Tuesday, October 20, 2026

How Cushiony Shoes Add Stress to Your Feet

High-stack shoes are all the rage. But some doctors worry they could pose long-term risks to a runner’s ankles, knees, or hips. If you don’t own a pair of so-called high-stack or max-cushion running shoes yourself, no doubt you’ve seen others wearing them, whether at the gym, on trails or just knocking about town. Sandwiched between the tire tread-like outer sole and nylon upper is as much as 2 inches of soft and springy foam, which gives these shoes both the look and feel of walking around with mini-mattresses on your feet. It all started back in 2010 with the introduction of the Hoka line of maxcushion shoes, which led other brands to develop similar styles, each stacked with its own patented lightweight foam. Now it is difficult to find running or walking shoes that aren’t raised on a platform of puff, some with the added oomph of a layer, or plate, of carbon fiber. While max-cushion shoes may feel super comfy, and can improve running efficiency and performance if embedded with a carbon plate, there are concerns among podiatrists, orthopedists, kinesiologists, and sports-medicine doctors about the long-term effects, not only on your feet, but also your ankles, knees, and hips. Further detail is provided in this article.

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