Monday, January 4, 2010

Benefits of Barefoot Running

This is from Clynton Taylor's very nice running website http://www.runningquest.net


It’s All So Confusing!


The world of running, and especially running shoes, can be a confusing one. And now that many of us are considering running with minimal shoes (shoes that are close to running barefoot), it can become overwhelming. I’ve done a fair amount of research over the past month or so and want to provide you with what I’ve learned. Hopefully this will bring some clarity to you as well.

My aim with this post is twofold. First, I want to clearly outline the benefits of running barefoot, or at least with minimal shoes. Second, I want to provide you with a list of minimal shoes that are currently on the market. I hope this will help you save some time, or at least amuse you while you’re here. As always, please provide feedback and additional content you feel I should include on the page in the Comment section below.

Pile of Running Shoes - Cropped

A Running Reframe

As many of you are aware, I’ve been on a quest to be a runner for a number of years now. I run for a few months, then suffer a major setback, the latest of which is a large disc herniation (L5-S1). The near constant pain with this last injury has kept me at home for a few months now, and obviously off the trails. Without the ability to run (for a lot of the time it was quite difficult to even walk), I began doing the only thing I could: reading about running and watching running movies. Oh, and living vicariously through all of you, who are out there doing awesome running.

Lying in bed, dreaming of the day I could once again run (hopefully pain free this time!), I learned a lot. Then, as anyone who’s been in contact with me will know, I discovered the book Born to Run by Christopher McDougall, and devoured it. To say the book changed my life is no overstatement. It altered the way I think of running and eating. Heck, it even changed the way I think about the meaning of life! Chris describes how we, as humans, are intricately designed for endurance running, like no other animal on the planet. This not only gives me solid hope that I will run again, it also makes me confident that I will be able to reach my ultimate goal, to be able to run long distances (ultramarathons). Instead of being gripped by fear and loathing when I think of running, brought on by years of over-doing it and suffering injuries (both physical and emotional), I now feel a sense of joy. I visualize the human body doing what it’s meant to do: fluidly moving across the plains and up mountains, hair blowing in the wind, sun dancing off of the leaves and petals, eagles soaring overhead… (ok, maybe some of this euphoric vision is induced by narcotic pain killers , but not all of it). I now get that running is a part of living, and living is a part of running.

Less Is More

This profound realization, that all of us are born to run, is coupled with the biggest reframe I have experienced in my life: When it comes to running shoes, less is more. I was incredibly skeptical at first when I encountered the notion of running close to barefoot. I first heard of Nike’s Free running shoes a couple of years ago. I instantly dismissed the product, classifying them as corporate America’s lame attempt to capitalize on a small, niche group of hippies. Well, if you’ve read Born to Run or my previous post, The Sole of the Problem, you will realize that I wasn’t completely wrong. Nike and other shoe companies are trying to make money from foot problems they mostly created with thick, cushioned soles. If you look back at recent history, people didn’t suffer much, if any, plantar fasciitis before Nike created what we now know and wear as running shoes.

These and other insights based in data and introduced to me in Born to Run completely flipped upside down what I thought were running truths. I’ve come to realize that barefoot running and running in minimal shoes is not just something that hippies do as a stand against the way most of the world views life. Indeed, many of the top endurance runners and college running coaches have been practicing and espousing the virtues of barefoot training routines for years (Anton Krupicka is perhaps the most successful barefoot/minimal runner today – he just broke what many thought was an unbreakable record at the White River 50 mile race). They espouse barefoot running because research and personal experience has proven to them that feet and legs work best when they are in contact with the ground, unimpeded by large, clunky, and heavy running shoes.

A growing body of scientific research shows that runners experience less injuries and faster times when they run barefoot or with minimal padding. In fact, research published in Sports Science in 2001 by Michael Warburtin points out that, “Laboratory studies show that the energy cost of running is reduced by about 4% when the feet are not shod.” Translate the energy saved into time over a run and you are going to experience a personal record. Add the reduced chance you’ll suffer an injury and it’s a big win for us runners.

