One of Dr. Osterman’s favorite shoe brands is Pikolinos. The podiatrist-approved line boasts options that come with cushioned forefront beds, ample room in the toe boxes, and block heels for more stability. “The wider the heel, the less one has to balance on the shoe,” Dr. Osterman explains. “Think of the heel like a stilt – the smaller the heel, the more the calf muscles have to work, which can be unstable and fatiguing.”
Let's face it—my telling you not to wear heels won't convince you to stop (I wouldn't listen to me say that either), but how can you do so comfortably—and safely? As an ER doctor, I’ve treated many women with high heel-related injuries—including one who fell after getting her heel caught in cobblestones. In fact, a recent study showed that ER visits for injuries caused by heels have doubled since 2002, leading to foot and ankle sprains, fractures and other injuries.
Know your foot type. In my opinion, a podiatrist would be the best way to know your foot type and what’s going on. If you can’t run out to the podiatrist, there’s a couple of neat ways to see if you have a flat foot or a high-arch foot. Wet your foot and step onto a piece of construction paper. When you make an impression, it will show you how much your foot is flattening or how high of an arch you have. You can look at a person’s foot type and see why they are having pain.
Dr Naomi explained: "When you wear a high heel there is a huge amount of pressure bearing down on the soles of the feet, so a platform sole underneath can diffuse the pressure. There is more padding between the foot and the pavement. Thick heels can be more comfortable for walking than stilettos, as again there is more surface area for the pressure."
Making sure that the leather is conditioned is one thing that you can do to help keep your shoes in tip-top shape. Canfield McNish also recommended making sure that all of your heels have non-slip pads attached to the bottom. You can buy these at shoe stores, online, at stores like Target and Walmart, or at your local cobbler. The pads help keep you avoid slipping, but they also help protect your shoes from premature wear.
"Put maxi pads in your high heels. It holds your foot snug in the shoe, it offers a little bit more cushion, and as your feet sweat, it absorbs the moisture," she told me during a phone call last week. With my mind blown, I asked her to clarify, and it's exactly what you'd think: Insert the pad with the sticky side down, trimming if you need for size, and then get ready for a comfortable night of merriment (or standing on your feet at a work event).
Blast your heels with heat. Heat is an effective way to soften a material and make it more pliable. Carefully warm your heels using a blow dryer or a small heater for about a minute or two. Watch how your heels react to the heat because certain materials don't do so well under heat for long periods of time. You can bend and twist your heels while they’re still warm. Or you can wait until they’ve cooled and put them on with a pair of socks to stretch them.