What Do Endovascular Clinics Do?

Endovascular clinics, as the name suggests, are medical treatment facilities that specialize in endovascular treatments, that is, advanced, minimally invasive surgical interventions performed with modern devices to treat various infections of the blood vessels, such as aneurysms or the blockages that appear in arteries because of peripheral artery disease or thrombosis. The methods used in endovascular clinics make use of the most modern technologies and replace conventional, open surgical interventions with surgery performed with the help of special needles, catheters, balloons and other, usually image-guided, advanced solutions.

The Specialists Who Work in Endovascular Clinics

The specialist that patients can turn to in endovascular clinics are usually surgeons who have received special training to handle the modern devices used in endovascular surgery or interventional radiologists who are also medical specialists who have undergone further training to learn how to perform particular image-guided interventions.

endovascular surgeon near me

The Conditions that Are Treated in Endovascular Clinics

An endovascular surgeon near me treats a variety of conditions, including infections that could be treated with more conventional methods. The patient may opt for minimally invasive endovascular solutions, as well as conditions for which the advanced endovascular interventions are the only option. Here are some examples:

  • Conditions that affect the aorta, such as dissections or aneurysms;
  • Infections of the cardiovascular system that involve the formation of fat build-ups or of complete blockages;
  • Venous insufficiency – ineffective circulation that usually affects the legs;
  • Critical limb ischemia – the complete blockage or the severe narrowing that reduces or stops the blood flow to a limb;
  • Deep vein thrombosis (DVT) – the appearance of blood clots in the deep veins of the body, most commonly in the legs;
  • Peripheral artery disease – the limitation of blood flow to the legs caused by the narrowing of the major blood vessels;
  • Pulmonary embolism – blood clotting that forms in the legs or in the arms and that threatens to travel to the lungs;
  • Renal vascular disease – the narrowing of the major blood vessels leading to the kidneys;
  • Stroke – blood flow to the brain that has been partially or completely blocked by a blood clot.

The Methods Used

The treatment methods used by Endovascular clinics include solutions performed with needles or with other tools that do not require large cuts. The best examples include:

  • Ablation – the sealing of veins with the help of heat;
  • Artery bypass – the rerouting of blood flow around a blocked section of the artery with the help of a graft;
  • Procedures that use injections to target and to dissolve blood clots;
  • Embolization – the treatment intended to cut off the blood flow to certain types of benign tumors, such as uterine fibroids or prostate enlargements.

The Benefits of Endovascular Treatments

The treatments performed at modern endovascular clinics usually deploy the most advanced medical technology available today. As a result, the interventions take shorter to perform and many of the interventions that could be previously performed only under complete anesthesia can today be done using a milder form of sedation that is not so demanding on the patient’s body. Modern and vascular interventions also come with the benefit of much shorter healing times and also a healing period that is less painful and less difficult for the patient.

What Is a Medicare Advantage Plan?

A Medicare Advantage plan is a special kind of health insurance plan available for people over the age of 65 from private insurance companies, an alternative to the Original Medicare plan’s parts. For a clearer understanding of the Medicare Advantage system, let’s have a look at the Original Medicare program and the components that Advantage plans provide an alternative to and some important features of Medicare Advantage plans.

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Things to Know about Original Medicare

Medicare is practically the federal health insurance program for people aged 65 and for people younger than that age who suffer from disabilities or certain illnesses, such as end-stage renal disease. Medicare includes a set of services grouped under so-called Parts. Here is what each Part involves:

  • Medicare Part A – this part covers the costs related to hospital stays as well as for care in a skilled nursing facility or in a hospice facility for a certain amount of time. Most people who have Part A insurance do not pay a premium; those who do not qualify for premium-free Part A can choose to buy Part A for a monthly premium;
  • Medicare Part B – this part covers for the outpatient services provided in doctor’s offices and for certain preventive services. Part B comes for a premium for everyone. The actual amount to be paid by the beneficiary on a monthly basis is calculated based on the beneficiary’s income;
  • Medicare Part D – this part represents the coverage for prescription drugs. The coverage might be complete for some types of prescription medication and partial for others.

Things to Know about Medicare Advantage

As you see, Part C is missing from the list above and that is because Part C is what used to be Medicare + Choice and what is now Medicare Advantage. Advantage plans offer beneficiaries access to the same services as Original Medicare, but they are provided by private insurers and they not only bundle Part A, Part B and usually Part D as well, but they also offer additional coverage, such as visual coverage, hearing aids and dental care.

