Steven Menna, DPM on Potential Problems with Heel-less Shoes

And the “heel-less” shoe  is just going accentuate all of these problems the high heel does. It is a very unstable structure for the ankle or the foot. Any uneven terrain may result in an ankle sprain which can result in ankle fractures. It is also going to increase the pressures and cause an unbalance in way the spine aligns itself with the hip  and the knee. So you are setting yourself up for a potential fall and other arthritic problems and deformities. It is like walking on your tip toes for an extended period of time. You will feel immediately stress in the quadriceps, in the thigh muscles and in the back of the foot. It is almost as if you are in “point” in ballet. It is very challenging, increasing instability – and thus increases the risk of multiple problems.