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

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High Heel Hangover: 6 Steps to Getting Back on Your Feet Fast

Posted: 04/05/2011 8:43 am

It is no secret that high heels are 'bad' for your feet and over time they can cause all sorts of foot problems, but it's the day after wearing high heels that women can have major foot pain or discomfort.

This day-after foot pain from wearing high heels is the called the 'High Heel Hangover'.

Like other 'hangovers', you can take some pain meds and stay in bed all day in hopes that the pain goes away. However, the purpose of this blog is to provide key remedies to get your feet feeling better fast, and to have readers share their experiences and treatments that may have specifically helped them.

The Symptoms. Pain and discomfort is the hallmark of the high heel hangover. It may be mild and achy to intense and severe. Some people may not be able to walk for hours or a full day. The pain could be localized to a pressure spot or more globally throughout the foot. And this seems to vary depending on foot structure and the presence of any underlying foot problems, such as bunions, hammer toes, and metatarsalgia, to name a few. It is possible to have foot swelling, cuts and scrapes. Of course the symptoms vary depending on foot structure, heel height/shoe structure and time spent in the shoe. The higher the heel and skinnier the stiletto, then the worse the high heel hangover. A health care professional should evaluate significant pain and swelling.

So, if you find yourself with a high heel hangover, below are 6 things you can do to recover:

1. Yoga, Stretching & Foot Exercises. The Achilles Tendon and calf muscle becomes tight (or shortened) from high heels, so its important to actively perform stretches. Additionally, the pure nature of high heels causes the toes to buckle and contract, and can specifically result in hammer toes. Yoga is an excellent method to stay stretched, and specific postures that benefit the feet include: Downward-facing dog, and the Virasana-Hero Pose. A runners wall stretch specifically targets the Achilles Tendon. Perform simple range-of-motion exercises of the ankles as it keeps the blood flowing within the foot and can help remove excess fluids (swelling) in the lower leg. This is best accomplished by moving the foot up, down, left, right, and in circles. Another method is to draw an imaginary alphabet with your big toe.

2. Soak your feet in Mineral Foot Bath. Aside from being relaxing, Epsom salt soaks have long been used to soothe sore body parts, especially the feet. Epsom salt is actually not a salt, but rather a natural mineral of magnesium and sulfate, and can be absorbed through the skin. Magnesium is important for the body to build and repair tissues as its used in more than 300 enzymatic reactions. Warm water allows for the dilation of the body blood vessels and opens the skins pores. So, think of this as a mineral bath that provides direct benefit to your feet when they need to recover.

3. Pamper your feet. The presence of improperly cut toe nails or ingrown nails may cause pain after wearing high heels and pointy toed shoes. And thick focal calluses themselves may be painful. Having a pedicure may directly alleviate these painful areas. People with diabetes should always use caution when receiving foot care and strongly consider a health care professional for these services.

4. Moisturize, Moisturize, Moisturize. It is important to keep the skin on your foot supple and moisturized, as rough areas develop on pressure points and can be painful. Even after a few hours of wearing high heels and cramped shoes dry patches of skin may occur. The ball of the foot takes the most impact with high heels, and the foot can become quite callused in this area. Thicker calluses may become painful, especially if they are cracked and fissured. The top of the toes may develop corns that can also be painful in a closed toe shoe. The back of the heel is notorious for becoming irritated and one can develop blisters and soars with dry skin.

Moisturizers dedicated to the feet are often best, as the skin of the bottom of the foot is thicker and actually has an additional layer of skin compared to skin elsewhere. Urea based creams are most commonly known for moisturizing. Also I often recommend moisturizers that are made with Jojoba oil, a liquid wax from a seed extract. Jojoba oil has anti-fungal properties (a benefit for feet) and has been studied for anti-inflammatory properties as well. Of course, moisturizing creams should be applied after a foot bath for maximal penetration.

