Feet do change as we age. Some of those changes are normal. Others are not, and they’re worth addressing.
Normal Age-Related Changes
- The fat pad under the heel and forefoot thins, reducing natural cushioning
- The arch may flatten slightly
- Skin becomes drier and more fragile
- Toenails grow more slowly and thicken
- Range of motion in the joints decreases
These changes are typically gradual and respond well to good footwear, daily skin care, and added cushioning or custom orthotics.
Not Normal - Worth Addressing
- Sudden change in arch height (can indicate posterior tibial tendon failure)
- Recurrent falls (often related to balance, foot stability, or proprioception)
- Persistent pain that interferes with walking or sleep
- Recurrent calluses or skin breakdown
- Numbness, tingling, or burning
- Slow-healing wounds
What I Want Older Patients to Prioritize
- Annual foot exam. Catches problems early.
- Proper-fitting, supportive footwear. Replaced regularly.
- Daily skin and nail care - or professional nail care if you can’t safely do it yourself.
- Balance work. Single-leg standing, tai chi, or a structured fall-prevention program.
- Address pain. Pain in the feet limits the activity that keeps the rest of the body strong.
The goal is independence - and the feet are one of the largest determinants of staying independent in your 70s, 80s, and beyond.
