"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."
Size and shape: When was the last time you had your foot measured? If you’ve had children/gained or lost weight/or just plain can’t remember, it’s time for a recheck. Too small and your foot doesn’t sit well in the arch. Too big and it slides forward. The best fit will nicely hug and support your arch, and it definitely shouldn't hurt. Also, opt for wider toe boxes for best comfort and less long-term injury.
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.
Whether her explanation is 100 percent scientifically sound is, in this case, slightly irrelevant. By my fourth day of wearing five-inch ankle boots without any pain, I was sold. Personally, I prefer using Band-Aids, bandages, or soft tape, since the thought of securing my two toes together with anything stickier gives me goosebumps and the fear of damaging my feet even further.
The No. 1 mistake women likely make is 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.
Check, and then double check the heel placement. Heels (the location at the back of your foot) are another all too common source of misery for heel wearers. So make sure that you get the fit inch perfect here. Choose shoes with heels centered directly under the middle of your foot’s heel (left), not at the very back of the shoe (right). This will help tremendously with your mechanics and it will reduce the chances of heel pain.
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.