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Big Toe Problems


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My big toes have been gradually migrating outwards for many years, not due to the shoes I wore (99.99% normal male shoes), but a condition I inherited from my mother. Her toes were all over the place and caused her a lot of discomfort in her later years, so I resolved not to let mine get that bad before seeking medical help. I didn’t seek that help until I retired three years ago (at 59) because I knew I’d need many months on crutches, and be unable to do my job; and being self employed, no work = no money. My surgeon agreed that an operation was necessary on each foot to correct this condition, where he would cut the appropriate bones and re-attach them at different angles. He also told me I’d need as much as 6 months before the bones would heal sufficiently to resume any activity which put high stress on the re-joined bones. During the initial consultation, he remarked that the condition, known as Hallux Valgus or bunions (though technically, a bunion is the protective lump that forms around the distorted joint), was unusual in men, being largely caused by long term wearing of high heels with pointed shoes, particularly if they are a size too small. This jams the toes together and puts sideways pressure on the big toe. Up to this point, I only had one pair of heels, 3.5” stiletto strappy sandals, and due to my wife’s disapproval of me wearing any female items, I wore them very infrequently; they were too small and hurt after a short while, but did not put pressure on my big toes. I had worn 5” heels once, during a 4 hour professional “make-over” session, without any pain or other adverse effects. I was surprised how quickly I adapted to walking in them (though not very elegantly) and was very excited by the feelings associated with wearing them. I desperately wanted to get some of my own 5” shoes and boots of the right size. The operations were successful, my big toes are much straighter, but are still too close to my other toes so that my second toes sit on top of the gap between my big toes and third toes, unless I push them into the gap. My right toe also points down about 15 degrees, and I can not curl it up very far, but having recently bought a pair of 5” sandals, I’m happy that I can wear them for a few hours without any apparent problems. Being sandals, I can manipulate my toes to the correct positions after putting them on. I tried pumps on in the shop, but they were either so loose that I couldn’t keep them on my feet, or so tight I couldn’t get my big toe in them without sideways pressure on the repaired joints. Size UK11 (I’m a size 9 usually) boots with rounded toes were comfortable, but were a bit loose on my feet, even when the laces were as tight as they would go, but walking in them seemed to be OK. The purpose of my post is really to ask if any others (male or female) have had similar experiences. Have any of you had hallux valgus corrections, and did you experience any problems wearing high heels afterwards? Have any of you got distorted big toes or bunions now, and do you think it is related to wearing high heels? Any information may help me and others to avoid potential future problems. Thanks in advance for your input. T

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Posted

I don't have those kind of prblems myself, but I would say boots with rounded toes are a good way to go. They offer plenty of support to the foot. And, if they are a bit loose, you can always wear them with a thick pair or two of cotton/lycra socks which are both cool and ensure snug fit.


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I don't have those kind of prblems myself, but I would say boots with rounded toes are a good way to go. They offer plenty of support to the foot. And, if they are a bit loose, you can always wear them with a thick pair or two of cotton/lycra socks which are both cool and ensure snug fit.

First of all, let me say welcome to the forum, Dragster.;):o

I have not experienced the kinds of problems you discuss. However, due to a very serious car crash, my late girlfriend had to have her toe joints replaced (among other things). The process was both painful and required long-term recuperation.

My personal opinion of the medical profession is rather low, but some of them really are worth their salt. Still, the very best of them will tell you that surgical results are dicey :P and cannot be guaranteed. Moreover, IMO, you're seldom as strong after surgery as you were before. Usually, the part that required surgery is left a little bit weaker than when you started-out.

Dragster, based upon your description of your medical problems, I'd say that heels are probably not for you. You'll be lucky :smile: if you don't have to have corrective surgery again. Unless you are prepared to pay exhorbitant prices to have custom made heels, you probably should leave heels alone.

I often have to look at things and just shrug and say I can't afford it. What I'm saying is that the total expenditure, both monitarily and otherwise, is simply greater than what I am able to pay. I think you're going to have to say the same thing about heels.

Keep on stepping,

Guy N. Heels

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Posted

I have a significant gap between my big and second toes, but other than that nothing out of the ordinary.

Be yourself; everyone else is already taken. - Oscar Wilde

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Posted

My mother had her bunions done about 15 years ago and hasn't worn heels since. I don't know whether this is because she doesn't want to or can't.

Graduate footwear designer able to advise and assist on modification and shoe making projects.

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Posted

With our interest in wearing high heels, I can't believe that no-one else has had the same foot problems I have, and the cause of mine was not due to wearing high heels! Is there a message here? Perhaps it's not VERY high heels that are the primary cause of this problem, where the foot is on tip-toes, and there is not much of a pressure forcing the toes into the toe-box, but mid heels, where the foot is resting on a ramp. The tendency of the foot to slide down that ramp then provides a force to jam the toes together into the toe-box, particularly with pointed shoes, and especially if they are a size too small. Many women will buy smaller shoes than they need so that their feet do not look "too big", and we all know that it also helps to keep shoes (paticularly courts/pumps) on the feet. Does anyone have any knowledge or evidence to support or disprove this theory? T

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Posted

I have to wear small shoes as my feet are so narrow, when I was at school I had 2 do the laces up really tight as they'd just fall off.. So womens shoes being narrower is a bonus, ok my toes curl round a bit, but whatever.....

