Andy Gerken, MD, foot and ankle specialist with Hoag Orthopedic Institute, Newport Beach, CA, noted that athletic shoes are the easiest to work with in terms of foot function when trying to reduce pain. “A rigid insole to prevent bending stresses that exacerbate midfoot and forefoot arthritis is helpful,” he said. For runners, particularly older runners (older than 35 years), he recommends a running shoe that takes shock while allowing normal running kinematics and gait.

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