Know Your Foot Type

So how important is it to know what type of foot I have, and how I run?

Very important! You need to know the basics of running gait and foot types.

First, when you run, the heel strikes the ground first, usually on the outside (supination). Next, the foot rolls inward and flattens out along the longitudinal arch pronation. The foot then resupinates by rolling through the ball and rotating outwards. At this point, the foot becomes a rigid lever as it again prepares to push off the ground.

To find a runner who supinates or pronates just the right amount is rare. Typically, most runners ? particularly those who become injured with knee pain , Achilles tendonitis , shin splints , heel pain, suffer from either excessive pronation or supination.

Often this excessive amount of pronation and supination can be controlled or reduced with a good running shoe. If not then you should get your feet checked for biomechanical abnormalities and maybe fitted with orthotic devices.

Firstly as all runners know, running begins with a good foundation.

Let’s look at the anatomy of a running shoe, and the four sections of the shoe that make a good foundation.

The uppers of the sports shoe is usually made a synthetic which is lighter, washable and breathable (to reduce heat from the foot). Another component of the upper is the tongue of the shoe, which should be padded in order to cushion the top of the foot against lace pressure. At the back of the shoe, the ankle collar should also be padded to prevent rubbing and irritation of the Achilles tendon. The rear of the shoe should include a firm heel counter which aids support of the heel joint, (Subtalar Joint).

The heel counter is the inflexible material surrounding the heel. It must be made of a material that is both rigid and durable to support and stabilize the heel. You will also see a wedge that adds height to the heel and enhances the shoe’s ability to absorb shock and reduce strain. The advantage to the added heel height is that it will shorten the Achilles and Gastrocnemius-soleus muscle, reducing the strain upon those important posterior running structures. The downside is that the higher heel height may feel less stable, causing reduced flexibility in the tendon structure.

The outersole of the shoe is the treaded layer which is glued to the bottom of the midsole. It resists wear, provides traction, and absorbs shock. The outer sole usually consists of blown rubber, hard carbon rubber, or a combination. The blown rubber is the lightest, but is not durable as pure carbon. The stud or waffle outersoles are excellent for running on soft surfaces such as grass or dirt; they improve traction and stability. On the flip side, the ripple sole is better designed for running on asphalt or concrete surfaces.

The midsole is located between the outersole and the upper. Many regard it as the most important part of the running shoe. It provides cushioning and shock absorption while concomitantly controlling excessive foot motion (pronation/supination).

The primary materials used in midsoles are ethylene vinyl acetate (EVA) and polyurethane (PU). EVA is a foam that is light and has good to excellent cushioning. The problem is that this material breaks down quickly. In fact, it can break down just sitting in a box in your closet. Compression-molded EVA is one answer, making it harder and more durable. PU is also a foam, usually denser, heavier, and more durable than EVA. PU will stand up longer, but you’ll give up some of that precious cushioning in return.

Most shoes today are cushioned with gel, foam, or other manufacturer-specific materials that are designed within the midsole. This type of cushioning will extend the life of the midsole while simultaneously adding increased stability and shock absorption. This typically is where you will see the greatest quality difference between the various companies’ shoes and their models. And this is where the technology wars are being waged.

Remember, shock absorption is related to how compressible the midsole material can be made. The more the material compresses, the more movement within the shoe is seen. The less the compression of the material, the better the shoe’s motion control, but there is a tradeoff in shock absorption. In this case, the shoe may feel harder, and not as soft as the first case scenario.

Everyone thinks pronation is an evil thing. Wrong! Your foot needs to pronate in order to adapt to uneven surfaces. We all have to pronate to a certain degree. However, excessive pronators whose feet roll inwards too much while running are the runners who develop over-use injuries. The overpronator generally has a flattened type of foot (low arches). You can check this yourself by wetting your feet, and walking on a piece of paper. If you see the whole foot print, including the arch, you can bet you’re an overpronator. If you check an old pair of shoes, you’ll see a wear pattern to the inside of your shoes, particularly around the big toe.

Overpronators generally have flexible feet, which creates a very unstable foot. This can lead to many of the overuse injuries previously mentioned. If you are an overpronator, look for a shoe with a lot of motion control.

What about you supinators? The supinators’ feet typically roll outward, both in the heel and in the forefoot. You’re the ones with the high arches. If you want to see if this is your foot type, go ahead and wet your feet and walk on a piece of paper. If you only see a wet spot of your heel and the ball of the foot, you know you over supinates. When you look at an old pair of shoes, you’ll see that they wear excessively on the outside border of the heel, and on the outside of the forefoot near your little toe. You’re not in the voting majority here in this case. Supinators are definitely in the minority compared to pronators.

The high-arched, supinators’ feet are more rigid, and cannot absorb shock as well as an overpronator’s feet. Therefore, it stands to reason that with a rigid type of foot the supinator will be subject to more lateral ankle sprains , stress fractures, and pain on the outside of the shin and knee. Supinators should look for a shoe that has better than normal cushioning for added shock absorption, as well as flexibility. Many supinators feel more comfortable with a semi-curved or curved last, due to the shape of their foot.

Of course if you are suffering form pain or are unsure about your foot type and how you run, please make an appointment so we can help you.

Ring Southport Podiatry Clinic on 55313877 for an appointment or see contact details to email me a question.

Guidelines to follow for Shoe Fitting;

So what are some tips for selecting a good running shoe? Both the American Running and Fitness Association and the American Academy of Podiatric Sports Medicine make the following recommendations:

  • Try on both shoes, because your feet may not be the same size and the shoes may not be made symmetrically. Walk and jog around the store for a few minutes; climb stairs, or try jogging on a treadmill if available.
  • Try on a couple of different models and sizes so you can make a good comparison. Don’t rush your selection.
  • The lacing area and tongue should be padded, especially if you have a bony bump (met-cuneiform) on your instep.
  • Be sure the sole flexes easily where your foot flexes. Buy shoes with removable insoles so you can modify or replace them with orthotics.
  • Allow at least 10 mm in front of your longest toe when you stand up. Fit shoes in the afternoon or after a workout, when your feet are larger. Feet swell as much as a full size during a good workout.
  • The key to finding the best shoe is comfort, not price or brand name. Don’t rely on a break-in period;. Shoes should feel good the day you buy them.
  • The toe box should allow your toes room to move around. The mid-part of the shoe when laced should hold your foot snugly so that it doesn’t slide forward and jam your toes with each step. If the shoe feels tight across your instep, start the laces on the second pair of eyelets.
  • The heel counter should fit snugly so your heel won’t slip and rub.
  • Check the quality control of the shoes. Put them on a flat surface near eye level. The mid-line of the heel counter should be perpendicular to the surface.
  • Try on shoes with the socks, inserts, or orthotic devices you plan on wearing.
  • It is always suggested that when looking for a good running shoe, first select a good specialty running shoe store with competent salespeople. They are the ones who know the latest in shoe design and performance. Typically, these fitters are sports people. They’ve been hired because of their interest in their sports or health related university courses.

    If you have had a history of injury due to a shoe or a biomechanical problem, Talk to your podiatrist. He will be able to detect what your problem may be, and the right shoe or shoes to look for.

    Ring Southport Podiatry Clinic on 55313877 for an appointment or see contact details to email me a question.