Wearing high-heeled shoes is strongly associated with injury, including injury requiring hospital care. There is evidence that high-heel-wearers fall more often, especially with heels >2.5cm high,[21] even if they were not wearing high heels at the time of the fall.[22] Wearing high heels is also associated with musculoskeletal pain,[22] specifically pain in the paraspinal muscles (muscles running up the back along the spine)[citation needed] and specifically with heel pain and plantar calluses (only women tested).[21]
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