Reasons for not wearing high heels include:
- they can cause foot pain
- they can create foot deformities, including hammertoes and bunions
- they can cause an unsteady gait
- they can shorten the wearer's stride
- they can render the wearer unable to run
- The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint
Foot and tendon problems
High-heeled shoes slant the foot forward and down while bending the toes up. The more that the feet are forced into this position, the more it may cause the
Achilles tendon to shorten. This may cause problems when the wearer chooses lower heels or flat-soled shoes. When the foot slants forward, a much greater weight is transferred to the ball of the foot, increasing the likelihood of damage to the underlying soft tissue which supports the foot. In many shoes, style dictates function, either compressing the toes, or forcing them together, possibly resulting in
blisters,
corns,
hammer toes,
bunions, and many other medical conditions, most of which are permanent, and will require surgery to alleviate the pain. High heels--because they tip the foot forward-- put pressure on the lower back through making the rump push outwards and crushing the lower back vertebrae and contracting the muscles of the lower back.
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If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often than twelve hours a day, and that they are spending at least a third of the time on their feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions.
One of the most critical problems of high-heeled-shoe design involves a properly constructed toe-box. Improper construction here can cause the most damage to one's foot. Toe-boxes which are too narrow force the toes to be "crammed" too close together. Ensuring that room exists for the toes to assume a normal separation so that high-heel wear remains an option rather than a debilitating practice, is an important issue in improving the wearability of women's high-heeled fashion shoes.
Wide heels do not necessarily offer more stability, and any raised heel with too much width, such as found in "blade-" or "block-heeled" shoes, induces unhealthy side-to-side torque to the ankles with every step, stressing them unnecessarily, while creating additional impact on the balls of the feet. Thus, the best design for a high-heel is one with a narrower width, where the heel is closer to the front, more solidly under the ankle, where the toe box provides room enough for the toes, and where forward movement of the foot in the shoe is kept in check by material snug across the instep, rather than by toes jamming together in the toe box.
Interestingly enough, despite the medical issues surrounding high-heel wear, a few podiatrists recommend well-constructed low to moderate heels for some patients. It appears a slight elevation of the heel improves the angle of contact between the metatarsals and the horizontal plane, thereby more closely approximating the proper angle and resulting in proper weight distribution of a normally-arched foot. Other foot specialists, however, argue that any heel causes unnecessary stresses on the various bones and joints of the foot.
wikipedia.com
hammer toe
foottalk.com
bunion
oxford-orth.com
keepingyouinstitches.com

