Many runners ask what is the best shoe for me? To date, many clinicians promote matching a certain shoe to a person's certain foot type. Is this the best for my running patients and does this prevent injury? I promote that there is a difference between poor shoes vs good shoes, but is there truly a difference between good running shoes? A recent research article showed that matching a foot type to a specific shoe is not evidenced based and may not be needed. Another study showed there was no difference in injury rates when shoes and foot types are matched vs randomly matching shoes to a foot type. Another study showed no change in injury prevention and no decrease in injury rates when matching shoes. So current reaserch does not support matching a specific shoe to a certain foot type in regards to injury prevention. Ian Griffith wrote and excellent review regarding the evidence behind choosing the proper shoewear. When dealing with a running injury there is a definite need for the proper shoe and/or shoe modification. Chris Johnson shows an example of this here and also posts the importance of how to safely return from a running injury. Good general shoewear is important, but it may not be as important as we think. For example, I can run in a stability shoe or a cushioned shoe without any pain or symptoms. The current research regarding matching shoes to a specific foot type is poor and this matching may not be a necessary. Future research is needed to show optimal clinical outcomes with running shoewear. Some general recommendations are: 1) choose a light shoe, 2) make sure it is a good feel and comfortable 3) I still recommend a running store (in Central Florida, either Fleet Feet or Track Shack) 4) once you find a shoe that works for you, don't change it. If you have a running injury or have any questions regarding the proper shoewear for you, contact Pursuit Physical Therapy at 407-494-8835 or visit www.pursuittherapy.com.
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