I have been wearing high heels for many years and pretty much putting up with the pain. The toes are smashed together in a triangle like the bow of a boat. My toes are bent upward until I walk a few feet barefoot.
Pain Relief
A couple of years ago I discovered Vivian Lou Insoles for high heels which, are shown in the picture below.
Toe Relief
The clear gel pad going from the arch to just shy of the heel back shifts your weight back. It moves your weight from the ball of your foot to the heel. It more evenly distributes your weight over the whole foot.
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