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buying the perfect running shoe

AUTHOR: Marc Mitnick DPM --> running shoe

running_shoes

The perpetual question asked by my runners is “what is the best running shoe?” The short answer is that there is no one shoe that is perfect for everyone’s foot structure. What I generally end up doing is describing what a given runner should look for in an athletic shoe based on his or her foot structure. The construction of today’s athletic shoe has become a real science and once again keeping with my theme throughout this website, you cannot make blanket statements because everyone’s foot structure is different and therefore have different requirements in what they should be looking for in a running shoe.

Believe it or not, the first thing I look at is not the patient’s foot, but rather the patient. A 250 pound runner will place more demand on a running shoe than will a 150 pound runner because of the extra shock absorption needed by the shoe for that extra 100 pounds of weight. This is an issue that has nothing to do with the runner’s actual foot type.

Additionally, the runner’s training regimen plays a role in the type of shoe he or she should be wearing. Does the runner run primarily on a cinder track, runs long distance or short distance, runs on grass or asphalt; all of these aspects influence what type of shoe a runner should be wearing.

Lastly, the runner’s age and overall fitness plays a role as the shoe requirements for an older individual who runs 3-10 miles per week at a slow clip will certainly differ from the young runner who is doing 40-50 miles per week.

The runner’s previous injury history will also play a role in determining the type of shoe to purchase. There are two broad categories of injuries related to foot function. One is overuse injuries due to hypermobility of the foot, while the second is impact injuries due to lack of mobility in the foot. Runner’s knee would be an example of an overuse injury while a stress fracture of the foot or leg would be an example of lack of mobility and poor shock absorption.

Contrary to common belief the human being is not symmetrical in design meaning one foot is usually always longer than the other in just about everybody so your running shoe should always be fitted to the larger foot. I generally also recommend that people buy their shoes in the afternoon when their feet have had a chance to swell a bit.

If you have inherent foot deformities like a bunion or hammertoe you need to make sure your athletic shoe (or any shoe for that matter) accommodates the deformity so there is not too much pressure on the foot while running. For years New Balance was the only running shoe that came in widths, but today more and more manufacturers are starting to make shoes with varying widths and just as important are allowing for space in the forefoot from top to bottom.

Possibly the best thing a runner can do for himself is to buy shoes from a reputable store where the sales people are properly trained in measuring a foot and have had some education in the requirements needed in certain foot types to specific running shoes. While on the surface it does not seem to be a difficult thing to do, there is a proper way to measure a foot. Most times when we are measured for shoes the foot is measured from the heel to the end of the toe. However, it is also important to measure the foot from the heel to the ball of the foot. Why? Because we have to take into account the length of the toes. Some people have long toes relative to the size of their foot while others have relatively short toes. The importance in all this has to do with where the ball of the foot bends relative to the bend in the shoe.

For example, if you have two runners who both measure a size ten from heel to toe, but one has excessively long toes, while the other has “normal” length toes. The one with the long toes will tend to have his forefoot bend behind the bend in the shoe while the other with the “normal” toes will have his forefoot bend directly with the bend in the shoe. So, even though in this case both runners are a size ten, one particular shoe may be fine for one runner, but a poor choice for the other runner.

Another problem that will occur with the excessively long toe runner is that the widest part of his foot will probably not correspond to the widest part of the shoe, thus creating side to side pressure on the foot. Keep in mind that most running shoes are not sold in true American sizes; they are usually sold by European size. Ever wonder why you seem to be a size in ten in every shoe you buy but when it comes to purchasing running shoes you always seem to be a size 10 ½ or 11?

So….. what is the best running shoe for you? First you need to know what type of foot structure you have and how it reacts while running as opposed to walking. In an ideal world an evaluation by a podiatrist of your foot structure and observation on a treadmill would be the best way to determine what kind of shoes is best for you, but this is not a practical solution for most of you reading this article.

For you to self diagnose your foot type read my section on foot types. Basically there are two types, a pronated foot which exhibits excessive motion and is prone to overuse injuries, compared to a supinated foot which happens to be a high arched foot and is prone to impact injuries due to it poor shock absorbing capability.

