Barefoot for the Flatfoot

More on the Harvard study:

http://www.sciencedaily.com/releases/2010/01/100127134241.htm

The study DOES have some useful info for the heel striker and flat footed person. If you run, try leaning slightly forward to move the weight forward on your foot.  Try not to land on the heel, but rather, flat footed or in the middle of your foot.  You can do this in your regular pair of running shoes.  It is good to absorb some shock in the foot, because it “spreads the wealth” if you will- it gives the body more joints & muscles to absorb force with.

For flat-footers who have foot pain & are looking to improve their arches, walk around barefoot as much as possible at home.  But if your feet start to hurt, by gosh, put on shoes!!!  It takes time to strengthen up those arches.  FYI- flat footers are notorious for weak calf muscles- so try some barefoot calf raises every day to strengthen your calf muscles & help re-create an arch.  You should be able to raise your heel 20x in a row (no rest) when standing on one leg- Try for a couple sets of these each day. Go up as high as you can with each rep.  If daily calf raises cause foot pain, you may be strengthening too aggressively.

Good luck!

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What’s up with barefoot running?

What’s up with barefoot running? That’s inevitably the question I get from my patients who are runners with foot pain.  They are referring to the Harvard study discussed in this article:

http://www.sciencedaily.com/releases/2010/01/100127134241.htm

an excellent piece that explains the famous study that has spawned a new sneaker (the Nike Free), new training methods, and of course countless debates on the benefits and risks of barefoot running.  It scientifically explains the difference between cushion-y sneaker vs barefoot running , and in easy to understand language.   The Harvard scientists quoted in the article found most people land on their heel in the “typical” sneaker run, and people who run barefoot land on the ball of the foot.  When you land on your heel, you are creating a “braking” motion at heel strike, slowing you down.  Landing on your heel also does not allow for any shock absorption (Ever try to run landing on your barefoot heel? Ouch!)

Because the foot is so springy, landing on the ball of your foot uses the muscles of your foot (and can get them stronger), and allows for better shock absorption for the leg.  The Harvard scientists concluded forefoot running (aka landing on the ball of your foot) is a more mechanically efficient running style and those cushion-y sneakers may slowly create weaker arches because our foot muscles don’t have to do any work as hard.

Well, great. Does that mean everybody should ditch their motion control sneakers, custom foot orthotics & run gracefully like wild gazelles on the west side highway?  Ummm, please don’t.

Well let me start at the beginning- when we were babies.

Lots of barefoot walking, running & “playing” from an early age is best for the foot- this will help build the arch, foot musculature, not to mention a lot sensory feedback in baby’s feet (think balance, control, “awareness”, etc). Gone are the times when we put those rigid high-top “walking shoes” on our babies getting ready to walk.  The new medical info out there has created a new baby-walking shoe, with an extremely flexible sole, which is as close to barefoot as you can get.  Think about it- if the shoe gives you all the support, why would your muscles have to work at all?  And the baby stage is exactly the time for the muscle building to happen- this is the foundation of strength your baby will have for the rest of his or her life.  Pass this info along to any parents you know.  Often this fact gets to people too late.

Ok, now you have incredibly strong arches 😉 and you probably don’t need custom orthotics- good for you.  I’d recommend walking around at home barefoot as much as possible to keep your arches strong.  But I would still recommend cushion for your sneakers and/or dress shoes.  Why?

I believe current opinion out there is that running creates a force 4-5x your body weight and sprinting creates a force 6-7x your body weight.  Running creates large forces no matter what, even if these forces are reduced by improved form.   Nobody tells you the force of running has to go somewhere- and much of that force will be absorbed in the foot if you are running barefoot, or even in a sneaker but landing on your forefoot (ball of the foot).  Forefoot runners can have significant joint wear in their feet- aka arthritis- at the navicular-1st metatarsal joint, or at the 1st toe joint; they can also have bunions and more.  There are more foot changes than just some callus….   I don’t want to scare you, just inform you that there are consequences to any running position.  The force of running will be absorbed somewhere- feet, knees, back- you can take your pick.  I personally prefer some of MY running force to be absorbed in my shoe, haha. That’s why my incredibly strong arches land at mid foot when running & prefer some cushion in her running sneakers.