Over the years I have learned, sometimes the hard way, about the importance of running with proper footwear. Whenever I have pain in my feet, legs, or knees, I start with the basics - the shoes! How old are they? Do the shoes fit properly and have adequate cushioning, traction, and stability? This article describes my experiences with various issues caused by my running shoes. I hope this may give you insight and information to help you with problems you may have right now. Regardless, you should always consult with your physician about any continuing pain you experience as a result of running.
Shoe size is the most important criteria. You need to buy shoes at least a half-size larger than your regular shoes. You should also make sure they are wide enough. Why? On landing, your foot absorbs the force of the impact by expanding in both length and width. If the shoe is too small, the impact force is not absorbed properly and instead is transmitted up the leg.
When I experienced tendonitis in the left knee, the specialist I consulted explained the pain is caused by the impact of the foot being transmitted up leg to irritate the tendons in the knee. Some runners are prone to this condition. The doctor prescribed a pain reliever and a Cho-Pat strap worn just below the kneecap to moderate the force on the patellar tendon. It helped the symptoms but did not solve the real problem.
I had recently purchased new shoes that were a good brand with adequate cushioning. At the time the size seemed large enough. As an experiment, I tried running in my old shoes and discovered that my new shoes were too small! On impact, my left toe (my left is the bigger foot) was pushing up against the front of the shoe. I bought shoes a half-size larger and the tendonitis went away!
Another issue related to shoe size is getting the tension of the laces correct. I found that if my laces were tied too tightly I would get pains in the ankles, shins, and/or knees, especially if I laced the last eyelet at the top. It took a few tries but I eventually got the laces adjusted so that they were loose enough to run yet the shoes stayed on my feet.
Shoe cushioning is the second most important criteria. Shock absorbency is provided by the sole and may also include air pockets, springs, or gel pads. If you run on indoor tracks or cross country you may be able to get away with less cushioning, but running on hard surfaces will tell you after a few runs if the shoes have sufficient cushioning. Some running and cross country shoes (even when new) do not have adequate cushioning for me.
Also running shoes lose their ability over time to absorb the shock of running. As your shoes age you get used to their feel and it is sometimes difficult to identify the point at which they should be replaced. For the type of running I do, I replace my shoes after about 18 months.
Another factor related to shoe cushioning is the stiffness of the soles. Stiff soled shoes may add spring to your step but for some runners (like me) it magnifies the shock, just like running in bare feet on concrete or the beach at Daytona. When you are buying shoes, flex the soles with your hands to feel the difference.
The price of the shoe is an important indicator of quality. This is where your type of running is also a factor. If you are a recreational runner, you may be able to get by with a cheaper shoe. But remember, you do get what you pay for. Competitive runners usually require top of the line shoes. I run about 10-12 miles per week and buy mid-level shoes from only a couple of manufacturers simply because I started with these brands and have had good experience with their products. Through experimentation, you too will find the brand and style that suits you best.
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