Stiletto & Posture

Podiatrist Emily Splichal talks about posture and stiletto.

According to Mayo Clinic these are the conditions that can be casued by wearing high heels shoes:

  • Corns and calluses. Thick, hardened layers of skin develop in areas of friction between your shoe and your foot. Painful rubbing can occur from wearing a high heel that slides your foot forward in your shoe or from a too-narrow toe box that creates uncomfortable pressure points on your foot.
  • Toenail problems. Constant pressure on your toes and nail beds from being forced against the front of your shoe by a high heel can lead to nail fungus and ingrown toenails.
  • Hammertoe. When your toes are forced against the front of your shoe, an unnatural bending of your toes results. This can lead to hammertoe — a deformity in which the toe curls at the middle joint. Your toes may press against the top of the toe box of your shoe, causing pain and pressure.
  • Bunions. Tightfitting shoes may worsen bunions — bony bumps that form on the joint at the base of your big toe. Bunions can also occur on the joint of your little toe (bunionettes). Experts disagree on whether tightfitting, pointy-toed, high-heeled shoes cause bunions or bunionettes, but such shoes can exacerbate an already existing problem.
  • Tight heel cords. If you wear high heels all the time, you risk tightening and shortening your Achilles tendon — the strong, fibrous cord that connects your calf muscle to your heel bone. Your Achilles tendon helps you point your foot downward, rise on your toes and push off as you walk. Wearing high heels prevents your heel bones from regularly coming in contact with the ground, which in turn keeps your Achilles tendon from fully stretching. Over time, your Achilles tendons contract to the point that you no longer feel comfortable wearing flat shoes.
  • Pump bump. Also known as Haglund’s deformity, this bony enlargement on the back of your heel can become aggravated by the rigid backs or straps of high heels. Redness, pain and inflammation of the soft tissues surrounding the pump bump result. Heredity may play a role in developing Haglund’s deformity, but wearing high heels can worsen the condition.
  • Neuromas. A growth of nerve tissue — known as Morton’s neuroma or plantar neuroma — can occur in your foot, most commonly between your third and fourth toes, as a result of wearing tightfitting shoes. A neuroma causes sharp, burning pain in the ball of your foot accompanied by stinging or numbness in your toes.
  • Joint pain in the ball of the foot (metatarsalgia). High heels cause you to shift more weight to the ball of your foot, rather than distributing your weight over the entire foot. This causes increased pressure, strain and pain in your forefoot. Shoes with tightfitting toe boxes can lead to similar discomfort.
  • Stress fractures. Tiny cracks in one of the bones of your foot — stress fractures — may result from the pressure high heels place on your forefoot.