"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."
But you don't have to swear off high heels altogether. It's possible to make high heels more comfortable. Just pay attention to how much lift you're getting. “Two inches is my cut-off,” says Ward. “A heel below that height does not add significant stress to the metatarsals as the weight can remain distributed between the heel and forefoot.” This also helps you stay balanced (read: no wipe-outs) in your kicks, she notes.
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.