High Heels: How to Avoid Injuries and Pain

Dr. Benjamin Kamel
November 5, 2024
2 Min

High-heeled shoes are a popular fashion choice, but they can lead to foot pain and injury. Here are some common issues associated with high heels and tips to prevent them:

Foot Pain and Stress Fractures

High heels position the foot in a downward angle, exerting significant pressure on the ball of the foot. This pressure often results in a condition called metatarsalgia and can potentially lead to stress fractures in the metatarsal bones. The height of the heel directly correlates with the amount of pressure placed on the ball of the foot, exacerbating these issues.

To avoid metatarsalgia and reduce the risk of stress fractures, several tips are recommended. Opt for lower heels, as they decrease the pressure on the ball of the foot compared to higher heels. Choosing shoes with a wider toe box can also help by minimizing crowding and alleviating pressure on the toes. Additionally, limiting the amount of time spent in high heels is crucial, as prolonged wear increases the likelihood of experiencing pain and developing stress fractures in the metatarsal bones.

Heel Pain

Frequent wearing of high heels can shorten the calf muscles over time, which may result in heel pain when walking in flatter shoes or barefoot. To avoid heel pain, it is recommended to limit the amount of time spent wearing high heels. Reducing high heel usage helps prevent the calf muscles from becoming excessively tight, thereby alleviating discomfort when transitioning to flatter footwear or walking barefoot.

Toe and Toenail Deformities

Wearing high heels can cause the foot to slide forward, jamming the toes into the front of the shoe. This crowding can lead to bunions, hammertoes, and toenail damage, which can result in pain and fungal infections like onychomycosis. To avoid toe and toenail damage, wear lower heels to reduce sliding and pressure on the toes. Opt for shoes with a wider toe box to prevent crowding of the toes and nails. Consider wearing open-toe or strappy shoes, as these styles don't press against the toenails. Additionally, limit the use of high heels to reduce the risk of toenail damage.

Sprains and Fractures

High heels can increase the risk of ankle and foot sprains and fractures due to the elevated position, which shifts body weight forward and makes balance more challenging. To improve stability while wearing high heels, it is important to strengthen your lower leg muscles to enhance balance. Opt for lower heels, as higher heels are less stable, and choose heels with a wider base for better stability. Practicing walking in high heels can help improve your balance as well. Additionally, exercise caution in certain conditions: avoid high heels in crowded places, when drinking alcohol, when fatigued, and on uneven or slippery surfaces.

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