Barefoot on Grass

The Benefits of Running Barefoot

Based on what I’ve read so far, there are three key benefits to running barefoot at least some of the time, and avoiding thick running shoes at all times. They are:

  1. Shock Absorbtion: Thick, heavily-padded running shoes that we have come to rely on allow you to land on the heels of your feet, so you do. This causes all sorts of shock damage to the foot, leg, and even the rest of the body on up. To understand the danger in this, imagine you’re on the roof of your house. Now jump off and land on the heels of your feet. Ouch, right?! It’s no different landing on your heel thousands of time every run. In contrast, landing on your forefoot softens your whole landing. Your feet and legs flex like a car’s shock absorber and naturally absorb much of the impact.
  2. Lighter Strike: It’s hard to wrap our brains around this next reason for running barefoot, yet research (some of which was conducted by Nike) shows that our bodies, inherently seeking feedback,strike the ground harder the more padding we have on our feet. The foot has over seven thousand nerve endings in it, and each one needs to feel the body strike the ground. If you are barefoot, those nerve endings get the feedback they need with a light strike. However, if you are wearing a thick shoe, your body needs to strike harder in order to feel the ground through the padding. It’s the opposite of what we’ve been taught, but the more padding you wear under your feet, the harder your foot pounds the ground. If you run barefoot, you will naturally run light like a cat. And that’s better for your whole body.
  3. Muscle Strength: There are literally thousands of muscles in each foot, yet most of them aren’t used when we’re wearing arch-supporting shoes. The best example I’ve heard to explain why supporting the foot is bad, is that of wearing a cast. I remember when I broke my arms and wore a solid cast for six weeks. Besides the smell, what I remember most is how small and limp my arm was when they cut the cast off. I could barely lift a pen with my arm! While not as extreme a situation, when your feet are constantly held in place by shoes, the muscles atrophy. It’s quite simple, when your foot muscles are strong from use, you run more powerfully and swiftly. And when you run barefoot, all of your muscles get a chance to do what they are designed to do.

Other reasons for running barefoot include running with a shorter, more healthy gait, literally being in better touch with your surroundings, and not depriving yourself of the physical pleasures that come with being barefoot (is there anyone who doesn’t enjoy walking barefoot on grass?). The fact is that the foot’s an incredible system, capable of doing anything that we need it to. I think Ted McDonald (a.k.a. Barefoot Ted) said it best: Our feet, eyes, and mind are an incredible set of tools, if we just use them.

I decided that the best thing for me is to run barefoot some of the time, and the rest of the time to run in minimal footwear. I chose a pair of black Vibram Five Finger KSOs. I am sure, after ample practice, feet can handle any surface. However, I want to give my feet a little stronger protection against puncture wounds. I will post a review of my Vibram Five Fingers a little later on, once I am able to run again. I have to say, though, that walking in them is very enjoyable.

Minimal Shoes

There are numerous running shoes out there, and a growing number of shoes that claim to be like running barefeet. Many companies, including Nike, are trying to jump on the barefoot bandwagon. Be wary of marketing spin. Don’t purchase any shoes without doing your research and ideally giving them a test run first.

Before we look at some specific shoes, let’s review a couple of definitions. First, barefoot running is just that, running with nothing on the feet, even socks. Running in minimal shoes means wearing something on your feet yet still allowing them to flex as they would if they were completely sod-free (no significant padding or arch support).

Here are some shoes I consider to be minimal:

Vibram Five Fingers KSA Black

Vibram Five Fingers
KSO model shown, 5.7 oz

You either love the way they look, or you think they’re the nastiest things to hit the footwear world since plantar warts. If you get past their look, though, you realize they are damn close to going barefoot. The reviews from all sorts of folks are quite positive. I love how I can feel the warmth on the sidewalk in the sun, then the coolness of the grass in the shade. I also like that people look at me in a peculiar way (though I don’t get many stares as I am in Northern California, after all).
> Birthday Shoes is a blog by Justin Owens. An advocate of Vibram Five Fingers himself, the site covers all things Vibram five fingers. There are numerous reviews on his site of all of VFFs.
> Barefoot Ted has recently reviewed the new Vibram Five Finger Treks which are made of kangaroo skin which provides a little more insulation.

Feelmax Panka

FeelMax
Panka model shown, 4.2 oz
Feelmax, a Finnish company, makes a full range of minimal shoes. Of all the minimal shoes I’ve seen, the Feelmax are likely to be the best for colder temperatures (excluding the Vibram Five Finger Treks, due out in September 2009). And since they come in a variety of browns and blacks, they likely provide the best chance to get away with wearing minimal shoes in casual business settings.
> Barefoot Runner has a review posted of the Planka.

