What kind of feet do you have? While that might seem like a strange question, knowing the
answer is vital to choosing the proper running shoe and, in
turn, reducing your risk of injury.
"It's best to get some professional advice when it comes to
determining foot type," said Dr. John Cianca, medical director
of the hp houston marathon. "It could be a
podiatrist, an orthopedic specialist or a physical medicine
expert -- somebody who has an understanding of how feet work
during the running cycle and how your feet respond to the impact
associated with running."
And there is plenty of impact.
A 160-pound runner puts more than 1,700 pounds of pressure on
the legs with each stride, and it all starts in the feet.
There are three types of feet, according to Cianca, and knowing
the characteristics of each will help you understand how to
select the proper shoe.
Pronator: Feet roll inward too much when running. Over-
pronators usually have very flexible feet. This can lead to knee
and Achilles' injuries.
Supinator: Feet roll outward when running. Runners with
this type of foot generally have high arches and rigid feet.
This foot does not absorb shock as well as a neutral foot,
potentially setting the stage for ankle problems and stress
fractures.
Neutral: This type of foot has little, if any, motion-
control problem.
"There are shoes specifically designed for each foot type, and
if you don't match the right shoe to the right type, you can
significantly increase your risk of injury not only in the feet,
but up through the legs as well," said Cianca.
When purchasing shoes, seek out knowledgeable salespeople at an
outlet that specializes in running shoes, Cianca said. And take
along a pair of shoes you currently use for exercise. The soles
can help the staff get an idea of how you wear the shoes.
"Comfort is the key to finding the right shoes," said
Cianca. "Don't rely on 'breaking in' a pair of shoes. They
should feel good the moment you slip them on."
Cianca is an assistant professor in the Department of Physical
Medicine and Rehabilitation at Baylor College of Medicine in
Houston. He is also medical director of the Human Performance
Center in Greenway Plaza and a consulting staff physician at The
Methodist Hospital. Cianca specializes in the treatment of
sports-related injuries.