Thin, high-heeled shoes will make women sexy, chest-blossoms and legs appear extraordinarily long, but the beauty behind it also allows many women to quietly suffer the pain caused by it. “How high is the heel and how much pain is thereâ€, said Gao Yanjun, MD, of trauma surgery from the hospital at the Pingle Orthopedic Hospital recently held on foot and ankle disease. According to reports, 70% of adults’ foot diseases originate from Wear shoes inappropriate, high heels, although the United States, but do not let it become a health hazard.
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According to a report from the American Foot Medical Association, a normal person walks on an average of 8000 steps a day. When he walks, the pressure on the foot is about equal to his own weight, and the pressure he experiences when running is more than 3 to 4 times the weight. A person's lifetime is about 110,000 kilometers, mostly on a hard road; and each person has a total of 26 bones, 33 joints, and a variety of tendons and muscles on each foot. "The journey of a thousand miles begins with a single step," and walking without a shoe.
Shenzhen Special Zone Daily Reporter Yu Hairong Intern
Tang Jinqiong correspondent Huang Mei Liu Xiumin
Tippy and high shoes are prone to foot ache
Dr. Gao Yanjun pointed out that an overly high heel increases the toe and shinbone's exertion and is squeezed, which increases the force of the knees and knees. The waist and abdomen must be sharply raised to maintain balance. It is easy to cause foot and ankle disease. It is also easy. Causes strains in the muscles of the waist and hips and ligaments.
Among the types of foot deformities caused by high heels, hallux valgus is the most common. The most common factors affecting hallux valgus are: high-heeled shoes with narrow tips, muscle imbalance, and joint destruction caused by arthritis. After the hallux valgus, the inner edge of the thumb bone forms a protuberance, and when the shoe is worn, the protuberance is squeezed to cause inflammation and pain, which means bunionitis. Once the hallux valgus is formed, the patient will have various pains in addition to the deformity, such as big toe pain, pain in the forefoot, corns, etc. Patients with long duration of disease may even develop knee and lumbar vertebral lesions.
In women with hallux valgus, if they must wear high heels, it is best to use a toe pad, a sheath, or a correction tape to assist them in wearing high heels under the guidance of a doctor; and the time to wear the shoes should not be too long, preferably 2-3 hours. If it is not convenient to change shoes, you must also rest every 2-3 hours for half an hour to relieve foot fatigue. In addition, the front of the high heels must be loose, not pointed. For women after hallux valgus surgery, the time and frequency of wearing high heels should be minimized. 3 months after surgery, under the guidance of a doctor, try to wear shoes for a short time, feel uncomfortable, change shoes immediately, step by step, and gradually adapt. Often need to work for a long time to wear high heels, if you can not replace the work, then recommend 3-4 cm high heels, under the guidance of a doctor, through the placement of the toe pad, sheath or correction to bring help.
Hammer toe refers to the deformity of the dorsal metatarsophalangeal joint extension and interphalangeal joint flexion. The vast majority of corns and hammer toes are also because of the tightness of the wearer's shoes. The pointed high-heeled shoes squeezing the toes cause contractures, resulting in hammer toes. Treatments include correcting the shoe type and correcting the toes. In order to avoid pressure on the toes, the shoes are required to be soft, loose, suitable, and the heel should be low. In addition to custom-made shoes, casual shoes and travel shoes are the best. Hammer toes can be protected with toe pads in the early stages, but surgery should be performed when the hammer toes are stiff.
2-3 cm heel height is most suitable
How to choose shoes? Dr. Gao Yanjun pointed out that we must first understand our own feet. There are three types of feet: A external rotation foot and flat foot; B internal rotation foot, high bow foot; C natural foot. In daily life, choose different shoes according to different feet.
Second, we must understand the structure of shoes. The sole has three functional layers. The bottom layer is a non-slip durable layer. The innermost layer is a soft and comfortable inner lining layer. The middle layer is a buffer layer. It is the layer with the highest technological content. It is very important. The shoes are expensive here. Various kinds of materials, technology, and the shape of the soles are also exquisite.
In addition, the heel height of the shoes should be appropriate. Too high heels can cause health problems in the athlete's foot, but flat shoes are not necessarily good. It makes the person's center of gravity too far behind, the body needs to lean forward to maintain balance, and he has a heel to the touch when he walks. Can be transmitted to the brain, not conducive to health. The 2-3 cm heel is the most suitable, it can make the arch more reasonable, make people's hips close, the abdomen tighten, the chest straighten, make people look upright and energetic.
Dr. Gao Yanjun also gave several suggestions for the selection of shoes: the right size, the best selection of shoes in the afternoon, try on both sides at the same time, first look at the soles to see the style, price and so on. The tightness of the shoes should be appropriate. Too tight shoes will crush your feet and wearing small shoes is a form of abuse. Too loose feet are not comfortable. Special circumstances can use special shoes.
Ankle sprains should go to the hospital for treatment
Too high heels can easily cause ankle sprains. Dr. Gao Yanjun also reminded that in the event of ankle sprain, it is best not to self-diagnosis, should go to the hospital for treatment.
According to Dr. Gao Yanjun, ankle sprains include four aspects: simple mild ligamentous tears, ankle ligament rupture, small avulsion fracture, and temporary dislocation or subluxation of the sacroiliac joint. Due to the different mechanisms of force during sprains and the differences between the medial and lateral ligaments of the sacroiliac joints, sacroiliac joint injuries often involve multiple aspects and the treatment is not exactly the same.
Dr. Gao Yanjun said that ankle sprains are very common. The majority of sprained athletes do not attach importance to self-healing, but often suffer long-term pain or swelling after self-healing. Because ankle sprains are not really just sprains. It is even more worthy of reminding everyone that old sprains will not only leave a chronic swelling of the ankle, but also cause illness in other parts of the body over time. Such as: can be complicated by knee osteoarthritis, hip osteoarthritis and other diseases. Therefore, in the event of ankle sprain, it is best to go to hospital for medical treatment.
In general, after most ankle sprains, localized use of ice cubes or wet towels may help to promote local capillary contraction and reduce swelling. However, sprains should not be immediately heated or rubbed in order to avoid increased bleeding and swelling. Twenty-four hours after the sprain can be local heat, in order to promote blood circulation in the injured area, swelling as soon as possible. When necessary, external application and internal medicine to promote blood circulation, swelling and pain medicine.
For patients with mildly ligamentous mild strains, the support can be used to fix the ankle joint. After local anti-inflammatory and analgesic treatment, early activities can be performed. Generally, there will be no sequelae and the prognosis is good.
If multiple ligaments break to cause ankle instability, surgical repair is often required. This condition is generally unsatisfactory for conservative treatment outcomes, and may be associated with chronic pain, ankle instability, or limited range of ankle activity.
If simple ligament rupture or combined small avulsion fracture without obvious ankle instability performance, can be plywood dressing or cast immobilization, supplemented with anti-inflammatory pain relief treatment until the ligament repair after appropriate functional exercise.
Sprains cause mild ankle fractures that can be treated conservatively and require severe surgical treatment.