5. Deep Massage. Massage is thought to provide pain relief from musculoskeletal injury, as well as alleviate anxiety. The therapeutic benefits of deep tissue massage go back to ancient times and dozens of techniques exist. The arch of the foot contains several muscles that are intrinsic to the foot, and work to stabilize the toes. The altered alignment and biomechanics may result in muscular imbalances within the foot and muscular strains. Additionally, deep tissue massage may also improve blood flow and alleviate lymphatic edema.

6. Wear Sneakers. It is important to allow your feet to 'rest' after wearing high heels. I call this a high heel holiday. As previously discussed, the ball of the foot takes the most pressure from high heels and one could develop tears in the ligaments that support the toes on the bottom of the foot, and/or develop stress fractures. Nonetheless, well-cushioned sneakers work the best and you can wear padded socks for extra cushion. If you can't wear sneakers, try to limit the amount of time your foot is exposed to a high heel, and wear flip-flops or sneakers to and from your destination.

If you have any high heel hangover remedies that have worked for you, please tell us about it....

 

Follow Neal M. Blitz, D.P.M., F.A.C.F.A.S. on Twitter: www.twitter.com/DrNealBlitz

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10:25 AM on 04/12/2011
Dear Dr. Blitz, As someone who kneels at women’s feet all day in my work as a movement teacher, has hosted several high heel recovery clinics and as a yoga practitioner myself whose ability to ground my own body has bettered through understanding the way to uncouple the heel from the ankle, I'd like to contribute some details about the nature of stretching to add to your excellent choice of yoga poses and runner's stretches. When performing any stretch for the calves or achilles, the heel should be drawn back away from the ankle. For instance, rather than pushing the heels down towards the floor in down dog, try deepening the contact of the balls of the feet into the floor and draw the heel back away from the ball and the ankle. This way, the heel will release back away from the ankle and you create a subtle space for the achilles tendon and the calves to release more easily and for the release to be sustained. Drawing the heel back away from the ankle also grants the connection to the hamstrings for fuller use of the entire length and for a spreading-out power of these muscles up on to the sits bones. The heels, when expanded back, are what engage this hamstrings-to-sit-bones stability, and it is this tone-to-the-sit-bone stability which creates shapely changes in the upper backside of the legs - this is the key to diminishing saddlebags. Herald Tim Driscoll
09:26 PM on 04/07/2011
What constitutes a "high heel"? How many inches are we talking about? I can't wear flats because my ankles tend to collapse inward and I walk on my flattened arch. I find heels from 1-2 inches keeps me walking on a normal part of my foot.
So when does a shoe become a high heeled shoe?
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traceymarie
the President is black, deal with it
06:27 PM on 04/06/2011
I wear stilletos or high heels just about everyday, if they hurt that means the style or size is not right for me. I will never give up my heels, 4" is the average.
12:05 PM on 04/06/2011
Thanks, Dr. B. My parents kept me in orthopaedic oxfords for many years, to try and prevent what genetics had done to other family members. The teasing and bullying about my footwear hurt as much as blisters would have in the cute white go-go boots that other girls were wearing in the '60's. I grew bunions anyway (thanks, Grandma, for those genes) and just started wearing heels about 10 years ago because I like the way they look and feel (for awhile, anyway). So I go to work in flats or low heels and then change into the higher ones and back down to sea level in 4-5 hours. Thanks for the exercise tips, that will certainly help. No fashion look is worth excruciating pain.
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Sunflo
Leave a mark, not a stain.
04:56 AM on 04/06/2011
Wedges and kitten heels are the only ones I can stand wearing.
06:28 PM on 04/05/2011
