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	<title>Comments on: The Case for Barefoot Running</title>
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		<title>By: Neil Chasan, PT, MMT</title>
		<link>http://www.srcpt.com/blog/2009/07/the-case-for-barefoot-running/comment-page-1/#comment-87</link>
		<dc:creator>Neil Chasan, PT, MMT</dc:creator>
		<pubDate>Tue, 17 Nov 2009 02:48:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.srcpt.com/blog/?p=65#comment-87</guid>
		<description>You are welcome Rich, and no, not at all. I think that you sound like a person with a forefoot dysfunction that with a forefoot post properly constructed it should allow you to run in a neutral shoe</description>
		<content:encoded><![CDATA[<p>You are welcome Rich, and no, not at all. I think that you sound like a person with a forefoot dysfunction that with a forefoot post properly constructed it should allow you to run in a neutral shoe</p>
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		<title>By: Rich Shawver</title>
		<link>http://www.srcpt.com/blog/2009/07/the-case-for-barefoot-running/comment-page-1/#comment-86</link>
		<dc:creator>Rich Shawver</dc:creator>
		<pubDate>Tue, 17 Nov 2009 02:42:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.srcpt.com/blog/?p=65#comment-86</guid>
		<description>Neil,
Thank you for the detailed suggestions. I will relay them to my podiatrist.

So you don&#039;t think I&#039;m a good candidate for going to a shoe with a less elevated heel (like a Nike Free, for ex.) and getting rid of my orthotics altogether as I continue to work on the forefoot/midfoot landing?

Of course, I&#039;m not talking about going out &amp; doing 4 or 5 miles w/o the orthotics.  I&#039;m thinking of dropping back to 1.5 miles &amp; sort of &quot;starting over.&quot;

Thanks.....Rich</description>
		<content:encoded><![CDATA[<p>Neil,<br />
Thank you for the detailed suggestions. I will relay them to my podiatrist.</p>
<p>So you don&#8217;t think I&#8217;m a good candidate for going to a shoe with a less elevated heel (like a Nike Free, for ex.) and getting rid of my orthotics altogether as I continue to work on the forefoot/midfoot landing?</p>
<p>Of course, I&#8217;m not talking about going out &amp; doing 4 or 5 miles w/o the orthotics.  I&#8217;m thinking of dropping back to 1.5 miles &amp; sort of &#8220;starting over.&#8221;</p>
<p>Thanks&#8230;..Rich</p>
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		<title>By: Neil Chasan, PT, MMT</title>
		<link>http://www.srcpt.com/blog/2009/07/the-case-for-barefoot-running/comment-page-1/#comment-85</link>
		<dc:creator>Neil Chasan, PT, MMT</dc:creator>
		<pubDate>Mon, 16 Nov 2009 19:15:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.srcpt.com/blog/?p=65#comment-85</guid>
		<description>Hi Rich, sounds like a challenge. The Metatarsus Adductus is typically associated with a plantar flexed first ray. In the event that the first ray is also rigid, then you would be better off with an orthotic device with a forefoot post and a first ray cut out. Often, because the drop off is too big, I refill the first ray cut out with a light foam like poron. You might also need a metatarsal arch pad to increase the available &quot;range&quot; of the first ray. With this type of orthotic device, you should be able to execute a forefoot strike without much difficulty. Another suggested accommodation is the 2-5 bar post to further accentuate the well for the first ray to drop into. I also like to use a deep heel seat and some mid foot posting as well to spread the wealth as it were. With such a device, you should also make sure to use a neutral shoe because you don&#039;t want correction on top of correction if that makes sense. Let me know if this helps.</description>
		<content:encoded><![CDATA[<p>Hi Rich, sounds like a challenge. The Metatarsus Adductus is typically associated with a plantar flexed first ray. In the event that the first ray is also rigid, then you would be better off with an orthotic device with a forefoot post and a first ray cut out. Often, because the drop off is too big, I refill the first ray cut out with a light foam like poron. You might also need a metatarsal arch pad to increase the available &#8220;range&#8221; of the first ray. With this type of orthotic device, you should be able to execute a forefoot strike without much difficulty. Another suggested accommodation is the 2-5 bar post to further accentuate the well for the first ray to drop into. I also like to use a deep heel seat and some mid foot posting as well to spread the wealth as it were. With such a device, you should also make sure to use a neutral shoe because you don&#8217;t want correction on top of correction if that makes sense. Let me know if this helps.</p>
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		<title>By: Rich Shawver</title>
		<link>http://www.srcpt.com/blog/2009/07/the-case-for-barefoot-running/comment-page-1/#comment-84</link>
		<dc:creator>Rich Shawver</dc:creator>
		<pubDate>Sat, 14 Nov 2009 02:23:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.srcpt.com/blog/?p=65#comment-84</guid>
		<description>I ran for 5-1/2 years, from age 35 to age 40, but then had to give it up because of my work schedule.  I was at 6 miles, 6 days weekly.  I never lost the desire, and in Jan. 2009 I began running again after a 15 year interlude.  I was only running 3 days a week, and I was wearing custom orthotics and good Asics shoes.

I noticed that I still had the stiff legs &amp; hips, so I immediately started stretching.  That helped a little.  Then I decided to incorporate forefoot running into my runs.  I started out while running only about 2-1/2 miles total.  I would run about 1-1/4 mile with a heel strike, then I could convert to forefoot running while going up a hill, and would finish the rest of the run w/a forefoot landing.

I gradually began increasing my mileage, staying well within the 10% rule.  I experienced occasional bouts of tender pads on the balls of my feet, but never true pain.  My feet would be better by the next morning.

