Have any of you ever noticed this wear pattern on the left shoe? If you have, this is a good indicator of right adductor hyperactivity. When the right adductor is overly hyperactive, the left heel will come out of the shoe when beginning to initiate the swing phase. Another good indicator of right adductor hyperactivity will be no right arm swing. These patients will need a right adductor magnus inhibition program along with verbal cues to maintain heel contact with gait!