"As simple as it sounds, the shoe needs to fit," says podiatric surgeon Dr. Rebecca Pruthi over email. You want to make sure there is space between the longest toe and the end of the shoe. "When shoe shopping, buy at the end of the day when your feet are already swollen," suggests Pruthi. "Also, look at your width of your feet. I see too many women with wide feet cramming into a narrow shoe. This will help avoid bony changes and damage that can lead to bunions, neuromas and hammertoes."
I should add that I’m very particular about my shoes, they need to be good quality with a well balanced heel. Yes, I’ve actually spent time discussing this with my trusty shoe repair guy. After many blisters and much frustration I’ve discovered a few tricks that are making a world of difference. Basically, I stopped applying the solutions to my shoes but rather I apply them straight to my feet. So how to wear high heels without pain? It isn’t very glamorous but here goes:

The more coverage you have on the top of your foot, the better. Sometimes high-heeled boots are actually something you can wear all day and they don’t bother your feet as much. In the summer, you can try something with an ankle strap or a big wide strap across the top. If you’re prone to blisters and friction, you might want to try that style, something that covers more of the top of your foot.
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.”  

There’s a way to walk in flats and there’s a way to strut in heels and never should the two be confused. “Heels are not sneakers — you have to carry yourself differently,” Stempien said. “Use your core muscles and stand up straight. Pretend you’re strutting your stuff on the catwalk and use your hips and legs to propel yourself forward. It should feel more like a bounce than a normal stride. Practice it at home until you’ve got it down pat — this can be one of the easiest ways to avoid pain in heels.”
Wet the insides of your high heel shoes to stretch them.[6] Water can speed up the breaking in process by helping to mold the inside material of your shoes to your feet. Take a damp cloth and rub the insides of your high heels. Put them on while they’re still moist and wear them for an hour or more. You can also dampen a pair of socks and wear them with your high heels for the same amount of time.
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I was intrigued by the idea of being able to wear heels again. I really put it to the test, by wearing heels into the city. Lot's of walking, and I survived. Unfortunately, I did not bring the small purse vial of spray, and was unable to refresh the spray after a few hours. I wore those boots for 8 hours. I felt the cooling/numbing effect of the spray. I have bunions and osteoarthritis. I threw away the boots I was wearing that day, because, let's face it, heels are not healthy for anyone, at any time. I do, however, plan to use this product to survive (even enjoy) my son's impending wedding.
According to New York City-based podiatrist Emily Splichal, it’s not only about the heel. It’s important how you treat your feet post-wear, too: “Focus on stiletto recovery after a day or night in heels,” Dr. Splichal says. She rolling feet on a golf ball, stretching the calves, and spreading the toes with products like Correct Toes or Yoga Toes. “Even the healthiest heels are still stressful to the foot and body, so recovery is one of the most important secrets to being able to wear heels pain-free.”
You need to take regular intervals to save you from the pain of wearing heels, no matter how good the quality of your heels is. You need to bring out your legs from the heeled shoes once in a while. You can take regular breaks after every 30 minutes if you suffer from severe pain because the breaks will let your feet breathe and shoo away the pain.
Shoe expert Dr Naomi Braithwaite of Nottingham Trent University revealed that a good fit and a little help from gel insoles can go a long way. She told HELLO!: "Gel insoles can be delightful on the soles of the feet, particularly if you are going to be wearing at an occasion when standing is on the agenda. Ultimately fit is key so it is important to have heels that fit well and that have a padding in between the inner sock and sole of the shoe."

Rough up the bottoms of your heels.[5] It’s important that your shoes have a decent amount of traction on the bottom. Walking in high heels will be a lot easier and safer if you’re not sliding around all over the place. New heels tend to have smoother bottoms that become rougher once scuffed. Speed up the process by roughing up the bottom of your heels using a piece of sandpaper. Rub the bottom of your heels for a minute or two, or until the bottoms feel noticeably rougher.

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