Can Hoka Shoes Cause Back Pain? Based on Research

One fine morning, my lower back was hurting like crazy after wearing my Hokas for a lot of walking. I was running with the pair for 8 months and never had an experience before. So, I was wondering, “Can Hoka shoes cause back pain?” I decided to do deep research and this is what I found.

No, Hoka shoes don’t cause back pain. Most users (also me) appreciated the plush cushioning and stability in the foot while wearing them. They train 50k without pain after switching to Hokas. On the other hand, a few users experienced back pain. Meaning that users have mixed experiences. My opinion is that as long as the FIT N FEEL is perfect, Hokas will reduce back pain.   

I have explained the correlation between “Hokas and back pain” in this comprehensive guide. Let’s get going. 

Hoka Mach
courtesy Ruth Gordon

Can Hoka Shoes Cause Back Pain? Learn the Facts

The short answer is NO.

Dr. Robert Fridman, DPM, FACFAS, explains Hoka is great for reducing back pain. “My patients thank me daily for suggesting HOKA as part of their road to recovery,” he says. Hoka running shoes minimize the impact of walking and running on your body. If you are suffering from back pain, it can be beneficial. 

So, how are Hokas helpful for back pain reduction?

Here is the answer. 

  • Midsole Cushioning

The shoes have plenty of cushioning at the midsole. Moreover, the midsole is springy. Thus, they have a shape that is closer to the human foot shape. Better midsole cushioning protects feet from impacts and keeps the heel firmer. 

  • Stability

Proper body alignment and posture are a must for reducing back pain. You can maintain good posture and reduce the risk of back pain by wearing the cushioned Hoka shoes. 

Extra support in the midsole helps your feet stay in the neutral position, preventing back pain. 

  • Arch Support

Hokas offer excellent arch support to distribute your weight evenly. They minimize strain on your lower back. Also, the sturdy insole ensures less stress on the back. 

  • Lightweight

A light feel on Hoka shoes can help you relieve back pain

How?

The pressure zone within them distributes every step throughout your feet. Thus, the strain on your back gets minimized over time. Moreover, Hoka shoes are designed to make your walking, running, and exercise comfortable without back pain.

  • Shock Absorption

Poor shock absorption characteristics of shoes are one of the prime reasons for lower back pain. 

Endlessly cushioned midsole acts as a high-performance shock absorber without putting extra weight. You will have a comfortable stride since the midsole absorbs impacts efficiently. 

Shauna Wilson
Hoka Line Up

Best Hoka Shoes: Let’s Have a Look!

What are the Potential Risks of Hoka Shoes?

As said, Hokas have the potential to cause back pain. However, the prime reason for back pain is the “incorrect way of wearing and using Hoka shoes.” 

A user explained that Hokas have a low drop. That is why these shoes are unsuitable for heel runners. While other users stated that Hokas solved their knee problem. 

Another potential risk is the over-supported midsole cushioning. It leads to instability and weak feet. As a result, you may feel additional strain on your lower back, causing back pain.

Also, the wide-toe box design is beneficial for people with wide toes. If people with narrow toes wear them, their feet may spread out too much. It can cause their feet to roll inward, leading to back pain.

It seems Hokas are responsible for back pain “if you choose the incorrect model” 

The American Podiatric Medical Association (APMA) awarded the Seal of Acceptance to Hoka’s selective styles for being beneficial to foot health. 

Jenny Alford Callaway

Do’s & Don’t When Wearing Hoka Shoes for Back Pain

You can get the most out of your Hokas by wearing them correctly. So, there are a few do’s and don’ts that you need to follow meticulously.

Do’s

  • Choose the correct size for proper support and comfort.
  • Clean your shoes regularly. It helps prevent blisters.

Don’ts

  • Never wash the footwear in the washing machine. Otherwise, the midsole cushioning may get damaged.
  • Avoid wearing for activities that require quick stop and start. Hokas may fail to provide the necessary traction.
  • If you have a foot deformity, don’t wear Hokas unless your doctor advises.
  • Don’t buy flip-flops, high heels, flat platforms, and pointed-toe shoes.

FAQs

Are Hoka shoes good for back pain?

Shock-absorbing wider base, thick and cushioned midsole, lightweight, proper arch support, etc., are key features of Hokas. These characteristics make Hokas footwear great for reducing the pain in your back.

What physical activities can I do without back pain wearing Hoka shoes?

Hokas are designed purposefully to reduce the impact of daily activities on your foot. You can do the physical activities below wearing Hoka shoes without discomfort in your lower back.

  • Yoga
  • Stretching
  • Pilates
  • Acupressure massage
  • Walking
  • Tai Chi 

What can I do to avoid back pain from Hoka shoes?

Here are a few tips to follow to avoid back pain from Hokas.

  • Choose a snug-fitting footwear
  • Ensure proper arch support
  • Look for a supportive model that offers comfort

How to Choose the right Hokas shoes for back pain

Your footwear can either improve your productivity or break you. That is why choosing the right pair is crucial. 

  • Buy lightweight shoes
  • Make sure the footwear provides stability
  • Look for midsole cushioning

Summing Up

Back pain can occur from wearing unsupportive shoes. Hokas are supportive and well-cushioned, providing complete foot and ankle support.

Hopefully, you got a clear answer to the question “Can Hoka shoes cause back pain?” by reading this guide. Hokas are designed to make your daily exercise comfortable and easy on the back. 

Many podiatrists recommend them for osteoarthritis as Hokas help reduce back pain. However, the key point is to choose the correct model that fits you. 

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