Difference between revisions of "Are your running shoes injuring you"

From Fellrnr.com, Running tips
Jump to: navigation, search
User:Fellrnr (User talk:Fellrnr | contribs)
User:Fellrnr (User talk:Fellrnr | contribs)
m
Line 1: Line 1:
Runners know the importance of getting the correct running shoe. After all, the right shoe will correct your biomechanical problems and prevent injury, right? Maybe not.
+
Runners know the importance of getting the correct running shoe. After all, the right shoe will correct your biomechanical problems and prevent injury, right? Maybe not. There is no evidence that running shoes reduce or prevent injuries<ref name="ref1"/>. In fact, all of the evidence is that running shoes and injuries go together<ref name="ref2"/>. Also, more expensive running shoes are linked to more injuries than cheaper ones, even after allowing for mileage and injury history <ref name="ref4"/><ref name="ref8"/>. This is all counterintuitive, because running shoes reduce the impact of running, don't they? Wrong again. It has been shown that running shoes do not reduce the impact<ref name="ref5"/><ref name="ref6"/>. It seems that the cushioning from shoes messes with the body's natural way of running<ref name="ref7"/>. One study went as far as describing running shoes as "safety hazards" <ref name="ref3"/>. One study showed that when stepping down to a cushioned surface the more cushioning, the more impact<ref name="ref11"/>. A recent study<ref name="ref14"/> showed that running shoes increased forces on the ankle, knee and hip compared with barefoot running. The knee forces were 36-38% higher with running shoes, which is worse than the effect of walking in high heels! But we need arch support, right? Nope. An arch is a self supporting structure. If you push up under an arch, you dramatically weaken it.
 
   
 
   
There is no evidence that running shoes reduce or prevent injuries [1]. In fact, all of the evidence is that running shoes and injuries go together [2]. Also, more expensive running shoes are linked to more injuries than cheaper ones, even after allowing for mileage and injury history [4, 8].
+
There is indirect evidence from the human body; we are designed to run long distances. Regardless of your belief around the mechanism for that design (divine or evolution), our bodies have only had running shoes for a few decades, but we have been running for millennia. Currently, 24-65% of runners are injured each year<ref name="ref10"/>; it's hard to imagine humanity surviving if such rates are typical of the species. Many features of the human body are believed to be adaptations to running<ref name="ref12"/><ref name="ref13"/>.
 
   
 
   
This is all counterintuitive, because running shoes reduce the impact of running, don't they? Wrong again. It has been shown that running shoes do not reduce the impact [5, 6]. It seems that the cushioning from shoes messes with the body's natural way of running [7]. One study went as far as describing running shoes as "safety hazards" [3]. One study showed that when stepping down to a cushioned surface the more cushioning, the more impact [11]. A recent study [14] showed that running shoes increased forces on the ankle, knee and hip compared with barefoot running. The knee forces were 36-38% higher with running shoes, which is worse than the effect of walking in high heels!
+
There is also a growing body of anecdotal evidence that moving from traditional running shoes to minimalist shoes or barefoot cures chronic problems<ref name="ref9"/>. My experience is part of that anecdotal evidence. I used to find that I would suffer various nagging injuries, mostly around the knee, hip or ankle until I swapped to a more minimalist shoe.
 
But we need arch support, right? Nope. An arch is a self supporting structure. If you push up under an arch, you dramatically weaken it.
 
 
There is indirect evidence from the human body; we are designed to run long distances. Regardless of your belief around the mechanism for that design (divine or evolution), our bodies have only had running shoes for a few decades, but we have been running for millennia. Currently, 24-65% of runners are injured each year [10]; it's hard to imagine humanity surviving if such rates are typical of the species.  Many features of the human body are believed to be adaptations to running [12, 13].
 
 
There is also a growing body of anecdotal evidence that moving from traditional running shoes to minimalist shoes or barefoot cures chronic problems [9]. My experience is part of that anecdotal evidence. I used to find that I would suffer various nagging injuries, mostly around the knee, hip or ankle until I swapped to a more minimalist shoe.
 
