Sadly, I struggle finding good for my foot shoes in general. Narrow heels, wide forefoot and nerve damage add up to complications.
My first step was going to a podiatrist and getting a prescription athletic insole. Any shoe feels more custom fit and has appropriate support with a prescription insole. A prescription insole took me from an air cast and crutches to walking in a matter of days.
My physiotherapist worked with my foot. Muscle development and strengthening help support the foot, but the nerve damage is permanent. Immobilizing the injury was my best course of action.
Before testing too many shoes (because it costs a fortune) talk to some experts. I suspect Arthritis is a similar prognosis to my injury: muscle development stabilizes the foot but immobilization is truly the only ‘fix’ because the damage is done.
In general we take our feet for granted, if I had it to do over I would have gone into a physiotherapist to build the muscles before training excessively on them. I went six months after the injury expecting my foot to preform like normal (marathons, backpacking and on my feet several hours a day.) I paid for my trouble with nerve damage. Water under the bridge now, but a younger backpacker/marathoner might benefit from the idea. Prevent the injury instead of trying to cure it.
More to the point of your question though:
For me fit wise an Asics runner is best, they make a few trail runners which I found were too light in the mid and out sole even with a prescription insole. That said, their athletic runners (though lacking enough tread to stick to wet slippery trail) have enough cushion that I’m comfortable so long as I replace them often (3-4 months depending on milage I put on.) The lack of good traction and eventual foot pain put me off using cushiony gym runners on the trail.
I like the midweight Solomon as a midweight option though they are too wide in the heel cup for me. My big struggle in midweight is how much flex is in the ball of the foot. For most people that flex is a good thing, for me it takes the swollen nerve through the narrowed nerve passage, rubbing the bone spur and irritating the nerve. I would say replace mid-weights every 8-12 months. I traded mid-weights out because I couldn’t find a good fit and the flex in the ball of the foot eventually caused pain.
To stop the mid foot flex I moved to a Zamberlan Voiz GT boot. They have a solid shank and almost no flex in the ball of the foot. What Zamberlan did differently was to put in a rocker plate. Instead of having the boot flex across the ball, the entire boot rocks up on the ball of the foot (a rocking chair like motion.) It’s an abnormal stride, but the idea is to save energy by not flexing as many muscles in the foot and leg. For my foot, it prevents movement in the damaged portions. The Zamberlan is a full grain, Goretex boot. I have yet to replace these boots. I have over 1000km on them. I have replaced the prescription insole in them twice in the last ten years.
From what I understand, there are a few manufacturers who use a similar ‘rocking chair’ concept but I haven’t found anyone else who fits my unusual foot shape and has the ‘rocking’ concept in a lighter boot.
The long way around, but the answer is: no, I haven’t found a shoe. For anyone with permanent injury: do what works. Usually that means consulting with a couple of professionals and doing what they reccommend not what is ‘trendy’. My favorite part about my boots is my feet don’t hurt at the end of the day and in the morning they feel fresh.
I’m sure I look bizarre with my 8-12lb base weight and my Zamberlan boots. Contrast of concepts, but it works and I I don’t limp too badly. If medically you need more support for your injuries, train your legs and feet with a physio before throwing on boots and heading down the trail. I make good milage in the heavier boot and keep up with trail runners because I strip my pack down and trained properly to do it.
