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To you and everyone else using running shoes, any issue with twisted ankles by not having the flat sole.
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I'm not sure what you mean by flat sole, but I've worn running shoes for the last 3 years (wouldn't wear anything else; in fact, would probably quit if I couldn't find a good pair) and I've never had any ankle issues. I have had some issues with achiles tendinitis (which has been all but eliminated with my running program) so I wear ankle neoprene supports -- perhaps that helps.