Extreme High Heels

Extreme high heels seem to be the norm this year in women’s shoes.   Shoe store shelves are lined with them; women everywhere totter somewhat awkwardly and uncomfortably in them. 

Historically, women have had a love affair with high heels.  They will always be in fashion.  However, it seems that the heel heights of today are pushing the limits of comfort and safety.

The pictures in this blog post are the result of a visit to the local mall for an informal survey of what most shoe stores are offering for high heel aficionados.  Along with taking pictures, I tried on a variety of  shoes to find out what wearing these extreme heels feels like.

Some women argue that the platform sole in these shoes serves to soften the angle at which the shoe tilts (the pitch).  However, at heel heights of 5 and 6 inches, the pitch of the shoes is still high.

With each pair of shoes I tried, my body was thrust forward.  I could feel my toes being shoved into the front of the toe box even in shoes that were properly sized.  Balancing was precarious as I made a conscious effort to maintain proper posture.  I didn’t even attempt walking.  In the booties shown here, I overturned my ankle.

Fans of these heels often say that they are comfortable and easy to walk in when you get used to them.  Again, an informal survey watching women wearing very high heels indicates to me that they struggle to walk in them and facial expressions show some degree of discomfort.

In a previous high heel blog (here), I outlined the harmful effects of frequently wearing high heels.   These included bunion formation, hammer toes, crowding together of toes and ingrown toenails. As well, the calf muscles, knees, hips and back are strained as the body tries to maintain balance.

The McDermott Footcare client who agreed to have these pictures taken of her feet stated that she wore high, ill-fitting shoes for many years.  Now in her later years, she finds walking very difficult.

Note how the toes are permanently shortened and crowded together.  This is the result of toes being pushed forward in a narrow toe box for many years.  As well, the shape of the foot indicates that my client constantly wore shoes that were too small.

Realistically, women will continue to wear high heels.  This is understandable since a fashionable pair of shoes elevates an outfit and makes women feel attractive.

The same survey of shoes confirmed that there are many attractive, more comfortable options in high heels available at the same stores.  It’s not that women should stop wearing heels all together; it’s that we should be making more reasonable choices, keeping in mind the health of our feet, ankles, knees, hips and back.  We should also be alternating reasonably high heels with flatter shoes.

Fashion and health can co-exist quite well in the wardrobe of a stylish woman.  Many choices are available in a range of styles and prices.  There is no need to sacrifice comfort, health and safety for fashion.

.Copyright Terry McDermott. May not be reproduced in whole or in part without permission of author

Skin Cancer And Your Feet

May is Skin Cancer Awareness month.   People of all skin colours and ethnicity should be aware of the signs and symptoms of skin cancer.  We often forget to give our feet the same care we give to other parts of our body.  When it comes skin cancer, this is especially problematic since skin cancer in the feet is often not detected until the later stages and the outcome is poor.

Three Types of Skin Cancer

Malignant Melanoma  is the most serious type.  A change in the appearance of a mole or pigmented area is an early sign.

Malignant melanoma. Photo courtesy of National Cancer Institute.

Look for a change in size, shape, and colour.  Watch for irregular, ragged edges, a mole that has more than one colour, is asymmetrical, oozing, bleeding or feels itchy.  While some melanomas may be tiny, most are larger than 6 millimeters.  In dark-skinned people, it usually occurs under the fingernails, the palms of the hands, under the toenails or on the soles of the foot.

In its early stage, Squamous Cell Carcinoma may appear as a small, scaly bump or plaque which may be inflamed.  It may look like a callus and have a history of repeated bleeding or cracking.

Common symptoms of basal cell and squamous cell carcinoma. Photo courtesy of National Cancer Institute.

It may resemble a plantar wart, fungal infection, eczema, or a skin ulcer that doesn’t heal.  According to the National Cancer Institute, in dark-skinned people this cancer usually occurs in areas that are not exposed to the sun, such as the feet.   In light-skinned people, it is more common on the head, face, neck and ears.

Basal Cell Skin Cancer usually occurs on areas that are exposed to the sun.  The National Cancer Institute describes it as a bump that is small, shiny, pale or waxy.

It may also be firm and red or appear as a sore or lump that bleeds or develops a crust or scab.  Alternatively, it may show up as a scaly, itchy, tender spot.

Common symptoms of basal cell and squamous cell carcinoma. Photo courtesy of National Cancer Institute.

Risk Factors

  • For all types of skin cancer, exposure to sunlight is a major risk factor.  Having even one blistering sunburn increases the risk.  Redhead or blonde, grey or blue-eyed, fair-skinned people have a higher risk of sunburn but dark-skinned and people who tan well are also at risk because of total lifetime sun exposure.
  • Having a family history of skin cancer increases the risk as does a personal history of earlier skin cancer.
  • Having a large number (over 50) of common moles is a risk factor.
  • Old scars, inflammation, burns, skin ulcers as well as exposure to arsenic increase the risk for squamous cell and basal cell carcinoma.

    Common symptoms of basal cell and squamous cell carcinoma. Photo courtesy of National Cancer Institute.

Protect Your Feet

The single, most effective way to prevent skin cancer in the feet is to avoid sun exposure, especially between 10 a.m. and 4 p.m.  For most of us, this is unrealistic as is keeping the feet covered.

A broad-spectrum sunscreen applied diligently and liberally to all areas of exposed skin is the most practical solution to sun protection.  Re-apply every two hours and don’t forget the kids who may need to re-apply more often if they have been in the water.

Check Your Feet

It is important to check your feet daily. Look carefully at all areas, including between the toes, the soles of the feet and the nail bed underneath the nails. Make note of any changes to existing moles or the appearance of new moles and other skin markings.  The same applies to skin tags.  If needed, use a mirror held under the foot to check the soles of the feet.  Similarly, ask someone to help you check areas that are difficult to see.  If you find anything suspicious or worrisome, see your doctor immediately.

The warm weather is finally here.  Enjoy it!  But remember to be kind to your feet!

Copyright Terry McDermott. May not be reproduced in whole or in part without permission of author