High heel shoes do not cause foot deformity but do cause more foot pain

NewsBot · Nov 14, 2015

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Does the use of high-heeled shoes lead to fore-foot pathology? A controlled cohort study comprising 197 women.
Grethe E. Borchgrevink, Annja T. Viset, Eivind Wits?, Berit Schei, Olav A. Foss
Foot and Ankle Surgery; Article in Press

Highlights
?Women wearing high-heeled shoes at work for 5 years or more were compared to controls.
?Investigated with radiographs, SEFAS questionnaire and AOFAS Clinical Rating System.
?Evaluators were blinded to group-affiliation.
?Wearing high-heeled shoes at work did not cause more foot deformation.
?Wearing high-heeled shoes at work caused more foot pain and callosities
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Background
High-heeled shoes have been suggested as a main explanation for the female dominance in foot pain and deformities. Aim of study was to test this hypothesis scientifically.

Methods
Women 40-66 years were included in two groups. 95 women who had worn high-heeled shoes at work for at least 5 years were compared to 102 women who had never worn high-heeled shoes at work. The investigations were weight bearing radiographs of foot and ankle, the SEFAS questionnaire and the AOFAS Clinical Rating System. Evaluators were blinded to the group-affiliation.

Results
Radiographs showed no statistically significant differences between the two groups concerning deformities or joint disease. Foot function measured by SEFAS and AOFAS total score, were similar in the two groups. The high-heeled group had more pain and more callosities.

Conclusion
For women aged 40-66 years wearing of high-heeled shoes had not caused foot deformation, but more foot pain and callosities.
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NewsBot · Nov 14, 2015

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rubennpodo · Nov 15, 2015

Perhaps these studies has not enought scientific statistics power. There are some studies performed with electromagnetic tracker devices that have shown higher abduction moments in proximal phalanx of hallux with higher heel shoes

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rubennpodo Active Member

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