According to Sutera, there are three key elements any body-healthy shoe should have. “In a sensible shoe, you need shock absorption, cushioning and arch support. When you’re not getting that on a regular basis, you’re either going to cause an injury or make something that you are susceptible to, such as a bunion or hammertoe, worse.” In addition, according to the APMA, any high-heel shoe should have a heel that is two inches or shorter to decrease strain on the body.
"Wearing high heels changes the natural biomechanics of the foot which has been honed by thousands of years of walking," he explains. "We also walk on concrete all day every day, which is bad for your feet, leading to a cocktail recipe of stresses to overload joints, muscles and tendons which work together in complex clockwork action to form a normal step.
New York City-based podiatrist Jacqueline Sutera encourages women to wear “commuter shoes” so they’re not pounding the pavement in not-so-comfy soles all day. “Change into your heels at the event or party,” she advises. Try choosing strappy but sensible pumps like these that are appropriate for work, a dressed up brunch, or even happy hour. The versatile heel also comes with a cushioned footbed, so your feet can feel at ease at any type of event.
One thing to try are the over-the-counter products that market themselves for high heels. They are called metatarsal or ball of the foot pads. They are oval-shaped pads that go under the ball of the foot, usually made from a silicone gel. They combat soreness under the ball of the foot. Especially if it’s made of silicone, it will hold your foot more steady in the shoe so your feet aren’t sliding forward as much, which will protect your toes from friction and blisters.
Gel insoles solve a lot of heel-wearing problems. For one thing, they can prevent toes from scrunching and thereby prevent blisters. Dr. Scholl's sells high heel insoles with arch shaping to keep pressure off your foot. If your toes are constantly sliding forward in your shoes, there’s even a cushion designed to hold the ball of your foot in place. The gel inserts stick to your shoe insoles well but are also easy to swap among your shoes. The product's website advises to replace them every six months, or when they start to tear.
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.