1.Why do people wear shoes? In ancient times, people did not wear shoes. In terms of archaeology, there is no clear record of when people started to wear shoes. Originally, human feet were a material that could absorb shocks and impacts, and did not need to wear shoes. Even now, in some parts of the world, there are still some people who do not wear shoes. With the evolution of living environment and ways, shoes have become an indispensable item for modern humans. Modern human shoes have several functions: protection from external stimuli and damage; auxiliary foot function, so that the foot can better perform its walking function; aesthetic, decorative role of a variety of shoes so that the foot looks different; for some diseased feet or deformed feet, shoes also have a corrective deformity, to relieve the role of pain. 2, the pros and cons of high-heeled shoes? High-heeled shoes are famous because Louis XIV of France started wearing them. The popularity of high-heeled shoes has a history of more than 400 years. At the beginning, it was men who wore high heels. But later women wore high heels more popular. Why do men not wear them and women wear them? Maybe because the muscles supporting the ankle joint are different for men and women, maybe because of the differences in skeletal alignment between men and women, or maybe it’s both. Women wearing high heels can make the body appear more slender, walking more graceful. From a physiological point of view, the female ankle joint is physiologically turned out, in order to offset the turned out, the heel should be higher than the toe. In this posture, the plantar tendon membrane on the bottom of the foot is tense, pulling the heel bone forward, with the result that the valgus of the ankle is counteracted. Thus, wearing high heels looks unstable, when, in fact, it is stable for the ankle joint. However, when the heel is lifted, the foot is also in a state where it tends to slip forward. Therefore, if you don’t find a way to prevent the foot from sliding forward, wearing high heels still tends to cause the mother exostosis. So a good high heel shoe has a flatter bevel in the heel area to better support the weight. Prevent the foot from sliding forward. But high heels make the heel elevated, the body weight is transferred more to the forefoot, so that the metatarsophalangeal joint under greater pressure, coupled with the metatarsophalangeal joint is in a position of excessive dorsiflexion, in the long run, easy to cause metatarsophalangeal joint lesions. High-heeled shoes are also generally narrower in the front, easy to form a squeeze on the forefoot. 3.Shoe weight and shoe light, which is better? The lightness of the shoe is changed by the increase or decrease of the shoe’s support material. Generally speaking, there is no particular problem with light and heavy. For daily life, lighter shoes are better, while for hiking, heavier shoes are better. For the elderly, lighter shoes should be worn. In short, the function of the shoe is more important than the lightness of the shoe. 4.What kind of movements are soft shoes suitable for? As we all know, ballet shoes and gymnastic shoes are very soft, but in daily life, these two shoes are not suitable for wearing because they do not protect the foot. The human body has the greatest mobility in the metatarsophalangeal joint area during movement, and this area should be soft. At the same time, the upper part of the shoe should also be soft in order to be easy to put on and take off. For general shoes, as long as these two parts are soft, it is enough. In short, wearing comfort is more important than softness and lightness. 5.How to choose shoes? The main thing to look at is the firmness of the upper (hard), the toughness of the sole between the heel and the heart of the foot (large), and the softness of the metatarsal toe joint area (soft). Try to choose shoes with laces. A certain angle (8 degrees on average) between the mid-axis of the forefoot and hindfoot. Patients with bunions should choose shoes with a little more angle. 6.What kind of shoes are suitable for children? Children’s bones and joints are still in the developmental stage and grow every year. Therefore, shoes should be chosen with more care. According to Sachithnandam’s research study, the later the age of wearing shoes, the less foot disease caused. Specifically, children in the lower school years should choose shoes that do not interfere with toe movement and have a fixed strap on the back of the foot, while children in the higher school years should choose shoes with laces. The most important thing is to choose shoes of the right size. 7. What shoes should I choose for painful heel spurs? You should choose shoes with hard support on the sole. Shoes with a high degree of toughness and a suitable foot circumference. Sometimes it is necessary to hollow out the part of the shoe insole that is in contact with the painful part of the heel. 8.What kind of shoes are suitable for flat feet? Shoes with laces, with a higher tip area that does not prevent the toes from lifting up, and with a certain degree of hardness. In addition, you can also use arch pads. 9.What kind of shoes are suitable for rheumatoid patients? Rheumatoid rheumatism takes a long time from the onset to the diagnosis. In the initial stage, the foot usually has no symptoms, so it is often easy to be ignored in terms of wearing shoes. However, in terms of prevention, attention should be paid from this stage. The changes in rheumatoid foot are mainly deformities of the toes. These include bunions, mallet toes, plantar calluses, and ulcers. The ankle joint stiffness and limitation of extension and flexion sometimes cause flat feet and scalloped feet. This can lead to painful plantar fat pad inflammation due to limited toe extension and flexion and walking on the heel. Because of the variety of rheumatoid foot symptoms, it is necessary to find ways to deal with them according to different symptoms. For example, in patients with mallet toes, the supporting part of the toe of the shoe should be removed to make it soft and reduce the pressure on the uplifted toe. To protect the bottom of the foot, a shoe with a hard sole and a soft inner material insole should be worn. 10.What kind of shoes are suitable for bunion? It is most important to choose the right size shoes. Choose shoes with full laces and a certain curvature of the sole to prevent the foot from slipping forward. When combined with flat feet and scalloped feet, orthopedic insoles should be used. In the case of ankle valgus, the inner support part of the upper should be extended. When the metatarsophalangeal joint is swollen and painful, special tools can be used to prop up the area to reduce local pain.