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Neal M. Blitz, D.P.M., F.A.C.F.A.S.

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Are High Heels Really Bad For Your Feet?

Posted: 05/31/2011 8:10 am

WARNING: High Heel Shoes May Cause Foot Pain, Bunions, and Hammer Toes.


People are more in tune with their bodies than ever before -- we consider the safety of the food we eat, purity of the water we drink and the quality of the air we breathe. We are concerned about environmental toxins, workplace stresses and so many additional external forces affecting our health.

There is a sense big businesses may not have your total health interests at heart, and this is seen in the tobacco industry and the fast food business. The Surgeon General places warnings on cigarettes. Fast food restaurants now post nutritional information for their customers to review.

But what about shoes? Can your footwear cause real long-term health consequences?

High heels and pointy-toed shoes have the stigma of being bad for feet, but this does not seem to stop women from wearing them. Are women unaware of the possible resultant foot deformities that are associated with these particular shoes? It would be hard imagine that women didn't know that certain shoes may be harmful for foot health. Some shoes may cause immediate foot pain as well as discomfort that may last for days. In a recent blog, I wrote about how to recover from a high heel hangover.

Perhaps women have a fashion "now" mentality and plan to deal with any resultant foot problems should they occur -- years down the road. Many know that certain shoes are "bad" but are under informed, as they don't know what actual foot problems can develop, or what's involved in correcting the problem.

Three common foot problems often associated with high heels and pointy-toe shoes are:

  • The Bunion: This is a bony prominence on the inside of the foot at the big toe joint and looks like a knob. A bunion forms when the big toe is pushed towards the second toe. A bunion is not the overgrowth of bone, rather the subluxation of the big toe joint over time. When surgery is indicated, it typically involves the breaking and resetting the dislocated bone with a screw(s). The surgeries involves six to eight weeks of recovery.
  • A Hammer Toe: This is a condition where a toe becomes buckled or crooked. Thick calluses may form on pressure spots. A common surgery, when indicated, involves removing the knuckle of the deformed toe. A wire holding the toe steady protrudes from the tip of the toe for several weeks.
  • Tight Calf Muscle (Equinus): Long term use of high heels are thought to cause shortening of the Achilles Tendon, resulting in more pressure being placed on the ball of the foot. Many foot surgeons consider this an underlying cause of several foot problems such as bunions, hammer toes, flat feet and others. Stretching may help counteract the problem. When surgeons believe this problem is pathologic, they may recommend lengthening of the Achilles tendon or cutting a muscle in the calf.
  • Are the shoes the cause of these foot problems?

    While foot health professionals see the problematic effects of high heel and pointy shoe use in their clinical practice, no study has directly linked shoes to bunions and hammer toes.

    Long-term large studies that can specifically link these conditions are not at the forefront of medical research -- and that is likely because nobody is dying of hammer toes. Smaller biomechanical studies have been performed that look into the altered foot mechanics of certain shoes.

    High heels and pointy-toed are not going away anytime soon as they are at the forefront of fashion. It is likely that shoe companies are not going to voluntarily display a warning that their shoes may cause the foot problems. However, some high fashion shoe companies have started to incorporate foot health features into their shoe design and construction, and this is a step in the right direction. As people gravitate towards healthier shoes then industry will respond by producing more healthier fashionable shoe options.

    Clearly I am not the Surgeon General, but I am a Foot Surgeon, and, in General, wearing high heels may result in the development of foot deformities. So be mindful about your exposure to high heels and pointy-toed shoes.

    What do you think?

