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Peripheral neuropathy, cycling shoes, and pedals...

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Peripheral neuropathy, cycling shoes, and pedals...

Old 07-30-13, 04:31 PM
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smahler
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Peripheral neuropathy, cycling shoes, and pedals...

I'm looking to upgrade to clipless pedals. The problem is I have peripheral neuropathy in both feet (from chemotherapy for Hodgkin's Disease over 20 years ago), so I know finding comfortable shoes (like regular shoes) is going to be a problem. I've been looking at ones with padding (touring shoes...of course the ones I thought would work well are discontinued in my size...13...another issue: large feet). I would appreciate any and all suggestions (whether you suffer from PN or not). Also, a general question: is pedaling with clipless pedals 'easier' (pressure on the foot wise) than with a regular/traditional/nonclipless pedal? Just curious. Actually, cycling makes my feet feel better (not sure if it's circulation or what) because (I'm assuming) it's low impact.

Thanks!
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Old 07-30-13, 05:18 PM
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Actually I do have PN, but it's in my hands, not my feet! However, I do have some recommendations for your feet. I highly recommend Pearl Izumi X-Alp Drift II shoes. I ride them clipped to Shimano SPDs. The X-Alps are MTB shoes, but I use them on my Fargo and pedal long distances happily. The soles are not as stiff as traditional road shoes, but I haven't found that to be a disadvantage. I think these offer the best circulation and comfort of any shoe I've tried.
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Old 07-30-13, 05:28 PM
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Thanks so much for the reply, Aunt Roady. I'll look into them!
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Old 07-31-13, 06:18 AM
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I have no personal experience with the type of affliction you have, but IMO, there's no reason for cycling shoes to be snug or uncomfortable. Clipless pedals do enable increased pedaling efficiency, but they also restrict your foot to one position (with the possibility of some angular float). Flat pedals allow you to move your foot around to pedal with the ball of the foot, the instep, etc. This may or may not be beneficial with your condition.
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Old 07-31-13, 10:05 AM
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Thanks for your reply and comment, Looigi. Being restricted to one position shouldn't bother my foot. It's weird because walking in the shoes I use for cycling now (Merrell minimalistic athletic shoes) bothers them, but I can mash down on the pedals for hours and they're fine. All I can do is try it and see what works and what doesn't. Thanks again!
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Old 07-31-13, 10:54 AM
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I have the same issue, about 2/3 of both feet are numb. I was having issues feeling when my feet were on the pedals and having them pop off ofter a bump. Also slipping off when I had either just the edge of my toes or heel on the pedal and pushing, makes for an interesting ride.

I had real trouble finding shoes big enough that were wide enough, I usually take a EE or EEE. I finally found a WIDE in a size 13 (I wear size 12) that was wide enough on Nashbar.com, took a risk that they would fit and ordered them. They were the store brand no-name so they were nothing special and probably they don't sell them any more. I got the genuine SPD pedals Shimano M424 Mountain Pedals which have double sided SPDs and cages on them. I find pedals without cages hard to start on from a stop so they work ideally for me. The pedals / shoes definatly help with the issue, I feel more secure knowing where my feet are and the extra ommf of the clips helps in the hills.
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Old 07-31-13, 01:20 PM
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Originally Posted by smahler View Post
I'm looking to upgrade to clipless pedals. The problem is I have peripheral neuropathy in both feet (from chemotherapy for Hodgkin's Disease over 20 years ago), so I know finding comfortable shoes (like regular shoes) is going to be a problem. I've been looking at ones with padding (touring shoes...of course the ones I thought would work well are discontinued in my size...13...another issue: large feet). I would appreciate any and all suggestions (whether you suffer from PN or not). Also, a general question: is pedaling with clipless pedals 'easier' (pressure on the foot wise) than with a regular/traditional/nonclipless pedal? Just curious. Actually, cycling makes my feet feel better (not sure if it's circulation or what) because (I'm assuming) it's low impact.

Thanks!
In your case ,due only to your neuropathy, are you sure that safe clipping and unclipping is even possible for you???
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I dislike clipless pedals on any city bike since I feel they are unsafe.

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Steel: nearly a thousand years of metallurgical development
Aluminum: barely a hundred, which one would you rather have under your butt at 30mph?
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Old 07-31-13, 01:29 PM
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Assuming you haven't already purchased clipless pedals, I recommend Time ATACs; they have more 'float', which is less restrictive to foot position than, say, SPDs from Shimano.

Clipless may actually HELP, since you have to focus less on keeping the foot on the pedal.

Best of luck with this experiment, really -- anything that makes riding a better experience is a good thing.
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Old 07-31-13, 01:46 PM
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I have neuropathy in my left leg foot and some mild neuropathy in my right stemming from a back injury... without clipless pedals I cannot ride with any intensity and lose efficiency as my left foot will not stay in place.

This also throws off my knee alignment and as I cannot feel as much pain as normal folks I need to be aware that I can cause damage without even knowing it.

There are many flavours of clipless pedals with varying degrees of float and the release can be set to accommodate weakness... my left pedals are set to a lower release tension than my right and as I do not generate as much force and have no pull through or pull up there is little chance I will accidentally unclip.

I normally use Shimano spd pedals with dual release so your foot will unclip when your ankle turns in either direction... pedals like Crank Brothers are also dual release by design and have a fairly low release tension.

Clips and straps or Power Grips might also be an option and I also use these.

On another note, I also wear barefoot shoes whenever I am off the bike as this does a lot to increase circulation and increase the strength in my feet and legs... I cannot handle shoes with any heel / lift in them for any period of time unless they are cycling shoes and I am on the bike.
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Old 07-31-13, 01:49 PM
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Originally Posted by smahler View Post
Thanks for your reply and comment, Looigi. Being restricted to one position shouldn't bother my foot. It's weird because walking in the shoes I use for cycling now (Merrell minimalistic athletic shoes) bothers them, but I can mash down on the pedals for hours and they're fine. All I can do is try it and see what works and what doesn't. Thanks again!
I can wear my Merrell barefoot shoes when I ride with clips and straps and have some grippy trail runners that work fairly well when I ride on equally grippy flat pedals... a few of my bikes have these.
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Old 08-01-13, 06:05 AM
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Thanks for the great information, Sixty Fiver (and everyone else)! I've thought about using straps if I can't find comfortable clipless shoes and pedals, and those Power Grips look like they would work - might get a pair for my commuter bike. Again, thanks so much for the info and concern, everyone! I really appreciate it!
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Old 05-02-18, 02:12 PM
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most comfortable shoes for men

most comfortable shoes for men,I have been wearing mine constantly from the office to dog walking to light hiking since I got them.
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Old 05-02-18, 02:28 PM
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I use birkenstock sandals and flat pedals otherwise my feet go numb.
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Old 05-02-18, 02:37 PM
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Zombie post.
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