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. 

Don't forget the heel taps on your shoes, either. "If you let those start getting to the point where they're chewed up, by the heel, or by just walking on gravel or stone, it's going to make it more likely that you're going to topple over, because if they're uneven, then you're going to be — literally — on uneven footing, so replacing those regularly, before they get bad, is important and that's going to help your shoe last longer too," Canfield McNish said.

If you're pounding the pavement and walking a lot in your high heels, try wearing an insert. Dr. Scholl's is well known for their shoe comfort accessories. This brand has a vast array of inserts and pads that you can purchase at almost any drug store, including some for the sole of the shoe, cushion for the ball, and even a barrier between the back of the shoe and your heel. Try the Stylish Step High Heel Relief Insoles in your favorite pair of heels for a dose of comfort.
Keep silica gel packets in your shoes when they’re not being worn.[3] Have you noticed after purchasing a pair of new shoes those little white packets containing tiny clear balls inside your shoe box? Those packets contain silica gel which absorb moisture and keep your shoes from shrinking. Hold on to those packets instead of throwing them away and stick them in your shoes when you’re not wearing them. You can ask a shoe store associate for extras, if necessary.
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