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The Impact of Wearing High Heels


Medically reviewed by
  • Carolyn E. McAloon, DPM

Question

The arches of my feet can be really tight and achy now that I'm in my 40s. I love to wear high heels to work, but I'm also a long distance runner. Is my love for heels AND running mutually exclusive?

Answer

Perhaps not if you choose to pursue both of your habits in moderation. However, if you spend long hours in high heels, then you may continue to find long distance running difficult. Are you willing to drop down to two-inch heels and 10K runs?

Regularly wearing high heels can result in shortening of the calf muscles; a thicker, stiffer Achilles tendon; ankle instability; and increased pressure at the ball of the foot. High heels also change our center of gravity with resultant knee, hip, and/or back pain. The problem when running with these physical changes is the decreased flexibility and quicker fatigue which can result in the arch pain that you have been experiencing.

My recommendations: Find times throughout the day to perform foot and leg stretches and kick off those high heel shoes as often as you can. If your symptoms persist, see your podiatrist for a proper diagnosis. Many of my patients with these symptoms have found relief by wearing prescribed custom orthotics when they run.

Related questions

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  • I have fractured my ankle multiple times. Do you have any suggestions for exercises that would strengthen this area?

  • I have a bunion on my large toe that becomes painful and swollen, especially when I wear high heels. What caused this, and how can I fix it?

  • I have pain across the ball of my right foot, making it tender to walk on. I've been doing a new type of activity - dancing Zumba in new shoes - but this pain showed up five days after the last class. Could it be related? If not, what are likely causes?

  • For the past five to six years, the balls of my feet hurt and burn all the time. I've tried inserts, Dansko shoes, foot soaks, as well as pain and nerve medications. Any suggestions?

  • I have severe Achilles tendinitis and can't even go on long walks for exercise. What workouts would you recommend while I recover? It's been weeks since I've broken a good sweat.

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