Video: Can Foot Function Cause Knee Pain?

Many people have chronic, lingering pain in their hips, knees, low back, shoulders and neck and that has not responded to traditional treatment.  If you are in this group, there may be a connection between the pain you are experiencing and the way your feet function.

The knees, back and hips are the areas most often affected by abnormal foot mechanics or asymmetry in your gait.  Below are just a few examples of the many mechanical abnormalities of the foot that can lead to pain in other parts of your body:

Knee Pain and Your Feet

A number have studies have shown that in some patients knee pain is directly related to how feet function. Correcting abnormal foot function may help relieve knee pain.

The knee is is made to bend only in one direction—with the knee facing straight forward.  When the foot rolls in too much (over-pronates), however, the leg rotates in toward the opposite leg.  This causes the knee to function while pointing inward.  In this position each step you take will put stress on the knee.  If your knee pain is due to your foot mechanics, shoe changes, over-the-counter arch supports or custom orthotics can be a very effective way to relieve your symptoms. You can learn detailed information about knee pain and your feet here.

Back Pain and Your Feet

In a 1999 study of patients with low back pain, gait abnormalities were detected in all patients.  Eighty four percent of the patients studied experienced improvement with the use of custom foot orthotics.  All of the study participants had not responded to standard treatments which had included spinal manipulation, physical therapy, therapeutic injections and/or surgery. 1Dannenber, Guiliano.  1999.  Journal of the American Podiatric Medical Association.

Video: How Supporting Your Feet Can Help Cure Back Pain

Leg length discrepancy (LLD) is a problem we commonly see that causes back and hip pain.  Depending on the problem, treatment may be as simple as a lift or may require an orthosis. Learn more about back pain and your feet here.

Hip Pain and Your Feet

There are fewer studies relating hip pain and foot function but we certainly see that abnormal foot function, particularly excessive pronation can cause hip pain.  The video below goes over the relationship between hip pain and foot function in detail. If you have hip pain that has not responded to other treatments we can help you determine if your foot function is playing a role.

Solution to Back, Hip and Knee Pain

Critical to relieving your pain is evaluating and treating the subtle gait abnormalities found to be a common yet untreated cause of chronic musculo-skeletal complaints.  Drs. Huppin and Hale have specialized training in biomechanics, a branch of medical science dealing with human motion and posture.  They will evaluate you both dynamically (while moving) and statically (while at rest).


To diagnose many of these chronic and functional problems, we have a video gait analysis system in our office.

We use a treadmill and four video cameras to record you as you are walking.  Gait analysis will help identify abnormal mechanics that may be causing pain.   If abnormal, a very important aspect of your treatment will be the prescription of functional foot orthotics.  Orthotic therapy helps correct your movement and relieve the pain in your aching muscles and bones.


Foot orthoses function in several ways to reduce pain in your knees, hips and back. The key is that each foot functions differently and our detailed examination and gait analysis will allow us to determine the best orthotic prescription for each persons mechanical abnormality.

FootChair Adjustable Arch Orthotic

However, if you are not able to obtain a custom orthotic we suggest the FootChair Podiatrist Designed Orthotic with adjustable arch height. The arch can be adjusted for maximum support and comfort via pads that can be inserted under the cover.


Shoes that offer the correct support for your foot are an integral part of any biomechanical treatment plan. We will provide you with recommendations of appropriate shoes for your foot type and a list of shoe stores with personnel trained in proper fitting.


If you are experiencing knee, hip or back pain call to schedule an evaluation in our Seattle office to determine if your pain is affected by the mechanics of your feet.

Click Here For Self Treatment Hints

2023 Shoe Guide and Recommendations

Shoes recommended by our doctors - subscribe now

for shoe list and weekly foot health newsletter


Thank you! 

Check your email for your shoe guide 

You will also receive our weekly shoe recommendations and foot health newsletter. You can unsubscribe at any time.