Blonde Girl On The Hill Reveals In A Black Dress And High Heeled Footwear

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.
Despite the medical issues surrounding high-heel wear, a few podiatrists recommend well-constructed low to moderate heels for some patients. It appears a slight elevation of the heel improves the angle of contact between the metatarsals and the horizontal plane, thereby more closely approximating the proper angle and resulting in proper weight distribution of a medium-to-high-arched foot. Other foot specialists, however, argue that any heel causes unnecessary stresses on the various bones and joints of the foot.