Medicare Advantage plans being offered by private insurers, they always come for monthly premiums. Those premiums are likely to be higher than Original Medicare premiums, but Advantage plans also include an upper limit for the share to be covered by the patient – a feature that is not available with the Original plans.

Help Available If Needed

Advantage plans are usually available from insurers on a regional basis and they might vary considerably in terms of premiums and conditions. The abundance of features and options available might make the task of putting together the right policy daunting, but fortunately, there is help – through independent Medicare Denver insurance professionals, agents or brokers who can provide expert guidance related to the available options. These insurance professionals can also provide assistance with the paperwork related to enrolling into the program chosen as well as help to meet the deadlines related to the enrollment.

How Placing a Parent with Alzheimer’s in A Memory Care Facility Can Help

Memory care facilities are care homes that provide specialized nursing for people suffering from Alzheimer’s disease or from some other form of dementia and who have special needs that exceed the capabilities of assisted care facilities. Memory care facilities are also homes that feature layouts and amenities designed especially for ensuring the safety of people with Alzheimer’s, such as marked corridors and arrangements that prevent wandering. Here are some of the benefits of placing a parent with Alzheimer’s in a memory care facility.

Freedom and Security

Alzheimer’s disease is associated with many symptoms that make it unsafe for the sufferer to live alone. Memory care facilities are designed to ensure the maximum safety of the residents, with non-slip surfaces and marked spaces to prevent slip and fall accidents, confusion and wandering. The personnel working in memory care are trained to ensure the safety of the residents while also ensuring their freedom and quality of life, encouraging mobility while reducing the risk of slip and falls and wandering.

Senior Living

An Atmosphere that Feels Like Home

Transitioning to a new environment can be tough for anyone, especially for Alzheimer sufferers, who are very attached to their usual environments. Most Alzheimer’s Senior Living facilities provide various floor plans to choose from, allowing their residents to take their personal belongings with them to their new place.

Around-the-Clock Supervision

One of the challenges that make caring for an Alzheimer’s sufferer in a family environment is the need to provide care and attention around the clock. Memory care facilities provide skilled nursing services 24/7, with permanent monitoring of the resident’s condition and emergency care that gives the residents as well as their families peace of mind.

Ensuring Healthy Nutrition

Another challenge addressed successfully in memory care facilities is balanced, healthy nutrition. The residents in these facilities can get meals prepared to meet their preferences and tastes and the facilities make sure that residents receive and also eat their meals.

Ensuring that Medication is Taken as Prescribed

Not taking medication at the prescribed intervals and in the prescribed dosage is also a common problem with Alzheimer’s sufferers – they might either forget to take their meds or they might forget that they have already taken their pills and take them again before it is time for the next dose. One of the most important duties of memory care nurses is the correct administration of medication to ensure that comorbidities are kept under control for as long as possible.

Opportunities to Socialize

Isolation and loneliness are frequent emotional problems for Alzheimer sufferers. Memory facilities provide help with this issue as well, by organizing special programs for the residents as well as through various therapy sessions. The residents of such facilities are encouraged to spend time together enjoying cultural events as well as to participate in community activities designed to ease feelings of loneliness and to encourage the development of new friendships. Family members and friends are also encouraged to visit – most facilities allow for shorter as well as for longer visits as frequently as possible.


What Are Common Causes of Enlarged Prostate?

Many men around the globe know the struggle: every night, they have to wake up several times and go to the bathroom. And the constant feeling that their bladder is not empty follows them everywhere. These are the most common symptoms of enlarged prostate.

What Is Enlarged Prostate?

The prostate is a walnut-sized gland located between the bladder and the penis. Its role is to secret a fluid that protects the sperm, increasing its viability and the chances of fertilizing a female egg. Therefore, the prostate has an important role in the sexual and reproductive function in men.

This gland normally has two growth phases. The first phase takes place during puberty, when it doubles in size. The second phase starts after the age of 25, when it starts growing in small increments. It is during this phase that some men may suffer from enlarged prostate.

Who Is Most Likely to Suffer from Enlarged Prostate?

