What are some footwear tips if I have multiple sclerosis (MS)?

If you have multiple sclerosis (MS), here are some footwear tips: If your legs tend to swell while standing, while traveling, or at the end of the day, support hosiery may help. Support hose have a stronger compression (they fit tighter to the leg) than regular socks or stockings. TravelSox use a patented, gradual compression design to help stimulate blood flow and reduce swelling in your legs and feet.

MediUSA manufactures a line of medical compression socks ranging from basic support to a compression level that exceeds the white anti-embolism socks patients often wear in the hospital. Both Medi and Jobst hosiery require a doctor's prescription and special fitting; insurance may cover part of the cost. Wearing pantyhose with a cotton crotch eliminates the need to wear underpants in addition to your hose.

Tube socks are easier to put on than socks that are shaped like a foot. Look for "footies" or slipper socks with nonskid tread on the bottom. Then you can walk on slippery floors without fear of falling.

If you cannot find nonskid socks, use fabric paint -- the kind that dries with puffy, raised lines -- to create your own nonskid socks. Sew loops into the inside of each sock and use them to pull on your socks. If you wear an ankle-foot brace that fits inside a shoe and goes up the calf, it will be easier to dress if you sew a 7-inch zipper into the inside side seam of your slacks.

Shoemakers can change shoes that buckle or tie to Velcro closing shoes. They also can raise or lower heels and/or replace leather heels with rubber or crepe so that shoes are not as slippery. Have the shoemaker sew a leather loop at the heel that you can grab to pull on your shoe or enlarge the eyelets, which will make it easier to thread the laces.

If you're having difficulty tying your shoes, you might find Zackaroos elastic shoe fasteners a clever and fun option. This product allows you to slip your shoe on without needing to tie. Rub the soles of new leather shoes with sandpaper to reduce slipperiness.

No sandpaper? Scrape the soles along concrete or stucco until the smooth sole surface is rough. Shop for shoes after you have been on your feet for a while.

Feet tend to swell as the day progresses. If your feet are different sizes, or if you wear an ankle-foot orthotic (AFO) on one foot, you will need to purchase mismatched shoes.

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