Absolutely. Footwear is one of the first things that I ask about when I am evaluating someone for hip pain. The hips and pelvis are transition zones where the weight from the spine and upper body is transferred and distributed to the legs. If the foundation of the legs is not balanced, then it can create unevenness that becomes most notable around the hips and sacrum. Whenever I am examining someone and find they have a sacral shear or sacral unleveling, there might also be some imbalance through the legs. One of the most common causes of this is shoes that wear unevenly or even improperly supportive shoes.