This issue would be a great one to discuss with your podiatrist
or with your primary care doctor
. The general rule with shoe wear is that if it hurts your feet then it is probably not good for you! Obviously, I understand that there are lots of factors when choosing what type of shoe to wear, but comfort and support for your feet should be at the top of every list!
The types of minor medical problems that could emerge from wearing unsupportive shoes, including heels, might include chronic muscle tension and strain, either in the legs and feet or in the lower back. Many people who have these problems find that they resolve completely when changing to a different style of shoe.
Additionally, there is a condition called Morton's neuroma, which is a painful neurological condition which is closely associated with wearing high heels and tight shoes, and which manifests as a sharp "stabbing" pain between the toes on the bottom of the foot.
Please discuss with your podiatrist or with your primary care doctor, especially if you are having any chronic or persistent foot, leg or back discomfort. They will be able to help you figure out whether any further workup is needed and will also be able to make shoe recommendations!