The Italian word for high heels is Stiletto, which is a dagger with a very narrow and thin blade. In a sense, high heels are like a sharp, sexy “dagger” that allows women to conquer men. Today’s high heels, there is no highest, only higher. Attractive high heels make women more colorful and sexy, but also let women pay the price of health – foot, waist tired. It is not just the feet that are hurt. Studies have shown that the most appropriate heel height is about 3 cm. When the heel exceeds 5 cm, the ankle and knee burden increases, calf and back fatigue; heel more than 10 cm, ankle, calf, lumbar vertebrae and neck will be too much discomfort due to the body leaning forward. Wearing such high heels for a long time, pain is the first important signal. Pain, in fact, is a warning: the light foot will wear out blisters, which in turn may grow corns or calluses (thick calluses). Gradually, this will lead to bunions, leading to bunions, hammertoes and a host of other disorders. Not only that, when walking in high heels, the knee and ankle joints are affected and unevenly stressed, making them more prone to ankle sprains than in flat shoes. The load pressure on the knee joint increases significantly, making degenerative osteoarthropathy occur earlier. The damage to the lumbar spine is more serious when wearing high heels, and because this damage occurs and develops more slowly, it is more likely to be overlooked. After wearing high heels, the pelvis will tilt forward and the line of gravity will shift forward. In order to maintain the stability of the body, it is necessary to take the chest, buttocks and waist backward posture to re-establish balance, which will inevitably make the lumbar muscle in a state of long-term tension and contraction, over time there will be lumbar muscle strain, lumbar spine bending increased problems, and eventually cause recurrent acute or chronic low back pain. The culprit of bunions It is currently believed that the main cause of bunions is the wearing of shoes with too high a heel and too narrow a toe. The effect of narrow shoes on the foot begins with localized redness and mild pain in the first metatarsophalangeal joint, which develops into a bunion over time. The narrow toe space also deforms other toes, producing conditions such as hammertoes, claw toes, and calluses (thick calluses) on the back of the toes, often accompanied by chronic pain. Therefore, it is recommended that women who love beauty should pay attention to their foot health and wear less high heels with a heel of more than 5 cm, so as not to pay for their beauty with their health. In addition, bunions have a clear genetic predisposition and are usually seen in female members of the family; the occurrence of bunions is related to the skeletal and arch structure of the foot (e.g. flat feet, first sequence of foot laxity, etc.); bunions are also a pathological manifestation of certain diseases (e.g. diabetes, rheumatic diseases, etc.) in the toes. Most bunions are painful, as the bunion causes a pronounced convexity of the first metatarsophalangeal joint, which increases the friction with the shoe and results in redness, swelling, pain, and other manifestations of bunions. In addition, as the deformity occurs, the force on the forefoot shifts to the outside when walking with weight, resulting in the formation of “calluses” under the second and third metatarsals. Learn to prevent bunions The first way to prevent bunions is to try not to wear high heels, heels 2-4 cm is the best, the heel should not be too small; the toe should be loose, the front of the toe and the top of the shoe should be left open, especially not to wear pointed and narrow high heels. When wearing high heels, you can put a soft cushion in the forefoot to reduce the pressure on the bottom of the foot. When wearing high heels should not walk and run, not to mention climbing hills. The time to wear high heels every day should not be too long, it is best to prepare a pair of comfortable shoes in the office, and high heels alternately. If you wear high heels after foot fatigue and pain, it is recommended to go home and soak your feet in hot water and use your fingers to break your bunions inward to help prevent bunions. If bunions are already present, try conservative treatment first. Changing to comfortable, properly fitting shoes is the primary way to treat bunions conservatively. If the pain is dominated by redness and pain in the medial bunion, wear shoes with a wide toe to reduce compression and friction; if there is metatarsal or seed bone pain, forefoot decompression cushions should be added to reduce pressure and pain; if the pain comes from 2-4 toes, hammertoe pads and interdigital pads can be used to reduce friction and pressure depending on the cause of the pain. However, orthotics or insoles are mostly suitable for mild bunions and are not very useful for moderate and severe bunions. Patients whose conservative treatment is ineffective can undergo surgery. Before surgery, a weight-bearing X-ray should be performed to observe the deformity characteristics of the metatarsals, seed bones and toes, and then decide on the surgical procedure.