Young Brunette Girl With High Heels Strips Her Red Dress In The Round Bed

High-heeled shoes slant the foot forward and down while bending the toes up. The more that the feet are forced into this position, the more it may cause the Achilles tendon to shorten. This may cause problems when the wearer chooses lower heels or flat-soled shoes. When the foot slants forward, a much greater weight is transferred to the ball of the foot and the toes, increasing the likelihood of damage to the underlying soft tissue that supports the foot. In many shoes, style dictates function, either compressing the toes or forcing them together, possibly resulting in blisters, corns, hammer toes, bunions (hallux valgus), Morton's neuroma and many other medical conditions, most of which are permanent and require surgery to alleviate the pain. High heels—because they tip the foot forward—put pressure on the lower back through making the rump push outwards and crushing the lower back vertebrae and contracting the muscles of the lower back.
If it is not possible to avoid high heels altogether, it is suggested that the wearer spend at least a third of the time on their feet in contour-supporting "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions.
One of the most critical problems of high-heeled-shoe design involves a properly constructed toe-box. Improper construction there can cause the most damage to one's foot. Toe-boxes that are too narrow force the toes to be "crammed" too close together. Ensuring that room exists for the toes to assume a normal separation so that high-heel wear remains an option rather than a debilitating practice is an important issue in improving the wearability of women's high-heeled fashion shoes.
Wide heels do not necessarily offer more stability, and any raised heel with too much width, such as found in "blade-" or "block-heeled" shoes, induces unhealthy side-to-side torque to the ankles with every step, stressing them unnecessarily, while creating additional impact on the balls of the feet. Thus, the best design for a high heel is one with a narrower width, where the heel is closer to the front, more solidly under the ankle, where the toe box provides room enough for the toes, and where forward movement of the foot in the shoe is kept in check by material snug across the instep, rather than by the toes being rammed forwards and jamming together in the toe box or crushed into the front of the toe box.