Although this is not entirely scientific, next, think back to the types of injuries you have sustained over the years and try and see if you can classify them as overuse or impact related. In general pronated feet with a history of overuse injuries will require a running shoe that controls the function of the foot. This will generally require a stiff counter (back of shoe) to hold the heel vertical. It will also require some sort of arch support (in the cases of severe deformity, an orthotic will be necessary. The outersole of the shoe may also have a medial flare in the heel area as a means to reduce pronation. The sole of the shoe should be on the firm side with a little less bend at the level of the forefoot.

A supinated foot on the other hand will require extra cushioning to help absorb shock. An orthotic may also be necessary to more evenly distribute body weight along the bottom of the entire foot and to force the heel area into a slight varus (bent inward) in an effort to create some pronation. The forefoot of the shoe should have slightly more bend to allow better propulsion. Lastly, because a supinated foot generally tends to be a high arched foot, the contour of the running shoe chosen should be able to accommodate the size of the foot from top to bottom.

So how do you know which brand to buy? If you have been to a running shoe store lately you can get dizzy looking at the sheer selection of shoes. One option as stated earlier in this article is to use a specialty running shoe store where the sales people are trained in understanding foot structure and function and have a good knowledge of the features of each shoe in the store.

If that type of store is not available to you, then your next best option would be to visit Runners World or Running Times. Each year these magazine prepare a “recommended running shoe list”. This list mentions the major shoes on the market and describes the properties of each individual model. So if you have a good idea of your foot type, you should be able to match it with a particular shoe.

See my sections on shoe fitting and walking.

REFERENCES

Road Runner Sports

Active.com

runnersneed







Want more information? CLICK HERE




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ORTHOTICS for multiple types of foot pain
best buy in a pre-made orthotic
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SuperStepOrthotics


ORTHOTICS for heel and arch pain for those who must wear dress shoes
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Hunterville, NC
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NJ
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Fla
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Ontario, Canada
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Andrew

Fla.
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Judy

(location unknown)
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New York
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Memphis, TN
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Scotland
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J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Tennessee
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Steve

Redondo Beach, CA
Thank you for your time and expertise in answering my question…..

LH

(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….

Joe

(location unknown)
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Pete M.

(location unknown)
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Madison, Alabama
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Carol

Denison, TX
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Dawn

West lafayette, IN
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Tampa, Florida 33624
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Texas
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Michael D. Ebeling

Tampa, Florida 33624


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Steve

UK


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Regards,

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South Africa


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Mansfield Ctr, CT


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Placentia, California


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Unknown

Unknown location


I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location


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Ron R.

Pacific Grove, CA


I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,

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Alameda, California


By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!

Anonymous


Thank you for your very interesting and informative site!

Anonymous




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Thanks very much for the wonderful informative site.

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New Zealand


Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!

Sincerely

Josette


Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

Arizona
I searched the internet everywhere for a clear description and illustration of my symptoms/problem. https://www.foot-pain-explained.com/ was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

Florida
1st of all THANKS A LOT for your great site......

Anna

Poland
Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!

M P

South Carolina
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Natalie

unknown location


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Arlington, VA


Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

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San Clemente, CA


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Pam

location unknown


Great insights! Thanks Doc, you're the best.

Glen

location unknown


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Bre

location unknown


Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous




Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

anonymous




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Anna

Poland




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Esh

Seattle, WA


I just wanted to say that I am very greatful for this website!!

Bonnie

location unknown




Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.

Bill

New Jersey




Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown




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Chrissy

location unknown




Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

Tracy

Evansville, IA




Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

location unknown




Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.

-Sunny.

location unknown




Thank you very much for the information, I will consider it. Excellent web site.

Jackie

San Diego, CA




Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

Rivi,

Albany, NY




Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown




THANK YOU SO VERY MUCH FOR YOUR TIME AND EFFORTS, YOU ARE SO VERY APPRECIATED. THANK YOU FOR ALL YOU DO.

Jackie

Whichita, KS




thanks again, this site is very helpful.

mark

Boston, MA




Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.

Michelle

Colorado




Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.

annielou

Colorado


Wonderful advice

by: Anonymous

This is the best site for foot problem info.


Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

Canada
I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

Bonnie

location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!

Nancie

Wisconsin
Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!

Renae

North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown


Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida
Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey


Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown


I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

Melody

Lenoir, NC


Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA


I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown



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