Incorrect walking posture can lead to inconsistent heel wear; in years gone by, when supplies were scarce and it took years to buy a pair of leather shoes, heel wear was so severe that we would consider “nailing the heel” to reduce wear. Does the painless wear on the left and right foot mean that there is a deformity in the spine? Not really! It is often said that the car runs off the road, its tire wear will be different from the normal car, car mechanics have to suspect whether the axle has offset, human shoes are like car tires, will also appear in such a situation: if the heel wear flattened a lot, we have to consider that may be the spine out of the problem. So is heel wear really related to spinal health? That’s not entirely true. Indeed, when a herniated disc compresses the nerves in the lower limbs, and the muscles on both sides are unbalanced due to the loss of innervation, this can lead to uneven force on the feet and heel wear. However, this does not mean that all heel wear is related to the spine, let alone which side has more wear corresponding to which segment of the lumbar spine has problems. Heel wear is associated with these causes! Congenital ankle dysplasia and muscle imbalance, resulting in foot inversion. Outward-facing deformities, such as flat feet or high arches. Short legs from birth, uneven force on both feet when walking. Naturally, excessive wear and tear on the heel side of the shoe. Fractures and injuries to the feet, leading to contracture and degeneration of the relevant joints and muscles. Worn out heels on both feet, walking in an outward or inward curvature. When suffering from knee osteoarthritis, the inner knee joint gap becomes narrower, the occlusion of the knee joint surface is tilted to one side, the weight-bearing surface gradually changes, and the medial muscle groups of the knee joint will be subjected to greater pressure, prone to muscle strain, so that the weight-bearing capacity of the TEN joint decreases, and knee pain and severe wear on the outer side of the heel will occur when walking. In fact, it should be concerned about the hip joint disease, due to the hip joint and sacroiliac joint pathology leading to lameness, will also lead to uneven force on the soles of the feet, resulting in heel wear. Therefore, if you find more serious wear on one side of the heel, especially if the heel of a new shoe wears out badly in a short time, accompanied by discomfort in the lower back and legs, you should consult a doctor to find out the cause and deal with it. Can not be gullible rumors for orthopedic treatment of blind behavior, after all, spinal deformity medical testing is the most direct way to determine.