 
   
 
   
 
Here is an analogy. Imagine you are running through the woods blindfolded. This is painful, because you keep running into trees. To ease the pain, you get a bigger, more padded blindfold. This helps a bit, as it cushions the pain of hitting the trees, but does not solve the problem. If you take off the blindfold, you will actually see the trees. Running in traditional running shoes is like running blindfolded. Your feet are very sensitive so that they can detect and adapt to the surface. To see this adaptation, check out this video - [http://www.youtube.com/watch?v=9itkEkcQ8WM&feature=player_embedded# http://www.youtube.com/watch?v=9itkEkcQ8WM&feature=player_embedded#]
 
Here is an analogy. Imagine you are running through the woods blindfolded. This is painful, because you keep running into trees. To ease the pain, you get a bigger, more padded blindfold. This helps a bit, as it cushions the pain of hitting the trees, but does not solve the problem. If you take off the blindfold, you will actually see the trees. Running in traditional running shoes is like running blindfolded. Your feet are very sensitive so that they can detect and adapt to the surface. To see this adaptation, check out this video - [http://www.youtube.com/watch?v=9itkEkcQ8WM&feature=player_embedded# http://www.youtube.com/watch?v=9itkEkcQ8WM&feature=player_embedded#]
Line 34: Line 28:
 
* [[Modified Nike Free]]
 
* [[Modified Nike Free]]
  
 +
=Further reading=
 +
* http://barefootted.com/
 +
* http://www.livingbarefoot.info/2009/01/athletic-footwear-and-running-injuries/
 +
* http://www.quickswood.com/my_weblog/2006/08/athletic_footwe.html
 +
* http://www.sportsci.org/jour/0103/mw.htm
 +
* http://www.nytimes.com/2009/08/30/business/30shoe.html
 +
* http://www.latimes.com/features/health/la-he-barefoot5-2009oct05,0,5107405,full.column
 +
* http://pressherald.mainetoday.com/story.php?id=286691
 +
* http://well.blogs.nytimes.com/2009/10/05/the-roving-runner-goes-barefoot/
 
== References  ==
 
== References  ==
 +
<references>
 +
<ref name="ref1">Is your prescription of distance running shoes evidence based? http://bjsm.bmj.com/cgi/content/abstract/bjsm.2008.046680v1</ref>
 
   
 
   
[1]Is your prescription of distance running shoes evidence based?
+
<ref name="ref2">Robbins SE, Hanna AM (1987). Running-related injury prevention through barefoot adaptations. Medicine and Science in Sports and Exercise 19, 148-156 http://www.ncbi.nlm.nih.gov/pubmed/2883551</ref>
[http://bjsm.bmj.com/cgi/content/abstract/bjsm.2008.046680v1 http://bjsm.bmj.com/cgi/content/abstract/bjsm.2008.046680v1]
 
 
[2]Robbins SE, Hanna AM (1987). Running-related injury prevention through barefoot adaptations. Medicine and Science in Sports and Exercise 19, 148-156
 
[http://www.ncbi.nlm.nih.gov/pubmed/2883551 http://www.ncbi.nlm.nih.gov/pubmed/2883551]
 
 
   
 
   
[3]Robbins SE, Gouw GJ (1991). Athletic footwear: unsafe due to perceptual illusions. Medicine and Science in Sports and Exercise 23, 217-224
+
<ref name="ref3">Robbins SE, Gouw GJ (1991). Athletic footwear: unsafe due to perceptual illusions. Medicine and Science in Sports and Exercise 23, 217-224 http://www.ncbi.nlm.nih.gov/pubmed/2017018</ref>
[http://www.ncbi.nlm.nih.gov/pubmed/2017018 http://www.ncbi.nlm.nih.gov/pubmed/2017018]
 
 
   
 
   
[4]Robbins S, Waked E (1997). Hazards of deceptive advertising of athletic footwear. British Journal of Sports Medicine 31, 299-303
+
<ref name="ref4">Robbins S, Waked E (1997). Hazards of deceptive advertising of athletic footwear. British Journal of Sports Medicine 31, 299-303 http://bjsm.bmj.com/cgi/content/abstract/31/4/299?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=barefoot+running&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT</ref>
[http://bjsm.bmj.com/cgi/content/abstract/31/4/299?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=barefoot+running&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT http://bjsm.bmj.com/cgi/content/abstract/31/4/299?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=barefoot+running&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT]
 
