Optimal choice of footwear in the elderly population.

To discover whether changes in foot morphology and pain tolerance may favor the use of inadequate footwear in old age. 100 participants, mean age 81.60 ± 8.26 years attended an outpatient clinic where self-reported demographic data, frequency checked their feet, measurements of foot sensitivity, foot size and shoe size. Only 19% checked their feet every day, 73% revealed symptoms of neuropathy and 83% used inadequate footwear on at least one foot. In a bivariate analysis, no significant differences were observed. Distinct physical changes affect the feet in the elderly population. Decreased sensitivity and absence of regular foot checks can contribute to use of inadequate footwear. Often, it is necessary to use a different shoe size to ensure that the footwear matches the actual dimensions and true needs of each foot in order to improve functionality and prevent the onset of severe medical conditions and/or foot deformities.