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Flat Facts About High Heels
Health AtoZ ^ | 12/04 | Pat Curry

Posted on 03/28/2005 2:04:51 PM PST by pissant

If you're a high-heel kind of a girl, we bet you're slipping on those spiky heels or platform pumps because you like the way they make your calves and clothes look, plus, hey, guys dig them.

Women know high heels aren't good for their feet, and they don't deny that they're uncomfortable. In fact, a Gallup Poll found that 37 percent of women surveyed said they would continue to wear high heels, even though they did not think them comfortable. Mark it up to the price of beauty.

Feet aren't made for heels

Despite what you're willing to tolerate as a lover of heels, you may be underestimating the damage that high heels can cause, beyond just having sore feet at the end of the day.

Not surprisingly, doctors of podiatric medicine (foot doctors) see no value in high heels, which they generally define as pumps with heels of more than two inches.

You know those lovely curves you get with high heels? "It's not a normal anatomical position," says Teisha Chiarelli, a podiatrist in Glendale, Ariz.

Podiatrists say high heels are "biomechanically and orthopedically unsound," citing medical, postural and safety faults of such heels, according to the American Podiatric Medical Association. Among the litany of problems to which stilettos and their sister heels contribute are knee and back problems, disabling injuries in falls and shortened calf muscles, not to mention an awkward, unnatural gait.

Heels force the thigh muscles to work harder, putting extra strain on the knee joint and tendon that runs from the kneecap to the thighbone. Compared with walking barefoot, high heels increase the pressure on the inside of the knee by 26 percent. Over time, this increased pressure on the knee can lead to osteoarthritis.

Uncovering women's footwear problems

While most high-heel fans aren't so willing to totally abandon their high pumps, a recent survey indicates that many might be willing to make some adjustments - to a point.

In an online survey by the American Academy of Orthopedic Surgeons, 80 percent of the women respondents said their feet hurt, and nearly 60 percent of them 'fessed up to wearing uncomfortable shoes for at least an hour a day. The good news, though, is that 85 percent of the women with aching feet said that they had changed the kind of shoes they wear or wear them less often.

The survey, which involved 1,724 women, also revealed that:

'Work' or 'style' are the reasons why women wear uncomfortable shoes. Calluses and heel pain were the top shoe-related foot ailments. Women also complain about such conditions as bunions, swelling of the joint at the base of the big toe; hammertoes, a permanent bend in the middle joint of a toe; neuromas, nerve problems that cause shooting pain into the toes; ingrown toenails; and even stress fractures. Chiarelli says high heels are a particular cause of concern.

"I've got elderly women come in who swear they've worn high heel shoes all their lives and say they can't wear a flat shoe. They get a physiologically shorter Achilles tendon. Over a period of time, we accommodate that position," she says.

Typically, Chiarelli says feet swell throughout the day and poorly fitting shoes won't accommodate that swelling. Sometimes the pain is achy, "almost a bone bruising," she says, or a sharp pain between the bones in the ball of the foot.

"We're looking at bony problems where the toes are starting to curl up from being in a narrow or pointed toe box," she says. "Probably the patient with the ugliest feet is a dancer because she's wearing toe shoes or high heels for dancing."

"Bony problems" are such a big part of foot problems that podiatrists even have a high-heel nickname for one condition - a pump bump. "It's a big old bump on the back of your heel," Chiarelli says. "It's like a callus of bone on the back of the heel from the shoe rubbing the bone."

Nail problems also are common from the constant pressure of toes being pressed against the end of the shoe. That can cause the nail to thicken and promote the growth of foul-smelling fungus. Plus, if a person has curved toenails, it can induce or exacerbate painful in-grown nails.

Changing your heel habits

If you just can't imagine life without heels, Chiarelli suggests choosing styles with squared-off toes and shorter, chunkier heels instead of stilettos.

However, it should be noted that a Harvard University study published in the medical journal The Lancet found that wide-heeled shoes cause problems, too.

Researchers found that while women who wore stick-thin heels were more likely to develop problems in their feet, including tendinitis and bone deformities, women who pulled on thick heels were as prone to develop serious and potentially debilitating knee problems.

"They are better for your feet than stiletto heels but just as bad for your knees," Casey Kerrigan, lead researcher of the Harvard study, says about wider-heeled shoes.

If a wide-heeled shoe isn't you anyway, then follow some of Chiarelli's other tips for female shoe shoppers:

Look for thicker soles for absorbing shock better and putting less pressure on the foot as well as an upper material, such as leather or microfiber, that will give a little to allow the foot to swell without pinching. "Those will still look nice and not hurt so badly," she says. If you simply must wear high heels, then limit the time you wear them. Wearing flatter shoes or tennis shoes for walking long distances, such as to and from the office, and then changing into your heels once you get to work. Give your feet a nice massage or soak them in lukewarm water at the end of the day. "If your foot has been put in that funny position all day, it feels like it's stuck that way," Chiarelli says. "Treat yourself." If you want to want to be good to your feet, then consider following the American Podiatric Medical Association's recommendation on "perhaps the best shoe you can buy from an orthopedic point of view" - a walking shoe with ties (not a slip-on), a Vibram-type composition sole, and a relatively wider heel, no more than a half or three-quarters of an inch in height.

Dull, yes, but safe.


TOPICS: Chit/Chat
KEYWORDS: heels; highheels
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To: MotleyGirl70

LOL...I never bother with purses, much. I have a big old diaper bag I'm usually lugging around, and I just stick my wallet, keys and cell in that.

