To Heel or to Heal: The Great Stiletto Debate

Recent years have given way to much controversy about the negative effects of high heels on your body. Doctors tut when women come to them with back problems, osteopaths sigh, and the health sections of newspapers go all out to warn us about the evils of the stiletto. But are they really that bad? Granted, high heels make your calves a little tender for a couple of days after you’re worn them, and your feet may be slightly sore, but once you wear heels on a regular basis, your body gets used to them – and your calves and feet will be stronger for it.

It is high time someone put these rumours to rest. Some people have done so already: earlier this year, an article was published by the BBC which argued that high heels do have benefits on the body. Here we shall challenge three of the most common myths regarding stilettos, and proceed to look at the ways in which your body can benefit from them.

Myth #1: High heels are a source of back problems. Senior osteopaths say this is not necessarily the case. Only those with a pre-disposition for back injuries are likely to get one – but that doesn’t mean all of us will suffer as a result of wearing heels. While it is true that walking on 8-inch stilettos for days on end can result in too much pressure being put on the front of the ankles (which leads to postural problems) if you wear your heels wisely, this should not be a problem. Instead of walking to work in high heels, for instance, keep the stilettos at the office and commute to work in your trainers.

Myth #2: Stilettos result in stiffness in the neck and lower back. Pure rumour. Osteopaths note that stiffness has more to do with how you wear the heels – and less to do with the fact that you’re wearing them. If you already have problems with your posture even before put on heels (i.e. titling your back), then your postural predisposition will be aggravated by wearing heels, as they add pressure to the lower back. However, if you make sure you assume a straight posture before slipping on those stilettos, then the problem can be avoided altogether. In fact, it has been argued that heels can actually correct a woman’s posture by forcing her to balance her weight, and therefore stiffness is not a direct result of wearing high heels.

Myth #3: Heels have a negative effect on your muscles. Again, not true. While some might have sore muscles due to wearing stilettos too often, you can steer clear of this easily, as proposed for Myth #1. A recent study has uncovered that women who wear stilettos do, in fact, have stronger leg and pelvic muscles then those who don’t. As long as you vary your footwear every day, there should be no reason for you to overexert these muscles.

Another interesting discovery about stilettos (as reported by the BCC article) was made by Italian Urologist Dr. Cerruto: wearing high heels can benefit your sex life. Cerruto explains that the pelvic muscles are exercised because stilettos force the foot into a certain angle. Since a women’s pelvic floor functions are essential to her sexual performance, it is comforting to know that this performance might be improve simply by wearing stilettos more often.

Regardless of what myths or truths you chose to believe about stilettos, the bottom line is that there is always a solution that is right for you. If you do experience long-term problems, do not hesitate to contact your osteopath, but remember that these issues are not necessarily linked with the heels you wear.

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