Jan Vickery, chartered physiotherapist and ergonomist and Head of Clinical Operations for AXA Health's specialist Health Services division

Why not to wear high heels to work

Feet and Ankles

4 February 2019

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High heels aren’t just hot on the cat walk, they have also been hotly debated in the press, leading to the 2016/17 government inquiry into discriminatory workplace dress codes.

AXA Health's lead physiotherapist, Jan Vickery explains how high heels can affect your musculoskeletal system, and how you can take better care of your feet and reduce the chance of damage to your body.

You don’t have to toss out your favourite wedges or strappy sandals, the key to preventing problems that may result from wearing high heels is to avoid wearing them day in and day out.

The low-down on high heels

The most common health problems caused by high heels are felt in your feet. The highest heels – over five inches – place the most strain on the body. The higher the heel, the greater the pressure on the front of your foot.

A 5cm (just under 2”) heel increases the pressure on the ball of your foot by about 52 per cent with each step you take. Wear an 8cm heel (just over 3”) and the pressure increases to about 79 per cent.

The result? Unnatural loading of the forefoot can lead to hammer toe deformities, bunions, callouses and thickening of the nerves between the toes (Morton’s neuroma),” says Jan. If you wear high heels daily you may also find that your Achilles tendon at the back of your ankle changes, becoming tight, thickened and shortened.

What could go wrong?

The strain doesn’t stop at your feet. High heels tend to push your body weight forward and so you need to work harder to counteract this and prevent yourself from falling forward. This can place extra strain on your knees, and can alter the natural curvature of your back, which can lead to knee and back pain.

If you already have alignment problems in these areas, wearing high heels for long periods could make them worse. Jan says, “High heels can be a great fashion accessory but, from the point of view of the foot, wearing high heels habitually isn’t a good idea. The joints of the feet can be damaged by wearing high heels, and this can cause deformities and some forms of arthritis.”

Use in small doses

Keeping your high heels for special occasions will save you some of the problems that come from wearing high heels daily.

For everyday wear, try to keep to heels no more than 3cm (about 1¼”) high.

Jan recommends moderation. “Wear your heels for as short a period as possible, taking them off when you need to walk longer distances or when you’re sitting, and carry some flat, supportive shoes to change into."

Reduce the damage

Taking care of your feet doesn’t mean a lifetime spent in flats. These tips should help you reduce the impact that wearing high heels has on your feet and body.

  • “Try some shock absorbing pads and callous protectors for the parts of your feet that hurt the most. You should find these in most chemists.
  • When you take your high heels off, mobilize your foot and ankle, by moving your foot in a circular motion. Stretch your Achilles tendon by stretching your legs out in front of you and pushing your heels down and your toes up or stand with your front foot on a step, keeping your knee straight drop your heel below the stair level.
  • Keep fit and work on your overall body posture and muscle tone. Pilates-type exercises are excellent for building good postural control.
  • Wear shoes with varying heel heights. This will give your tendons and joints a rest from holding the same position.
  • Most of all, listen to your body. You’ll know when high heels are placing too much strain on your body.”

For more information on foot care and treatment, visit our musculoskeletal centre or ask our experts a question now.

Further reading

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