 
   
 
   
[5]Robbins SE, Gouw GJ (1990). Athletic footwear and chronic overloading: a brief review. Sports Medicine 9, 76-85
+
<ref name="ref5">Robbins SE, Gouw GJ (1990). Athletic footwear and chronic overloading: a brief review. Sports Medicine 9, 76-85</ref>
 
   
 
   
[6]Mechanical comparison of barefoot and shod running
+
<ref name="ref6">Mechanical comparison of barefoot and shod running http://cat.inist.fr/?aModele=afficheN&cpsidt=17057833</ref>
[http://cat.inist.fr/?aModele=afficheN&cpsidt=17057833 http://cat.inist.fr/?aModele=afficheN&cpsidt=17057833]
 
 
   
 
   
[7]Running-related injury prevention through barefoot adaptations
+
<ref name="ref7">Running-related injury prevention through barefoot adaptations http://journals.lww.com/acsm-msse/pages/articleviewer.aspx?year=1987&issue=04000&article=00014&type=abstract</ref>
[http://journals.lww.com/acsm-msse/pages/articleviewer.aspx?year=1987&issue=04000&article=00014&type=abstract http://journals.lww.com/acsm-msse/pages/articleviewer.aspx?year=1987&issue=04000&article=00014&type=abstract]
 
 
   
 
   
[8]MARTI, B. "Relationships Between Running Injuries and Running Shoes - Results of a Study of 5,000 Participants of a 16-km Run - The May 1984 Berne 'Grand Prix'"
+
<ref name="ref8">MARTI, B. "Relationships Between Running Injuries and Running Shoes - Results of a Study of 5,000 Participants of a 16-km Run - The May 1984 Berne 'Grand Prix'"</ref>
 
   
 
   
[9]Minimalist Footwear
+
<ref name="ref9">Minimalist Footwear http://antonkrupicka.blogspot.com/2007/10/minimalist-footwear.html</ref>
[http://antonkrupicka.blogspot.com/2007/10/minimalist-footwear.html http://antonkrupicka.blogspot.com/2007/10/minimalist-footwear.html]
 
 
   
 
   
[10]Factors related to the incidence of running injuries. A review.
+
<ref name="ref10">Factors related to the incidence of running injuries. A review. http://www.ncbi.nlm.nih.gov/pubmed/1615258</ref>
[http://www.ncbi.nlm.nih.gov/pubmed/1615258 http://www.ncbi.nlm.nih.gov/pubmed/1615258]
 
 
   
 
   
[11]Balance and vertical impact in sports: Role of shoe sole materials
+
<ref name="ref11">Balance and vertical impact in sports: Role of shoe sole materials http://linkinghub.elsevier.com/retrieve/pii/S000399939790157X</ref>
[http://linkinghub.elsevier.com/retrieve/pii/S000399939790157X http://linkinghub.elsevier.com/retrieve/pii/S000399939790157X]
 
 
   
 
   
[12]Running paced human evolution
+
<ref name="ref12">Running paced human evolution http://www.news.harvard.edu/gazette/2004/11.18/01-running.html</ref>
[http://www.news.harvard.edu/gazette/2004/11.18/01-running.html http://www.news.harvard.edu/gazette/2004/11.18/01-running.html]
 
 
   
 
   
[13]Running Extra Mile Sets the Human Apart
+
<ref name="ref13">Running Extra Mile Sets the Human Apart http://query.nytimes.com/gst/fullpage.html?res=9E03E7DD103FF93BA25752C1A9629C8B63&sec=&spon=&pagewanted=all</ref>
[http://query.nytimes.com/gst/fullpage.html?res=9E03E7DD103FF93BA25752C1A9629C8B63&sec=&spon=&pagewanted=all http://query.nytimes.com/gst/fullpage.html?res=9E03E7DD103FF93BA25752C1A9629C8B63&sec=&spon=&pagewanted=all]
 
 
   
 
   