I was doing great - no stiff legs or hips, no strange knee pains, no calf or Achilles Tendon problems - just the occasional tenderness on the balls of the feet (which seemed to be improving).

One evening in very early October &#039;09 I felt so good that I increased my mileage (still within the 10%), and increased my speed.  I felt some actual pain underneath the 4th metatarsal of my left foot near the end of my run.  I stopped running for a week, then went back at it again.  

The pain held off for about a mile, then it came back.  I decided to try to run through it - bad idea.  I got about 3-1/2 miles into my nearly 5 mile run, and had to walk back home, limping all the way.

I went to a podiatrist, briefly telling hm about my experience above.  When I got to the part about the forefoot strike, he said, &quot;Why did you do that?  Where did you get that idea?&quot;  Let&#039;s just say he had never heard of the forefoot running strike, and I don&#039;t think he&#039;s too conducive to a paradigm shift.

He said it sounds like a stress fracture, so he took X-rays.  He showed me the X-rays and said the shape of my foot sets me up for metatarsal injuries (using the heel strike).  He said I have Metatarsus Adductus.  He said no running or fast walking for 8 weeks minimum, and had me in an aircast for 4 weeks.  I&#039;m okay with that, because I don&#039;t want to do permanent damage.

I&#039;ve been doing some looking on the Internet, and I believe I have a mild case of Metatarsus Adductus.  The bones are somewhat curved, but not skewed or twisted drastically.

Should I try a newer, better pair of orthotics &amp; go back to heel strike?  Or should I continue with working on the forefoot strike and just back off a little, but this time do it without the orthotics?  Is a foot with mild Metatarsus Adductus one that should never, EVER be subjected to forefoot running?

I know this has been a long post, but I&#039;m at my wit&#039;s end trying to figure out what to do.  I loved running without the leg/knee/hip issues when I was running with the forefoot strike, but at least I was able to stretch after running &amp; keep on going 3X a week with the mild/moderate aches/pains.  Please - HELP!

Rich</description>
		<content:encoded><![CDATA[<p>I ran for 5-1/2 years, from age 35 to age 40, but then had to give it up because of my work schedule.  I was at 6 miles, 6 days weekly.  I never lost the desire, and in Jan. 2009 I began running again after a 15 year interlude.  I was only running 3 days a week, and I was wearing custom orthotics and good Asics shoes.</p>
<p>I noticed that I still had the stiff legs &amp; hips, so I immediately started stretching.  That helped a little.  Then I decided to incorporate forefoot running into my runs.  I started out while running only about 2-1/2 miles total.  I would run about 1-1/4 mile with a heel strike, then I could convert to forefoot running while going up a hill, and would finish the rest of the run w/a forefoot landing.</p>
<p>I gradually began increasing my mileage, staying well within the 10% rule.  I experienced occasional bouts of tender pads on the balls of my feet, but never true pain.  My feet would be better by the next morning.</p>
<p>I was doing great &#8211; no stiff legs or hips, no strange knee pains, no calf or Achilles Tendon problems &#8211; just the occasional tenderness on the balls of the feet (which seemed to be improving).</p>
<p>One evening in very early October &#8217;09 I felt so good that I increased my mileage (still within the 10%), and increased my speed.  I felt some actual pain underneath the 4th metatarsal of my left foot near the end of my run.  I stopped running for a week, then went back at it again.  </p>
<p>The pain held off for about a mile, then it came back.  I decided to try to run through it &#8211; bad idea.  I got about 3-1/2 miles into my nearly 5 mile run, and had to walk back home, limping all the way.</p>
<p>I went to a podiatrist, briefly telling hm about my experience above.  When I got to the part about the forefoot strike, he said, &#8220;Why did you do that?  Where did you get that idea?&#8221;  Let&#8217;s just say he had never heard of the forefoot running strike, and I don&#8217;t think he&#8217;s too conducive to a paradigm shift.</p>
<p>He said it sounds like a stress fracture, so he took X-rays.  He showed me the X-rays and said the shape of my foot sets me up for metatarsal injuries (using the heel strike).  He said I have Metatarsus Adductus.  He said no running or fast walking for 8 weeks minimum, and had me in an aircast for 4 weeks.  I&#8217;m okay with that, because I don&#8217;t want to do permanent damage.</p>
<p>I&#8217;ve been doing some looking on the Internet, and I believe I have a mild case of Metatarsus Adductus.  The bones are somewhat curved, but not skewed or twisted drastically.</p>
<p>Should I try a newer, better pair of orthotics &amp; go back to heel strike?  Or should I continue with working on the forefoot strike and just back off a little, but this time do it without the orthotics?  Is a foot with mild Metatarsus Adductus one that should never, EVER be subjected to forefoot running?</p>
<p>I know this has been a long post, but I&#8217;m at my wit&#8217;s end trying to figure out what to do.  I loved running without the leg/knee/hip issues when I was running with the forefoot strike, but at least I was able to stretch after running &amp; keep on going 3X a week with the mild/moderate aches/pains.  Please &#8211; HELP!</p>
<p>Rich</p>
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	<item>
		<title>By: One Persons Case for Orthotics &#171; SRCPT at Sports Reaction Center</title>
		<link>http://www.srcpt.com/blog/2009/07/the-case-for-barefoot-running/comment-page-1/#comment-66</link>
		<dc:creator>One Persons Case for Orthotics &#171; SRCPT at Sports Reaction Center</dc:creator>
		<pubDate>Wed, 14 Oct 2009 00:30:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.srcpt.com/blog/?p=65#comment-66</guid>
		<description>[...] The Case for Barefoot Running [...]</description>
		<content:encoded><![CDATA[<p>[...] The Case for Barefoot Running [...]</p>
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