Why might a pedorthist recommend modifications for high heels?

A pedorthist may recommend modifications for high heels primarily to mitigate pressure on the forefoot and prevent pain. High-heeled shoes often distribute body weight disproportionately, leading to increased stress on the forefoot. This can result in discomfort, pain, or even conditions such as metatarsalgia or neuromas. By modifying high heels, a pedorthist can alter certain features—like adding extra cushioning, changing the angle of the shoe, or providing arch support—which helps relieve the excessive pressure on the forefoot, promoting better foot health and comfort.

While factors like aesthetic appearance and accommodating wider feet are certainly considerations in footwear design, they do not address the primary biomechanical issues high heels often create. Reducing the height of the heel can indeed improve comfort, but the main goal of modifications typically focuses on alleviating pressure and preventing pain to enhance the wearer's overall foot health.