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Even a flood of Athleisure won’t change the fact that high heels will be around. Always to be fashionable. We all know that even fluffy butter pumps can leave us aches and pains, but is there more to the story than just a temporary inconvenience?
Audit and quality manager Dr. We chat with Kevin Lees, DC. Joint Chiropracticto learn.
tFS: Do all heels hurt when worn regularly or does it vary from person to person?
Kevin Lees: Heels, typically two inches or more, are associated with foot or back injuries. Heels can also accentuate posture problems for some people, so for someone who already has lower back pain, heels may affect them differently. Also, the amount of time and activity a person spends while wearing heels can affect them differently than others.
tFS: What is considered regular?
Dr. Kevin Lees: If heels are part of your wardrobe choice, they can cause foot or back problems. It also depends on your daily routine. Some people stand for very little throughout the day, while others can stand for hours.
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tFS: Is there a heel height that is actually useful?
Kevin Lees: Wearing a light heel can reduce tension on the Achilles tendon and help against pronation and help prevent shin splint and knee pain compared to a fully flat shoe.
tFS: What kind of damage can heels do?
Dr. Kevin Lees: Wearing high heels can increase the pressure on your toes and feet, redistributing your weight to a much smaller area of your foot. This can cause shortened calf muscles, plantar fasciitis, bunions, and ingrown toenails. Also, as your weight distribution changes, the lower spine curves up, which puts increased pressure on the joints of the spine. This can lead to facet syndrome, which causes back pain and can lead to long-term degeneration or osteoarthritis.
tFS: Is there an age range where wearing high heels is particularly harmful?
Dr. Kevin Lees: Children and young adolescents should avoid wearing heels altogether, as their joints and posture are still developing. As a child grows, the growth plates are still not fully fused and the curves of the spine are still changing. Wearing high heels can cause permanent changes in those that can lead to other posture problems as an adult.
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tFS: What about people who wear high heels every day and don’t seem to have any problems, too?
Kevin Lees: Some people who wear heels every day may be lucky enough not to have any symptoms from heels, or the effects of heels may now cause them to feel uncomfortable wearing anything flatter. If the calves are chronically shortening, wearing small heels or not wearing heels at all can be very uncomfortable.
tFS: Can flats have problems too?
Dr. Kevin Lees: Shoes without heel or arch support can also cause problems. Most of the time, they can cause loss of arch in the foot. This can cause plantar fasciitis and pronation, which can also cause ankle and knee pain.
tFS: What are some general things to look for when shopping for a “healthy” shoe?
Dr. Kevin Lees: When looking at heels, remember to wear a wider-toed shoe to avoid pinching the foot. Having an ankle strap can help the foot relax while walking. Look for shoes with padded insoles or heels that can hold an after-market insole to cushion your feet and reduce stress on your knees. If your day involves a lot of walking or standing, keep heel height less than 2 inches.
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