Vivo Barefoot White and Blue

Vivo Barefoot by Terra Plana
Root Sport Leather model shown.
These are arguably the most beautiful minimal shoes out there. They are at once fashionable and functional (though I have not tried a pair on). Of all of the minimal shoes I’ve seen, these win hands down for aesthetics (I drool over the keyboard every time I see them). The Root Sport Leather model also comes in white and green. An added bonus is that the shoes are made of much recycled material. Their running specific shoe which will be called E V O comes out later this year and will surely be a strong contender.
> Living Barefoot took the Acqua’s for a spin and wrote up a review.

Asics Budokan WhiteBlue

Asics Running Flats
Budokan model shown
Asics creates some running flats and minimal shoes for martial artists that could also be used for running. You will have to take each shoe case by case and try them on to determine if there is too much padding or arch support. Note that many of the big running shoe companies also create their own version of a racing flat.

Feiyue1 114x50 custom Barefoot Running: Not just for bums and hippies.

Feiyue
Lo model shown
This Chinese brand with it’s origins in 1920s Beijing became popular with parkour enthusiasts (an adventurous form of urban running and jumping first popularized in France) in France in 2006. The shoes are loved for their functionality and heritage, and of late, as a fashion statement. They have little to no padding, much like a classic Converse.

Skora 89x55 custom Barefoot Running: Not just for bums and hippies.

Skora Footwear
While this company hasn’t launched a product yet (website says they will in 2010), it’s sure to be a very compelling one. Being developed by the folks behind Barefoot Running, the “shoe” will certainly be extremely minimal, and quite likely like nothing we’ve ever seen before. Can’t wait to learn more!


Other Shoes

Other shoes that claim to be all about the bare foot, but I’m not sure whether they would actually be good or not, due to too much padding and support:

Nike Free

Nike Free
The story of how Nike tried to make money off of the foot problems they helped create in the first place is well documented in Born to Run. It’s incredible to me that they call these shoes barefoot, since they are very thick in the heel. Even on their blog, the header photo shoes a person striking heel first. It just seems like marketing fluff, to me.

Newton Running

Newton Running
The heels of Newton shoes are still too thick, but the design of the shoe does promote forefoot running, as the company actively does.

Ecco Biom

Ecco Biom
Ecco, a Danish company best known for their comfortable shoes, have teamed up with triathlete Torbjorn Sindballe to create the Biom. While the shoe looks interesting, you can quickly tell that it still provides too much support. While all of the marketing talks about the foot’s natural movement, they say that the shoe is a “replica of the human foot.” Too bad you have to pay $170 to get a replica of something you already have.

Inov8 Racing Flats

inov8 Racing Flats
f-lite 250 Racing Flat shown
inov8 is an English company founded on the philosophy that the bare foot is an incredible system to begin with. They claim that the inov8 shoes allow the foot to flex like it does barefoot. It’s hard to believe, though, that you would receive full flex in these shoes, but maybe I’m wrong. It weighs just under 9 ounces (or 250 grams, hence the name).

Teva X-1 Evolution

Teva Ultralites
X-1 Evolution model shown, 10 oz
Teva, of course, began by making sandals for active use, including water activities. They now carry a full line of shoes for outdoor activities. Their heel is still quite large to be good for you.

New Balance
New Balance MR790.

New Balance Trail Runners
MR790 model shown, 5 oz
Owners of these trail running shoes are very enthusiastic about them, talking about how light and thin they are. However, you can see they still have quite a lot of height in the heals, and per the New Balance website, the shoe still contains a log of cushioning.

Monday, December 28, 2009

Lost California Runner Found Near Mt. Tam

The lost trailrunner did a few things right that helped him survive his ordeal. Among them, remember to always tell someone where you're going and also stay put once you realize you're lost and the sun goes down.

Trail runner rescued during stormy night near Mt. Tam

A man who went for an afternoon run Saturday in a wooded area south of Fairfax was found
muddy, wet and shivering uncontrollably at 11:15 p.m. by three members of the Marin County Sheriff's search and rescue unit.

Guy Stark, 50, of Concord, had become lost and disoriented while running on Cataract Trail near Alpine Dam in the Marin Municipal Water District watershed, said Michael St. John, the search and rescue unit leader.

On Sunday, Stark had nothing but thanks for his rescuers.

"I was really happy to hear a human voice," he said. "I was amazed. I had given up hope. I don't know if I could have survived the night."