    ~ Dr. Neal M. Blitz

    To learn more about Dr. Blitz, please visit www.nealblitz.com

     

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    HUFFPOST SUPER USER
    ILoveGreatDanes
    If you can read this,my cloaking device is broken.
    07:09 PM on 06/06/2011
    I can't stand to wear high heels more than a few minutes because they hurt my feet so bad, but oddly enough, I dance great in them. I wonder why that is (shrug). My hairdresser is an odd duck. She wears them all day long, 12 hours a day, standing up, and they don't bother her at all. I don't get it.
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    HUFFPOST SUPER USER
    rezna
    let them eat cake
    01:37 PM on 06/07/2011
    Do you have fallen arches? I would think if someone has a flat foot high heels would be especially uncomfortable. Your hair dresser is in the beauty industry, after years and years of being on her feet and lookin good I'm sure she's just used to it.
    08:24 AM on 06/06/2011
    Women have always worn high heals but now they have become weird. I think it might be influenced from entertainment in particular where the girls appear on a TV, totter out, do their interview, and then after the show change and go on with their life. Lately they seem to be standing on their toes. When women in real life imitate this they not only look ridiculous, but instead of walking out, sitting down and doing an interview, they are trying to actually walk on them.
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    sabelmouse
    i love to tumble , ask me why .
    10:57 AM on 06/05/2011
    my mother spent the later half of her life in orthopedic shoes. guess why ?
    HUFFPOST SUPER USER
    spawoman
    01:46 PM on 06/04/2011
    Did you catch Madonna on one of the last Oprah shows? Her ankles shook the whole time she stood there because of those crazy high heels. It was painful to watch.

    Odd that the questions posed in this article pertain only to feet. I never had foot problems when I wore heels, but my back hurt, and I gave heels up years ago. I prefer feeling comfortable and relaxed--I think that's sexier anyway. My husband seems to agree!
    05:10 PM on 06/03/2011
    There is no such thing as a "comfortable" pair of heels. I gave these up along with push up bras and wearable dental floss called "underwear". Who was I trying to impress anyways? Unconfortable and unhappy!
    HUFFPOST SUPER USER
    justkeepswimming
    10:42 AM on 06/03/2011
    Even professional women get frequent feedback on their footwear. The first time I wore a pair of flat shoes to the Senate office where I was interning, the Senator himself asked me if my feet were hurting me (as in, otherwise I should be wearing heels). At one point later in my career, the head of a government agency remarked to me by way of greeting at the beginning of a meeting that he'd never seen me in anything but comfortable shoes. I could go on. Footwear is still a political issue for women. It's not a cost-free choice.
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    sabelmouse
    i love to tumble , ask me why .
    10:55 AM on 06/05/2011
    it's weird, or maybe not. i can never get over crime and spy shows where women run and fight in stillettos.
    TomMartin
    Freedom and equality.
    01:31 AM on 06/03/2011
    I would not want to date a woman who likes wearing such unhealthy shoes. I want a healthy woman.
    12:16 AM on 06/03/2011
    Two words: Morton's Neuroma!

    Women who wear tight and/or pointed high heels and men who play a lot of hockey.

    Thousands sift through doctors' offices each week.

    No cure, just excruciating pain that requires nerves to be removed when the desperation threshold is reached.
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    HUFFPOST SUPER USER
    rezna
    let them eat cake
    01:15 PM on 06/02/2011
    I only wear my high heels on days where I know I won't be walking around in them much, or I save them for a night on the town, dancing, the club. I usually wear better shoes while I'm at work. It all depends on how important fashion is to a person, almost all of my girl friends wear high heels regularly. I think they look great, but were also conditioned to think that they look great. If there were more choices in fashionable flats I would totally wear them more.
    01:43 PM on 06/02/2011
    Fave, same here, I'll never give up my heels. The only foot probems I have are from wearing boots while playing or working outdoors.
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    sabelmouse
    i love to tumble , ask me why .
    10:56 AM on 06/05/2011
    how doyou dance in high heals. i know ginger rogers did it. i couldn't.
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    HUFFPOST SUPER USER
    rezna
    let them eat cake
    01:32 PM on 06/07/2011
    Its the same sort of thing as ballroom dancing, you just stay on the balls of your feet while your dancing around. My feet are almost never tired after a night on the town with my girls.
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    HUFFPOST SUPER USER
    pcplz
    Children, children....think before you speak!!
    01:07 PM on 06/02/2011
    You do not mention the platforms that are now back in style despite the broken ankles of the 60's.
    12:23 AM on 06/03/2011
    These platform shoes look ridiculous on most women, ironically, particularly on shorter women, as they jar any symmetry, a fundamental prerequisite for stye and beauty.
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    StrawHat
    Eat veggies, don't vote for them
    03:17 AM on 06/02/2011
    I tried "kitten heels" in high school (400 years ago, give or take). OW!!!

