14/09/2026
👟 Your shoes leave clues
Looking at your shoes can give me clues about why you might be experiencing foot, ankle, knee, hip or back pain.
Here’s what I look for:
👣 Toe box wear → shows where your foot is pushing and pivoting and whether your toes have enough space.
👟 Wear above the second/index toe → can happen when the toe repeatedly contacts the upper of the shoe. I’ll check shoe length and depth, toe position and movement, and how you load through push-off.
🦶 Heel cup wear → can give clues about heel movement, shoe fit and what’s happening at the foot and ankle.
↘️ Wear along the inside edge → can give clues about how your foot and lower limb are loading when you walk or run.
👟 Wear at the heel of the sole → shows where you’re initially contacting the ground and can help me understand your walking or running pattern.
🦶 Little or unusual wear around the big toe → may suggest you’re not effectively loading or pushing through the big toe.
Your shoes don’t diagnose the problem on their own. I combine what I see with an assessment of your feet, ankles, knees, hips, back, strength, mobility and the way you move.
Your shoes are one piece of the puzzle.
If you’ve got a pair of well-worn trainers, bring them along to your appointment — they might give us some useful clues about how you move.
Recover → Rebuild → Perform