Rheumatism is a frequent evil of an injured joint. Hence the necessity of absolutely normal action, unhampered by ill-fitting shoes.

The principal arch of the instep is called the cuneiform or tarsal bone. Persons are troubled with defective insteps to quite an extent. Misshapen joints at this point due to shoes that do not fit and consequently disarrange and throw out of position the delicate, natural structure, work great havoc with the comfort of the foot. Nine joints cluster at this point.

The bones of the toes are called the metatarsal bones and phalanges. There can be no doubt that nature intended mankind to walk in his bare feet, and in that event the phalanges of the foot would occupy a much more important part than is now the case as a result of modern civilization. There are nineteen bones in the foot, and the disturbance of one or more of these will serve to upset the entire foot by throwing out of relationship the general unit of work devolving upon the whole number of joints and bones. Each joint has its accompaniment of muscles, and each lack of alignment of bones and joints provokes discord and lack of harmony in the muscular action.

Muscles are attached to bones, and by their contraction or extension the bones are moved. Very few movements are effected by means of a single muscle. The muscles of the foot in nearly all cases are in combination, and are so complex in their action that the best surgeons find it difficult to describe them satisfactorily.

The chief characteristics of the foot are its spring and elasticity. While the foot has wonderful powers of resistance and adaptability, it is the shoemaker’s duty not to strain the same, but to provide for each action.

The most sensitive part or the one part that is most susceptible of injury is the big toe. This is due to the fact that the tendency of the foot in walking is to travel toward the toe of the boot, and in a word to press into rather than shun danger. The shoemaker provides for this, first, by allowing sufficient length of sole to extend beyond the termination of the toe, and second, by the fit of the upper and the preparation of the sole. In this way, if the toe of the shoe strikes against a hard substance, the big toe of the foot will remain untouched.

Seventy-five per cent of the people have more or less trouble with their feet. Some of these troubles are caused by the manufacturer putting on the market shoes whose lines look handsome and attractive to the eye, but are lacking in any other good features. Shoes that fit properly should have plenty of room from the large toe joint to the end of the toes, and also should have plenty of tread, especially at this point.

A mere glance at our bare foot will show conclusively that pointed-toe boots are false in the theory of design. The toes of a foot when off duty touch each other gently. When they are called on to assist us in walking or in supporting our body, they spread out—although not to any great extent. This, then, being the action, no sensible maker of boots and shoes would attempt to restrain them. Box or puff-toe shoes allow the greatest freedom.

The pointed-toe shoes, which join the vamp to the upper immediately over the big toe joint, exceedingly high heels, and thick waist shoes are not for the best interests of the foot.