Can you add something to the inside of the shoe to pad for the missing toe? Wadded cotton or something that will be soft or smooth on your foot but still fill the space?
I'm in the process of looking for a wide toe box diabetic shoe. I have a scrip; I just need the shoe and a supplier. I have time; I'll be in the post-op shoe for at least a week. I can get the scrip renewed annually, so that's not a real issue. I had only been waiting to see if they were available locally; now I know that they're not, having stopped at the surgical supplies place in the neighborhood on the way home, and I need to do mail order.
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