It may not enhance physical beauty but it does improve high heel wearers chances of having foot problems because it throws the weight of the body onto the forefoot. This is normal in horses, but not in humans. Real macho men like to wear those cowboy boots with the pointed toes. Not only do the high heels cause pain, but the toes are forced into an unnatural position by the narrow pointed front of the boot. Pain related to the arch of the foot is about number one in causing pain in the patients that I see.
Heel spurs are common.
Most patients envision that there is a spur of bone under the heel poking down and causing discomfort. This is rarely true. Usually, a heel spur is really an inflammation of the connecting fascia under the arch. While injecting cortisone into it is a popular treatment, it is not necessary, and is potentially unsafe. The cure and prevention of more trouble is a heel pad to take the pressure off the bottom of the heel and, most importantly, an arch support.