Q: I wear orthotics in my shoes, but now in the summertime, I wear open-toe shoes more. I want to be fashionable but I don’t want to have foot problems. Are there any options for me?
A: Being fashionable doesn’t necessarily mean your feet need to suffer. In most cases, as long as your shoes have an enclosed back (heel counter), there are very low-profile orthotic devices that could be used. These are often made out of thin, yet durable materials such as graphite and/or fiberglass composites. They provide the same benefit as the bulkier devices and fit into open-toe shoes, flats and small heels. If you cannot fit an orthotic into a particular shoe, consider choosing a different style of shoe. For most people, a low-heel sandal or wedge type shoe would provide adequate support to your feet. However, be sure not to spend too much time in flip flops and flats since they require your muscle and ligaments to work harder and can create new problems or worsen an existing one. (Answered by Joseph Alencherry, DPM)