If I'm going out with Mr. Ex, though, I make an exception. Just a little black number to hold the essentials, and it usually goes with most stuff I would wear out on a date, anyway. :) I'm too lazy to keep shifting stuff from purse to purse, frankly. LOL


81 posted on 03/28/2005 3:13:48 PM PST by exnavychick (There's too much youth; how about a fountain of smart?)
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To: bootless

Stop it..... The mall is within blocks..... *whimper*.


82 posted on 03/28/2005 3:13:57 PM PST by Hi Heels (Now Andy, I ain't got time for them trivial trivialities...Barney Fife)
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To: Wneighbor

I'm glad you are recovering! You know you are fully "back" when you can wear shoes like Condi!


83 posted on 03/28/2005 3:14:55 PM PST by pissant
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To: queenkathy
Wore boots with a heel (about 2 inches) to church yesterday.

Made me smile to think that as a kid I would have been horrified to be made to wear boots at Easter...sandals - no matter what the weather.

Hope you enjoyed the Inauguration. Did you take the grandkids?

84 posted on 03/28/2005 3:15:48 PM PST by Churchillspirit (Anaheim Angels - 2002 World Series Champions)
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To: bootless
Among my favorite high heels to wear are pointy-toed, spike-heeled vintage alligator pumps. :-)

Those sound awesome!

85 posted on 03/28/2005 3:15:54 PM PST by exnavychick (There's too much youth; how about a fountain of smart?)
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To: pissant

Did you read the rest of my posts on that other thread? Only "analyzed" patton (he asked first :) ), as I got barraged by requests, but I think I proved my point.


86 posted on 03/28/2005 3:16:48 PM PST by teenyelliott (Soylent green is made of liberals...)
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To: teenyelliott

Yeah dudette. You even offered to read mine and you welched. I forgive you tho. ;o)


87 posted on 03/28/2005 3:19:40 PM PST by pissant
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To: Churchillspirit
No g/kids went with us! This week they all are lining up to stay with us.

Yesterday we were in choir/orchestra and stood for 3 services with some down time. Even tho the heels were only 1 1/2" my dogs were tired! The weather was fairly decent and I stood my ground. It was white heeled sandals all the way. It WILL be warm. Maybe if I wear shorts it will get warmer! I think it made it to 60 here in lower MI today

88 posted on 03/28/2005 3:20:47 PM PST by queenkathy (I'm praying for that God will perform a miracle.)
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To: pissant

LOL What did you wear to match?


89 posted on 03/28/2005 3:21:38 PM PST by queenkathy (I'm praying for that God will perform a miracle.)
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To: pissant

I have beautiful feet and only wear heels when going out with a tall man. Never do I wear pointy toed shoes... they just look dumb and dangerous.


90 posted on 03/28/2005 3:22:34 PM PST by ValerieUSA
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To: pissant

Ill do it later tonight, I promise. Right now I have to finish the laundry and cook dinner. My life is not all brilliance and glamour, you know.


91 posted on 03/28/2005 3:23:30 PM PST by teenyelliott (Soylent green is made of liberals...)
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To: queenkathy

Those were for you in 2008!!


92 posted on 03/28/2005 3:27:16 PM PST by pissant
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To: ValerieUSA

Or if you want to intimidate the hell out of a short guy. Might not be a bad idea!


93 posted on 03/28/2005 3:28:02 PM PST by pissant
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To: pissant

I'm five foot. I wear a size 5 shoe. Three inch heels make me walk on tippytoe.


94 posted on 03/28/2005 3:31:02 PM PST by Harmless Teddy Bear ( We're all doomed! Who's flying this thing!? Oh right, that would be me. Back to work.)
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To: teenyelliott; pissant

http://quizilla.com/users/pyxi21157/quizzes/What%20kind%20of%20shoes%20are%20you%3F


95 posted on 03/28/2005 3:31:20 PM PST by Hi Heels (Now Andy, I ain't got time for them trivial trivialities...Barney Fife)
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To: Harmless Teddy Bear

Got it! Not good if the heel is longer than the shoe!


96 posted on 03/28/2005 3:32:41 PM PST by pissant
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To: LongElegantLegs

Well, I'm sure I know where you would get great use from that pair of super high heels..

Wrap them around your brass pole, whilst relieving your bra from all that strain!


97 posted on 03/28/2005 3:33:51 PM PST by aShepard
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To: Hi Heels

I can't believe nobody's posted:
Eagles: Those Shoes

Tell us what you're gonna do tonight, mama.
There must be someplace you can go
In the middle of the tall drinks and the drama,
there must be someone you know.

God knows, you're lookin' good enough,
but you're so smooth and the world's so rough.
You might have somethin' to loose.
Oh, no, pretty mama, what you gonna
do in those shoes?

Got those pretty little straps around your ankles
Got those shiny little chains around your heart.
You go to have your independence
but you don't know just where to start.

Desperation in the singles bars
an' all those jerkoffs in their fancy cars.
you can't believe your reviews.

Oh, no, you can't do that,
once you started wearin' those shoes

They're lookin' at you, leanin' on you
Tell you anything you want to hear
They give you tablets of love
They're waiting for you
got to score you
handy with a shovel and so sincere
Ooh, they got the kid glove

You just want someone to talk to
They just wanna get their hands on you
You get whatever you choose
Oh, no, you can't do that,
Once you started wearin' those shoes.


98 posted on 03/28/2005 3:35:09 PM PST by AmishDude (The Clown Prince-in-a-can of Free Republic!)
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To: pissant

Oh! I had to re-read your post! They do look more comfy than what I wore in Jan.


99 posted on 03/28/2005 3:37:35 PM PST by queenkathy (I'm praying for that God will perform a miracle.)
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To: AmishDude

egads, I forgot all about that song.... Great post.


100 posted on 03/28/2005 3:37:58 PM PST by Hi Heels (Now Andy, I ain't got time for them trivial trivialities...Barney Fife)
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