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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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Allright gals, dig in. I have my own theories.
1 posted on 03/28/2005 2:04:52 PM PST by pissant
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To: pissant

I am a high heal kind of man luv them


2 posted on 03/28/2005 2:06:21 PM PST by al baby (Dick Trickle is not just a medical condition)
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To: teenyelliott; Hi Heels

What does this mean??


3 posted on 03/28/2005 2:06:28 PM PST by pissant
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To: al baby

Bet you look good in 'em too! ;0)


4 posted on 03/28/2005 2:07:40 PM PST by pissant
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To: pissant
I do not wear heels. If my feet hurt, you do NOT want to be around me. I am an antifahionestabiishmentarian.

Overalls rule!

5 posted on 03/28/2005 2:08:49 PM PST by Finger Monkey (H.R. 25, Fair Tax Act - do the research, contact your legislators, get this puppy passed.)
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To: pissant

As we get older, we get smarter. I gave up heels years ago. I will say though that even low heeled shoes gave me problems when I stood in boots for over 7 hours on Inauguration Day!


6 posted on 03/28/2005 2:09:13 PM PST by queenkathy (I'm praying for that God will perform a miracle.)
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To: pissant

High heels are torture devices. I can't wear them - first off, I'm a clutz, so I'll trip and fall. Second I have flat feet so high heels are literally torture. If my foot is forced into a curve, like some high heels I've worn do, I get sharp crippling pains.

No big deal. I wear sneakers or boots almost everywhere, with flats for church. Too bad, I could use a couple extra inches of height.


7 posted on 03/28/2005 2:10:29 PM PST by JenB
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To: al baby

I thik men should wear them as often as they like until they get their fill...


8 posted on 03/28/2005 2:11:36 PM PST by piasa (Attitude Adjustments Offered Here Free of Charge)
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To: al baby

yipes.

I thiNk men should wear them as often as they like until they get their fill...


9 posted on 03/28/2005 2:11:58 PM PST by piasa (Attitude Adjustments Offered Here Free of Charge)
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To: pissant
Me in tennis shoes


10 posted on 03/28/2005 2:12:13 PM PST by al baby (Dick Trickle is not just a medical condition)
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To: pissant
Dude, how much time do you have? Again, depends on the visual and location.

I love heels. Don't wear them often, but when I do, they are usually 3-4 inches.

Sometimes, you just gotta sacrifice comfort for beauty.
11 posted on 03/28/2005 2:16:48 PM PST by teenyelliott (Soylent green is made of liberals...)
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To: pissant

High heels work well with stockings, too.

Stockings, in turn, often held in place by a garter belt.

Etc.

All in all, positive things.

So whereas the podiatrist may stress the physiologic detriments of high heels, please consider other, equally important positive viewpoints.


12 posted on 03/28/2005 2:18:18 PM PST by truth_seeker
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To: BerthaDee

As much as men like the look of gals in pumps, it's not worth it to hear you squawk!


13 posted on 03/28/2005 2:18:27 PM PST by pissant
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To: queenkathy

Do like my wife does. Carries the fancy shoes in her purse and wears the sneakers 'til the last minute.


14 posted on 03/28/2005 2:19:24 PM PST by pissant
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To: JenB

I'm guessing you are married?


15 posted on 03/28/2005 2:19:56 PM PST by pissant
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To: al baby

That can't be you. Men don't wear Kswiss!


16 posted on 03/28/2005 2:20:35 PM PST by pissant
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To: pissant
Am I being unreasonable by asking my wife to wear these perfectly sensible, comfortable-looking shoes?


17 posted on 03/28/2005 2:21:23 PM PST by Modernman ("I'm in favor of limited government unless it limits what I want government to do."- dirtboy)
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To: pissant

High heels anyone? (Not safe for work)
http://www.kindgirls.com/gal2/luba7/luba7_13.jpg


18 posted on 03/28/2005 2:21:47 PM PST by finnman69 (cum puella incedit minore medio corpore sub quo manifestus globus, inflammare animos)
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To: pissant
I think high heels are the sort of thing women have told themselves men like. I think people should wear comfortable shoes and be happy with them.

Personally I am not the least bit attracted to or overly interested in women's footwear of any kind. It might be good advice to avoid guys who are.

19 posted on 03/28/2005 2:23:04 PM PST by muir_redwoods (Free Sirhan Sirhan, after all, the bastard who killed Mary Jo Kopeckne is walking around free)
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To: Modernman

were you intending to post a pic?


20 posted on 03/28/2005 2:23:13 PM PST by pissant
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