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Year : 2021  |  Volume : 70  |  Issue : 4  |  Page : 226-232

Comparison of medial longitudinal arches of the foot by radiographic method in users and nonusers of high-heeled footwear among young women

1 MBBS Student, Deccan College of Medical Sciences, Hyderabad, Telangana, India
2 Department of Radiology, Owaisi Hospital and Research Center, Hyderabad, Telangana, India
3 Department of Anatomy, Deccan College of Medical Sciences, Hyderabad, Telangana, India
4 Department of Physiology, Deccan College of Medical Sciences, Hyderabad, Telangana, India
5 Department of Anatomy, Gandhi Medical College, Hyderabad, Telangana, India

Correspondence Address:
Dr. Mehnaaz Sameera Arifuddin
Department of Physiology, Deccan College of Medical Sciences, Kanchanbagh (PO), DMRL ‘X’ Roads, Hyderabad - 500 058, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jasi.jasi_202_20

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Introduction: The arches of the foot help in transmission of the body weight and permit adjustments on uneven surfaces. Prolonged use of high heels causes elevation or collapse of these arches by stress and strain over the weight-bearing bones, and also causes damage to the underlying soft tissues and ligaments. The aim of this study was to document the presence of any changes in medial longitudinal arches in young women using high heels through radiographic method taking into account body mass index, height of heels, and the type of shoes worn and to document lower back pain and foot pain. Material and Methods: An observational study between 40 high-heel wearers and 40 flat wearers was done. Lateral radiographs of both feet were taken in weight-bearing position with medial border of the foot touching the cassette. Lateral talocalcaneal angle, lateral talar-first metatarsal angle, angle of longitudinal arch, and calcaneal pitch were measured by a protractor and goniometer. A questionnaire documented complaints of back pain and foot pain. Results: Independent sample t-test showed a statistically significant difference in left lateral talar-first metatarsal angle between two groups. Pearson's correlation showed a negative correlation between left lateral talocalcaneal angle and low back pain, and a positive correlation between right lateral talar-first metatarsal angle and low back pain. Discussion and Conclusion: Frequent and prolonged use of high-heeled footwear can result in damage to the foot architecture leading to foot and back pain. Thus, keeping the high heels reserved for occasional use is the best choice.

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