Pointed toes are the most sexy, but they usually cause more pain and damage to the toes. Even in flats, pointed toes can help cause or aggravate bunions. A bunion is a condition in which the big toe becomes crooked and deformed. It often requires surgery to correct. A bunion for a high heel wearer is like a liver problem for an alcoholic.
Pointed toes can also cause overlapping toes and toe nail problems.
Furthermore, wearing pointed toes for a few hours often leads to pain between the toes and in the ball of the foot, so that one has to remove the shoes periodically to stretch the toes and give them air. Furthermore, some people have short or long toes, just as some people have short or long fingers. Short toes make it very difficult to form a pointed ball of the foot. Usually, the outside edge of the big toe and outside edge of the smallest toe get pinched and bruised very easily. Long toes make it very easy to form a pointed ball of the foot, but it so easy that toes can begin to overlap.