This condition (which is benign, i.e. not caused by cancer) affects most men after the age of 50. It is not a life threatening condition, but it can negatively impact the quality of life. Most doctors prescribe medications to revert the enlarged prostate condition. In more complex cases, the patient may need to have surgery to remove the enlarged prostate.

best treatment for enlarged prostate

The Most Common Symptoms of Enlarged Prostate

As it grows, the prostate pushes against the urinary tract. It is the effect of pinching a drinking straw between the fingers. The flow of urine is restricted, and this is perceived by men suffering form enlarged prostate as:

  • Difficulty to start a urine stream
  • Weak or interrupted urine stream
  • The need to urinate during the night frequently
  • Pain after urination or sexual intercourse
  • Inability to retain urination.

These are unpleasant symptoms, which affect both self-esteem and the quality of sleep. This is why it is important to seek medical advice for the best treatment for enlarged prostate if you experience one of several of these symptoms.

The Causes of Enlarged Prostate

So far, specialists have not managed to pinpoint clear causes of prostate enlargement. However, they know two clear facts. One is that older men are most likely to suffer from it. The other is that men whose testicles were removed before puberty do not suffer from enlarged prostate.

Therefore, various researchers suggest that the factors that influence the growth of the prostate are connected both to advancing in age and the function of testicles to secrete male hormones.

Starting with puberty men start secreting testosterone (the male hormone) and a small quantity of estrogen (the female hormone). Over the year, the secretion of testosterone decreases, while the estrogen stays at the same levels. It is believed that the increased proportion of estrogen causes prostate cells to multiply.

Other causes of enlarged prostate observed by healthcare practitioners are:

  • Hereditary – men with a history of enlarged prostate in their family
  • Type 2 diabetes
  • Obesity
  • Erectile dysfunction
  • Heart and circulatory disease
  • A sedentary lifestyle.

The conclusion is that you may not be able to prevent the onset of enlarged prostate, but with a healthy lifestyle and following medical advice you can greatly improve your quality of life in your golden years.

Dermatologist-Recommended Things to do to Prevent Skin Cancer

There is a number of ways in which you can protect yourselves from skin cancer. According to Mohs dermatology Parker CO specialists, staying away from ultraviolet rays can come a long way.


Thus, you should look for shade when it feels necessary. You need to keep in mind that sun’s rays are stronger during the middle of the day, namely between 10 and 2 p.m. So you should avoid exposing your body to direct sunlight around this time.


At the same time, you should wear clothing which offers protection against the harmful effects of UV rays. Your clothes should be lightweight and have long sleeves, and should be colored in lighter tones, so as not to cause your body to overheat and generate even more problems.


In the summertime, applying sunscreen should be done before you go out, even on rainy days. That is because weather often changes quickly during this time of the year, and you can find yourselves having to deal with a lot of heat.

The quantity of sunscreen you apply also is very important. Thus, most adults need about one ounce of sunscreen to cover all the vulnerable parts of their skin.

At the same time, you should remember to apply sunscreen to often neglected areas such as the top of your feet, the ears, and the top of your head or your neck.

When you are outside on a hot summer day, you must apply sunscreen at least every two hours or after swimming. In case you found yourselves in the proximity of water or sand, you need to be extra cautious because these elements tend to reflect the harmful sun rays, and therefore your chances of sunburn can dramatically increase.

Avoid tanning beds – or at least apply sunscreen

Tanning beds are not very recommended, because they can lead to skin cancer or cause premature aging, two conditions that no one is willing to have to deal with.

In case you want to use a self-tanning product, remember to also apply sunscreen. As far as sunscreen is concerned, there are certain things you need to look after while you are in the process of choosing the right product for your specific needs.

What is a good sunscreen?

First of all, the sunscreen should have a broad spectrum. This implies that the product can protect your skin from both types of ultraviolet rays, namely from UVA and UVB rays.

Also, a good sunscreen should have a SPF which is at least 30, and a higher SPF can indicate a stronger protection. The best type of sunscreen is also waterproof. In other words, it can stay on sweaty or wet skin for a certain amount of time, before you may need to apply again. Water resistance usually refers to a period between 40 and 80 minutes. You should know that not all sunscreens are resistant to water, so you need to check on this detail before you make your purchase.


Diet can also help prevent skin cancer. For instance, foods with a high content of beta carotene and lycopene are highly recommended. Omega 3 fatty acids and polyphenols are also equally important for skin cancer prevention.

