What type of pressure does a high heeled shoe typically exert?

High-heeled shoes are designed to elevate the heel above the toes, which results in a redistribution of body weight onto the front portion of the foot. This design typically leads to increased pressure on the metatarsal heads, as the weight shifts forward. The metatarsal heads are the bones located at the ball of the foot, and when elevated by a high heel, they bear more weight than they would in a flat shoe. This can cause discomfort and pain in the forefoot.

While there are other potential pressure points in high heels, such as the arch and heel, the most notable and significant increase in pressure occurs at the metatarsal heads due to the angle of elevation and the way weight is distributed across the foot. This change in pressure can lead to various foot problems, including metatarsalgia, which is pain and inflammation in the metatarsal area.

Understanding this pressure distribution is crucial for shoe fitters, as it helps them to identify potential issues for individuals who wear high heels and to provide appropriate footwear recommendations or modifications for comfort and health.