a 96% satisfaction rate for sore feet worldwide - express delivery

Recognising the Prevalence of Changing Adult Foot Size

by MASS4D® Prescription Orthotics July 19, 2017


This study—the Veterans Shoe Size Survey—was undertaken specifically to evaluate the prevalence and extent of change in foot length over time in a male veteran population and examine various possible causes for these changes.

Inclusion criteria included male veterans who were able to confidently self-report weight and shoe size upon entry into military service.

Following enrolment, a survey was completed to document self-reported shoe size and weight upon entering military service, maximum lifetime weight, and occupational activity scale.

In the study population of 200 male veterans, the authors found that forty-eight percent of the participants showed a significant change in shoe size.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

Ninety-eight percent of those individuals experienced this change as an increase in shoe size, which calls into question the assertion that neuropathic patients select smaller shoes to increase sensation.

There was no clear association found between changing foot length and measured study variables, meaning the underlying cause was likely one or more excluded variables – the authors believed ligamentous laxity to be the likely one.

The authors were of the opinion that the substantial percentile drop in the number of people with significant shoe size change in the group of participants who were 80 years and older may represent increased mortality associated with weight gain.

Based on the findings of the study, the authors advocated that future work should focus on a) building surveillance systems that could validate these findings in a prospective design, b) standardising therapeutic shoe sizing, c) improving patient compliance by improving the perceived value of using therapeutic shoe wear, and d) educating providers about the prevalence of changing adult shoe size and the use of clinical screening tools for at-risk populations.

Copyright 2017 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


  1. Connolly, J. E., Wrobel, J. S. (2014) Recognising the Prevalence of Changing Adult Foot Size. Journal of the American Podiatric Medical Association: January/February 2014, Vol. 104, No. 1, pp.118-122

Also in Clinicians Blog

Prevention of Diabetic Foot Complications

by MASS4D® Prescription Orthotics November 13, 2018

This paper aimed to discuss the importance of prevention and the authors’ protocol for prevention – in the form of education and foot screening – and to review the existing evidence in the literature regarding the effectiveness of the preventive approach.

Read More

Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

by MASS4D® Prescription Orthotics November 04, 2018

The purpose of this study was to assess the relation between foot disorders, and foot posture and function in a population-based sample of adults.

Read More

Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults

by MASS4D® Prescription Orthotics October 30, 2018

This study aimed to verify the potential for functional abnormality of the foot and plantar fasciitis among people with flat feet.

Read More