Person in athletic wear tying bright coral running shoes on a gravel path, wearing a smartwatch.

Choosing the Right Shoe: A Rehab Expert's Guide for Seacoast NH

June 02, 20252 min read

It’s Not Just About Comfort. It’s About Function.

In a world full of stylish sneakers and seasonal trends, finding the right shoe can feel like guesswork. But for rehab and performance professionals—and the Seacoast NH residents we support—shoe selection is more than a fashion decision. It's a key factor in movement quality, injury prevention, and long-term health.

Why Most People Guess (and Get It Wrong)

Every foot is different. From arch type to mobility and injury history, there’s no one-size-fits-all. Yet many people in Portsmouth, Dover, and across the Seacoast default to popular shoes without realizing how they may disrupt their natural movement.

Too often, patients cycle through shoes that don’t match their structure or mechanics. This can silently reinforce poor movement patterns—or worse, lead to avoidable injury.

What Can the Right Shoe Actually Do?

A well-selected shoe can:

  • Promote optimal gait

  • Support alignment from heel strike to toe-off

  • Enhance proprioception (your brain’s sense of foot position)

  • Prevent compensations in knees, hips, or back

  • Aid recovery by reducing stress on healing tissues

“These shoes are constructed to assist in improving our gait while maintaining comfort for long duration. Simple as that. No running required.”

— Dr. Rachael Arbeit, DPT

The Risks of the Wrong Shoe

Wearing the wrong footwear can do more than cause discomfort. It can:

  • Create instability in the heel and rearfoot

  • Shift pressure to the outer foot or big toe, affecting push-off

  • Limit toe splay with stiff toe boxes

  • Disrupt gait mechanics and lead to compensations in posture

Even trending styles like Hokas or Topos can do harm if used improperly. Shoes that help one person may worsen another’s foot function.

Signs a Shoe Isn't Right for You

  • You need to "break it in" to feel good

  • There’s discomfort in the heel, arch, or big toe

  • Your foot rolls unnaturally during gait

  • The heel collapses or twists too easily

  • No noticeable contact through the arch

Start with Function, Not Fashion

You don’t need to be a shoe expert to make good choices. But as a movement professional or someone in recovery, understanding structure and purpose matters.

Tips for finding the right fit in Seacoast NH:

  • Choose brands known for consistent structure (e.g., Brooks, Asics, New Balance)

  • Evaluate in-store: arch support, heel counter firmness, and toe box flexibility

  • Match shoe to your foot’s needs—not the trend

When to Refer Out

If discomfort persists after trying several shoes—or if there’s a complex history (post-op, chronic pain, deformity)—get a movement specialist involved. Physical therapists in Portsmouth, Exeter, and surrounding towns can evaluate foot mechanics and help tailor footwear choices.

Final Thought: It’s About Moving Better, Longer

The right shoe isn’t just for athletes. It’s a tool for anyone looking to walk, work, or move without pain. Don’t let poor footwear become the weak link.

Want More Clinical Tools Like This?

I offer:

  • Free downloadable education guides

  • 1-on-1 coaching for movement professionals

  • In-person clinics across Seacoast NH

👉 Explore My Offerings

Dr. Rachael Arbeit is a licensed physical therapist specializing in mobility, strength recovery, and integrative rehab strategies. She uses a personalized, patient-first approach to help individuals restore movement, reduce pain, and improve performance. Dr. Arbeit is passionate about sharing practical wellness insights grounded in clinical expertise.

Dr. Rachael Arbeit

Dr. Rachael Arbeit is a licensed physical therapist specializing in mobility, strength recovery, and integrative rehab strategies. She uses a personalized, patient-first approach to help individuals restore movement, reduce pain, and improve performance. Dr. Arbeit is passionate about sharing practical wellness insights grounded in clinical expertise.

Instagram logo icon
Back to Blog