Shoe making in the United States of America began as a specialized trade for cobblers who emigrated from Europe. These boot-makers and shoemakers worked locally. They usually set up shop in their homes
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The nature of shoemaking in the US changed during the aftermath of the Revolutionary War. Suddenly the US was a country in its own right and with this newfound nationhood came an increase in population and therefore an increase in the demand for shoes. The shoemaking process was compartmentalized. Instead of cobblers, shoemakers became "craftsmen" and would sometimes specialize in only one part of the shoemaking process, i.e., the making of the sole or the attaching of the sole to the upper. Merchants also entered the economic picture. Instead of buying shoes from a cobbler directly, consumers would buy them from a merchant who sold perhaps a collection of shoes made by a variety of cobblers. Improvements to the national transportation system changed the geography of the American footwear market. Materials used to make the shoes such as the leather were now purchased from different parts of the US and from abroad. On the other end of the shoemaking process, shoes were sold to a wider market. For example, shoes made in eastern Massachusetts might be sold to consumers in the South.
This gradual specialization of shoemaking increased as the US entered the 19th century. Factories sprung up that were dedicated to only one step of the shoemaking process. Machines were used to stitch uppers to the soles instead of stitching the shoes by hand. By the end of the 19th century, shoes were made in approximately 20 percent of the time it would take to make a pair by hand, and the manufacturing process could be divided into 150 distinct "steps". The Civil War only increased this need for shoes to be manufactured quickly and cheaply. The War also resulted in the first widespread standardizing of shoe sizes. Standardized sizes made it easier for soldiers to receive the correct size of army boots.
When someone has a foot condition in which there is a constant state of inflammation and tissue damage, and this has not yet healed, then the introduction of a firm device under the irritated tissue can cause pain and discomfort. Certain conditions, such as those involving heel or arch damage, must be healed or sufficiently improved before an orthotic can be tolerated properly. Once the condition is treated, then the orthotic will function more comfortably and will usually contribute to the prevention of the condition returning if it was related to one's foot structure in the first place (as many foot problems are).Once all outside factors are accounted for, and one has gone though a proper break-in period, any continuation of orthotic discomfort should be a cause for concern.
It is at this very uncommon time that one must consider factors like improper casting, prescribing, and manufacture as a cause for continued discomfort. The physician prescribing the orthotic should review the orthotic completely at this point, as subtle changes or problems can sometimes be missed that can contribute to an uncomfortable orthotic. At times the orthotic may need to be returned to the lab for modification or replacement. In many instances, a simple modification in the doctor's office can bring about an alteration that is successful in making the orthotics comfortable. With all this in mind, one final factor needs to be considered. There are those out there, who by personal quirk
ysl sandals, psychological irritation, or bad luck simply cannot tolerate anything to be placed under the feet outside of a loose and cushioned shoe. Unfortunately, these people will never be able to tolerate an orthotic. Fortunately, this is an extremely rare occurrence in this author's experience.