Four MMWD rangers and 34 search-and-rescue members hunted for Stark after his family reported him missing at 9 p.m. A command post was set up at Sky Oaks Ranger Station on the north side of Mount Tamalpais. Rescuers with all-terrain vehicles, a boat team and nine trail assignment teams combed the area as temperatures dipped into the low 40s.

At 11:15 p.m., Stark was found on the Helen Markt Trail on the southeast side of Alpine Lake. St. John said he was hypothermic to the point of uncontrolled shivering and was "very much in need of rescue." He was able to walk out with the assistance of the team.

"He was probably only a quarter or half a mile from his car as the crow flies," St. John said.

St. John said Stark did some smart things, such as letting his family know where he was going and hunkering down on a trail after it became dark rather than wandering. However, he left his hooded sweatshirt, cell phone and a hand warmer in his car, thinking he wouldn't need them.

He was wearing running shorts and a lightweight running shirt and had no food or water. He told rescuers that he had never before run in Marin County.

Stark had parked his car at the Cataract Creek Trailhead and started his run at about 2 p.m. He got lost - blaming his sketchy map and sub-par signage - as daylight faded and decided to stay put because of near-zero visibility.

Stark told rescuers that a shelter he'd built next to the trail worked well during the first splash of rain but not so later on. Along with the cloudbursts, thunder and lightning, Stark said he was spooked by thoughts of unwanted visitors.

"At first I was thinking about mountain lions, so I got a big stick," he said. "Then I convinced myself that the cats wouldn't be out in the rain looking for food. Plus it's hard for them to smell anything in the rain, so I started calming myself down."

A few minutes after an intense shower, he heard voices. It was search-and-rescue team leader John Channell with teens Chris Ottoboni and Ben Cook.

"I didn't think anybody was coming out because it was treacherous and rocky and slippery," Stark said. "When I first heard them, I thought they were partiers or campers because I was sure that nobody would risk their own lives to come out here looking for me. They deserve a lot of credit."

Wednesday, December 23, 2009

Good Trail Running Resources

This is from iRunFar.com:

What Are Your Favorite Trail Running and Ultrarunning Resources?

We've got a simple question for you today: What are your favorite trail running and ultrarunning resources? Are you a print person who can't wait for the mailman to deliver the latest issue of Trail Runner Magazine or UltraRunning magazine? Are you the social sort who relies on personal blogs, the Ultra listserv, or Facebook? Are websites your thing, you internet junkie, you?! Regardless, please leave a comment to share you favorite sources of trail running and ultrarunning info. We'll get you started with a few of our own!

Magazines
Trail Runner Magazine - Simply the best trail running magazine in the US. It's page host a wide variety of interesting stories ranging from the growth of ultraunning to pre-race sex. Yes, it's One Dirty Magazine.

UltraRunning - What Trail Runner Magazine is to trail running, UltraRunning is to ultrarunning... that is THE magazine on the subject. It's a repository of race reports, but there's also plenty of other content if results aren't your thing.

Running Times - Adam Chase has been bringing together great trail running content in RT's Trails section for more or less a decade. As a bonus, Running Times has the best running training advice of any running mag out there.

Honorable Mention: Trail-magazine IS in German, but you don't need to read German to enjoy the trail porn worthy images in this e-magazine. We can't help but enjoy reading Outside's Buyers Guides.

Social Media (New and Old)
Ultra Listserv - The ultra list might be older than the internet itself... or at least it seems that way. Regardless, it and its archive are great resources for aspiring and experienced ultrarunners alike. Be aware that the List serves up an enormous volume of email on everything ultrarunning. We'd suggest setting up a separate Gmail account if you subscribe. (If you want to know more about the Ultra List, check out Endurance Planet's podcast on the subject.)

Facebook - Facebook has become ubiquitous enough that we feel comfortable mentioning it. While there are a ton of trail running and ultrarunning resources on Facebook, our favorites are Salomon Running for its witty discussion points and Trail Runner Magazine, which mixes informative posts with discussion starters.

Blogs - We're not going to list our favorite personal running blogs. Instead, we mention them generally. They run the gambit from informative to inspirational. Heck, we challenge you to go read a new personal running blog today. Looking for leads, check out our blogroll.

Websites

TrailrunningSoul.com - Trail Running Soul has long been aggregating lots of trail running news stories, gear reviews, and even some video. It's updated quite frequently and recently there's been more original content.

Run100s.com - It's where we go when we're looking for info on a North American 100 mile race.

