Friday, January 31, 2014

Knee/foot/back pain walking on concrete floors all day. Shoe suggestions?




SunshineEy


I started working at Home Depot a few months ago, and within a month started experiencing knee pain, as well as lower back and foot pain. I assume this is from walking on concrete floors all day. I've tried a few different shoes and insoles but I'm still having problems. I've read lots of guidelines online for how to pick out good shoes, but I REALLY need some specific brand and/or shoe recommendations. I don't want to spend a fortune on them because with my work, shoes are dirtied and sometimes torn within a few hours at work, but I really do need something that will help with this knee pain. I feel 80 and I'm still in my twenties! Anyone who works in a similar environment, on their feet all day, on concrete floors, moving heavy objects around, please help me out here and be as specific as possible. Thank you!


Answer
First of all, you need to probably have your gait assessed. A vast majority of people over pronate (a rolling in of the foot during the heel-to-toe motion). A degree of pronation is wanted, as it allows the arch to "spring" and absorb some of the shock of your body impacting with the floor. Overpronating basically overshoots this tendency, and can result in knee and back pain. You can even exaggerate this motion to see what the extrapolated motion is- purposely roll IN on your feet - you find you become almost knock-kneed. This puts everything from the foot up out of alignment, and can result in back pain in severe cases.

It could also be that your natural tendency is to supinate, or roll out. This causes the same kinds of problems, because again, the foot is unable to absorb impact.

You can tell what your natural gait is by assessing a pair of your old shoes. Put the heels together and assess the gait. A running gait will normally have wear on the outside part of the heel, rolling through the middle part of the foot, and pronating a little towards the end, kind of where your big toe would be (yep.. it really it a great lever!). A walking gait will be a little more mid-foot impact and not so strong on the heel, but you should notice a fairly similar roll-through pattern at the forefoot of the shoe.

Now, as comfy as running shoes are, they may not be the best choice to be in all day if you're literally on your feet. Running shoes are designed with very spongy material that is designed to compress under pressure. Great for short periods, but they can become compressed fairly easily and the kicker is that that material also can take 24-48 hours to bounce back and decompress. Think of taking a sponge and mashing it down.. once the air pockets are compressed, so soft sponge. A running shoe is basically the same. If you like the feeling of a runner, consider getting two pairs and rotating every other day.

A cross trainer may be a better choice, as they also offer a little bit of lateral (side to side) support. They will feel stiffer and not as cushy, but they will be a little less likely to compress through the day, but will offer you a little bit of extra stability. Plus, they will also have a stickier outsole which may help grip on floors.

If you really like the feeling of a running shoe, you could consider getting a trail type shoe, which will have a harder outsole and more dense midsole. In a trail situation, this helps protect against rock brusing and the like, but you'll find they won't compress as much through the day. The tradeoff again is they won't feel as mushy as a running shoe, but they should feel better at the end of the day.

It's hard to suggest a brand without knowing your foot type as far as the gait mentioned above, as well as your preference for fit. If you can provide some information, maybe I can suggest some :) Running shoes (any shoe, really) are quite specific from person to person. Some people swear by one brand - their running partner may spit in anger at the thought of wearing that same brand.

Another quesiton.. do you have to wear green seal shoes?

Can shoes cause knee pain?




MadHarley


At work, I walk for hours on hard flooring, and one day I have terrible knee plain on my right leg only. My old boots were getting uncomfortable so I bought new boots. They are steel toe boots and are 4 lbs. Was it my old boots that causes my right knee pain or can heavy boots cause knee pain.


Answer
No. Pain is something for the knees themselves to make. The problem may be pronounced by what you wear but even that would only happen if something was already wrong with the knees.
It sounds like your kneecap may be giving you this pain. Kneecaps end up having the tendons tighten up when the knee senses pain and that pulls the kneecap up on and into the knee making it hard and painful to bend the knee. It is the most common problem with knees. Here is how to release the knees to get rid of that pain:
Kneecaps:
Do while sitting on a chair with no front cross braces.
While sitting have your leg resting in a stretched mode. Place both your thumbs, side by side, about 2 inches behind the kneecap and press down into your leg and then redirect the pressure a little towards the kneecap. After 30 seconds, slowly slide your foot back and under your chair as far as it will go, release the pressure but hold your foot there for another 30 seconds.
The important part of this is the pressure on the leg, if there isn't enough there this isn't going to take. If you have that problem try it again right away.




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Title Post: Knee/foot/back pain walking on concrete floors all day. Shoe suggestions?
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