our feet tend to grow longer and wider as we age, so it’s always a good idea to have both feet measured every time you buy shoes. The shoe that fit ten years ago will likely be too small today. A shoe style which feels comfortable when we’re young may become cramped or even painful to wear as we get older and our feet change shape, making it necessary to try different shapes and styles of footwear. Normal wear and tear take their toll, making it necessary to make adjustments in our footwear to compensate for the effects of a lifetime of walking on our feet.

In short, without having both feet measured and trying the shoes on and walking around in them, it is impossible to ensure a proper shoe fit. As a result, the chances of properly matching a pair of shoes to your feet through the internet are pretty slim.

There are shoe stores who will try to tell you this isn’t true. They are motivated by a desire to sell you a pair of shoes without having to pay anyone to actually try the shoes on your feet. They will try to sell the convenience of buying shoes without ever leaving your home. But, really, how convenient is it to try to mail a pair of shoes back to an Internet vendor because they didn’t fit, or worse, to wear ill fitting shoes because of the hassle of returning them! And imagine how long it could take to finally get the right pair of shoes! Wouldn’t it be better to know the pair of shoes you just bought fit you right, rather than hoping they will when they arrive?

The fact is that many people today are walking around in poorly fitted shoes. We have found that about 75% of new clients coming in to our store for the first time are wearing the wrong size or wrong shaped shoes. Add to that the fact that many common foot problems, such as bunions and heel pain are frequently caused by improperly fitted footwear and can be corrected or completely avoided by wearing properly fitted, appropriate footwear, it is easy to see why we insist on ensuring a proper fit in a suitable shoe. We believe our clients deserve no less.

At Cobbler’s Corner, we pride ourselves on the fact that we have never met a foot we couldn’t fit, and we make good on that claim every single day. Our 4 professional shoe fitting technicians are skilled at providing each client with a properly fitted pair of shoes and we have 3 Certified pedorthists on staff who are skilled at spotting and correcting foot problems before they become serious issues.
To us, fitting a pair of shoes is about more than just shoe size, it’s about providing footwear that will properly support and protect the health of your feet, while providing comfort and a style you can enjoy.

We give each client the sort of personal attention they deserve, and that is something you will never get over the Internet. It’s not the easiest or the most profitable way of doing business, but we believe it is the best way of doing business.
It’s our way of doing business.
The same way we have been caring for our clients’ foot care needs for over 30 years.

One pair of feet at a time.

Why not stop in and find out for yourself! Your feet will be glad you did!

For the location of our store and other contact information,
follow this link to our contact page.