RealEndurance.com - Real Endurance has a fairly comprehensive ultrarunning calendar that's sortable every which was and a pretty hefty trail running blogroll. The only question with Real Endurance is can you find the good stuff among the volume.

Trail Runners Outpost would like to add:

Multidays.com offers race listings and information about multi-day racing.

A Trail Runners Blog is also a very good site for trail running info and interviews with cool people.

Also, a couple of sites that have race listings and offer online registration that are really good:


Wrap Up
Ok, now that we've shared a few of our favorite trail running and ultrarunning resources, we'd love for you to do the same. Throw out a couple of your favorite websites, blogs, magazines, whatever. Not in North America? Even better! Tell us where the great info is overseas!

Friday, December 11, 2009

XTERRA Trail Running World Championship Half Marathon Video

Video from the 2009 XTERRA Trail Running World Championship in Hawaii.

Wednesday, December 9, 2009

One Mile with Two of the Fastest Trail Runners in the World

Video detailing one mile with two of the fastest trail runners in the world - Uli Stiedl and Geoff Roes at the 2009 North Face Challenge Championship race in Marin County, CA. Winner takes home $10,000. And yes, that uphill they're running at the start of the video is pretty steep.



Tuesday, December 8, 2009

Barefoot Running Shoes

Dr. Jenny Sanders interview with Podiatry Today.

Have you seen an increased demand for shoes that simulate barefoot running?

Yes. Questions about barefoot running seem to parallel the introduction of new barefoot running shoes into the marketplace. The most common I’ve seen in my practice include NikeFree, Vibram Five Fingers and Newton Running.

NikeFree was the first introduced in 2004. At the time, Nike who was sponsoring Stanford’s track team discovered that some of their training had been done barefoot. Stanford’s coach at the time, Vin Lananna felt that barefoot training reduced injuries and improved foot and ankle strength. Seizing an opportunity, NikeFree was developed. Basically it has a soft, non-supportive cloth upper with a wide, cushioned midsole having deep grooves to enhance flexibility.

A little slower to catch on has been Vibram Five Fingers, which were introduced in 2005. Vibram originally designed these to be worn while yachting and was surprised initially that anyone would want to run in them. Once they discovered this however, this shoe with individual toes became mainstream.

Newton Running was developed in 2007 and is similar to NikeFree in appearance but provides more forefoot cushion. It was designed by Runners and is heavily endorsed by runners. The shoes are expensive and cost between $150-$200.

Other than the debut of a new barefoot running type shoes, Christopher McDougall’s recently released book entitled Born to Run, has re-ignited the barefoot running controversy.

Chris is an ultrarunner and writer for Men’s Health. His book is a page turning, entertaining read about his own personal journey of barefoot ultrarunning, which started, with the simple question of “why does my foot hurt?”

It chronicles Chris’s introduction, training and subsequent 50-mile treacherous run with the Tarahumara Indians of Mexico’s Copper Canyon. The Tarahumara are a legendary tribe known to run hundreds of miles at a time while only wearing sandals. In it he vilifies running shoe companies, podiatrists, sports medicine specialists and orthotics as the cause of running injuries. Looking below the surface however, I was able to appreciate the book for it’s historical accounting of barefoot running, ultrarunning and Chris’s analysis of running form. I also think it will stimulate conversation and better scientific research into the question is there an optimal running form and is it the same for everyone and every foot type?

In regard to shoes that simulate barefoot running, what in your clinical opinion are the biomechanical strengths and weaknesses of these shoes in comparison to conventional running shoes?

Barefoot running shoes are designed to promote forefoot contact over heel contact. This does two things. One, it reduces the impact of heel strike, improving shock absorption throughout the midfoot and forefoot. Two, it alters the center of gravity forward with the feet being better centered below the hip, which is a much more stable alignment.

My problem with barefoot running shoes isn’t with the biomechanics of the design but rather the concern that runners will see this as the newest fad and train without proper conditioning or assessment. It doesn’t matter whether you are wearing NikeFree 5.0 or Nike Zoom Structure Triax +12. If the running shoe isn’t a match to your foot type and running biomechanics, injuries will occur.

I also think in addition to shoes, too many runners have not been adequately coached in proper form. The best running shoe design in the world coupled with poor running form has little chance of benefiting a runner. ChiRunning, Pose Tech Training and Evolution running are all running methods which simulate barefoot running form and are often helpful in reducing or eliminating injury.

