PPMA

The Flip Side of Flip-Flops

By Edwin Hart III, DPM

As temperatures rise and the weather heats up, many will stay cool by slipping on a pair of their favorite footwear—flip-flops—before venturing outside. Unfortunately, the flip side of this rubberized sandal is the painful foot ailments attributed to flip-flop wear, including cuts and abrasions, broken toes, and painful sprains.

“Many flip-flops that are widely available for purchase can be very unsafe for feet,” says Dr. Kevin Naugle, president of the Pennsylvania Podiatric Medical Association (PPMA).
“Flip-flops should be worn only for limited activities around the house, pool, or beach. Flip- flops lack support and protection. A running or walking shoe would be a smart alternative for activities that involve standing or walking for long periods of time, such as shopping, exercise, or working.”

Dr. Naugle advises that “Wearing flip-flops for these activities can lead to numerous foot and ankle ailments involving pain and injury.” He suggests a slip-on sandal or Croc®
in lieu of flip-flops because they cradle the foot and offer the proper support needed.

So as you head out to the beach or your neighbor’s barbeque, be conscious of any type of foot pain you may be experiencing. Always consult with a podiatrist. Avoid falling victim to a “flip-flop fiasco” this summer by following these 10 essential tips from PPMA’s parent organization, the American Podiatric Medical Association (APMA):
 
Do’s:
  • Do shop for a flip-flop made of high-quality, soft leather. Leather minimizes the potential for blisters and other types of irritation.
  • Do look for flip-flops that hold APMA’s Seal of Acceptance, such as Sole Platinum Sandals. Evaluated by a committee of APMA podiatrists, these products are shown to allow for the most normal foot function and promote quality health.
  • Do gently bend the flip-flop from end to end, ensuring it bends at the ball of the foot. Shoes of any kind should never fold in half.
  • Do wear a sturdy pair of flip-flops when walking around a public pool, at the beach, in hotel rooms, and in locker-room areas. Walking barefoot can expose foot soles to plantar warts and athlete’s foot.
  • Do ensure that your foot doesn’t hang off of the edge of the flip-flop.
Don’ts:
  • Don’t re-wear flip-flops year after year. Inspect older pairs for wear. If they show signs of severe wear, discard them.
  • Don’t ignore irritation between toes, where the toe thong fits. This can lead to blisters and possible infections.
  • Don’t wear flip-flops while walking long distances. Even the sturdiest flip-flops offer little in terms of shock absorption and arch support.
  • Don’t do yard work while wearing flip-flops. Always wear a shoe that fully protects feet when doing outside activities such as mowing the lawn or using a weed-eater.
  • Don’t play sports in flip-flops. This practice can lead to twisting of the foot or ankle, as well as sprains and breaks.
PPMA Members Have Plenty to Say About Flip-Flops

“My only advice would be to wear them as little as possible.” –William Schlorff, DPM, PPMA President-Elect, 2009-2010, Jersey Shore, PA

“I’d add that flip-flops were never intended to take the place of real shoes worn for work. They are just fine for minimal protection on surfaces that might otherwise pose a threat to the foot.” –John Fawcett, DPM, PPMA Past President, 2007-2008, Drexel Hill, PA

“As a fashion statement they are fine, and I don't think they will do any damage to a healthy foot. But they offer less protection from all the hazards we normally face–sharp objects, falling objects, etc.” –Richard Rettig, DPM, PPMA Board Member, Philadelphia, PA

“Flip-flops are not designed to be worn all day as they do not properly support the foot and ankle. I recommend to my non-diabetic patients to limit wearing their flip-flops to the beach and only for short periods of time. -Maryann P Hartzell, DPM, PPMA Board Member, Allentown, PA

“Flip-flops were designed to get you from your beach chair to the water and back, not to replace shoes.” –Stephen A. Monaco, DPM, PPMA Past President, 1997-1998, Havertown, PA

“Flip-flops are fine if you have no problems with your feet. Just remember that they offer no support and minimal protection for your feet. You are better off with a more rigid sandal with a thicker foot-bed and contoured arch. Better yet is something like a Croc®, which gives more support and offers some protection for the toes and the top of the foot. –Pete Smith, DPM, PPMA Board Member, Lancaster, PA

“Flip-flops are OK to take on a trip to use around the hotel room, pool-side, when showering, walking around in a spa or health club shower room, or even on the beach to protect the foot from hot sand. They are especially dangerous on escalators (be careful with Crocs® also). In our university town, it is amazing to see flip-flops worn even in cold weather by students. Ahhh -- Youth! Depending on your health and other issues, better bets are sandals with strong arch and metatarsal foot-beds. Some even can accommodate orthotics.” –Larry J. Assalita, DPM, PPMA Member and "Fit Feet" PA Special Olympics Podiatrist, State College, PA

“Flip-Flops are not good for your feet if you do any activity other than minimal walking; and, then, only if you have no foot problems.” –Larry Newman, DPM, PPMA Past President, 1986-1987, and Assistant Dean and Medical Director, Temple University School of Podiatric Medicine, Foot & Ankle Institute and Ambulatory Surgical Center

"I admit I wear them at the seashore, as they are great for the beach. But remember that flip-flops are best for this type of activity and not to be worn constantly. Make sure you buy new ones each summer because when they wear out, they are really bad for the feet. If you are a diabetic they offer little or no protection, so avoid them at all costs. If you are not careful, they could cost you some foot health." –Edwin S. Hart, DPM, PPMA Past President, 2006-2007, Bethlehem, PA

"The flip-flop is a beach or pool shoe. If worn as a regular shoe, it becomes a podiatry patient." --Marc Karpo, DPM, PPMA Board Member, Norristown, PA

Any of these members listed can be found by going to the “Find a Podiatrist” section.

 

 

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