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Hallux Valgus and High Heels: Understanding the Relationship

  1. Introduction

    Hallux valgus, also known as a bunion, is a painful condition in which the big toe deviates inward towards the other toes. Hallux valgus gradually tends to worsen over time, and it can be caused by a variety of factors including genetics, footwear, and biomechanics. Among the different types of footwear, high heels are a trendy and fashionable option that can greatly impact the health of your feet. In this article, we will look into the connection between hallux valgus and high heels and provide some helpful tips on how to manage the condition while still wearing your favorite high heels.

  2. Relationship Between Hallux Valgus and High Heels

    High heels can exacerbate hallux valgus symptoms due to the narrow toe box, which causes the toes to become compressed and places pressure on the big toe joint. Recent research has highlighted a link between wearing high heels and the likelihood of developing or worsening hallux valgus. In fact, a study published in the Journal of Foot and Ankle Research discovered that women who frequently wore high heels were at a higher risk of developing hallux valgus compared to those who did not wear high heels. This suggests that regular use of high heels can increase the risk of developing foot conditions like hallux valgus. (1,2,3,)

  3. Impact of Heel Height on Hallux Valgus

    Heel height can affect hallux valgus symptoms. The higher the heel, the greater the pressure on the forefoot and the big toe joint. Research shows that high heels with a heel height of more than 5 cm can significantly increase the pressure on the big toe joint, leading to pain and inflammation. Lower heels, such as those with a height of 3 cm or less, are less likely to exacerbate hallux valgus symptoms. (4)

  4. Choosing the Right Shoes for Hallux Valgus

    Choosing the right shoes is important for managing hallux valgus symptoms. Shoes with a wide toe box can accommodate the deformity and reduce pressure on the big toe joint. Shoes with a lower heel height and a wider base can also help distribute weight more evenly and reduce pressure on the forefoot. It is also essential to choose shoes that fit well and provide adequate arch support. (5)

  5. Managing Hallux Valgus While Wearing High Heels

    While it is best to avoid wearing high heels altogether, there are ways to minimize the risk of exacerbating hallux valgus symptoms while wearing them. Choosing lower heels with a wider base and a wide toe box can help reduce pressure on the big toe joint. It is also important to take breaks and stretch the feet when wearing high heels for an extended period. Taping the big toe or wearing orthotics can also help alleviate pain and reduce pressure on the big toe joint. (6)

  6. Prevention of Hallux Valgus

    Preventing hallux valgus from developing or getting worse involves lifestyle changes such as maintaining a healthy weight, wearing shoes that fit well, and engaging in foot-strengthening exercises. Wearing shoes with a low heel height and a wide toe box can also help prevent the development or progression of hallux valgus. (7)

  7. Conclusion

    In conclusion, high heels can exacerbate hallux valgus symptoms, and wearing them regularly can increase the risk of developing or progressing the condition. It is important to choose shoes that accommodate hallux valgus and provide adequate support and cushioning. Avoiding high heels altogether or choosing lower heels with a wider base and a wide toe box can help reduce pressure on the big toe joint and alleviate pain. Taking care of foot health is essential for managing hallux valgus and preventing its development or progression.

References:

  1. Song, J., Hillstrom, H. J., & Secord, D. (2010). Foot type biomechanics part 2: are structure and anthropometry related to function?. Gait & Posture, 32(1), 7-12. doi: 10.1016/j.gaitpost.2010.02.012
  2. Menz, H. B., & Morris, M. E. (2005). Footwear characteristics and foot problems in older people. Gerontology, 51(5), 346-351. doi: 10.1159/000086373
  3. Nix, S., Smith, M., & Vicenzino, B. (2010). Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. Journal of foot and ankle research, 3(1), 21. doi: 10.1186/1757-1146-3-21
  4. Dawson, J., Thorogood, M., Marks, S., Juszczak, E., Dodd, C., Lavis, G., & Fitzpatrick, R. (2002). The prevalence of foot problems in older women: a cause for concern. Journal of public health medicine, 24(2), 77-84. doi: 10.1093/pubmed/24.2.77
  5. Menz, H. B., & Morris, M. E. (2005). Footwear characteristics and foot problems in older people. Gerontology, 51(5), 346-351. doi: 10.1159/000086373
  6. Menz, H. B., Morris, M. E., & Lord, S. R. (2005). Foot and ankle characteristics associated with impaired balance and functional ability in older people. Journal of gerontology, 60(12), 1546-1552. doi: 10.1093/gerona/60.12.1546
  7. Nix, S., Smith, M., & Vicenzino, B. (2010). Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. Journal of foot and ankle research, 3(1), 21. doi: 10.1186/1757-1146-3-21

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Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:April 5, 2023

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