A patient is evaluated for chronic shin splints. What shoe type is best suited for this patient?

• A. A shoe with a rigid sole for support
• B. A shoe with a curved, slip last for flexibility
• C. A shoe with a stiff heel counter
• D. A minimalist shoe for natural movement

Answer: (B)

The selection of a shoe with a curved, slip last for flexibility is particularly beneficial for a patient suffering from chronic shin splints. This condition, often resulting from an overuse of the muscles and tendons associated with the shin, can be aggravated by footwear that does not allow for adequate movement and shock absorption.

Shoes with a curved, slip last design typically offer more flexibility in the forefoot, which allows for a more natural range of motion during activities such as running or walking. This flexibility can help reduce the strain on the calf muscles and the anterior compartment of the lower leg, potentially alleviating symptoms associated with shin splints.

In contrast, shoes with rigid soles or stiff heel counters may provide enhanced support but can limit motion and may exacerbate the symptoms of shin splints by transferring stress to the muscles rather than allowing for appropriate shock absorption and adaptation during movement. Minimalist shoes, often favored for their natural feel, might not provide the necessary cushioning and support for individuals dealing with shin splints, meaning they could increase discomfort and risk of further injury.

Overall, the flexible shoe facilitates a more forgiving and adaptable fit, which is crucial for managing chronic shin splints effectively.