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Posted

With our interest in wearing high heels, I can't believe that no-one else has had the same foot problems I have, and the cause of mine was not due to wearing high heels!

Is there a message here? Perhaps it's not VERY high heels that are the primary cause of this problem, where the foot is on tip-toes, and there is not much of a pressure forcing the toes into the toe-box, but mid heels, where the foot is resting on a ramp. The tendency of the foot to slide down that ramp then provides a force to jam the toes together into the toe-box, particularly with pointed shoes, and especially if they are a size too small. Many women will buy smaller shoes than they need so that their feet do not look "too big", and we all know that it also helps to keep shoes (paticularly courts/pumps) on the feet.

Does anyone have any knowledge or evidence to support or disprove this theory?

T

I am no medical expert. For proper medical advice, you need to consult a medical doctor. However, IMHO, there are many factors that could lead to the kinds of things you are discussing. You might have a medical predisposition, based upon your family history. There may be some specific problem you are experiencing or have predisposed yourself to. Or, it could just be the luck of the draw. I honestly don't know.

But based upon my late girlfriend's experience, I'd say you need to learn how to accept and live with your condition. After my late GF had her foot surgery she almost never wore heels again, and when she did feel frisky enough to try, it was only for a few steps. I don't recall her ever walking further than from the living roon into the bedroom (I had a very small apartment). The heels I bought her stayed in the bedroom closet, for the most part.

I'm sorry, Dragster. I wish I could be more encouraging. But in your case, it's time to smell the coffee.

Keep on stepping,

Guy N. Heels

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Posted

Thanks for your words of advice Guy N. Heels, but I AM a realist as far as my condition goes. However, I'm not going to travel carefully through the remaining years of my life, merely to arrive safely at death! The surgeon who operated on my toes was amazed that I was still running, without pain, on my feet as they were before the operation, but I'd just run the first Great Manchester Run (10k) when I first saw him, and was running about 10/15 miles a week (not excessive). He knew of my ambition to run my first marathon (yes, in my 60s!), but strongly advised me not to, because of the effects of the training needed, and I've taken that advice, but I have started running shorter distances again, and can feel the cardio-vascular benefits. I'll keep that up for as long as I can. You are right about the medical pre-disposition to hallux valgus, I inherited it from my mother, but the Orthopaedic Appliance Specialist I saw at the same time reckoned my flat feet were the primary cause of my toe joints becoming deformed, and I'm now wearing shoe inserts to reposition my feet correctly. I'll never be more than a very occasional high heel wearer. I do get a big kick out of walking in 5" heels at home, but because my wife is not supportive of any of my crossdressing activities, that can only be when she is out and I'm not. A rare occurrence! So I will not be walking in them for lengthy periods or long distances. Even if I ever venture out en-femme, I would stand out in anything above 3" heels (I'm almost 6' tall without heels!), and flats are more likely. So, I'll get my kicks whenever I can, and if I feel any pain, or see any obvious problems, I may reconsider my strategy. Again, thanks to you and all the others for responding. T

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Posted

Thanks for your words of advice Guy N. Heels, but I AM a realist as far as my condition goes. However, I'm not going to travel carefully through the remaining years of my life, merely to arrive safely at death!

The surgeon who operated on my toes was amazed that I was still running, without pain, on my feet as they were before the operation, but I'd just run the first Great Manchester Run (10k) when I first saw him, and was running about 10/15 miles a week (not excessive). He knew of my ambition to run my first marathon (yes, in my 60s!), but strongly advised me not to, because of the effects of the training needed, and I've taken that advice, but I have started running shorter distances again, and can feel the cardio-vascular benefits. I'll keep that up for as long as I can.

You are right about the medical pre-disposition to hallux valgus, I inherited it from my mother, but the Orthopaedic Appliance Specialist I saw at the same time reckoned my flat feet were the primary cause of my toe joints becoming deformed, and I'm now wearing shoe inserts to reposition my feet correctly.

I'll never be more than a very occasional high heel wearer. I do get a big kick out of walking in 5" heels at home, but because my wife is not supportive of any of my crossdressing activities, that can only be when she is out and I'm not. A rare occurrence! So I will not be walking in them for lengthy periods or long distances. Even if I ever venture out en-femme, I would stand out in anything above 3" heels (I'm almost 6' tall without heels!), and flats are more likely. So, I'll get my kicks whenever I can, and if I feel any pain, or see any obvious problems, I may reconsider my strategy.

Again, thanks to you and all the others for responding.

T

Then please allow me to most sincerely wish you the very best of luck. ;) Or as they say on Star Trek, "Live long and prosper."

Keep on stepping,

Guy N. Heels

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