High heels place more strain on the feet, ankles, knees, and low back compared to flat shoes. Despite this, the body, when it’s working well, can tolerate a great deal of imbalance.
But there are some points worth bearing in mind if you have a spinal problem and want to wear heels.
The easiest way to explain it is to say that heels cause a tilting backwards of the lumbar spine (the low back).
If your spinal problem is the type where bending backwards causes you pain or stiffness, then high heels are going to worsen this problem.
But if you find that you are ok when bending backwards, but it’s bending forwards that causes you problems, then you may well get away with heels!