Health and Safety

Wearing high heels is linked to increased risk of falls, musculoskeletal pain (lower back, knee, foot), bunions and venous strain. Research shows higher heels increase pressure on the forefoot and alter posture, potentially contributing to long-term changes in calf muscle length and Achilles tendon stiffness.

Practical guidance for writers

• If a character wears heels for long periods, mention fatigue, shifting weight, or shoe changes.
• For realism, note obvious injuries (blisters, calluses) and limitations (difficulty running, slippery surfaces).

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