Balance-Boosting Footwear Tips for Older People | Tips for Healthy Feet | Patients

Falls are the leading cause of fatal and non-fatal injuries among older people, according to the CDC. Each year, three million older people are treated in emergency departments for fall injuries. More than 800,000 patients a year require hospitalizations due to a fall injury. In 2015, falls cost more than $50 billion in total medical costs, according to the CDC.

"Preventing falls among older Americans is a top health priority, and improved balance can help reduce the risk of a fall," said Matthew Garoufalis, DPM, a podiatrist and past president of APMA. "Proper footwear can help improve balance, especially in older people who may struggle with mobility and balance issues."

When selecting a shoe to improve balance, keep these guidelines in mind:

Put shoes to the 1-2-3 test.
- Step 1: Press on both sides of the heel area to ensure the heel is stiff and won't collapse.
- Step 2: Bend the shoe to check for toe flexibility. The shoe shouldn't bend too much in the toe box area, but it shouldn't be too stiff and inflexible either.
- Step 3: Try twisting the shoe; it shouldn't twist in the middle.
Have your feet professionally measured every time you shoe shop. Natural aging and health changes can cause the size of your feet to change. Measure both feet—late in the day—and shop for the larger foot.
Bring the type of socks you plan to wear with the shoes and walk around the store in the shoes before you purchase them.
If you don't feel comfortable or steady in the store, don't buy the shoes. Shoes should feel comfortable and supportive right away; if they don't feel good right away, breaking them in won't improve things.
If you have specific health challenges or foot issues, talk to a podiatrist about the best footwear for your needs. If your podiatrist has prescribed orthotics—biomechanical inserts that go into your shoes—take them with you when you shop and try them out in the shoes you're considering.
Quality shoes can be an investment. Before you buy, check to see if the brand and style you're considering have earned the APMA Seal of Acceptance. APMA grants the seal to products found to promote good foot health.