Edit 2: I kinda want to just delete this entire post and start over, but in case it’s relevant to anyone, I’ll leave it up. I’ve added my new thoughts in a comment: https://lemmy.world/comment/10745394

TL;DR: My outer/little toes often go numb when walking/running. My doctor’s advice was to try different shoes/inserts so that I don’t land so much on the outside edge of my foot. In terms of shopping for new shoes, what does this mean I should I be looking for?

First off, I’ve already spoken to my doctor about this, so I’m not looking for medical advice. They told me to try different shoes, and the options are overwhelming!

My little/outer toes on my right foot frequently go numb when I’m running, and often even when I’m walking. Its not consistent though, in fact, they went numb on a short walk yesterday, but were fine on my 5k run this morning, both in the same shoes. I’ve tried some suggestions found in an old reddit post, as many of the complaints and assumptions lined up with my situation, but the symptoms did not clear up.

I was finally able to see a doctor the other day, and they believe it’s “pressure neuropathy”. The wear pattern on my current shoes suggests that I’m running on the outside of my feet, putting disproportionate pressure on this area. It’s not in my after visit notes, but their suggestion was to try inserts or different shoes, so I’m trying to understand exactly what I’m looking for in my next shoe or insert.

I had been wearing Nike Free Runs (I really like the slip ons), but when I switched to running outdoors, I found that hitting even the shallowest of puddles (anywhere the ground was shiny) in those resulted in soggy socks, and the ground here is almost always wet, so I went to the local running store and got fitted for shoes. Since then, I’ve gone through a couple pairs of Brooks Ghost 15s, and have otherwise been pretty satisfied.

I’ve been doing a very loose C25K and am running about 90% of the route now, averaging a bit under 7 min/km or 34 min total. My neighborhood is rather hilly, although my training route isn’t too bad. I’m not training for anything specific, just trying stay active and counteract the effects of some less healthy choices. I popped in to the running store yesterday and explained the situation, and of the shoes I tried on, the Hoka Arahi’s felt comfortable, but I didn’t buy them yet.

So, what exactly should I be looking for? Should I just be looking for a “stability” shoe? Anything else to look for or avoid?

Edit: The more I dig into this, the more and more confused I am. I’m pretty sure my doctor mentioned “stability” shoes, but the wear pattern on my shoes (which we looked at together) indicates supination/underprotonation, and everything I’m reading online says that stability shoes are intended to address overprotonation, so would likely make things worse for me. Also, when I search for shoe recommendations for supination, many of the articles recommend the Ghosts.

A few other things that will affect my final decision:

  • I’m hoping to find a “standard” model so that I can just keep buying the same model whenever my current ones wear out.
  • Arch support. My arches are on the higher side, and I prefer something that gently hugs them.
  • Some form of protection against at least the shallowest of puddles. Waterproofing would be nice, but as long as the rubber on the bottom extends up a bit, that should do the trick also.
  • I wear a women’s US 10 wide (D) or men’s 8.5. I don’t really care if it’s a “men’s” or “women’s” shoe, as long as it fits well. The Brooks are nice since a women’s wide is identical to a men’s regular, but I understand that the difference between a men’s shoe and a women’s shoe is variable across brands, and options for a women’s wide are often quite limited compared to a men’s medium.
  • If there’s anything good available that happens to be slip-on/elastic closure, like the Free Runs, that would be amazing, but otherwise, I can swap in some elastic laces. I understand that most serious runners don’t like elastic laces, but I’m super sensitive to my shoes feeling “uneven”, so traditional laces mean I end up adjusting/retying them a dozen times every single time I put them on, or tying them so loose that I can just slip them on and off (which just doesn’t work for running). I tried the Ghosts with standard laces for the first week or so and just couldn’t handle it, but the elastic laces seem to be working for my needs.
  • GBU_28@lemm.ee
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    5 months ago

    I know you said no medical advice, but I implore you to get a gait analysis and pressure analysis done by an experienced physiotherapist

    • QualifiedKitten@lemmy.worldOP
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      5 months ago

      Unfortunately, I think I would need my doctor to give me a referral for that, unless I want to pay out of pocket. I was expecting/hoping for a referral, but since my doctor’s answer was to try different shoes, I figure I should try that first.

  • sandalbucket@lemmy.world
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    5 months ago

    Is it the little toe and the outside half of the second toe? That sounds like exactly what I have on my fingers - cubital tunnel syndrome, from keeping my elbow bent too often. Are you a side sleeper?

    I have karhu fusions and I love them. I wouldn’t be able to hand elastic laces, they can’t get tight enough for me, and if they did they would stretch out within a week.

    • QualifiedKitten@lemmy.worldOP
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      5 months ago

      Ehh, the exact location of the numbness is more vague/diffuse than that. It’s definitely my outer 2 toes, but maybe also the third toe.

    • markstos@lemmy.world
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      5 months ago

      To expand on this— the Altra brand is known for a wide toe box. Another brand with a wider toe box is Topo.

      • QualifiedKitten@lemmy.worldOP
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        5 months ago

        Thanks for the explanation! Looking at my foot scans, it looks like my feet are just a little wide: a C width would probably be ideal, but basically non-existent, so I’m thinking that brands/models that run wide will probably work well.

        As I mentioned elsewhere, I need something with good arch support, but one of the challenges I’ve run into in the past is that the arch support often hits in the wrong spot. I tried on the Ghosts in both a B and a D, and it seems that the narrow width may be at least part of the issue there.

          • QualifiedKitten@lemmy.worldOP
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            5 months ago

            Oooh! It looks like Topos may have “too much” arch support for many people, which makes me very optimistic. Haha. The only thing that makes me a little hesitant is that they’re all pretty low drop compared to my current shoes, and I’ve heard it’s recommended to shift to lower drop gradually. I’m very curious to try some of those on and will check to see if I can find them in stock anywhere locally.

  • markstos@lemmy.world
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    5 months ago

    I don’t see what a too tight fit has to do with stability shoes unless the doc thinks a stability shoe would prevent your foot from sliding into that corner.

    I was once told to wear a stability shoe but quickly moved away from that heavier design and haven’t gone back.

    • QualifiedKitten@lemmy.worldOP
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      5 months ago

      I’m not sure I understand where you’re getting anything about a tight fit and stability shoes?

      I’ve ordered a few different pairs of neutral shoes that are recommended for supinators, so I’ll try to update once I get to try those out.

  • QualifiedKitten@lemmy.worldOP
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    5 months ago

    Ughhhhh. I wrote up a whole thing and it seems it failed to post, but also deleted my draft.

    Basically, I’m pretty sure now that I have high, stiff arches, supinate, and have a midfoot strike, putting my needs out on the fringes of the market. Throw my shoe size into the mix and it’s kinda limiting me to online shopping.

    What I think I’m looking for:

    • Neutral shoe (no stability or motion control)
    • Good arch support
    • Good for forefoot / midfoot strikers
    • Roomy toe box. Could be a women’s wide, men’s standard, or just a particularly roomy model.

    I’ve ordered a few pairs to try on, and I’m feeling optimistic that I’ll find something, but worried that whatever does work for me will end up discontinued.

    • Saucony Axon 3
    • Asics Novablast 4
    • Nike Pegasus 40