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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.
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.
Wear your heels around the house before a night out to get a feel for them. This is particularly helpful while breaking in a new pair of stilettos, as you can suss out where the shoes might rub. One way to deal with this is to put on thick socks with your shoes before a night out and blow dry the area where the shoes might rub for half a minute, which would help the shoe to expand and stretch. Another method is to fill plastic bags with water and place them in your shoes, then put them in a freeze. The ice will help stretch out the shoes, making those nasty rubbing blisters a thing of the past!

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. 
As a New Yorker, I walk a lot. To get to and from the subway, I walk about two miles daily, if Google Maps is to be believed. Before I even got to work on Monday, the familiar pain in the balls of my feet was there. By the end of Tuesday, both feet were sore from wearing heels two days in a row. By lunch on Wednesday, I had slipped back into flats, plummeting three inches back to earth.
Many women never get their shoe sizes right. Understand that over the years, your shoe size is likely to change due to various factors. If you have never had your feet sized, perhaps this is the right time to do so. Additionally, repeat this once annually or every time you are purchasing shoes. The measurements should include both width and length. Avoid buying shoes randomly without having your feet measured because different brands are differently designed.
Some theory indicates that imagining yourself walking on an invisible straight line can do wonders. If you have ever watched catwalk models, you have seen that they always cross one foot in front of the other. This enables their hips to sway more. Many women wear high heels intending to look attractive and sexy, and they can get extra finesse by improving their walking style and posture.
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.
I’ve heard people argue that my new, near-daily ritual is ridiculous, that no shoe is worth that much pain or effort. But how different are heels from other small rituals we undertake every day, such as applying makeup? The payoff in terms of the confidence I feel when stomping down the street in a pair of killer heels is worth way more than the extra 30 seconds added to my morning routine.
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