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FEET, Aging Well, the SHOE Connection

  • helenfkws
  • Jun 14
  • 9 min read

Updated: Jun 15

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"Our feet are the foundation of every step - supporting our entire body from the ground up. Taking care of them—and choosing footwear that fits well—isn’t just about comfort. It influences how we move, balance, and feel throughout the day, and ultimately influences our joint health, mobility, independence, and long-term wellbeing".

This article dives into the essentials of foot health and functional mobility—examining the pros and cons of workout footwear and the lasting impact of the shoes we wear every day.

FEET: Why they Matter even More as We Age

Firstly, we don't go too far or workout as effectively if they're not happy.

  • As we age, foot structure naturally changes - fat pads thin out, arches may fall, and joints can become stiffer or arthritic. These changes can lead to pain, restrictive movement, balance issues, and a higher fall risk.

  • Changes in body weight, exercise and activity, diet and lifestyle habits all impact our feet.

  • During physical activity, the wrong-fitting shoes can cause foot pain, pressure points, issues with toes, heels, and arches, misalignment, and stress on ankles, knees, hips, and back. Right fitting shoes should support the natural structure of your foot, facilitate efficient movement, and help prevent injuries, allowing you to train smarter without post-activity discomfort.


WHAT YOU Need to Know About Your FEET and SHOES


EXTRA WEIGHT Affects Your Feet BIGTIME!

"Your feet carry the weight of your world—literally."

Every extra kilo adds pressure to your feet, joints, and posture. Over time, this can lead to foot damage, arch collapse, joint pain, and fatigue. But even small changes in weight can make a big difference in how comfortably and confidently you move through life.


1. Increased Pressure on Joints

Your feet carry your entire body weight—and every extra kilo adds extra load.

  • When you walk, your feet absorb 1.5x your body weight. e.g. 70kg = 105kg's extra load

  • When you run or jump, it’s up to 3–5x your body weight. e.g. 70kg = 210-350kg's extra load

This puts more stress on ankles, knees, hips, and spine—not just the feet.


2. Flattening of the Arches (Overpronation)

Excess weight can cause your foot's natural arch to collapse over time. This leads to:

  • Plantar fasciitis

  • Shin splints

  • Ankle instability

  • Knee and hip misalignment


3. Increased Risk of Foot Pain & Conditions

Extra weight increases the risk of:

  • Heel pain and planter fasciitis

  • Arthritis in the foot joints

  • Bunions, neuromas and hammertoes

  • Tendon strain (especially the Achilles)

It also slows down healing and makes inflammation harder to manage.


4. Circulation & Swelling Issues

Carrying excess weight can affect blood flow, leading to:

  • Swollen feet and ankles

  • Cramping or numbness

  • Higher risk of varicose veins and skin breakdown


5. Footwear Fit and Function

Heavier weight can change the shape of your feet:

  • Wider feet

  • Lower arches

  • More pressure points

This can make it harder to find comfortable, supportive shoes unless they’re designed with foot freedom and strength in mind.


The Positive News

Even modest weight loss can significantly reduce foot pain and pressure.

E.G: Lose Just ½ kg → Your Feet Feel 1.5–2 kg Less per Step

For every 1 kg of weight lost, your feet experience 3–5 kg less force with each step (depending on activity level).

Now think about how many steps you take each day…

5,000 steps/day × 2 kg less = 10,000 kg less pressure daily

It's like taking a small car off your foot-every single day! Losing just 5kg reduces the load on your knees and feet by 15–25kg per step.

Why Foot Mechanics Matter: The Hidden Power of Every Step


Foot mechanics refer to how the 100 muscles, tendons, and ligaments in your feet move—from the way your heel strikes the ground, to how your arch absorbs shock, to how your toes push off with each step.


The Importance of Correct Foot Mechanics

It helps distribute weight evenly, absorb impact, and support your body in motion.


  1. Balance & Stability

    • Feet are rich in sensory nerves that help your brain control balance.

      Too much cushioning might feel comfy at first, but it can actually mess with your balance and the way you walk. Your feet stop getting the feedback they need, which can throw everything off—especially as we age.

    • Poor mechanics (like collapsed arches or cramped stiff toes) and wrong shoes reduce your body’s ability to stabilize properly, increasing fall risk.

  2. Efficient Movement

    • When the foot moves well, energy transfers smoothly up through the ankles, knees, hips, and spine.

    • Faulty movement patterns in the feet can cause knee pain, hip tightness, or back strain.

  3. Joint Protection

    • Proper mechanics cushion joints and absorb impact, protecting cartilage, tendons, and ligaments.

    • Without it, wear and tear build up faster leading to pain, arthritis, and loss of mobility.

  4. Muscle Activation

    • The 100 muscles, tendons, and ligaments—all need proper activation for strength and coordination.

    • Poor mechanics can shut these down, weakening your whole kinetic movement chain.