Are there other considerations Podiatrists should keep in mind when asked for recommendations of these shoes by patients? Are there certain foot types that would prohibit use of these shoes?

When asked by patients about barefoot running I say it may have a place in an overall training strategy, but based on most of the patient’s pathology I see coming through the door, few would benefit from this as a primary treatment. In fact I have taken quite a few runners out of these styles of shoes because they caused injury. It amazes me that so many experienced runners (triathletes, marathoners, ultrarunners) who presumably know everything about their running are oftentimes clueless when it comes to their shoes. They are sponsored by a particular shoe company consequently have to wear that company’s shoe and no one has really ever analyzed whether it’s right for them or not. Or, they have run in the same shoe for the past 10 years but never realized that the shoe design has changed so dramatically during a version change, that in spite of the name being the same it’s not the same shoe.

In your experience in treating athletes, are there particular brands of these shoes that simulate barefoot running that you have found to be effective?


The few patients I have who use these types of shoes as well as readers of my blog find that Vibram Five Fingers are really the only shoe that simulate the true feel and biomechanics of barefoot running. NikeFree and Newton Running seem to be losing ground in the battle of barefoot running shoes. However, I’m sure as time goes on, more and more shoe companies will jump on the barefoot running bandwagon and incorporate even more designs and styles into their manufacturing lines.

Monday, December 7, 2009

Is Barefoot Running Beneficial Or Detrimental?

More reading about the barefoot running debate. From Podiatry Today.

By Lauren Grant, Assistant Editor

With the emergence of new research and more footwear that simulates barefoot running, the debate seems to be intensifying in the podiatry community about the merits of barefoot running.

In a recent study, published in the Journal of Sports Medicine and Physical Fitness, researchers assessed eight experienced barefoot runners and found that barefoot running led to more plantarflexion at the ankle, which facilitated a reduction in impact forces and shorter stride length. The study authors also found that a lightweight shoe (FiveFingers, Vibram) was “effective in imitating barefoot running conditions while providing a small amount of protection.”

Another recent study, which appeared in the Journal of Biomechanics, found increased eversion of the forefoot with barefoot locomotion. The study authors also noted that shoes “restrict the natural motion of the barefoot” and “impose a specific foot motion pattern” during the push-off phase.

Assessing The Biomechanical Strengths And Potential Drawbacks

Could the emergence of shoes that simulate barefoot running have an impact? Two podiatrists see pros and cons with these shoes when it comes to biomechanics and the training regimens of athletes.

“Increased torsional motion of the foot will likely stimulate activity of the intrinsic musculature of the foot,” explains Doug Richie, Jr., DPM, a Past President of the American Academy of Podiatric Sports Medicine. “Stronger intrinsic muscles in the human foot could conceivably improve foot function and efficiency in running gait. However, this has not been proven in any credible scientific study.”

Jenny Sanders, DPM, says barefoot running shoes are designed to promote forefoot contact over heel contact.

“This does two things. It reduces the impact of heel strike, which improves shock absorption throughout the rearfoot and midfoot,” notes Dr. Sanders, who is in private practice in San Francisco. “(These shoes) also alter the center of gravity forward with the feet being centered below the hip, which is a much more stable alignment.”

In terms of potential weaknesses of these shoes, Dr. Richie says a lack of cushioning may increase the risk of certain injuries. In his clinical experience, he has seen many running injuries that were “impact-related and could be related to shoes with poor cushioning.” However, Dr. Richie concedes that the literature is inconclusive on the cause-effect relationship between impact and running injury.

He maintains that the lack of torsional stability in minimalist shoes will likely put strain on the plantar aponeurosis and increase the risk of plantar heel syndrome. Dr. Richie adds that the lack of heel elevation in these shoes will cause eccentric loading of the Achilles tendon and calf musculature. “In runners who have not adapted to this footwear design, the risk of Achilles tendon injuries could be expected to increase,” notes Dr. Richie, an Adjunct Clinical Professor of Biomechanics at the California School of Podiatric Medicine at Samuel Merritt University.

Dr. Sanders says a significant concern is the possibility that runners may see these shoes as a new fad and train without proper conditioning or assessment.

“If the running shoe is not a match to your foot type and running biomechanics, injuries will occur,” notes Dr. Sanders. “In addition to shoes, I think too many runners have not been adequately coached in proper form. The best running shoe design in the world coupled with poor running form has little chance of benefitting a runner.”