Yes, improper footwear can contribute significantly to knee pain, particularly if the shoes do not provide adequate support, cushioning, or alignment for the feet. Footwear that lacks proper arch support or cushioning can alter the way a person walks or stands, leading to an imbalance in the forces acting on the knees. For instance, flat shoes or sandals without arch support can cause the feet to overpronate (roll inward), which puts additional stress on the knee joint and can lead to conditions like patellofemoral pain syndrome, where the knee cap moves out of alignment with the thigh bone. Conversely, shoes with high heels can increase pressure on the knees by altering the natural posture of the body, often exacerbating pain in individuals who already have knee issues.

In some cases, wearing the wrong type of footwear can worsen existing knee conditions, such as arthritis, by promoting improper gait mechanics and contributing to joint wear and tear. For people who experience knee pain, it is essential to choose shoes that offer proper arch support, cushioning, and alignment for their specific needs. Orthotic insoles or custom-made foot supports may also help improve posture, alleviate pain, and provide additional support. A consultation with a podiatrist or orthopedic specialist can be beneficial in selecting the most appropriate footwear or orthotics to address knee pain caused by improper footwear.