The article here that lists 5 or 6 purse-related pains and then swings over to shoes really doesn't do justice to the actual fashion trends that can be painful - or not. I agree with all the purse-related issues. It just doesn't make sense to create a painful shoulder or back by carrying luggage around. But when it comes to shoes I have to disagree. Surprisingly, the article doesn't mention high heels and shoes with no arch support or cushioning. It does, however, focus on a general shoe design "flip flops". There are many types of thong sandals, and the ones that have no instep strap or covering can be legitimately called flip flops. They flop around on the foot and cause painful walking positions, toe cramps etc. A good pair of thong sandals with sturdy instep, arch support and gel midsole can be a godsend in the summer, though, without sacrificing foot health or creating any pain. The other type of shoe mentioned here that is misunderstood is the shaping/toning shoe. There are several varieties, and the ones with the "rocker" bottoms are known to create ankle pain and injuries. Some toning shoes, however, with normal looking soles, can be the best thing for your feet if you have hip, leg and foot health issues. They tend to be very supportive, great arch supports and wonderful air or gel midsoles. I have genetic defects of both hips and arthritis in my hips. Skechers Tone-Ups are the only brand I wear since they completely eliminate my hip pain and create an atmosphere that adds a bit of spring to these old legs. Shape-Ups? Forget it!