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CMT - Charcot-Marie-Tooth Channel

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Proper Footwear for People with CMT
(Page 1 of 2)


Foot abnormalities and difficulty walking are common problems for people with CMT. Having the right shoes can make a huge difference! The right pair of shoes can make walking and balance easier and far more comfortable. But how do you know what type of shoes to look for?

What kinds of problems do people with CMT experience with their feet? 

People with CMT develop feet with increasingly high arches and lateral instability (the outside of their feet roll out). This makes it increasingly difficult for their feet to adequately fit into shoes, adding to a feeling of greater instability during stance and in gait; this can lead to ulcerations, ankle, knee and hip disturbances, balance problems, postural weakness, and long term deterioration. 

What are common kinds of concerns that people with CMT should have when looking for shoes?  

Beyond the usual concerns of style, color, etc., people with CMT should think of their shoes as an appliance or device to aid them to improve stability and balance while standing and walking.  This should include the amount and type of support they receive, particularly along the lateral side of their feet.  They should focus on finding something that the foot fits into and allows for necessary modifications to improve balance and gait.

 What does a pedorthist do?

 A pedorthist is a footcare pharmacist, providing shoes and related devices to help improve balance, alignment, posture and gait. Pedorthists are trained to properly fit people with shoes and orthotics, ready-made and custom-made. Pedorthists fill footwear prescriptions from physicians. He or she is trained in anatomy, biomechanics, foot pathology, and the use of shoes and orthotic based approaches to help people suffering from mechanical problems that occur in the foot and ankle. A pedorthist is trained to proactively alleviate pain and imbalance and help people lead more active lives. 

Do people with CMT need custom shoes?  

Depending on the degree of deformity, some people require custom shoes to accommodate their needs. Each case must be individually assessed and evaluated. Often people with CMT do best with ready-made shoes that are customized to their needs. 

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