 Do leg amputees actually need to be wearing shoes on their prosthetic foot? Because let's be honest, I can't feel this, so whatever I step in isn't that kind of the same as wearing a shoe? Here are the two reasons why I always wear shoes on both my meat foot and my prosthetic foot. Reason number one, wear and tear. It is really important to protect your prosthetic foot shell. Generally speaking, insurance companies won't cover it. If it breaks before the three-year mark, which is insane because you usually start breaking after a year. My previous prosthetic foot had holes in the toes because I occasionally walked on concrete and the carbon fiber from my prosthetic ate through the foot shell cover and completely ruined it. Reason number two, if I'm not wearing a shoe, you can see that I'm very off balance. My hips are not going to be the same height, which leads to lower back issues and hip issues. It's very important that you are the same height on both sides. Also, bonus reason, just for me personally, I feel like I would feel weird walking around with just like one shoe and a prosthetic foot sticking out. It's nice to wear two shoes in general just to kind of feel normal.