Women, Weddings and Shoes
Ah…you’re getting married! It is the most exciting (and stressful) time of your life. Early on, you are likely ironing out the plethora of details for the wedding day - your dress, hair, jewelry, and finally – the icing on the cake – your shoes. When women shop for shoes, it’s much like shopping for their partners; it isn’t easy to find the perfect fit! The last thing you would want to do is settle for something that is not suited to you! However, this is actually what is shown to happen (at least when it comes to our shoes). There are studies that show that the majority of women wear shoes too small for their feet, and bear pain and deformities as a result. To see this for yourself, stand bare-footed next to a pair of high-fashion shoes and see the (usually) dramatic difference in size, especially in the front of your foot (your forefoot). Imagine trying to compress a lemon into a triangular hollow, and then imagine that these are your feet in narrow toe shoes, and you are doing this to them for 8 hours in a day! Those poor lemons!
The Beautiful Foot
The foot is a complicated structure with 28 bones, and 55 joint articulations! Our hunter-gatherer ancestors did not have shoes, and also did not have many of the harmful foot conditions seen today, such as bunyons, hammertoes, and corns (to name a few). Studies have shown low rates of foot problems in developing populations that have never worn shoes (having feet similar to our hunter-gatherers). These are some of the reasons that have inspired new fads such as “bare-foot” running or the FiveFinger shoes.
However, for the majority of individuals, not wearing shoes is not an option.
So what’s a girl to do?
On a regular day, the ideal choice of shoe is one with a square or wider toe box. If you decide to wear a heel, choose one that is lower than 2 inches in height. Of course, the day of your wedding is no ordinary day, and most women choose to jazz it up and pull out the va-va-voom Jimmy Choos, Manolos or Louboutins that are most definitely higher than 2-inch heels. If you are in this boat (and I anticipate many will be), choose a high heel that has a platform under the toe box, which will distribute stress more evenly throughout the foot. Also avoid a very pointed toe box as it greatly ramps up pressure felt in the forefoot (front of foot). Wearing high heels on rare occasions is not going to kill you; although with time, wearing high heels with a narrow toe box can cause the foot to deform to the shape of the shoe, resulting in deformities such as hammer toes and corns, as well as pain and discomfort not only in the feet but also up the kinetic chain (knees, hips and lower back).
High Heel Nation
So what does the research say about high heels? A recent study in the Archives of Physical Medicine and Rehabilitation (2012) investigated the effect of wearing low and high-heeled shoes on erector spinae (low back muscle) activity and motion of the pelvis. The women included in this study rarely wore heels. When they donned a pair of stiletto heels for an extended period, this significantly increased activity in their low back musculature. Extrapolating these results could mean consistent heel usage could lead to muscular fatigue, inflammation or movement restriction, and could also change the loads applied to the spinal joints…all these could result in the development of low back pain.
Does this mean you should never wear high heels? Carrie Bradshaw would roll her eyes sarcastically at the thought. No. However, one should only wear heels occasionally (insert wedding bells) and also to choose a shoe with a platform under the toe box, and one with a wider toe box. Lastly…avoid stilettos if possible (I’m quite certain that many will ignore this one). Your wedding day will be one you will never forget…don’t let that memory be ridden with foot pain!
Article published on suhaag.com
References:
Frey, C., and Coughlin, M.J. "Women’s Shoe Wear: An Orthopaedist’s Advice ." Journal of Women’s Health. 8.1 (1999): 45-49.
"Shoes: Finding the Right Fit-OrthoInfo - AAOS ." AAOS - OrthoInfo. National Ambulatory Medical Care Survey (NAMCS, 2005-2009), n.d. Web. 7 May 2013. <http://orthoinfo.aaos.org/topic.cfm?topic=A00143>.
Mika, A, Olesky L., Marchewka, A., and Clark, B.C. "The effect of walking in high- and low-heeled shoes on erector spinae activity and pelvis kinematics during gait." Archives of Physical Medicine & Rehabilitation. 91 (2012): 425-434.