Killer heels

Even Victoria Beckham the queen of the stylish sky high stiletto is wearing flats nowadays and I wonder if she would opt for dermal fillers in her soles to alleviate the pain of killer heels. #itsathing!

Why do we wear high heels?

The truth is heels make your legs look longer and slimmer and have always been in fashion. They give the wearer a little bit of extra height; they seem to create good posture for the wearer; the bust and bum seem to be enhanced; legs look better, and some even argue that they have a better sex life.

Give a girl the right SHOES and she can conquer the world – Marilyn Monroe

Christian Louboutin says that he is certain that heels have never been as high as they are now but Louboutin is also a man who recognises that everybody has different pain thresholds and now produces various heel heights for his loyal band of customers.

No Foot Pain, No Gain

High heels are often an integral part of a woman’s outfit, and despite the balls of the feet taking abuse like never before, women are refusing to give them up. Stiletto Metatarsalgia is the pain secondary to the wearing of high heels. There are some other common causes of foot pain—plantar fasciitis is probably the most popular one; arthritis; corns and calluses; gout; neuromas are all common causes of foot pain.

Metatarsalgia is pain caused in the ball of the foot and is well localised. When wearing high heels, the whole weight of the body is transmitted through the metatarsal joint, and in a high-heeled shoe, there is constant pressure applied. Cushioning under the metatarsal is inadequate, so when that distal metatarsal joint is flexed into that high ankle position, the fat pad is displaced to the rear and the cushioning becomes inadequate and the feet become painful.  Normally this is the time that the shoes come off or we call a taxi but there is a treatment option for the brave.

Although changing footwear would be the most sensible option many ladies are reluctant to do that. The irony is that turning to flat shoes can however be a trigger for plantar fasciitis making a higher shoe more comfortable. Many women use gel cushioning inserts, but the problem with that is that these shoe inserts change the fit of the shoe and can cause pressure and friction elsewhere on the feet.

Fill your boots

With the evolution of dermal fillers it’s possible to use these as a way of cushioning the ball of the foot. Once inserted, the filler is constantly in the correct position and attempts to recreate the cushioning effect of this fat pad that has been displaced posteriorly. The technique for delivery is very simple, there’s minimal downtime and it’s relatively safe.  You may have to give up a pair of Louboutin’s however though as you will need this treatments topped up.

This use of dermal fillers is not yet something that’s well studied and very little research has been carried out into it. We are sitting on the fence with this one but we would love to hear from you if you have had the treatment, email us at with your stories.

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