The ill effects of wearing high heels range from the effects on toes to all the way up to the back. There might be bunions in the toes and it can also result into a hammer toe where the toes are pointed downwards as they are squeezed in the small footwear. As the ball of the feet take all the weight there would be arthritis that is inflammation of joints of the toes with foot. The soles would be sore as they are stretched. There can be associated sprains and fractures of the ankle. There can be Plantar Fasciitis which is a condition where there is severe pain in the heel. As the Achilles tendon is shortened there can long term contractures of the tendon and long term pain in the calf muscles. It can lead to knee pain and long term strain on the knee joint cartilage. As the posture is changed while walking with heels there would be long term effects on the back and spine and give rise to chronic pain.