This article argues that a sudden spike in Achilles tendon ruptures across the league may be more than coincidence, and questions whether low-cut basketball shoes and year-round play patterns are contributing factors. It highlights that seven players tore their Achilles in the 2024–25 season alone, the most in NBA history, and explores how footwear design, overuse, and youth specialization could all be increasing injury risk. Dr. Milica warns that early sports overspecialization (spoiler alert- not shoes) can lead to muscle imbalances and increased overuse injury risk across tendons.