"High heels may be painful for anyone; women suffering from varicose veins and underlying venous insufficiency are especially prone to discomfort," says Dr. Christopher Hollingsworth, an endovascular surgeon at NYC Surgical Associates. "Veins have a series of series of one-way valves to facilitate the return of blood towards the heart... While veins anywhere in the body can become varicose, veins in the legs are most affected due to the larger pressure from sustained standing, walking or other stress on the legs or feet."

Recently I was at a friend’s birthday where a few of us were debating the plausibility of walking home in  heels after a night of standing around. Now  I love heels, high high heels. In fact the higher the better. I love the line they give the leg, I love how elegant they make me look…..what I’m having trouble with is how they feel. After years of taking ballet and wearing pointe shoes you’d think I could handle heels but lately anything fancier than a sneaker is causing me foot pain.
There are many different types of aids to help make a shoe more comfortable even after "breaking them in," and can be purchased at shoe stores, large retailers, and some drugstores. These include special small gel pads for the balls of the feet, heel inserts to help minimize chafing at the back of the shoe and rough patches to glue onto the bottom of a slick sole, affording you better traction.
This is the most important rule: Don’t buy wedding shoes unless they fit you perfectly. Just don’t! If your shoes are already too snug, you’re only asking for pain after an hour or two — or maybe less. And then you’re not only going to ache, chances are you’ll end up with a painful blister and will then fantasize about crawling around for the rest of the day — because even changing into flats is painful when you have a gnarly blister.
The number one mistake women make would probably be not having the right shoe size for their foot. Your foot size changes over the years, even as much as one full size, especially after having kids. Have your feet sized once a year, and do it if you’ve never had it done. Have your feet measured when you’re buying shoes, for width and for length as well. A lot of people think they’re a wide or vise versa and they’re not, so definitely do that before you shop.

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.
As Marilyn Monroe once said, “I don’t know who invented high heels, but all women owe him a lot.” We can’t help but agree. After all, heels are great at dressing up an outfit. In addition, they help elongate your legs, making it possible for everyone to feel like a supermodel for a night. The 1950s “blonde bombshell” actress is famous for her sexy style, so it’s no wonder fashionable pairs of heels were a staple in her closet. However, being a fashion icon also means that Marilyn was quite familiar with just how uncomfortable a trendy pair of heels can be. Luckily, here at FootFitter we have the fix if you’re trying to figure out how to make heels more comfortable.
Also, while you're having a ball, be conscious of the weight that's being distributed onto the ball of your foot. "The higher the heel, the more the shoe increases the arch height and also changes the 'arch position'," Vasyli says. He suggests looking for shoes that "contour" to your arch and distribute your weight over the entire foot, not just the ball of the foot.
Heels do us all kinds of favors: They make our legs look long and slim; give us a confidence boost; and have the magical ability to transform a casual look to some serious night-out material. But, our favorite pumps also come with a rap sheet that includes blisters, a not-so-endearing tumble down the stairs, and the general feeling that beauty is, indeed, pain.
Moleskin Madness: Before a big event or the first time your wearing those adorable new heels, pick up a pack of moleskin from the drug store and either line the straps and back of your shoe with the padding or put it right on your feet. Sadly, we can pretty much tell immediately after sliding the shoes on where they're going to rub us the wrong way. Before said blisters develop, put some moleskin on those areas to prevent painful and bloody bruises while you're out.

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.
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