AthletePlus - Springdale, Arkansas - Athlete Plus - Physical Therapy - Sports Training - Athlete Plus - Speed Training - AthletesPlus - Core Training
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AthletePlus - Springdale, Arkansas - Athlete Plus - Physical Therapy - Sports Training - Athlete Plus - Speed Training - AthletesPlus - Core Training |
Phone: 479-751-THER (8437) |
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| Is it better to look or to feel
good? Those high-heels could be causing your back and knee pain and lead to arithritis. Most women like to dress and look nicely. High heels have been said to make legs look longer and leaner. They have been a fashion statement that changes, coming in and out of style. One aspect of wearing these heels does not change. Studies have shown that wearing heels contribute to anterior knee pain and may predispose women to the wearing out of joints or arithritis (2). Other possible causes of knee pain include increased pelvic width causing patellofemoral pain, sitting with legs crossed, estrogen, and other factors (2) There are clear differences between men and women regarding anterior knee pain. Women have twice the rate of knee osteoarithritis compared to men. Another study has shown an average of 23% greater compressive forces on the medial compartment of the knee and increased force across the patellofemoral joint in 20 healthy women studied who wore high heels. (1) This increased force can contribute to joint wear and eventual osteoarithritis in some women. With the increased force on the anterior knee when one goes down stairs, the today's working woman is set up for having knee problems. The trendy clogs with thick, high heels that kids are starting to wear at a young age may predispose them to knee pain and arithritis when they reach their senior years. You will probably not convince your child not to wear these, but advise not to wear them when walking long distances or standing for long periods. The new crocs are very comfortable, and we have not had complaints from patients so far. (See "Are Crocs Good for Your Feet") In conclusion, men should complement their wife on how good those flats look. Later in life, you may wish you chose to feel good rather than look good when that knee pain occurs. Avoiding long term high heel use may be a small change, but research has now shown their possible negative effects. No studies have been done, but one would assume high heels are not recommended for men either. Read More Details Below...... When you walk, the ankle changes function. The hip and knee have to compensate to maintain stability and progression when walking (20-22) Most of the compensations occur at the knee (1) An average of 23% more varus torque during the phase of walking when the foot is on the ground, which increases the work of the thigh muscle, and prolongs the strain and pressure across the patellofemoral joint which can contribute to OA. (1) This greater varus torque increases the forces on the lateral ligaments of the knee. Past studies have shown that increasing the varus torque at the knee leads to degeneration at the medial compartment of the knee, which is more common to have OA than the lateral aspect of the knee. Also had increased plantar flexion and increased peak knee flexion in stance which could lead to back problems from an increased lordotic posture. 1. Lancet 1998, May 9;351 (9113):1399-401. Knee osteoarithritis and high-heeled shoes. Kerrigan DC, Todd MK, Riley PO. 2. Fulkerson JP, Arendt EA Anterior knee pain in females. Clin Orthop (United States), Mar 2000, (372) p69-73. This article is provided for information and entertainment purposes only. The content is provided "as is" for general information and to educate the reader. The article is not intended to serve as medical advice, diagnosis or treatment. The content should not be considered complete and should not be relied on to suggest a course of treatment for a particular individual suffering from a particular problem, issue or medical need. The reader should always consult with a qualified health care provider familiar with the reader's general health, background and conditions and follow the advice given by the health care provider. Always consult with your physician or other qualified health care provider before starting a new diet, treatment or fitness program. Do not delay seeking specific advice or care or disregard the advice of your health care provider based on information contained in this article. Article Date: January 2006 |
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