Blog image good posture (1080 x 1080 px) 169

Best House Shoes for Arthritic Knees: Why Going Barefoot Isn’t Always Best

When you’re at home, it’s tempting to kick your shoes off and walk around barefoot — or slip into those soft-but-squashy slippers you’ve had for years.

But if you’ve got knee arthritis?
That might be doing your joints more harm than good.

Let’s talk about house shoes — and why they matter far more than most people realise.


Why House Shoes Matter for Arthritic Knees

Your knees are under load all day — even at home.

And without the right support, you might unknowingly be:

  • Irritating your joint with poor alignment
  • Increasing the impact through each step
  • Putting extra pressure on already sensitive areas
  • Walking with more wobble and less control

Barefoot walking on hard floors can feel good for a moment — but it often increases discomfort and stiffness over time, especially in knees with arthritis.

Floppy slippers or flat house shoes can collapse under your arch, offer no cushioning, and lead to poor foot-knee-hip alignment.

Over time, this can increase pain, fatigue, and even the risk of falls.


What Makes a Good House Shoe?

To support arthritic knees properly, your indoor footwear should ideally offer:

  • Firm soles that don’t twist easily
  • Good arch support to help align your knee
  • Cushioning underfoot to absorb shock
  • Heel support — avoid backless or loose-fit designs
  • Grip on the sole to prevent slipping

You don’t need something bulky or clinical — just a pair of supportive slippers or indoor shoes that help your body stay stable and aligned.


House Shoes vs Bare Feet: A Quick Comparison

FeatureBarefootStandard SlippersSupportive House Shoes
Arch Support❌ None❌ Minimal✅ Yes
Shock Absorption❌ None❌ Thin soles✅ Yes
Knee Alignment Support❌ None❌ Poor✅ Helps offload
Slip Protection❌ None⚠️ Often slippery✅ Anti-slip soles
Fall Risk🚨 Higher🚨 Higher✅ Reduced

What I Recommend as a Physio

In clinic, many of my clients don’t realise how much indoor footwear affects their symptoms — until they switch.

Even people with bone-on-bone arthritis often notice:

  • Less pain when walking around the house
  • Better balance and confidence on stairs
  • Less morning stiffness
  • Fewer flare-ups when standing or pottering

It’s a small change with big potential benefits.


Beyond Footwear: What Else Helps Arthritic Knees

While house shoes help support the knee, they’re just one piece of the puzzle.

If you’re serious about managing arthritis at home, don’t forget:

Strength work — building support from within
Smart movement strategies — like pacing and posture
Body weight and joint load management
Daily gentle activity to keep things moving

📌 The NICE guidelines recommend a combination of strengthening and self-management for osteoarthritis — and footwear is part of that daily joint careThis rehab program combines both.


Final Thoughts

You don’t have to choose between pain or walking around in bulky orthopaedic shoes all day.

Supportive house shoes are a simple, practical way to reduce knee irritation, improve alignment, and help you stay safely active at home.

Because with arthritis, what you do daily matters most. Here to help if you need.

Take care, Helen

Helen Manders BSc (Hons) MCSP HCPC

Chartered Physiotherapist Treating Arthritic Knees Since 2001


🟢 Want to learn more about caring for arthritic knees?
🔗 Explore these helpful next reads:

🟢 Ready to improve your arthritic knees? – Click to see how I can support you.

Brown minimalist world travel youtube thumbnails 46

Online Treatment Programs

Range of online programs to treat common problems and injuries. Allowing you to resolve your pain fast in the comfort of your own home.

Pain Free Expert

Helen Manders

BSc Physiotherapy (Hons) MCSP, HCPC

Testimonial

James Hahnal – Consultant Orthopaedic Surgeon

I have worked with Helen for many years at Leeds Nuffield hospital where I work as a specialist hip and knee surgeon. As part of my practice we have plenty of patients who have problems with their back. I occasionally struggle with my own back and know Helen is the lady to help sort it out. Not only did she give brilliant care in terms of getting it going again, but she also gave some great advice to keep it in great shape. I have been following this for the last couple of years and have been abusing my back with games of squash since with no problems. Thanks for the great care. Would definitely recommend.