[14] The Effect of Running Shoes on Lower Extremity Joint Torques
+
<ref name="ref14">The Effect of Running Shoes on Lower Extremity Joint Torques http://www.pmrjournal.org/article/S1934-1482(09)01367-7/fulltext</ref>
[http://www.pmrjournal.org/article/S1934-1482(09)01367-7/fulltext http://www.pmrjournal.org/article/S1934-1482(09)01367-7/fulltext]
+
<references/>
Further reading
 
[http://barefootted.com/ http://barefootted.com/]
 
[http://www.livingbarefoot.info/2009/01/athletic-footwear-and-running-injuries/ http://www.livingbarefoot.info/2009/01/athletic-footwear-and-running-injuries/]
 
[http://www.quickswood.com/my_weblog/2006/08/athletic_footwe.html http://www.quickswood.com/my_weblog/2006/08/athletic_footwe.html]
 
[http://www.sportsci.org/jour/0103/mw.htm http://www.sportsci.org/jour/0103/mw.htm]
 
[http://www.nytimes.com/2009/08/30/business/30shoe.html http://www.nytimes.com/2009/08/30/business/30shoe.html]
 
[http://www.latimes.com/features/health/la-he-barefoot5-2009oct05,0,5107405,full.column http://www.latimes.com/features/health/la-he-barefoot5-2009oct05,0,5107405,full.column]
 
[http://pressherald.mainetoday.com/story.php?id=286691 http://pressherald.mainetoday.com/story.php?id=286691]
 
[http://well.blogs.nytimes.com/2009/10/05/the-roving-runner-goes-barefoot/ http://well.blogs.nytimes.com/2009/10/05/the-roving-runner-goes-barefoot/]
 

Revision as of 18:35, 2 May 2012

Runners know the importance of getting the correct running shoe. After all, the right shoe will correct your biomechanical problems and prevent injury, right? Maybe not. There is no evidence that running shoes reduce or prevent injuries[1]. In fact, all of the evidence is that running shoes and injuries go together[2]. Also, more expensive running shoes are linked to more injuries than cheaper ones, even after allowing for mileage and injury history [3][4]. This is all counterintuitive, because running shoes reduce the impact of running, don't they? Wrong again. It has been shown that running shoes do not reduce the impact[5][6]. It seems that the cushioning from shoes messes with the body's natural way of running[7]. One study went as far as describing running shoes as "safety hazards" [8]. One study showed that when stepping down to a cushioned surface the more cushioning, the more impact[9]. A recent study[10] showed that running shoes increased forces on the ankle, knee and hip compared with barefoot running. The knee forces were 36-38% higher with running shoes, which is worse than the effect of walking in high heels! But we need arch support, right? Nope. An arch is a self supporting structure. If you push up under an arch, you dramatically weaken it.

There is indirect evidence from the human body; we are designed to run long distances. Regardless of your belief around the mechanism for that design (divine or evolution), our bodies have only had running shoes for a few decades, but we have been running for millennia. Currently, 24-65% of runners are injured each year[11]; it's hard to imagine humanity surviving if such rates are typical of the species. Many features of the human body are believed to be adaptations to running[12][13].

There is also a growing body of anecdotal evidence that moving from traditional running shoes to minimalist shoes or barefoot cures chronic problems[14]. My experience is part of that anecdotal evidence. I used to find that I would suffer various nagging injuries, mostly around the knee, hip or ankle until I swapped to a more minimalist shoe.

Here is an analogy. Imagine you are running through the woods blindfolded. This is painful, because you keep running into trees. To ease the pain, you get a bigger, more padded blindfold. This helps a bit, as it cushions the pain of hitting the trees, but does not solve the problem. If you take off the blindfold, you will actually see the trees. Running in traditional running shoes is like running blindfolded. Your feet are very sensitive so that they can detect and adapt to the surface. To see this adaptation, check out this video - http://www.youtube.com/watch?v=9itkEkcQ8WM&feature=player_embedded#

So, are all running shoes evil? There is amble evidence that for most people, shoes are a significant evil, causing a variety of injuries. For a few, they are able to run correctly in traditional running shoes. But even for those people, they are probably slower and less efficient due to the extra weight.

