High heels can certainly hurt, especially for women who are not accustomed to wearing them. Heels that are very high can make feet ache and legs hurt. The effects can even reverberate into the back, causing a variety of aches and pains. Over time, wearing high heels can cause lasting problems in the feet and back.
How do women deal with this? Many women simply build up immunity to the pain caused by high heels. They wear these types of shoes so often that soon it becomes a somewhat natural stance to wear high heels. In fact, some women start to prefer high heels over flats because the heels no longer cause pain, and the women like the way the heels make them look and feel. Some of these women have calluses that develop on their feet and toes that actually make it easier to wear heels without pain.
In most instances, the higher the quality of shoe, the better the design will be. Some heeled shoes may be more comfortable if well-made. This is certainly not to say that buying an expensive pair of high heels will guarantee comfort because there are plenty of very expensive high heels that aren't comfortable in the least. On the other hand, it is usually easier to find an expensive pair of high heel shoes that are comfortable. Some women who wear high heels all day are willing to spend more money for quality shoes because they want to be comfortable. No woman wants to teeter on shoes that may suddenly fall apart.
Not all women grow accustomed to the rigors of wearing high heels all day. For most women, breaks are important for the well-being of their feet. For example, women who have to wear heels as a part of a work uniform might take the shoes off when on break and give their feet a little break. In fact, some women because very adept at sneaking in little breaks for their feet throughout the day. Co-workers may not even realize that these women are curling and stretching their toes under their desk when nobody else is looking. Some women who wear high heels all day make it look effortless, yet they still put a lot of effort into making sure their feet get periodic breaks.