Newswise — Comfort or fashion? For most women, that question is a no-brainer when it comes to buying shoes. But style-savvy women may have more foot-healthy and comfortable options this spring. According to the latest shoe trends, round-toe shoes are making a comeback as well as low heels, flat shoes and wedge heels.

James Brodsky, M.D., orthopaedic foot and ankle surgeon on the medical staff at Baylor University Medical Center at Dallas and president of the American Orthopaedic Foot and Ankle Society, says that these types of shoes are actually better for your feet than previous styles, such as narrow-toe shoes and stiletto heels.

"When shopping for shoes, make sure that your toes have plenty of room to wiggle around," says Dr. Brodsky. "If your toes are crammed into the toe of the shoe, as is the case with most narrow-toe heels, it can lead to foot deformities that may need to be corrected by surgery."

Dr. Brodsky says that low-heeled shoes, with a wide or open toebox, reduce the pressure on the front of the foot.

"The height of the heel makes a big difference in the pressure that you put on the ball of your foot," says Dr. Brodsky. "But even low-heeled shoes can cause problems if they do not fit properly. Over time, ill-fitting shoes can contribute to foot deformities."

Higher-heeled shoes such as stilettos can cause the foot to slip forward resulting in discomfort, blisters and possible toe injuries.

"If you're going to wear high heels, choose shoes with cushioning under the toes and ball of the foot," adds Dr. Brodsky.

As for keeping your ankles safe, look for shoes with a stable heel, such as current trends like wedges or wide-stacked heels.

"Flat or low-heeled shoes are a better option to reduce the pain of neuromas, bunions and hammertoes. It's best if they have a substantial amount of cushioning on the outer sole and the insole," adds Dr. Brodsky.

And last, but not least, Dr. Brodsky says that contrary to popular belief, there is no such thing as a "break-in" period.

"If the shoe doesn't fit, don't wear it. Don't force your feet to conform to the shape of a shoe."

Although style is a key consideration when choosing a pair of shoes, Dr. Brodsky wants women to know that the most important quality to look for is durable construction that will protect your feet and keep them comfortable. "Believe it or not, fashionable shoes can be comfortable too," says Dr. Brodsky.

Shoe Shopping Tips

Dr. Brodsky gives the following tips that may be helpful when shopping for shoes this spring:

"¢ Go shoe shopping at the end of the day. "Your feet are usually swollen and therefore larger after standing or sitting on them all day long." "¢ Have your feet measured. "Your feet grow as you become older so it's wise to know the exact size of your foot." "¢ Try on both shoes. "One foot is typically larger than the other so make sure that both shoes fit your feet comfortably." "¢ Walk around in the shoes. "Don't purchase a pair of shoes just on how they look on your feet." "¢ Judge a shoe by how it fits your foot and not by the marked size. "Shoe sizes vary among shoe brands and styles."

Baylor University Medical Center at Dallas, a 997-bed not-for-profit academic hospital, is a major patient care and research center in the southwest. In addition to its level one trauma center, Baylor Dallas is home to many nationally ranked centers of excellence including orthopaedics, transplantation, cardiovascular services, oncology, digestive diseases, neurosciences and gynecology. In 2005, U.S. News & World Report recognized Baylor Dallas for the 13th consecutive year in its "America's Best Hospitals" guide in several medical specialties. Baylor Dallas serves as the flagship hospital of Baylor Health Care System. For more information, call 1-800-4BAYLOR or visit http://www.BaylorHealth.com.

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