If so, you are at increased risk for attaining an overuse injury. Examining the shoes should be the first thing to look at when suspecting a structural imbalance.
Patients commonly complain of knee aches, hip pain and low back pain.
This may be due to a lower extremity structural alignment problem such as one leg being longer than the other. This causes the longer leg's foot to collapse and in doing so, wears this shoe out excessively and sets up potential problems elsewhere. Some athletic patients have kneecaps that face in an inward direction upon which there is an associated rolling in of the arches. Actually, it may be the poor foot structure that allows the foot to collapse, turning kneecaps inward. All this twisting movement causes pain around the knee especially in pivotal sports like tennis, racquetball, basketball, dance, and running routines that involve turns and sprints.