A recent article in Competitor Magazine, titled The Barefoot Running Injury Epidemic, shares how some sports medicine doctors, podiatrists, and physical therapists are seeing a dramatic upswing in patients suffering from barefoot running injuries. One physical therapist in California says that he has “four or five current patients with heel injuries clearly resulting from a switch to barefoot running and has recently treated another 12 to 15 others.”
As you know, I am an avid advocate for barefoot running. I credit the simple act of taking my shoes off to enabling me to run again after a debilitating back injury which ultimately called for back surgery last year. Many others are able to claim the same sort of dramatic positive benefit from running without heavy shoes on. I also think that running in big, thick, narrow, high-heeled running shoes can be quite dangerous, causing numerous injuries both directly and indirectly.
But I’m not surprised at all by the claims that running barefoot or in very minimal shoes such as Vibram Five Fingers or Terra Plana EVO have caused some injuries. How, then, can I say in the same breath that running barefoot has helped many people overcome injuries and say running barefoot can cause injuries?
If only life were black and white. It would be so easy. So simple. We wouldn’t have to think much about what we do. Once we heard of a solution we could simply apply and, voila, we’re all better. But nothing’s that simple.
It’s no different with running. While running is an amazingly natural activity, running well – especially when we sit at desks and in front of TVs all day and eat poorly – isn’t so natural.
I posit that the rise in barefoot injuries is due to two main reasons. People are breaking two cardinal rules that apply to all sorts of running, not just barefoot. While taking off your shoes can feel rebellious, that act has not freed you from two very important rules.
Rule 1: There’s no overnight cure.
Sorry to break it to you, but there’s no solution that will take you from zero to 60 overnight. There are no shortcuts from the couch to the finish line. You’ve got to take your time, put in the hours, and ramp up your mileage and speed gradually.
Perhaps one of the biggest problems with barefoot running is that it feels so good! People who haven’t been running for years are encouraged by the studies that report running without shoes is likely to be better for their them. I keep reading stories of how people, despite hearing all the warnings about not running far their first time out barefoot, ignore the advice because they feel so wonderful – alive, free, happy, like a child again. They just don’t want to stop. I can certainly understand not wanting to stop after just a block your first time out barefoot (it wasn’t an option for me, though, as I literally couldn’t do any more for weeks after surgery).
The simple fact is that doing anything dramatically different in your running regiment is asking for trouble. The 10% rule – that you can only safely increase your effort each week by 10 percent – still applies to barefoot running. Even more so, as running barefoot will employ different muscles – muscles that haven’t been activated, in some cases, for decades. You simply have to take time to condition these muscles.
Rule 2: It’s about form, not skin on pavement.
It’s critical to realize barefoot running is about more than running without shoes on. It’s about allowing the body to run the way it was designed to, in a form that uses the whole body. It’s about letting the thousands of nerve endings get complete data from the foot to the brain; enabling the foot to land on the forefoot area; swinging the legs quickly for a fast cadence, allowing the knees to bend; releasing the poor knees from having to carry so much weight forward with each stride.
Going back to the examples the physical therapist gave in the Competitor article, people obviously aren’t paying attention to their form or they wouldn’t be landing on their heels. Anyone landing on their heels will experience problems, both with shoes and especially without them. It’s important to condition the body to run differently, especially when going from a heel-strike to a forefoot strike. When you try barefoot running listen to your body, take a day of rest after each time out, and ramp up slowly.
The good news is that both of these problems are quite easy to overcome with awareness and some practice. Break the ‘rule’ of wearing shoes, but don’t break these two rules.
For a detailed plan, check out the 12 Step Program to Run Barefoot.
Photo by Andrea Allen











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