What Is Functional Medicine?

Functional medicine has been around for nearly 30 years. It was invented by chemist Jeffery Bland, who, together with his wife Susan Bland, founded the Institute for Functional Medicine in 1991. Since then, two more centers using this type of therapy opened in the US: the Cleveland Clinic Foundation and George Washington University.

What Is Functional Medicine?

Functional medicine is a form of alternative therapy. A local functional medicine doctor Highlands Ranch expert states that their approach is to treat the root causes of diseases, not the symptoms. They claim that each treatment is tailored to the patient, taking into consideration aspects such as:

  • The environment
  • The immune system
  • The endocrine system
  • The gastrointestinal system.

Thus, functional medicine attempts to offer a holistic approach to treating patients with chronic diseases, who find conventional treatments ineffective and expensive.

functional medicine doctor Highlands Ranch

What Is the Approach of Functional Medicine to Treating Patients?

According to practitioners, functional medicine has three core principles:

  1. Putting the Patient at the Center of Care

Functional medicine specialists start by analyzing the patient’s history and put their health problems into context. In this way, they create a personalized management plan for their chronic disease, which includes:

  • Nutrition
  • Exercising
  • Medication
  • Natural and botanical supplements
  • Stress management practices.
  1. Integrating Scientific Discoveries in the Therapy

Functional medicine practitioners state that they are constantly looking out for the latest scientific developments in the field of healthcare and including them in their treatments. Among these, they focus especially on the latest discoveries in the field of genetics and physiology.

  1. Multi-disciplinary Approach

In functional medicine, practitioners use elements from various specialties, including conventional medicine and various alternative therapies. They state that one of the core principles of functional medicine is keeping an open mind and using any technique and treatment that can help the patient.

Typical Patient Assessment Plan

Here is what a patient may expect during the initial assessment if they choose the functional medicine therapy.

  1. Evaluation of the Core Functions of the Body

The practitioner starts by looking at the 6 main physiological functions of the human body:

  • Digestion and absorption
  • Immunity and inflammation
  • Energy regulation
  • Detoxification
  • Hormonal
  • Structural integrity of the muscles and bones.
  1. Evaluation of the Environment

This aspect of the analysis covers everything from air and water quality to diet and nutrition, physical exercise and the quality of sleep.

  1. Evaluation of the Mindset

The practitioner will ask the patient to describe their social life, spiritual beliefs, general mental state and how these aspects influence stress and their response to stress.

Who May Benefit from Functional Medicine?

Functional medicine mainly targets patients with chronic diseases. Functional medicine specialists promise to offer primary prevention care, by identifying the stage of the condition the patient is suffering from, its underlying causes and the way the patient’s lifestyle influences their overall state of health.

Thus, patients will receive a personalized treatment plan that covers the body, the mindset, as well as their daily habits and the quality of the environment they live in.


What Are the Main Illnesses That Can Affect Your Sleep?

insomnia treatment

Are you having trouble sleeping? In this day and age, with all the technology that surround us, the chaotic lifestyle choices we elect to live through and the toxins in the foods we elect to eat, it’s no wonder that insomnia is pretty high on the list among the most problematic and prevalent mild disorders that humanity is facing these days. However, even though they’re common, it can be a good idea to explore the reason why sleep disorders might set in. Sometimes the illnesses that represent the underlying cause can be a lot more serious than we might imagine.

Breathing Issues

Breathing problems associated with various respiratory disorders or allergies can be a definite source of the problem when you can’t sleep properly. When circadian related issues occur that are linked to the muscles around your airways, it’s easy for you to feel constricted and to feel like something is making your airways shrink and causing you an increased difficulty when it comes to breathing. Additionally, shortness of breath caused by bronchitis, emphysema, the use of various steroids or medical drugs, or the onset of gradual heart failure can be associated with sleep apnea and shortness of breath as well.

Muscoskeletal Disorders

You might already know about the fact that musculoskeletal disorders are frequently associated with sleep problems. Having a simple magnesium deficiency can often lead to muscle pain and spasms that will keep you up at night. However, some muscoskeletal issues can’t be treated as easily as by taking a magnesium supplement pill. Sometimes, frequent steroid treatments or fibromyalgia caused by the onset of early arthritis can also lead to insomnia, which makes for a good point in favor of why you should consider seeing your doctor for if you suffer from virtually any kind of problem that adversely affects your sleeping patterns.

