Towering wedge shoes pose sky Ottawa sky high wedge shoes may be the hot footwear trend this summer, but foot experts are warning that style can come with a painful price. With wedge heels towering as high as five inches, podiatrists are warning that fashionistas risk not only aching feet, but twisted ankles and worse. I've had two patients in the last 10 days who have slipped off their wedges, '' dr.Rock g.Positano, a new york celebrity podiatrist, told the washington times. Dr.Harold glickman, president of the american podiatric medical association, told the wall street journal he has seen 40 per cent more shoe related injuries in the past five years. Even wannabe fashion models aren't immune to the danger.In one recent episode of america's next top model, one of the contestants sprained her baby toe in the vivienne westwood footwear challenge. Calgary podiatrist and foot surgeon dr.Ken unger hasn't seen any injuries directly attributable to the wedge, but he points out that high heels in general are unstable and put a lot of pressure on the toes and and the gasproc/soleus complex, the muscles around the achilles tendon. High heels also put the wearer in the plantar flexed position'' it's rather like having the feet frozen into the barbie doll position.Increased pressure on the toes can cause sesamoiditis, inflammation under the big toe joint. Unger, who was recently shoe shopping with his wife for wedges, points out that the wedge sole comes in different widths starting at half an inch in width.Wider is better because it's more stable. Height is also an issue.Two inch heels are within reason, but anything more than 2 1/2 inches will eventually cause problems. Just try walking on your tiptoes all day, '' said unger. Elizabeth semmelhack, curator at the bata http://www.yali.com.au/ show museum in toronto, says this year is the third major outing for the wedge in the past 70 years. Italian show designer salvatore ferragamo, who designed shoes for movie stars and films, is credited with inventing the wedge in the 1930s because he wanted to make shoes more comfortable. But during the depression and the second world war, the metal he was using for the shank became harder to obtain.Department store chain neiman marcus is currently offers ferragamo's linen espadrille wedge for $595 us and a canvas ankle strap wedge at $380 us. The stiletto heel of the 1950s pushed the wedge out of the fashion limelight, and it languish in obscurity until the 1970s. Semmelhack bought a pair of wedges last season, and found them very comfortable.But the wedge has evolved this year for the summer market, she notes. What makes this season's different is an effort to have a feminine upper.It's a contrast between a thick, substantial sole and a strappy sandal upper.They have a certain playful quality, rather then being drop dead sexy, '' said semmelhack, who counts the outrageous'' Christian Louboutin Booties platform wedges of christian louboutin among her current favourites. This summer's platform wedge is more extreme and difficult to Christian Louboutin Daffodil walk on than the original design. But semmelhack points out this isn't the first time doctors have pointed to the dangerous allure of fashionable shoes. Ever since the platform was introduced, there have always been comments about how ridiculously high they are, '' she said. Meanwhile, if you're looking for a break from wedges, that other summer fashion staple, the flipflop, is not necessarily a good alternative, said unger, who has had to dig out pieces of glass and even stone embedded in the feet of flipflop wearers. If you're going out to dinner, a wedge isn't a bad thing.If you're doing an eight hour shift, i would expect foot complaints at some point.''.

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