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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: pissant
I know it's appreciated. That is why I do it.

Plus, I like to be taller than everyone else. I can spit on their heads and they never even know.
61 posted on 03/28/2005 2:56:26 PM PST by teenyelliott (Soylent green is made of liberals...)
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To: teenyelliott

Plus, you can check out if a guy has a combover. ;o)


62 posted on 03/28/2005 2:57:23 PM PST by pissant
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To: Yaelle
My baby is always hanging onto or hovering near my legs. No way. Beauty is not worth the risk.

Oh, for goodness sakes, you don't wear them around the house.
63 posted on 03/28/2005 2:59:26 PM PST by teenyelliott (Soylent green is made of liberals...)
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To: Hi Heels
You are too funny!

I personally own over 20 pairs of just BLACK Hi Heels and over 200 pairs of shoes in total.

200 pairs. Wow! And I thought I had a alot of shoes.

I've got about 12 pairs of just black heels.

Good 'ol reliable...the 2 1/2 inch black heel. The kind I would most likely wear to work.

I was glad when this style came out. It's easier on the toes instead of the really pointed ones. This style is far more comfortable to wear on a daily basis.

64 posted on 03/28/2005 2:59:51 PM PST by MotleyGirl70 ("Wild, wild horses couldn't drag me away.." :)
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To: teenyelliott
I can spit on their heads and they never even know.

Too funny!

65 posted on 03/28/2005 3:00:08 PM PST by LongElegantLegs (I considered getting highlights; but my smugness is easier to maintain.)
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To: pissant
Heh...I'm the lucky one, imo. Mr. Ex is ssssmokin'!
66 posted on 03/28/2005 3:00:30 PM PST by exnavychick (There's too much youth; how about a fountain of smart?)
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To: MotleyGirl70; Hi Heels

LOL! I'm glad I'm not the only one who has so many black heels. It took some doing, but I finally convinced Mr. Ex there is a method to the madness, heh heh.


67 posted on 03/28/2005 3:01:45 PM PST by exnavychick (There's too much youth; how about a fountain of smart?)
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To: pissant

Yeah, that's what Mr. Legs said when I got them...But he's only ever figured out one.


68 posted on 03/28/2005 3:02:12 PM PST by LongElegantLegs (I considered getting highlights; but my smugness is easier to maintain.)
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To: LongElegantLegs

Great minds think alike. Or should I say men's minds think alike.


69 posted on 03/28/2005 3:03:40 PM PST by pissant
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To: pissant
Ooooo! I like!

I wear two inch heels to the office and for dress up, flats for going to the store and barefoot the rest of the time.

70 posted on 03/28/2005 3:04:33 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: pissant
What does this mean??

Are you Lutheran?

71 posted on 03/28/2005 3:04:35 PM PST by stayathomemom
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To: exnavychick; Hi Heels

Lets not even get started on purses. LOL!


72 posted on 03/28/2005 3:05:19 PM PST by MotleyGirl70 ("Wild, wild horses couldn't drag me away.." :)
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To: pissant

Mr. Colorcountry likes mine bare...the feet too.


73 posted on 03/28/2005 3:05:29 PM PST by colorcountry (All the people like us are we, and everyone else is They. ...Rudyard Kipling)
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To: MotleyGirl70
EXACTLY. My favorites have the same heel, but they're slides. I have six pairs of black high heel boots.

Not too fond of these new loooonnnngggggg pointy toe pumps. Not that they're necessarily uncomfortable, just that most of them are oogly.

74 posted on 03/28/2005 3:06:28 PM PST by Hi Heels (Now Andy, I ain't got time for them trivial trivialities...Barney Fife)
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To: pissant

Ohhhh... I love wearing heels. :-) OR going barefoot. One or the other and anything in between is not exciting.

I'm anxious to get back into my heels. I'm having to learn to walk all over again after a collision and really tired of ugly flat sensible shoes. ~sigh~


75 posted on 03/28/2005 3:09:23 PM PST by Wneighbor
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To: stayathomemom; teenyelliott

The "what does this mean" was in reference to teenyelliot's ability to divine a persons personality based on their shoe fashion. (from the "why its great to be a woman" thread.

She inspired this thread.

I am Catholic, not a heretic. ;o)


76 posted on 03/28/2005 3:09:31 PM PST by pissant
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To: MotleyGirl70

HAhahaha.... I have quite a few purses. Probably 50.


77 posted on 03/28/2005 3:09:55 PM PST by Hi Heels (Now Andy, I ain't got time for them trivial trivialities...Barney Fife)
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To: Hi Heels

Among my favorite high heels to wear are pointy-toed, spike-heeled vintage alligator pumps. :-)


78 posted on 03/28/2005 3:10:18 PM PST by bootless (Never Forget - And Never Again)
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To: colorcountry

I'm glad you mentioned he likes bare feet too. Phwew!


79 posted on 03/28/2005 3:11:17 PM PST by pissant
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To: Harmless Teddy Bear

Add another inch or two and you got a fan. ;o)


80 posted on 03/28/2005 3:13:38 PM PST by pissant
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