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                December 21, 2001 
                Article # 8 (Read about 
                the series) - Download 
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The Right Shoes. 
                
                  by Chuck Garfinkle, MSPT 
                
              
                The right pair of shoes makes all the difference 
                in the world. They will make your runs more enjoyable and help 
                decrease your risk of injury. However, wearing the wrong pair 
                of shoes can hurt your running and make you more prone for injuries. 
                Usually, the first area of blame is placed on the shoes. Even 
                if the shoes are highly rated and expensive, it doesnt always 
                mean they are the best fit for that individual. With over 150 
                different running shoes available to choose from, its no 
                wonder people have difficulty finding the right shoe for them. 
                Consider this. If you have suffered from any of the following 
                injuries, it may indicate that your shoes are to blame: blisters, 
                bruised toe nails, heel slippage, knee and/or shin pain, ankle 
                pain, neuroma, or hip pain. The shoes you wear are designed to 
                control and protect your feet while running. Everyones feet 
                has a natural pattern that it maintains whether you are running 
                or walking, however, if you are in the wrong shoe this pattern 
                gets altered or changed predisposing your body to injury.
              
                To help determine your foot type, running pattern, and what shoe 
                shape to look for, you can take the "Wet Test". First, 
                dunk your foot in water and then stand on a surface that leaves 
                an imprint of your foot. While not every foot completely mimics 
                these three types, you can use the test to determine your general 
                foot type. The three possibilities are: normal, flat, and high 
                arch. (See pictures below) 
              
              
                Before talking about your foot type it is important to understand 
                that shoes are made in three different shapes or lasts: straight, 
                semi-curved, and curved all geared towards offering different 
                degrees of support to help with the variety of foot types. 
              
                The Normal Foot as seen above: has a pattern where runners 
                land on the outside of their heels then rolls inward slightly 
                (pronation) which helps with shock absorption. Runners with this 
                pattern and of normal weight will work best in a semi-curved shoe 
                last with shoes geared towards stability with moderate control 
                features. 
              
                The Flat Foot as seen above: has a pattern where runners 
                land on the outside of their heels and then overpronates (rolls 
                inward excessively) which over time can cause many different kinds 
                of overuse injuries. Runners with this pattern will work best 
                in a straight or semi-curved shoe last with an emphasis on motion 
                control and stability to help control overpronation. Avoid highly 
                cushioned, curved shoes secondary to lack of stability and control.
              
                The High-Arched Foot as seen above: has a pattern where 
                runners land on the outside of their heel but dont roll 
                inward (underpronation or supination) therefore not work effectively 
                as a shock absorber. Runners with this pattern will work best 
                in a curved shoe last with cushioned shoes with plenty of flexibility 
                to encourage foot motion. Avoid motion or stability controlled 
                shoes which reduce foot mobility. 
              
                To make it easier for you to narrow down your search for the right 
                shoe, I will divide training shoes into five categories: stability, 
                motion control, cushioned, lightweight training, and trail. 
                Motion control shoes are the most rigid, give the foot the most 
                control and support, and are the most durable. They are designed 
                with the purpose of limiting and/or slowing overpronation (excessive 
                inward movement of foot). These shoes are built with a straight 
                last offering maximum stability and medial support. These shoes 
                are appropriate if you: overpronate or need shoes that are durable 
                i.e heavy runner or have flat feet. 
              
                Shoes that feature stability offer a good combination of cushioning, 
                medial support and durability and are usually built with a semi-curved 
                last. These shoes are appropriate if you: have a normal arch, 
                are a midweight runner who wants some durability and medial support. 
                
              
                Shoes that feature cushioning are designed to encourage the most 
                amount foot motion. They are usually built with a semi-curved 
                or curved last and are designed to help runners who underpronate. 
                Runners with high arches usually do best with this design of shoe. 
                
              
                Lightweight training shoes are built on a semi-curved or curved 
                last and are appropriate for fast-paced training or racing and 
                if a runner wants a racing shoe with more support and cushioning 
                than the superlight racing shoes. 
              
                Trail shoes offer increased stability and durability and are appropriate 
                if you do a lot of off-road running, need extra traction, and 
                protection against stone bruising. 
              
                Hopefully, after reading this article, you now have a basic understanding 
                regarding running shoes and how important it is to determine your 
                foot type (high, flat, or normal arch), body type (heavy, light, 
                or normal weight for your body), and your foot biomechanics (overpronation, 
                underpronation, or normal pronation). However, determining your 
                foot type and whether you over/under pronate isnt easy and 
                may require the consultation of a podiatrist, orthopedist, or 
                physical therapist. Once you feel comfortable with your needs 
                go and try on different brands of shoes and appreciate how much 
                they vary regarding fit and comfort. 
              
                References:
                1. Runners World: Know your foot type; By Paul Carozza, 
                Rodale Press, Inc. 1999
                2. Runners World: Choosing the right shoe; By Paul Carozza, 
                Rodale Press, Inc. 1999
                3. Runners World: Are you wearing the right shoes; By Paul 
                Carozza, Rodale Press, Inc. 1999
              
 
              
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               For more information, or with questions, please email: PaulR@PainRelief-PT.com