On Fitness

Should You Toss Your Running Shoes and Just Go Barefoot?

By Katherine Hobson

Posted: June 3, 2009

Remember when you were a kid? You raced around the playground or the yard for hours at a time, somehow managing not to hurt yourself despite your lack of $150 running shoes and custom-made $400 orthotic inserts. There's a growing sense in many quarters that your childhood impulse may have been the correct one and that the very shoes we think are protecting us from harm may be causing it.

For decades, there's been a grass-roots movement for extremely minimalist, i.e., barefoot, running. (See barefootrunning.org for stories from this crew.) But only in the past few years have shoe companies begun to get in on the act, too. They now offer stripped-down models that don't have the padding and structural elements that characterize conventional running shoes. There's no little irony in Nike's instructions to begin "barefoot-like" running with one $90-plus model of its Free lineup, then phase down through two more models before you're running with a "nearly naked feeling." (Presumably, they don't want you to take the next step and swap Nikes for the actual naked feeling, though.) Other companies, including New Balance, Newton, Ecco, and Terra Plana, also have minimalist footwear for running and walking.

In his recent book, Born to Run, author Christopher McDougall explores the broader notion of what "natural" running would entail. Taking aim at shoe companies, he argues that modern running shoes promote a heel-first stride that makes us more vulnerable to injuries. (He's a convert; since running in Vibram FiveFingers, a neoprene socklike foot covering, and changing his stride, he's seen his problems disappear.) McDougall cites studies showing that more expensive running shoes don't necessarily lead to fewer injuries. Other research suggests that heavily cushioned shoes actually prevent your foot from sensing the ground and can make you stomp down harder than if you didn't have all that padding.

"They don't let the foot, and ultimately the body, work like it's supposed to," says Galahad Clark, owner of Terra Plana, which produces a shoe technology—Vivo Barefoot—that puts just a 3-millimeter, flexible (but puncture-resistant) sole between your foot and the ground. "Expensive running shoes let you run in a way and arguably for distances that you normally wouldn't have been able to do," he says. Walking and running barefoot, or close to it, allows what Clark calls your "amazing" foot to adjust to whatever surfaces—even modern, hard ones—and circumstances it experiences.

So what's the evidence behind this notion? And should you try it? There isn't strong evidence that barefoot running is any better or worse than running with more structured shoes, says Veni Kong, a kinesiologist at the University of Texas-El Paso, in part because there aren't enough regular barefoot runners with whom to compare users of running shoes. But there's a lack of a solid evidence base for running footwear in general, she notes. People are often prescribed shoes with elevated, padded heels that are designed to control pronation, but a March review in the British Journal of Sports Medicine found no evidence behind the idea that this will prevent injury or improve performance.

Keith Williams, an exercise biologist at the University of California-Davis, says humans are both incredibly varied and incredibly adaptable. The former means some of us pronate our feet as few as 2 degrees, and others as much as 25 degrees. Our bones articulate differently, our ligaments are structured differently. Some of us are heavy, some aren't. And some people, he says, have truly been helped by modern shoes, inserts, and orthotics. Others probably don't need the bells and whistles. So to prescribe one kind of shoe (or lack thereof) or running technique for everyone is not a good idea. "I'm against the one-size-fits-all approach for anything," he says.

On the other hand, Williams says, our adaptability means that a lot of us could probably adjust over time to running with minimal or no cushioning, and for some, it might bring benefits. Just by wearing lighter footwear, you reduce the amount of energy involved in running. That kind of change, or varying the stresses on the lower legs, could theoretically reduce injury or improve performance for some people.

If you'd like to give it a whirl, don't jump into it whole hog. Start off slowly, advises Kong, and stop if it doesn't feel right, since you're probably used to wearing regular shoes and need to adjust. "If we said to everyone in the world, just kick off your shoes and go running, a lot of people would hurt themselves," says Clark. Obviously, be aware of the surface you're running on; simply to protect against cuts and scrapes, going totally barefoot down the sidewalks of New York is probably not a great idea. If you're using minimalist shoes, try to avoid landing on your heel, which you may be used to doing in padded shoes, and perhaps start out by running on grass, Clark says. In the end, he says, the ultimate experts on footwear are you and your body.

Barefoolishness

Ms. Hobson has gone out of her way to not ask an expert. Why was that?

As a board certified podiatric surgeon and sports medicine specialist, I find it incredible that, without any supporting science, pundits are pushing barefoot running. For my practice, this is a good thing, but I took an oath to "do no harm", and I am ethically bound to do just that. The idea that barefoot running is somehow good for you defies logic, Admit it, it does defy logic.

The evolution in athletic shoe design and construction has been a result of a need, and not from some plot by shoe companies, as is being suggested by biased individuals with something to gain. Shoes that tout the feet being free to do whatever they can do, have lead to in a significant increase in runners presenting to my practice with overuse injuries. Too often, too many of these cases knocks them from their training for 3-6 months. (I have often wondered why these minimalist shoes, which are quicker and cheaper to make, cost so much?)

Don't you know when something sounds too stupid to make sense? Barefoot running is one of those stupid things. But, if you have to try it for an ego boost, go right ahead, but do not ignore warning signs of impending overuse syndromes.

And, running on the balls of your feet requires the calf muscle and Achilles tendon to forcibly keep your heel from hitting the ground, fatiguing the muscle, straining the Achilles and wasting a lot of calories you might need to finish a race. I don't know, but don't you think this is one of those, duh, things?

I am a runner. I run today so I can still be running tomorrow, next week, next month, next year, and in the next decade. I sure am not going to be stupid about my feet. Science guides my running, not my ego.

Dr. Robert S Steinberg of IL @ Jan 30, 2010 20:02:38 PM

Barefoot is Better!

As a podiatrist, I have written extensively on the benefits of barefoot activity on my blog.

www.AmericasPodiatrist.com

DrNirenberg of IN @ Jan 01, 2010 19:42:28 PM

vibram five fingers ouchie warning

I first saw the vibram five fingers on this site which does contain great information:

http://barefootrunningshoes.org/vibram-fivefingers/

The shoes are amazing but be warned!! first time you run in them TAKE IT EASY! you be sore for a while.. took about a week for me and even then i felt a little more tight near the calf areas... I'm not sure i there's a good way to slowely work your way up to vibrams or barefoot.. Now i love them, but be warned... if you havent ran for a while or if you enver run barefoot.. walk for a while first.

btw I have the KSOs.

http://barefootrunningshoes.org/vibram-fivefingers/men/kso-men/

vffwarning of CA @ Oct 12, 2009 00:35:24 AM

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On Fitness

On Fitness

Senior Writer Katherine Hobson writes about keeping your body fit and your diet healthy—and what those phrases actually mean, according to science. A longtime endurance athlete, she enjoys both training and Nutella in moderation. Ask her your burning exercise and nutrition questions at onfitness@usnews.com. Follow Katherine on Twitter at twitter.com/katherinehobson.

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