“High heels (generally described as a heel height of two inches or higher) shift your foot forward into an unnatural position with increased weight on your toes. Your body tilts forward, so you lean backwards and overarch your back to compensate….The results indicate a large increase in bone-on-bone forces in the knee joint directly caused by the increased knee joint extensor moment during high-heeled walking, which may explain the observed higher incidence of osteoarthritis in the knee joint in women as compared with men.”
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