Common Foot Mechanics Issues:

  • Overpronation (rolling in)

  • Supination (rolling out)

  • Collapsed arches

  • Limited ankle mobility

  • Weak toe push-off

  • Foot pain, knee, hip and spine issues


What Helps:

  • The CORRECT SHOES matter more than most people think. They support your whole body—BAD shoes mess with your feet, joints, and even your mood!

  • Being within your IDEAL WEIGHT RANGE

  • BALANCE, and calf strength exercises, functional movement training performed in the right footwear

  • Foot MOBILITY work (rolling, stretching, toe strengthening)

  • BAREFOOT or minimal shoe training (if appropriate)

  • Seeing a podiatrist or physio for a gait assessment


CORRECT SHOES: 

The 'Unsung Heros' of Active Aging help to:


  • Support posture and alignment: reducing knee, hip, and back pain.

  • Prevent falls: with good grip, heel support, and stability.

  • Improve circulation: especially important if you're less active or have diabetes.

  • Encourage movement: feet that feel good are more likely to keep moving!


What to AVOID in shoes for long term foot and body health:


  • Unsupportive shoes (like ballet flats, slides, flip flops/thongs or cheap sandals)

  • Heels with narrow tapered toes or miss placed foot stapes

  • Narrow TOE boxes (cause bunions, hammertoes, neuromas, balance issues)

  • Worn-out shoes with collapsed support


WHAT to CONCIDER in Feet Friendly Shoes: 


WIDE TOE BOX

HEEL-TO-TOE DROP

STACK HEIGHT

CUSHIONING

LIGHTWEIGHT and FLEXIBLE SOLES 

HEEL COUNTER


Each of these can significantly affects your long-term mobility


➤ WIDE TOE BOX

Benefits of a Wide Toe Box

  • Natural Toe Spread: Lets your toes splay out naturally for better balance, grip, and shock absorption.

  • Improves Stability: More toe contact with the ground = better stability and reduced fall risk—especially as we age.

  • Reduces Foot Pain: Helps prevent or relieve bunions, hammertoes, neuromas, and general foot discomfort by giving toes room to move.

  • Boosts Foot Strength: When toes can move freely, the small muscles in your feet stay active and strong.

  • Better Posture & Alignment: Proper toe positioning supports healthy alignment from the feet up—impacting knees, hips, and back.

Bottom line:

A wide toe box isn’t just about comfort—it’s about foot health, balance, and long-term movement freedom.

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Wide Shoe vs. Wide Toe Box – What’s the Difference?

  • A wide shoe is made wider all over—heel, midfoot, and toe.

    It’s just a larger version of the same shape.

  • A wide toe box shoe gives your toes room to spread while keeping the heel and midfoot secure.

  • It follows the natural shape of a healthy foot.

In short:

A wide shoe fits BIG. A wide toe box fits RIGHT.
REGULAR TOE BOX V.S WIDE TOE BOX
REGULAR TOE BOX V.S WIDE TOE BOX

➤ HEEL-TO-TOE DROP

Heel-to-toe drop in shoes refers to the difference in height between the heel and forefoot of the shoe, measured in millimeters. It's a factor in how the shoe influences your foot strike and movement mechanics. 

Impact of Foot Strike

  • Higher drop: Encourages heel striking and can put more stress on the knees, hips, back and neck. 

  • Lower drop: Promotes midfoot or forefoot striking and can less stress on the posture. 

    • Types of Drop:

      • Zero drop: No difference in height between the heel and forefoot, encouraging a more natural foot strike. 

      • Low drop: 0-5mm. 

      • Medium drop: 6-9mm. 

      • High drop: 10mm or more. 

    • Measurable in all Shoes
      Measurable in all Shoes
  • Importance of Heel-to-Toe Drop :

    • Injury Prevention: Heel-to-toe drop can influence how your body absorbs impact and can be a factor in certain aches and pains and injuries. 

    • Exercise Technique: Different drop levels can affect your gait and exercise efficiency. 

    • Personal Preference: The ideal drop depends on individual factors like foot strike, walking or running style, and injury history. 


How Heel-To-Toe Drop can Affect Posture:

  • Raised heels tilt your pelvis forward, shift weight onto the ball/forefoot, and throw off natural alignment—often leading to tight calves, knee issues, forward head posture, and low back strain.

  • Zero drop shoes promote a more neutral spine, balanced hips, and natural stance, encouraging better posture from the ground up.

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    BOTTOM LINE:

Understanding heel-to-toe drop can help you choose shoes that are suitable for your foot strike, exercise style, injury history and future prevention. 


Wide Toe Box, Zero Heel-to-Toe DROP, with Medium Cushion
Wide Toe Box, Zero Heel-to-Toe DROP, with Medium Cushion

➤ CUSHIONING

Cushioning helps protect thinning fat pads and absorb shock

  • The Upside of Cushioning in Shoes

    • Shock Absorption

    Cushioning helps absorb the impact of walking or running, especially on hard surfaces like concrete.

    Can reduce pressure on joints in the short term.

