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Outside of direct trauma, arthritis or conditions caused by structural misalignments, all foot/ankle problems are caused by overuse which should instead be called abuse. The human foot was not designed to be operated in high heels and used excessively on hard unyielding surfaces. We commonly see: plantar fasciitis, heel pain, achilles tendonitis, tarsal tunnel pain syndrome, metatarsalgia, ankle sprains and instability.