I never understood the appeal of high heels. I was dumb enough to wear 3 inch heels to my high school graduation, only to realize how awkward it was to walk in them. Not to mention my feet were in agony afterwards. I hate those stupid pointy Wicked Witch of the West style shoes that I see women wearing ALL the time. I tried on a pair and nearly screamed in pain from how they crushed my toes together. We might as well return to foot binding! I like my big, clunky shoes with rounded toes, my Converse sneakers, my LOW-heeled shoes. Bad enough what stilettos do to one's feet, but there's the wrenched, sprained and broken ankles that come from tottering around in those torture devices. I got the heel of one shoe caught in an air grate and almost broke the shoe as well as nearly doing in my ankle. I'll stick to my flats, thank you.
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wishfulslinkings
11:51 AM on 04/08/2011
Grace of movement is required to wear heels ;)
11:25 PM on 04/08/2011
Precisely. Which is why I don't make a fool out of myself anymore in heels. I'm too much of a klutz as it is.
03:00 PM on 04/05/2011
My mother wore high heels well into her 80's; I am past social security age and wear them regularly. When I don't, I get back aches. The key is wearing shoes that fit properly.
04:24 PM on 04/05/2011
Well said, Doris. I too just reached social security age and I have worn high heels since I was 15 and don't intend to change. If I wear flat shows, my feet hurt.
06:03 PM on 04/05/2011
i am jealous of you both. do you have really high arches?
10:25 PM on 04/10/2011
Your tendons are likely shortened from wearing heels your whole life. This would make flats uncomfortable.
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02:52 PM on 04/05/2011
Dr. Blitz, I've been pounding on my ears with a ball peen hammer several times a week for the past several years in order to achieve that perfect 'cauliflower' shape. Unfortunately, I've noticed that I tend to have some residual discomfort for a day or two after each of these "makeovers." Do you have any advice to that might help alleviate the side effects of my pursuit of fashion?
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ftkl1234
02:49 PM on 04/05/2011
If you're one of the women who believe that aesthetics trumps health issues like back pain and you choose looking good to feeling well, then that's the price to pay, isn't it?
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neighborhoodmole
no one really knows who anyone is here
02:10 PM on 04/05/2011
You know what high heel shoes have in common with cigarettes? They both harm your body when used as intended! Also, it can take years before the damage is apparent and by then it may be too late. There ought to be warning labels on these shoes saying they will result in knee arthritis and other problems. It is self destructive to wear shoes with a heel more than half an inch higher than the toe. Even better, wear Earth Shoes which have a heel LOWER than the toe, which is supposed to simulate walking on soft ground like sand.
04:25 PM on 04/05/2011
ick
06:02 PM on 04/05/2011
hahahaha. are you saying "ick" to Earth Shoes? you are hysterical. who would win in a battle between earth shoes and birkenstocks?
12:31 PM on 04/05/2011
Instead of the 6 point recovery program outlined above- here's the short plan- DON'T wear high heels- these miniature foot deformers casue too much damage to your feet..
04:25 PM on 04/05/2011
boorinngg...
04:38 PM on 04/05/2011
boooringgg....
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AvgJoeBlow
We are smarter than any of us.
12:29 PM on 04/05/2011
Ladies.
99% of the gentlemen I know would be happy if you only wore them in the bedroom.
Trust me, the walking part would be at a minimum. ;)
-AJB
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Bill J4321
01:14 PM on 04/05/2011
Women aren't wearing those shoes to impress men, Joe.

They are wearing them to impress other women.
02:40 PM on 04/05/2011
bill's got a real point.
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wishfulslinkings
11:52 AM on 04/08/2011
Untrue.
12:14 PM on 04/05/2011
Neal When was the last time you wore heels?
03:00 PM on 04/07/2011
I'm actually in the OR with him right now and you'll be happy to know that he is operating while wearing Crocs with 4 inch heels! I just hope he doesn't ask me to give him a foot massage after the case.
On a serious note, a very informative article from a very knowledgeable and skilled colleague.
12:09 PM on 04/05/2011
My client is recovering from foot surgery after years of high heels. It's not worth it.
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Kendra Kroll
lose the worry...not your stuff
11:41 AM on 04/05/2011
why do women do this to ourselves? I suppose the phrase "slaves to fashion" came out of something, perhaps this contributes...