    • Initial Comfort

    Feels soft and plush underfoot, which many people equate with “support.”

    Great for people who are recovering from injury or have sensitive feet.

    • Helpful During Transitions

    Moderate cushioning can make it easier for people to transition from traditional to minimalist footwear.

    Gives time for foot muscles to adapt.


    The Downside of Too Much Cushioning

    • Reduces Ground Feel (Proprioception)

    Thick, soft soles block sensory feedback from the ground.→ This can lead to poor balance, slower reaction time, and less stability—especially in older adults.

    • Weakens Foot Muscles

    Cushioning does the work your foot should be doing.→ Over time, this can weaken intrinsic foot muscles, contributing to arch collapse and long-term instability.

    • Alters Natural Gait

    Cushy soles often encourage heel striking and change your stride.→ This can affect ankle, knee, and hip mechanics.

    • Creates Dependency

    People often feel they need cushioning to be comfortable—→ when in reality, what they may need is better foot function and strength.


    Choose Footwear with:

    • Just enough padding for your needs

    • Flexible soles

    • Wide toe box

    • Zero or low drop


    Bottom Line:

    Aim to build foot strength so your body relies less on artificial support. Balance matters. Some cushioning can be helpful—especially when transitioning or managing pain—but too much can disconnect your foot from the ground and weaken it over time.


➤ STACK HEIGHT

Stack height refers to the thickness of the sole from the ground to your foot.

  • High Stack Height = more cushioning, less ground feel.

  • Low Stack Height = closer to the ground, better stability and foot control.


➤ LIGHTWEIGHT and FLEXIBLE SOLES 

  • They let your feet move naturally

  • Improve balance and posture

  • Strengthen foot muscles

  • Reduce joint strain

  • More ground feel = better body awareness and safer steps—especially as we age.


➤ HEEL COUNTER

  • A heel counter is the stiff or structured part at the back of a shoe that holds your heel in place and offers rearfoot stability.

    In Traditional Shoes

    • Helps control foot motion (especially in running or stability shoes)

    • Adds structure and support

    • Reduces excessive movement in the heel

    In Barefoot or Minimal Shoes

    Most barefoot shoes either have no heel counter or a very flexible one—and that's intentional:

    Why Less Heel Counter Is Ideal in Barefoot Shoes:

    • Allows the heel and ankle to move naturally without restriction

    • Encourages your foot muscles (including stabilizers) to work more

    • Supports proprioception (your body’s ability to sense position and movement)

    When You Might Want Some Heel Structure:

    • Transitioning from traditional shoes and need a bit more support

    • Recovering from injury or have unstable ankles

    • Standing or walking for long hours and want a touch of extra guidance

Bottom Line:

In barefoot shoes, a soft or minimal heel counter is generally preferred to promote natural movement and muscle activation. But a lightly structured heel (available in barefoot shoes) can be helpful for some people—especially during the transition phase or if they need extra stability.



Conclusion: Your Shoes Shape Your Steps

Healthy feet start with the right shoes. The fit, flexibility, and design of your footwear directly impact how you move, feel, and age. Choose wisely—your whole body depends on it. 
Shoes with a regular toe box, significant cushioning, and a medium to high heel-to-toe drop can cause issues both in the short and long term.
Shoes with a wide toe box or barefoot/minimal designs help your feet learn to support themselves. However, it's important to transition gradually.

Wellness TIP:


Investing in well-fitted, supportive shoes isn’t vanity—it’s a power move for long-term strength and independence. We’ve normalized shoes that look good but hurt. Maybe it’s time to normalize shoes that look different—but feel amazing.

"Feet cared for today can keep you walking, exercising, and living strong tomorrow".


Shoe Brands Worth Exploring


If you're looking for foot-friendly, natural movement–supporting footwear, here are some brands you may like to investigate:

  • Altra – Known for zero-drop runners with a foot-shaped toe box

  • Xero Shoes – Minimalist, ultra-flexible shoes for everyday and athletic wear

  • Vivobarefoot – Popular barefoot brand blending style and function

  • Merrell – Offers barefoot and trail-ready options with sturdy build

  • Wildling Shoes – Sustainable, ultra-minimal shoes with a natural feel

  • Lono – Cushioned barefoot hybrid for those easing into minimal footwear

  • Belenka – Stylish, wide toe box barefoot shoes made in Europe

  • B Primal – Australian brand focused on natural foot shape and comfort

  • Tolos – Designed for performance with a flexible barefoot feel

  • Peluvo – Modern barefoot shoes with sleek styling

  • Bedrock Sandals – Minimal adventure sandals with excellent ground feel



Resources: Listen & Learn


These expert-led podcasts will empower you with the facts — about feet and shoes

Courtney Conely D.C.

How to Walk, Train and Shoe Shop for Optimal Foot Health

Charlene Johnson: A Fitness Advocate and Barefoot Shoe CONVERT



Your Feet Can Predict if You Will Die Early!


 
 
 

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