Add footpads: I then Frankenstein my own orthotics into every shoe, depending on the fit. Consider one of these: a very slim insert with a heel cup and slight arch (if you need arch support), heel cushion (for heel pain) or a foot “tongue” pad (use under the foot for cushion, or put on the underside of the top of the shoe to prevent sliding forward). A podiatrist can help you with custom inserts, or you can do as I do, which is buy them in bulk at the drugstore or online.
To wear high heels without pain, Carnation Footcare's Podiatrist Dave Wain has suggested that the most defence is to be prepared. If you know you are wearing heels that tend to hurt your feet after a certain amount of time, stock your bag with everything you need to help. He said: "Go prepared – have in your bag some first aid supplies to deal with potential foot problems before they get too painful i.e. sticky plasters for cuts, damaged toenails or bleeding blisters, anti-blister treatments for rubbing areas." You could even also carry a pair of foldable flat shoes with you, just in case the heels prove too much at the end of the evening!
It's amazing how much the shape of your shoe impacts the comfort. For instance, platforms (this kind, not the ones Elton John wore in the '70s) cut down the distance your heels are elevated above the balls of your feet. That means they're not as taxing on your arch, which is especially good when you're towering on at least three inches. A rounder toe box is also worlds more comfortable and better for your feet, because it allows your toes to lay flat. However, pointy toes are doable as long as the point stretches out instead of stopping right where your toes would rest.
Consider a lower or more comfortable style. Choose a thicker and more stable heel like a platform, wedge, or chunky heel to provide more support and weight distribution. Shy away from pointed-toe styles if you have wide feet or toes, opting for round or almond-shaped instead. You can also buy heeled boots or heels with ankle straps to help support your ankles.