The Center for Podiatric Care and Sports Medicine

Do Women Have More Foot Problems Than Men?

Posted by on Wednesday, October 16th, 2013


When the door swings open at the podiatrist’s office, who is more likely to walk in: a man or a woman? Here at the NYC Center for Podiatric Care and Sports Medicine, we see both male and female patients, but we do tend to see slightly more women. Could it be the cost of high fashion? The demands women put on their feet? Or is there a genetic discrepancy? We take a closer look.

foot problems in women
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Shoe Problems

“I believe that women do have more problems and it is related to the type of shoes that we wear,” says Dr. Nadia Levy of The Center for Podiatric Care and Sports Medicine in New York City. “Women’s shoes are typically narrower, have higher heels (or not enough heel in the case of ballet flats), and women do tend to make more poor shoe choices in the name of fashion.  Of course, increasingly men are wearing narrower shoes and are also becoming victims of fashion.”

Recently, UK specialists released a 3-D scan that showed the tremendous toll high heel shoes take on a female foot. “The new scanner allows us to clearly see how the foot and ankle looks and functions inside shoes fully weight bearing,” orthopedic surgeon Andy Goldberg said in a news release. The specialists noticed how the heel forced the foot into an unnatural position, which can cause pain and long-term damage such as bunions and clawed toes with frequent use.

The American Osteopathic Society warns that increased weight on the toes causes the body to tilt forward and the spine to overarch, which in turn creates strain on the knees, hips, and lower back. Often, nerves can become trapped and sciatic pain can travel down the length of the spine. Over time, high heel use shortens the calf and back muscles, which leads to painful spasms. As a result, Plantar Fasciitis and Achilles tendon injuries are commonly cited.

Foot Problems

Judith F. Baumhauer MD and Kathryn O’Connor PT from the American Academy of Orthopaedic Surgeons say that women’s feet are not just smaller versions of men’s feet, and that understudied differences in foot structure, strength, laxity, and positioning are all factors that contribute to women’s foot problems. For instance, women have a wider forefoot, shorter arch length, and shorter metatarsals compared to men. Women also have a 20-25% lower volume and surface area in the ankle, subtalar, and talonavicular joints, as well as 16% thinner cartilage. Studies also show that women have greater plantar flexion, range of motion, and ligament laxity – which can make women more prone to foot injuries.

Foot neuromas
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Common Foot Injuries In Women

“Conditions such as bunions and hammertoes seem to be more prevalent in women,” explains NYC podiatrist Dr. Ryan Minara. “While some of this is genetic, we believe the type of shoe used by women exacerbates these conditions, making them symptomatic.”

  • Bunions – A study by Dr. Carol Frey of UCLA revealed that 88% of women wear shoes that are too small for their feet. Not surprisingly, 70% of the women in the study suffered from a hallux valgus deformity (bunion). Women are 2-4 times more likely to have bunions than men. In 1991, 209,000 women had bunionectomies and 119,000 women had bunionette repairs performed.
  • Hammer Toes – In 1991, 210 hammer toe corrections were performed on women.
  • Neuromas – That same year, women underwent 66,500 neuroma resections.

What Now?

Designers are beginning to experiment with more comfortable fashions – and that’s a good thing! For instance, the new Cole Haan Air shoes were designed with the sole of a Nike Air shoe and the look of a formal business shoe. Kenneth Cole packs their comfort shoes with a flaxseed arch pillow, two layers of foam padding, flexible rubber soles, breathable sheepskin liming and impact-resistant nylon heels. At a higher price point, LA designer Dana Davis is making waves with classy heels that include customized arch supports and strategic padding.

Comfort heels
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Furthermore, regular visits to podiatric care specialists can help women detect potential pitfalls before they become problematic. Custom insoles, orthotics, and braces can properly align the foot and ankle to prevent pain and whole body misalignment. If you’re in the NYC area, stop and see us!


If you have any foot problems or pain, contact The Center for Podiatric Care and Sports MedicineDr. Josef J. GeldwertDr. Katherine Lai, Dr. Ryan Minara and Dr. Mariola Rivera have helped thousands of people get back on their feet. Unfortunately, we cannot give diagnoses or treatment advice online. Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.