About Dr Steve Tillett

Steven G. Tillett, DPM - Fellow, American College of Foot and Ankle Surgeons.

SHOE FITTING PEARLS FOR BACK TO SCHOOL & YEAR ‘ROUND

True Foot Size Brannick• Find a shoe store that is trained to and will measure your kid’s feet. A trained shoe fitter will check for length of the Heel to toe and heel to ball of the foot as well as length. That funny little think that rests against the side of the big toe on a Brannick Device (Foot Measuring Device).Foot in Brannick
→ Important: Feet should be measured when standing not sitting.

Brannick lateral• Choose leather uppers or other breathable shoes to reduce the chances of fungal infections.
• Avoid slip-ons, rather choose lace-ups, straps or Velcro as these act like a seat-belt, keeping the feet secure.
• Flats and ballet pumps do not provide support.
→ Ideally the arch area should offer support.

• The heel cup of the shoe should fit exactly without being too tight or too loose.
the Lady Eve 1940 shoes

→ Your should not be able to slip your finger past the first knuckle in the top of the heel, between it and the heel of the foot.
• The toe area should allow the toes to move and not be squashed at the sides.
• Allow about a finger width’s space between the toes and the end of the shoe for growth. Check this periodically to make sure your child’s feet haven’t had a growth spurt.
• Heels should have a broad base and be moderately low, but not flat for young children.
• Wear new shoes in the house first to make sure they do not hurt or rub.

• Finally, it is always a good idea to check your children’s feet and shoes regularly for blisters, cuts, infections, etc. and watch-out for any growth-spurts!
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Sport Specific Shoes

Avoiding Sport’s Injurys; Like Ankle Sprains, Turf Toe, Ingrown Toenails (paronychia) Heel Pain, Plantar Fasciitis, Achilles Tendonitis, Sever’s Disease (Syndrome – Dumb to call it a Disease) 🙂 Stress Fractures and More)

ballet feetAs both a coach of multiple sports and as a foot specialist (Podiatrist), I have learned the importance of Sport-specific shoes and how they can really elevate your game and help you avoid injury. Make sure not to just have your feet measured but  make sure that the shoe fitter knows to check the length of your foot from heel to ball – yeah, kinda different hugh?  That funny little gauge that is rested against the side of your big toe actually measures the true size of your foot.  Although your foot may measure a size “9” from heel to toe, the true length of your foot could measure a “10” from “heel to ball”.  You guessed it, that means you should actually be wearing a size “10”.  Many shoe fitters don’t understand this.  So when a shoe salesman is running to get you larger sizes because the measured size just doesn’t cut it, that means they don’t really have a clue about the true size of your foot, or even worse they don’t know the ins-and-outs of the variances in the shapes of the shoes they carry. Politely excuse yourself, and find a specialty shoe store to buy your new kicks.

If you play a sport at least two to three times a week, you should wear a sport-specific shoe.

Sports-InjuriesHere are some general guidelines for choosing the proper shoe for your sport:

BASKETBALL
Common foot injuries include: sprains, tendinitis, and stress fractures
The ideal basketball shoe should:
• Have a thick, rigid sole that gives support while running and jumping while not being so flexible that your foot has to absorb all of the force.
• High-tops will give you the support to cut quicker and change directions better on your cross-over.
SOCCER
Common foot injuries include: sprained ankles, ingrown toenails and turf toe.

Football playerThe ideal soccer cleats should:

• Not smash your toes together.
• or on the flip side, not have more than a half inch of space (typically – the sideways thumb trick on the front of your shoes) so you don’t jamb the front of your shoes into the turf when ripping a shot to the top corner of the goal.

• Have the right stud (cleat) type for the type of field that you will be playing on most often.

soft, hard, or firm.

FOOTBALL & LACROSSE
Common foot injuries include: Heel Pains (especially in the 10-14 year old players), turf toe, Achilles tendinitis.
The ideal football cleat should:
• A decent amount of high ankle support if you are playing on the line or if you have had ankle issues and you play a position where you make frequent cuts (sideways movements)
during play.
• Allow for proper traction in both wet and dry conditions, as well as

  • Have the right stud (cleat) type for the type of field that you will be playing on most often.

RUNNING
Common foot injuries include: Heel and Arch pain (plantar fasciitis), shin splints, Morton’s neuroma (pain in the ball of foot or a toe going numb)
The ideal running shoe should:
• Provide significant shock absorption, to lessen the impact.
• Accommodate the shape of your foot (Running shoes come in different shapes – pretty cool)

  • and based on your foot function offer appropriate control of your heel (A rigid heel cup can help reduce your pronation – stop your arch from dropping too much)

Diabetic Shoes

Diabetic Shoes


Screen Shot 2013-05-15 at 9.19.53 PMThere are approximately 16 million Americans with diabetes. Approximately 25% of them will develop foot problems related to their diabetes, and may be at risk for serious complications. Protective footwear (specially designed ‘Diabetic Shoes’) can help them in the fight to prevent a large percentage of the 68,000 diabetic amputations that occur EACH YEAR.

DRC_our_footwear_MJThis risk is so great and the need for special shoes so important that, even Medicare recognizes the importance of preventative footcare. Medicare has passed “The Therapeutic Shoe Bill” which pays for “at risk” diabetic patients to obtain one pair of ‘Qualifying’ Diabetic shoes and 3 pairs of specially designed, removable diabetic shoe inserts each calendar year.

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As a service to our patients we proudly offer a full line of quality footwear. We are working exclusively with the Dr. Comfort shoe company to provide you with the highest quality diabetic footwear. From the design of the shoe to the materials that go into its construction, every effort is made to provide the utmost comfort and protection. The shoes are doctor designed, patient tested and certified by the American Podiatric Medical Association. Click here to see: a sampling of Our Diabetic Shoe Selection.
Please feel free to contact our office if you have any questions, or want to check out the display in our office. Set up an appointment to see if you qualify for Medicare’s Diabetic Shoe Program. If so, our very experienced staff will measure, fit and dispense the shoes as well as customize the Diabetic insoles specifically to protect your feet.

The Fisherman Sandal
Call the office today to get your consultation with:
Dr. Steven G. Tillett, DPM, FACFAS

WELCOME to Ankle and Foot Centers!

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