There are hundreds of thousands of nerves in your foot and 28 bones (that’s 13.5 percent of all the bones in your body). They hold you up from morning ’til night and take the repetitive stress of 10,000 steps each day. And how do we repay them? By shoving them into uncomfortable shoes that exacerbate the stress they’re already under. More than 90 percent of women who wear heels suffer from pain, soreness and fatigue*. No kidding.

MORE: A Scientific Look at the Perils of High Heels

“High heels don’t promote proper foot posture,” says Phillip Vasyli, a podiatrist and founder of Vionic, a brand of biomechanically correct kicks with built-in orthotics. When you wear heels, your arch becomes higher, and yet the profile of the shoe itself is a flat ramp that doesn’t follow your foot’s curvature. That’s why Vasyli is designing the first-ever foot-friendly line of fashion heels, due to hit stores in 2014.He clued us into some surprising facts every stiletto-loving woman should know:

Small heels are good for you.

Most people over-pronate, which means their arches and ankles collapse inward on each step. Going up on your toes—like when you slip into a pair of heels—turns your ankles slightly outward, counteracting the collapse. A stable 1- to 2-inch heel is ideal for this. A low heel also takes the strain off tight calf muscles, relieving pain and decreasing your odds of developing plantar faciitis.

You don’t need more shock absorption.

Pronation is your foot’s natural way to absorb the shock of hitting the ground. The foot essentially unlocks itself, softening to absorb the blow, then rolls outward, becoming rigid again to support your weight as you lift your other foot and begin to propel forward. People who over-pronate remain in the unstable, unlocked position even when all of their weight is on one foot. For them, shock-absorbing cushioning just adds to the instability.

Every inch of heel height can put another 25 percent of your body weight onto your forefoot.

That means, if you’re rocking 4-inch heels, you’re effectively walking on your tippy toes all day. Even a small ankle strap dramatically reduces the pressure on your piggies.

MORE: Wear Heels to Spend Less Money

That burning sensation under the ball of your foot is actual heat.

When your feet slip forward in high heels, you naturally claw your toes to try to stay in place. This pushes the head of your second metatarsal (the base of your second toe) into the sole of your shoe. The pressure and friction create a literal increase in temperature, according to studies. And a callous comes next.

Running in heels may lead to knee arthritis.

Attention hustlers, movers and/or shakers: An October 2013 study in the International Journal of Biomedical Engineering and Technology found that jogging—say, running to catch a train—in 2 ¾-inch heels increases lateral movement of the knees (toward and away from each other), which could contribute to arthritis.Can’t part with your high heels? Then take a look at our gallery of heels that won’t kill your feet—or your outfit.