    I have never worn high-heels or pointy-toed shoes since then. My feet are sturdy, healthy, completely lacking in any kind of deformity, and at 54 look exactly like they did at 14, give or take a bit of puffiness (a bit in the summer, none in the winter.)

    When I see the feet of high-heel, pointy-toe addicted women my age or older it's obvious that they've destroyed their feet over the years. They look like misshapen claws.

    My mother's feet are beautiful (at 75) for the same reason. She's never abused them with pointy high-heeled torture devices. I will never understand what is "pretty" about modern-day foot binding. It looks very, very ugly to me.
    10:28 PM on 06/01/2011
    OK, this may seem trivial, but I must comment that your photo is NOT representative of the very high heels that are in fashion today. I would think that you could have found a more current photo :-) The shoes in that photo are almost matronly compared to what is in the stores, on the runways and on media and celeb types, not to mention the average fashionista woman in general.
    11:05 AM on 06/01/2011
    As a man I love seeing women in high heels. However, I always wonder why those women subject themselves to wearing something that I can't imagine is comfortable. I hear women say over and over again that they dress for themselves, not for men. If that were truly the case, why the heels? High heels are sexy - that's the purpose they serve. Other than being insecure about their height, what other reason do women have to wear them? I would welcome an education on this. And if the only reason to wear them is to appear sexier, why wear them at work where, I would imagine, it's more important to appear professional over sexy?
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    HUFFPOST SUPER USER
    rezna
    let them eat cake
    01:17 PM on 06/02/2011
    High heels look professional and sexy, but it depends on how high they are. Platform 4 inch heels are definitely not appropriate at work. But I don't think my regular black 3 inch heels look bad at work. I am treated completely differently when I wear heels at work, versus not. People think I'm a student when I'm not wearing heels.
    08:58 AM on 06/03/2011
    Flats also look professional, but not really sexy. So my question remains, why do women want to appear sexy at work yet are (or act) appalled if men notice this? Men react to visual stimuli, and that's what high heels are. Now, most men can play the game of pretending not to notice, but we do notice. Some can compartmentalize the thoughts that run through our head, but some don't do it very well. It's like a game, but one we're told women do not want to play, all evidence to the contrary.

    Disclaimer: I'm not trying to be combative, just trying to understand.
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    sabelmouse
    i love to tumble , ask me why .
    10:59 AM on 06/05/2011
    why would shoes that make you un steady on your feet look professional ? i really don't get that.
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    SteveDenver
    Progressive and liberal, just like Jesus Christ.
    10:58 AM on 06/01/2011
    I worked in a high-end nightclub for six years and saw more than one woman taken out by her shoes: sprains, fractures, a broken arm when she fell off them.

    A lot of guys like the way heels push up the calf and buttocks, and how high heels slow down the "prey."

    One of my fellow employees preferred beautiful feet, and pointed out that women who wear high heels with pointy toes rarely have beautiful hooves.

    Our term for ultra-high heels and platform heels was "hooker heels." Paraphrasing David Chappelle: Don't get angry if a guy treats you like a cheap [street walker], if you're wearing their uniform.
    09:59 AM on 06/01/2011
    One time, I dragged my husband into the shoe department at Sears. I was wearing shorts, and for a lark, I tried on a pair of high heels. His eyes lit up. He said they made my legs look great. I told him that he could remember this moment in his dreams, and put them back on the shelf.