Flip-flops in regards to foot health
by Adam Shapiro, DPM, FACFAS, board-certified podiatrist at Foot and Ankle Associates

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Flip-flops have slapped the soles of feet for thousands of years, beginning with the ancient Egyptians in 4000 B.C. Despite their popularity as the footwear of choice, flip-flops certainly can’t claim to be the “healthiest shoes for your feet.”

The problems begin with the very airy nature and ease for which flip-flops are most loved. Their minimal coverage lacks durable protection from outside elements, leaving feet at high risk for injury. During my 15 years practicing podiatry in the Charlotte area, I’ve treated patients who’ve suffered from flip-flop injuries ranging from a seriously stubbed toe to large nail penetrations through flimsy soles. There have also been many cases of painful flip-flop sunburns when sunscreen was forgotten.

Another flop in regard to foot health is the weak structure and support found in most flip-flops, which increases risks for aches and pains in the feet. That’s why flip-flops are linked with common conditions, such as heal or arch pain, plantar fasciitis, tendonitis and flat feet.

Although I strongly advise against wearing flip-flops for prolonged periods of walking or during aerobic activity, there is a time and place for these footwear favorites. Flip-flops offer protection from hot sand at the beach or from fungus and warts often picked up along the gym’s locker room floor or community pool. In fact, for patients who travel frequently, I recommend wearing an inexpensive pair of flip-flops in the hotel showers as protection from foot fungus and warts.

When selecting a pair of flip-flops, remember that they are not all created equal. With advances in technology, certain brands offer substantially better support than traditionally inexpensive flip-flops found at the convenience store. Try Fit Flop or Ortho-heel brands found at specialty footwear stores or Crocs for a combination of structure, support and breathability.

Even with more supportive flip-flop options, people with certain chronic health or foot conditions should always avoid flip-flops. For example, diabetes is the leading cause of foot and leg amputations. People with diabetes need 360-degree foot protection and support to reduce pressure in areas of the foot and ankle that could potentially develop wounds. So, for most diabetics, flip-flops should be avoided.

Also, people with dried, cracked skin on the heels should select a more covered shoe to stop the hardening skin cycle, and people susceptible to athlete’s foot and planter’s warts should stay clear of leather flip-flops, because the fungus or warts can sustain life upon the surface.

The flip-flop fever has also grown amongst the geriatric population, who enjoy the convenience of sliding into their footwear when it’s difficult to reach their feet and bend down to lace a shoe. However, flip-flops’ lack of support and protection often aggravates arthritic joints and increases risks for trips and falls.

So what shoes can claim the “healthiest shoe for your feet” title? My vote is a breathable athletic shoe that boasts a roomy toe box and provides solid support.

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