High heels are distinctly glamorous – consequently women are wearing them increasingly frequently and in many cases constantly. Heel height varies from elevated to extreme and so does the effect upon the health of the foot, heel and spine. This can be particularly important in pregnancy.
The normal Caucasian vertical posture takes the weight bearing axis passes from the earhole through the hip to just in front of the ankle.
As the pregnancy progresses, the abdominal muscles stretch, and the baby’s weight causes the pelvis to tilt forwards and the back has to arch backwards to restore balance with the net effect of squeezing the nerves as they exit the small doorways (foraminae) of the spine and straining the facet joints in the back of the lumbar spine. Loading increases in the back of the disc which may exacerbate symptoms in a vulnerable or degenerating disc. To maintain overall balance and especially where the mother is overweight the thoracic spine may stoop and the neck over arch. All of the above may lead to pain in more than one spot in the spine.
To adapt to the change in weight and balance, mum’s gait will lengthen and may develop a lateral “waddle”. The hamstrings are attached to the knee and pelvis and help to bend the knee and straighten the hip. Where the hamstrings are tight for instance from prolonged sitting, then this will impose forced counter rotation and strain on the pelvis and spine, aggravate irritation of the nerve disc and joints and cause pain.
Due to these changes in posture, gait, hormonal ligamentous relaxation and altered sensory feedback from their limbs 27% of pregnant mothers will fall during the mid-portion of pregnancy often when rushing over slippery floors or carrying objects or children.
High heels heighten the risks of the above by throwing the body line forwards and increasing the compensatory arching spine postures and reducing the stability of the foot and contact with the ground and spatial feedback. The result is greater risk of falling, of irritation and pain in the spine and overload of the foot, ankle and heel (plantar fasciitis).
So to be honest carry out core stabilisation drills and hamstring stretches and use flatter heels throughout pregnancy and try to keep from putting on unnecessary weight.
High heels are distinctly glamorous – consequently women are wearing them increasingly frequently and in many cases constantly. Heel height varies from elevated to extreme and so does the effect upon the health of the foot, heel and spine. This can be particularly important in pregnancy.
The normal Caucasian vertical posture takes the weight bearing axis passes from the earhole through the hip to just in front of the ankle.
As the pregnancy progresses, the abdominal muscles stretch, and the baby’s weight causes the pelvis to tilt forwards and the back has to arch backwards to restore balance with the net effect of squeezing the nerves as they exit the small doorways (foraminae) of the spine and straining the facet joints in the back of the lumbar spine. Loading increases in the back of the disc which may exacerbate symptoms in a vulnerable or degenerating disc. To maintain overall balance and especially where the mother is overweight the thoracic spine may stoop and the neck over arch. All of the above may lead to pain in more than one spot in the spine.
To adapt to the change in weight and balance, mum’s gait will lengthen and may develop a lateral “waddle”. The hamstrings are attached to the knee and pelvis and help to bend the knee and straighten the hip. Where the hamstrings are tight for instance from prolonged sitting, then this will impose forced counter rotation and strain on the pelvis and spine, aggravate irritation of the nerve disc and joints and cause pain.
Due to these changes in posture, gait, hormonal ligamentous relaxation and altered sensory feedback from their limbs 27% of pregnant mothers will fall during the mid-portion of pregnancy often when rushing over slippery floors or carrying objects or children.
High heels heighten the risks of the above by throwing the body line forwards and increasing the compensatory arching spine postures and reducing the stability of the foot and contact with the ground and spatial feedback. The result is greater risk of falling, of irritation and pain in the spine and overload of the foot, ankle and heel (plantar fasciitis).
So to be honest carry out core stabilisation drills and hamstring stretches and use flatter heels throughout pregnancy and try to keep from putting on unnecessary weight.
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