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The Worst Shoes for Your Feet

Heels, flats, flip-flops -- some of the trendiest shoes can be the riskiest.

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Reviewed by Louise Chang, MD

WebMD Feature

Every woman probably has at least one pair: those shoes that you absolutely adore. Some perhaps have dozens.

The problem is your feet may not love those shoes.

Whether they’re skyscraper stilettos, open-backed clogs, pointy-toed pumps, or just ballet flats with no arch support, problem shoes can cause everything from nerve damage to hammertoe to calluses.

Worst Shoe Offender: Flip-Flops

You might be surprised at the winner of the Worst Shoe trophy. According to podiatrist Andrew Shapiro, DPM, a spokesman for the American Podiatric Medical Association, it’s also likely the most popular.

"Women are wearing flip-flops as everyday shoes!" says Shapiro, who practices in Valley Stream, N.Y. "They’re meant for the beach and the pool, not for everyday walking. They don’t give you any arch support. And they don’t protect the foot at all, so it’s prone to injuries."

Flip-flops might be fine if you don't overdo it, John Anderson, MD, co-chair of the American Orthopaedic Foot and Ankle Society’s Public Education Committee, says.

"But a lot of people get caught up in the moment and try to do things flip-flops aren’t designed for: running for a train, jumping, or playing Frisbee or touch football in the backyard," Anderson says. "We see a lot of injuries from improper use of flip-flops, and Crocs as well.”

The woes of improperly worn flip-flops? Shapiro says the list includes scraped feet, strained ankles, and broken toes from falling right out of the shoe as well as chronic problems such as tendonitis and plantar fasciitis due to lack of support.

The solution: Unless you’re on the beach, wear real sandals, not flip-flops -- the kind with a strap in the back that at least holds your foot inside the shoe.

Spike Heels

It’s pretty obvious that the higher the heel, the more misaligned your foot is. So how high is too high?

"Anything higher than about two inches causes a problem," Shapiro says. "The Achilles tendon shortens when the foot is in a high heel. So if you wear them too much, that tendon can become chronically shortened and you have Achilles tendonitis."

Spike heels also put an abnormal amount of pressure on the ball of the foot. "The fat under the ball of the foot starts to thin out from the pressure, and that’s the one place on your body that you want a nice chunk of fat," Shapiro says. "You can end up with something called metatarsalgia -- an acute pain in the ball of the foot that can become chronic -- or even stress fractures from all the pressure and hammer toes from the abnormal positioning."

It’s not just your feet that can pay the price. "If your feet hurt, you’ve lost your foundation," Anderson says. "So if you find yourself limping because your feet hurt, everything above the foot will be affected too. Your gait will be changed, and because of that, you’ll stress your knees, back, and hips. Everything above the foot has to adjust to what’s going on down below."

The solution: Wear your highest heels in moderation -- only for special events -- and slip them off on the way home. You can also relieve some of the pressure on the ball of your foot by wearing an over-the-counter or custom-made gel cushion. "Don’t combine sky-high heels with a pointy toe," Shapiro says. "Look for something that’s wide and roomy in the toe box."

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