Kidney Disease

Impaired kidney function and advanced stages of kidney disease alike are often associated with sleepless nights caused by restless leg syndrome and similar problems. As the kidneys become unable to filter toxins from the blood as efficiently as they did when they were healthy, or keep electrolytes in balance, insomnia often becomes a debilitating side effect of the disease, forcing many patients to result to sleeping pills and other less desirable methods to try and get some shuteye. What baffles most medical insomnia treatment experts and researchers, however, is that even once the kidney heals or is replaced, sleep function often never fully returns to normal.

The Onset of Nocturia

Finally, a frequent need to urinate during the night – known as a disorder called Nocturia – will often lead to people having problems sleeping, as even milder cases will urge the patient to get up at least once or twice every night in order to urinate. Nocturia can be caused by a number of serious disorders, including heart failure, diabetes, liver failure, an enlarged prostate or sleep apnea – especially in the case of older adults. So, if you find yourself suffering from Nocturia over a longer period of time, it might be important to see your doctor as soon as possible. In some cases, it might simply be a result of excessive fluid intake or of taking certain medication right after dinner. However, there is also a risk that you could be suffering from one of the disorders mentioned above.

What Is A Maxillofacial Surgeon?

what is a maxillofacial surgeon what to expect

Maxillofacial surgeons are doctors trained to perform specialized treatments on the mouth, the jaw and the face. The interventions they handle usually exceed the competence of general dentists and involve surgeries and biopsies. Here is what they know and do in more detail.

The Training of Maxillofacial Surgeons

These doctors study a lot before they can start practicing and they are required to acquire extensive knowledge not only of dentistry and general surgery, but of several other medical disciplines as well. Their training usually involves a four-year college program, followed by a four-or six-year long program in a medical school, then they complete a full residency program in oral surgery. To be allowed to practice, oral surgeons are also required to obtain a state license as well as board certification.

How You Get to a Maxillofacial Surgeon

Most oral surgeons work on a referral basis, which means that the patients who turn to them are referred to them by general dentists who provide the primary dental care.

The Most Common Procedures Performed by Oral Surgeons

Maxillofacial surgeons perform a variety of treatments and interventions – here are the most common ones:

  • Dental extractions – while most general dentists are trained to perform simple extractions, it is oral surgeons who handle more complicated cases, such as the extraction of severely infected or inflamed tooth, the extraction of wisdom tooth or the treatment of fractured dental roots that usually require a more complex approach and special conditions;


  • The application of dental implants – dental implants are the most advanced dental replacement solutions that are usually applied by oral surgeons who specialize in implantology. The process of getting an implant is lengthy and it involves multiple surgical interventions – it starts with the insertion of the artificial titanium root into the jawbone, followed by a 4-6 months period of healing, then the abutment is installed on the root, followed by a waiting period of similar length, then the final crown is installed. All these process stages require specialized attention that only trained oral surgeons can provide;


  • The removal of clogged salivary glands – the oral cavity is lined with thousands of tiny salivary glands that can get easily clogged and inflamed if they sustain some sort of trauma, such as the trauma caused by lip biting. If the glands get clogged, they usually transform into visible bumps that need to be removed surgically;


  • The diagnosis and treatment of pathological conditions affecting the oral cavity, the jaws or the surrounding area – oral surgeons are trained to perform biopsies of any tumors or other types of malignant or benign growths in and around the mouth and they can decide on further treatment or refer the patient to another maxillofacial surgeon Highland Park specialist;


  • Corrective and cosmetic surgery – oral surgeons also perform surgical interventions intended to correct the damage sustained by the mouth and the face area because of trauma, such as severe blows or accidents. Oral surgeons are also the specialists to turn for the correction of cleft palates.

How to Choose a Dentist

Finding a good dentist is not easy. It may seem strange, seeing how many dental office ads you see on the internet each day. But it is all about making the right choice. The considerations in making the selection are many, starting from proximity to your home or office and up to the payment options they offer.

The key issue, however, is trust. You need to choose a dentist you are comfortable with, in whom you have full confidence. And this is not easy under the best conditions, but especially when you have a tooth or gum problem and need a quick solution to it.

Do Your Research Properly

Going to the first dental office down the street is the expedient solution only in case of emergency. However, the best practice is to have a go-to dentist for regular care and not wait until you have a serious mouth health scare.

