High heel shoes help leg venous pressure

NewsBot · Oct 7, 2006

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The effect of walking with high-heeled shoes on the leg venous pressure.
Angiology. 2006 Aug-Sep;57(4):424-30
Potério-Filho J, Silveira SA, Potério GM, Fecuri RJ, de Almeida FH, Menezes FH

It is common belief that the use of high-heeled shoes is deleterious to venous return, by impairing the efficiency of the muscular calf pump. Ambulatory venous pressure obtained with dorsal foot venipuncture is the gold standard in the evaluation of venous pressure during walking, but it is not routinely used in clinical practice. The objective of the present study was to determine the variations in leg venous pressure obtained with a new noninvasive method, in individuals without venous disease, walking without shoes and wearing high-heeled shoes. A new method of evaluation of the venous pressure by means of air plethysmography was applied to 10 volunteers (20 limbs). The patients were evaluated while standing, with orthostatic flexion and extension foot movements, and while walking on a treadmill barefooted and wearing high-heeled shoes. It was found that the variation on the cuff pressure during walking with high-heeled shoes was higher than the variation on the cuff pressure walking barefooted (52.2 +/- 8.89 X 26.65 +/- 6.7 mm Hg, p < 0.0001), and the final hydrostatic venous pressure was lower (51.5 +/- 12.78 X 61.5 +/- 8.44 mm Hg). The use of high-heeled shoes increases muscular effort during walking and diminishes the leg venous pressure compared with barefooted.
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Admin2 · Oct 7, 2006

Venous

Related thread:
Four layer bandaging for venous leg ulcers

Cameron · Oct 8, 2006

The venous pump is and intereting concept. Here is a patent
http://www.freepatentsonline.com/4619055.html

Cameron

John Spina · Nov 8, 2006

I guess,while an offbeat theory,that this actually makes some sense as the leg is plantarflexed and the muscles have to work a little harder.

davidh · Nov 9, 2006

Hi John,

In the 1980's trainers were available with a 2-3 inch heel (may even have been higher). They originated in the USA, and were worn as a training aid to make the lower leg posterior muscle group work harder, and were much in favour, if only briefly, by some professional and semi-professional basketball players in the UK.

Having tried on a pair I can vouch for the fact that they worked (ie made that muscle group work harder).

Regards,
david

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