Causes of Back Pain

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Health & Orthopedics

"I Wore the Wrong Shoe for Years" – A Viennese Orthopedist on the Silent Cause of Back Pain

Every day, patients with chronic back pain sit in his practice. The most common cause still surprises him repeatedly.

Written by Marian | Senior EditorUpdated 2 hours ago · 9 min read



An orthopedist from Vienna has run an orthopedic practice in the 1st district for over 12 years. Every day he treats patients with back pain, knee problems, and hip discomfort. And every day he asks the same question:

"What shoes are you wearing?"

An Orthopedist from Vienna

12 years of orthopedic practice in Vienna's 1st district. Specializes in postural analysis, foot orthopedics, and chronic back pain.

"The foot is the foundation of the body. If the foundation is misaligned, everything above it suffers sooner or later—knees, hips, back. This isn't theory; I see it every day in my practice."

The Silent Cause That Hardly Anyone Knows About

Back pain is the most common reason for doctor visits and sick leave in Austria and Germany. Most patients receive painkillers and physiotherapy—and return months later with the same complaints.

What is often overlooked: The cause isn't in the back. It's in the shoe.

"An elevated heel of just 10 mm changes the entire body's biomechanics. The lower spine is more heavily loaded, hip flexors shorten, and back muscles constantly work against incorrect posture. After years, this creates chronic pain."

The Three Most Common Shoe Mistakes His Patients Make

What Wrong Shoes Do to Your Body

  • Heel Elevation – Just 8–15 mm of heel height tilts the pelvis forward, shortens the Achilles tendon, and chronically overloads the lower spine.
  • Narrow Toe Box – Compressed toes can no longer serve as natural stabilizers. Foot muscles atrophy, and the arch collapses.
  • Thick Cushioning – Soft soles disable the foot's proprioception. The body loses critical information about the ground beneath it.
80%of adults experience back pain at least once
12hthe average German wears shoes daily
26bones in the foot—it needs freedom of movement

The Patients That Made Him Rethink Everything

Thomas, 44 Years – Project Manager

8 years of chronic back pain · Vienna

Thomas came to the practice with an MRI report: two herniated discs, years of pain. He had already undergone two surgeries and was on the verge of a third.

The orthopedist looked at his shoes: classic business shoes with a 15 mm heel—worn 10 hours daily.

"I asked Thomas to switch to barefoot shoes for six weeks. After three weeks, he called me. He couldn't believe what had happened."

After six weeks in zero-drop shoes with a wide toe box, Thomas reported significantly reduced pain—without new medications or surgery.

Sandra, 38 Years – Teacher

5 years of knee and hip pain · Lower Austria

Sandra stood 6 hours daily—in fashionable sneakers with thick cushioning. Knee pain had plagued her for years, and her hip was increasingly problematic.

"Sandra's pattern was classic: The thick sole had deactivated her foot muscles over years. The knee and hip had to compensate for the instability—and eventually failed."

After switching to barefoot shoes with flexible, thin soles, Sandra's foot muscles began slowly regenerating. Four weeks later, she reported significantly less knee pain when climbing stairs.

Michael, 52 Years – Entrepreneur

Chronic muscle tension · Graz

Michael came for neck tension. During gait analysis, the orthopedist immediately noticed: Michael's elevated heels caused excessive heel striking. The tension ran from his feet through his hips to his neck.

"The body is a chain. One misalignment below—and everything above suffers. For Michael, the problem literally started in the shoe."

Six weeks of zero-drop shoes and daily foot training—Michael's neck tension improved significantly.

What He Now Recommends to His Patients

"I now regularly recommend barefoot shoes to my patients as a first step. Not as a cure-all—but as a fundamental foundation for a healthy musculoskeletal system."

Gum Black

What Makes a Good Barefoot Shoe

  • Zero Drop – No heel elevation. Heel and toes sit at equal height—like walking barefoot on natural ground.
  • Wide Toe Box – Toes have room to spread naturally. This activates foot muscles and stabilizes the arch.
  • Thin, Flexible Sole – 3–6 mm is enough. The foot feels the ground, proprioception is reactivated.
  • Lightweight – Heavy shoes alter natural gait. The lighter, the better for motor control.
  • Everyday Practical Design – A barefoot shoe is useless if you don't wear it. It must work at the office, during sports, and in daily life.

Which Shoe He Specifically Recommends

When asked which barefoot shoe he personally recommends, the orthopedist names Feelgrounds – an Austrian brand he has been recommending to his patients for two years.

"What convinced me about Feelgrounds: The shoe looks like a normal sneaker. That sounds trivial—but it's crucial. My patients actually wear it every day because it doesn't stand out. And that's what makes the difference."

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What His Patients Say About Feelgrounds

★★★★★

"After eight years of back pain, I never thought a shoe could make such a difference. After six weeks in Feelgrounds, I sleep through the night again."

Thomas, 44 Years – Project Manager, Vienna
★★★★★

"I stand 6 hours daily. My knees used to barely handle the evening. Since wearing Feelgrounds, it's significantly better."

Sandra, 38 Years – Teacher, Lower Austria
★★★★★

"My orthopedist was right. The neck tension has noticeably decreased. I now wear Feelgrounds every day—even in the office."

Michael, 52 Years – Entrepreneur, Graz
★★★★★4.7 / 5 from over 6,000 reviews

His Final Advice

"Before reaching for the next painkiller or considering surgery—look at your shoes. It's the easiest first step. And often the most effective."

Discover Feelgrounds Now

Zero Drop · Wide Toe Box · Vegan · Free Shipping · 30-Day Returns

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All patient reports are based on personal experiences and have been anonymized. Individual results may vary. The contents do not replace a doctor's visit. If problems persist, consult a specialist. This is a paid advertisement by Feelgrounds.

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