Fortunately, right now it is easier than ever to do your research and choose a dentist office near me before you have an emergency. The internet and the social media are your best allies in this sense.

dentist officce near me

Your First Concern: How You Pay for Dental Treatments?

Before anything else, you should consider getting dental coverage on your health insurance. This is important for two reasons:

  • A good plan will cover a sizable proportion of the treatment costs;
  • Selecting a dentist depends on whether they accept your insurance.

These being said, here are some helpful ways to choose a dentist:

  1. Ask Your Family and Friends

First of all, everyone asks around among friends, coworkers, family members and neighbors. Those are the people you trust the most. Thus, their recommendation is more valuable than all the ads you see online.

With the help of social media platform like Facebook or Twitter you can reach even the busiest friends and family members. Plus, some of their friends, that you don’t share, may come up with good recommendations.

  1. Check the Dentist’s Website

A professional dental office website contains a lot of useful information to help you decide. The basic details you should be able to find are:

  • Services
  • Pricing list
  • Special treatments or procedures
  • Testimonials from patients
  • The dentist’s certification.
  1. Check for the Dentist’s Specialty

There are seven types of dentists:

  • General dentists
  • Pediatric dentists
  • Orthodontists
  • Periodontists
  • Endodontists
  • Oral surgeons
  • Prosthodontists.

For basic dental care, you can choose a general dentist. They will usually recommend a specialist from the list according to the problems they identify during treatments.

  1. Have an Initial Discussion

The first face to face discussion with the dentist is crucial. A good dentist understands a patient’s worries and has a professional but calming manner. They will explain the treatment course in simple terms that you can understand.

  1. Discuss Payment Options

If you really have a good impression of the dentist but they don’t take your insurance, you should discuss whether they have other payment arrangements. Many dental offices have their own plans for long term patients and families.

What Are Orthopedic Shoes?

orthopedic shoesOrthopedic shoes can be worn to help correct or improve the condition of the back and legs. An orthopedic shoe is a shoe specially designed for problems in the back, legs and other areas. A well fitting orthopedic shoe can provide adequate support to those who need it.

Orthopedic shoes are designed with special design features that aid in improving your back and leg alignment. These shoes use the same technology that is used in the fashion industry. These shoes can provide good support when worn while playing sports and while working.

Orthopedic shoes can help patients relax and become more comfortable. Patients will be able to concentrate better and be less embarrassed about wearing an orthopedic shoe. There are less pain and discomfort when using the shoe.

There are many types of corrective footwear to choose from. These shoes are manufactured to provide proper support to your back and legs. This can help prevent lower back pain that can cause you to miss work or have an accident at work.

You should try on the shoes before buying them. They should fit snugly without falling down over the top of your feet. Proper fitting shoes are important if you want to use them properly.

Orthopedic shoes can help you relieve your pain by decreasing pressure on your spine. A well fitting shoe will help you be comfortable while wearing them. These shoes can reduce stress to your lower back and avoid injuries while playing sports.

In order to help you reduce the amount of stress placed on your feet, you should try on the shoe at home. This way you can make sure that it fits properly. Many times the shoe will have a small size chart that can help you make sure that you have the right size.

Many times foot soreness is caused by a bad fit. If you buy a shoe that does not fit properly, your feet will not be able to use the special shoe that is designed to provide support. You will not be able to benefit from the orthopedic shoe.

Orthopedic shoes can be found at a variety of stores that sell sport and fitness equipment. The best place to find an orthopedic shoes in Castle Rock is Foot Health with Fashion. There are a number of websites that offer these special shoes and other types of orthopedic footwear.

It is important to make sure that you purchase your orthopedic shoes from a company that has been around for a long time. Many people will try to pass off some products as orthopedic shoes but they do not really meet the standards. This is why it is important to purchase your orthopedic shoes from a reputable retailer.

If you want to buy orthopedic shoes that can be worn on the road, then you should purchase the full length, molded insole or foot bed shoes. These are good for the road and can help you stand still and focus while driving. If you have a bicycle that you ride, you can purchase the handlebar/footbed style shoe.

These shoes are ideal for both walking and riding a bike. There are a number of retailers that sell orthopedic shoes online. You should search for a website that offers the orthopedic shoes that you need and price them so that you can compare the prices.