Monthly Archives: March 2015

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Barefoot Running

 

Ever see that guy running around with no shoes? I’m sure he’s not making a statement of how attractive his feet are. But it’s pretty clear a question would be why he’s running around shoeless in the first place.

Barefoot running or natural running is the act of performing exercise without shoes. Other terms we’ve seen in the market include minimalist running or free running, usually promoted by brands such as the iconic Vibram Five Fingers, Nike, New Balance and Innovate.

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Barefoot running claims to improve performance and reduce injury. The concept is based on our ancestors who never used any footwear in their activities. The benefits of barefoot running can seem to make logical sense. But how does this reduce injury rate?

Barefoot running increases intrinsic muscle activity in the foot, usually inhibited by shoes due to being constrictive or confine. This allows muscle to further develop and strengthen, therefore increasing in performance and reduction of injury.

Barefoot running may reduce impact forces. When running barefoot, the method of how we land changes when wearing a shoe. Rather than striking at the heel, a barefoot will land on their forefoot with quicker and shorter strides. Ultimately these changes reduce the impact onto our feet.

Proprioception, put simply, is the ability to know where part of your body is without looking at it. Barefoot running enhances proprioception, therefore preventing injuries by increasing the foot’s response to stabilising on uneven terrains.

Research papers and journals claim all these events happen, however whether they decrease the rate of injury has still not been proven.

Arguments against running shoes such as Asics or Brooks have been said to induce injury and accentuate abnormalities in our gait. But sometimes we need to put things into modern context and  why barefoot running activities may not be appropriate.

Surfaces

In developed countries, most surfaces are made out of concrete, asphalt or gravel. Due to the higher density of these materials, the force against our feet is higher. The temperature of the surfaces may also pose a risk to exposed skin.

Hazards

Glass, rocks, or general waste may pose as a hazard to bare feet. Penetration pass the skin from one of the above probably won’t feel too good. However some may claim it is just a matter of where you place your foot.

Increased force impact

Changing from shoes to barefoot means less cushioning under our feet. Although our feet have a natural cushioning system, in some individuals it may not be adequate to absorb extra shock our body isn’t use to. This poses a risk for stress fractures and muscle pathology.

You’ll probably hear a few testimonials and research for or against barefoot running. However, it may not be for every individual. There are situations in where I would advise against barefoot activities:

Previous lower limb condition

There’s a reason why a health professional will prescribe you orthotics or advise you not to perform barefoot running. Your injury may return or be exacerbated if you stray away from your health professional’s treatment plan.

A loss of sensation in your feet

Those with loss of sensation to the feet mean their protection sensation has also decreased or may not be present at all. Loss of sensation of the feet is usually found with those diagnosed with diabetes and peripheral neuropathy. This increases the rate of injury, leading to ulcers or even amputation.

If you don’t fall into the categories above and have an interest to trial barefoot running or minimal shoes, I recommend the following:

  1. Try walking a few blocks barefoot. See how this feels.
  2. Run barefoot on grass. Grass is earth’s natural hair. It’s less likely you’ll have an injury on this surface than concrete.Unknown
  3. Go into a store and try out a minimal running shoe. Each company have their own concepts through the materials and style they use. Most come in different heel heights or heel to toe drop ratio.
  4. Take it slow. Don’t perform a marathon for the first time without shoes. Instead build up and allow your feet to rest.
  5. Listen to your feet! Some weirdness can be normal, however pain is a good sign something isn’t right.

If you’re still unsure seek professional advice from a podiatrist.

Dress to impress?

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There are many interpretations of this saying; some perceive it as to choosing the right outfit to leave a positive impression to those around you, others may just see it as a simple dress code to what comforts you the most. As much as clothing is involved in the impression of others, so to are the shoes we wear on our feet. Shoes today come in a variety of shapes and sizes having their own features to accommodate for work, exercise or formal occasions.

But what about the impact the shoes leave on your feet?

Poor footwear has been linked to the development of musculoskeletal conditions and foot deformities. Unfortunately, majority of footwear brands promote style rather comfort and support. Contributing to these conditions may be shoes with narrow toe boxes, commonly found in high heels or business footwear.

Other casual and sport brands, although may look appropriate; miss a few of the important aspects of good footwear. This includes arch support, a firm heel and tread on the soles of the shoe. These characteristics of the shoe may help in the prevention of lower limb injury or pathology such as plantar fasciitis.

When choosing a shoe we need to physically, visually and dynamically test the product. But how do we define a good shoe?

Heel counter
A firm heel counter will stop the rear foot from pronating and supinating excessively. Squeezing the back of the heel allows you to feel and visually assess if it is firm enough to resist pressure.

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Arch support/In build arch
Too much projection of your foot’s arch in a shoe may indicate there isn’t enough support or tight fitting footwear. The aim of arch support is provide anti-pronation and to help your foot function in an ideal way. A universal indicator of arch support is a grey bar in the middle of the inner shoe or visually seeing a build up within the arch.

Flexibility
A rigid shoe may stop movements necessary to having an ideal gait.
There should be some flexibility in the shoe particularly around the front ball of foot.

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Toe box
The toe box of a shoe should accommodate all your toes so they are freely spread. Any sign of bulging or touching of the front of the shoe imply it is too narrow or small.

Trying on the shoe (Static)
Trying on the shoe is one of the best assessments you can do. If the shoe feels uncomfortable, elicits any pain or irritation it probably says the shoe is not for you. Similarly the fit is important, any rubbing on the toes and protrusions of the foot will more likely cause harm to your feet.

Walk with the shoes on both feet (Dynamically)
If you’re going to pay for the shoe, it’s wise to try walking around with them on. Heel slipping or toe rubbing may be a sign of the wrong shoe size or type. The shoes should feel comfortable when walking!brannock_device

Durability
No shoe last forever, but podiatrist and shoe retailers will recommend replacing your shoes every year. This varies depending on use and what the shoe is made out of. However, it raises the question towards companies creating shoes lasting less than a year.

 

The need to move away from looks to comfort is easier said than done. It is important to have a pair of shoes comfortably rather than going off aesthetics. But don’t worry! There are shoes designed for both looks and the health of your feet. So you may want to have a think before handing out $200 for a pair of shoes.