Wearing high-heeled shoes increases the foot arch angle inducing measurable changes in the musculoskeletal system

J Back Musculoskelet Rehabil. 2018;31(6):1119-1129. doi: 10.3233/BMR-170891.


Background and objective: The study determined the effects of females wearing high-heeled shoes on the lower extremity musculoskeletal system and somatometry.

Methods: The study was carried out with 136 females between 18 and 45 years old. The first group consisted of 66 females wearing 5 cm or higher high-heeled shoes, at least 5 hours a day, three days a week, and at least one year. The second group consisted of 70 females wearing shoes with heel height less than 5 cm for at least one year.

Results: Differences in length parameters may result from the narrow and pointed toe of the high-heeled shoe. These shoes distribute the pressure on the caput ossis metatarsi I and compress the foot in this area. Differences in anthropometric measurements show that females wearing high-heeled shoes have more slender and smaller foot structure.

Conclusion: These findings show that regular wearing of high-heeled shoes causes changes via the increased foot arch structure. These alterations result from regional, racial, gender, heel height, shoe type (shape), and shoe habits.

Keywords: Musculoskeletal system; foot print analysis; high heeled shoes.

MeSH terms

  • Adolescent
  • Adult
  • Biomechanical Phenomena
  • Female
  • Foot / physiology*
  • Heel
  • Humans
  • Lower Extremity / physiology*
  • Middle Aged
  • Musculoskeletal System*
  • Pressure
  • Shoes*
  • Walking / physiology*
  • Young Adult