1 Barefoot Running and Minimalist Running

The alternative to running in traditional running shoes is barefoot running and minimalist running. Barefoot running is pretty obvious; it's running without shoes. Minimalist running is inspired by the Tarahumara Indians in Mexico, made famous by the book 'Born to Run'. The Tarahumara run vast distances in sandals made of deerskin or sections of car tires. Minimalist running is to run in shoes that are very minimal, with no cushioning. Both barefoot and minimalist running create a running style that is natural and efficient. The body then absorbs the running motion in the way that it has for millennia. This barefoot/minimalist running style is very similar to Chi Running or the POSE method. The Chi/POSE methods teach the conscious mind a new way of running, which you then practice. The barefoot/minimalist running approach seems to bypass the conscious mind and taps into the instinctive ability to run correctly.

2 What does this mean to you?

If you are a runner and had any running injuries, I would strongly recommend that you try either barefoot or minimalist running.

If you are a runner who has never been injured, I would suggest you try either barefoot or minimalist running. You may find that it improves your speed, efficiency and more importantly, your love of running.

If you are not a runner, but would like to get fit, lose weight or live longer, running is a great way of achieving these goals. Just remember that barefoot and minimalist is a better way.

3 See Also

4 Further reading

4.1 References

<references> [1]

[2]

[8]

[3]

[5]

[6]

[7]

[4]

[14]

[11]

[9]

[12]

[13]

[10]

  1. 1.0 1.1 Is your prescription of distance running shoes evidence based? http://bjsm.bmj.com/cgi/content/abstract/bjsm.2008.046680v1
  2. 2.0 2.1 Robbins SE, Hanna AM (1987). Running-related injury prevention through barefoot adaptations. Medicine and Science in Sports and Exercise 19, 148-156 http://www.ncbi.nlm.nih.gov/pubmed/2883551
  3. 3.0 3.1 Robbins S, Waked E (1997). Hazards of deceptive advertising of athletic footwear. British Journal of Sports Medicine 31, 299-303 http://bjsm.bmj.com/cgi/content/abstract/31/4/299?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=barefoot+running&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT
  4. 4.0 4.1 MARTI, B. "Relationships Between Running Injuries and Running Shoes - Results of a Study of 5,000 Participants of a 16-km Run - The May 1984 Berne 'Grand Prix'"
  5. 5.0 5.1 Robbins SE, Gouw GJ (1990). Athletic footwear and chronic overloading: a brief review. Sports Medicine 9, 76-85
  6. 6.0 6.1 Mechanical comparison of barefoot and shod running http://cat.inist.fr/?aModele=afficheN&cpsidt=17057833
  7. 7.0 7.1 Running-related injury prevention through barefoot adaptations http://journals.lww.com/acsm-msse/pages/articleviewer.aspx?year=1987&issue=04000&article=00014&type=abstract
  8. 8.0 8.1 Robbins SE, Gouw GJ (1991). Athletic footwear: unsafe due to perceptual illusions. Medicine and Science in Sports and Exercise 23, 217-224 http://www.ncbi.nlm.nih.gov/pubmed/2017018
  9. 9.0 9.1 Balance and vertical impact in sports: Role of shoe sole materials http://linkinghub.elsevier.com/retrieve/pii/S000399939790157X
  10. 10.0 10.1 The Effect of Running Shoes on Lower Extremity Joint Torques http://www.pmrjournal.org/article/S1934-1482(09)01367-7/fulltext
  11. 11.0 11.1 Factors related to the incidence of running injuries. A review. http://www.ncbi.nlm.nih.gov/pubmed/1615258
  12. 12.0 12.1 Running paced human evolution http://www.news.harvard.edu/gazette/2004/11.18/01-running.html
  13. 13.0 13.1 Running Extra Mile Sets the Human Apart http://query.nytimes.com/gst/fullpage.html?res=9E03E7DD103FF93BA25752C1A9629C8B63&sec=&spon=&pagewanted=all
  14. 14.0 14.1 Minimalist Footwear http://antonkrupicka.blogspot.com/2007/10/minimalist-footwear.html