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How Modern Life Wrecks Our Feet

This story ran a couple of weeks ago in New York magazine, but I just got around to reading it today. The big idea:

Shoes are bad. I don't just mean stiletto heels, or cowboy boots, or tottering espadrilles, or any of the other fairly obvious foot-torture devices into which we wincingly jam our feet. I mean all shoes. Shoes hurt your feet. They change how you walk. In fact, your feet -- your poor, tender, abused, ignored, maligned, misunderstood feet -- are getting trounced in a war that's been raging for roughly a thousand years: the battle of shoes versus feet.

Last year, researchers at the University of the Witwatersrand in Johannesburg, South Africa, published a study titled "Shod Versus Unshod: The Emergence of Forefoot Pathology in Modern Humans?" in the podiatry journal The Foot. The study examined 180 modern humans from three different population groups (Sotho, Zulu, and European), comparing their feet to one another's, as well as to the feet of 2,000-year-old skeletons. The researchers concluded that, prior to the invention of shoes, people had healthier feet. Among the modern subjects, the Zulu population, which often goes barefoot, had the healthiest feet while the Europeans -- i.e., the habitual shoe-wearers -- had the unhealthiest. One of the lead researchers, Dr. Bernhard Zipfel, when commenting on his findings, lamented that the American Podiatric Medical Association does not "actively encourage outdoor barefoot walking for healthy individuals. This flies in the face of the increasing scientific evidence, including our study, that most of the commercially available footwear is not good for the feet." ...

"Natural gait is biomechanically impossible for any shoe-wearing person," wrote Dr. William A. Rossi in a 1999 article in Podiatry Management. "It took 4 million years to develop our unique human foot and our consequent distinctive form of gait, a remarkable feat of bioengineering. Yet, in only a few thousand years, and with one carelessly designed instrument, our shoes, we have warped the pure anatomical form of human gait, obstructing its engineering efficiency, afflicting it with strains and stresses and denying it its natural grace of form and ease of movement head to foot."

If we just accept the premise here -- and frankly, I can't think of any reason not to -- the big question is, what the hell can we do about it? The author, Adam Sternbergh, tried out some shoes that were designed to allow a completely natural gait. Here's his reaction to the Vivo Barefoot:

The Vivos are a totally different experience, since they're as close to going barefoot in the city as you can get. Barefoot walking should be easy to master, in theory, and Clark assured me that I won't need any special instruction. The first thing I noticed while wearing the Vivos is that each heel-strike on the pavement was painful. Soon, though, I naturally adjusted my stride to more of a mid-foot strike, so I was rolling flexibly through each step--but then I noticed my feet were getting really tired. My foot muscles weren't used to working this hard.

After wearing the Barefoots for a while, though, I found I really liked them, precisely because you can feel the ground -- you can tell if you're walking on cobblestones, asphalt, a manhole, or a subway grate. (Striding along that nubby yellow warning strip on the subway platform feels like a foot massage.) Of course, it's not often that you walk around New York, see something on the ground, and think, I wish I could feel that with my foot. But this kind of walking is a revelation. Not only does it change your step, but it changes your perceptions. As you stroll, your perception stops being so horizontal -- i.e., confined more or less to eye level -- and starts feeling vertical or, better yet, 360 degrees. You have a new sense of what's all around you, including underneath.

Later in the story, he points out that you can't wear shoes like this in the rain or snow. You'll get soaked or frozen. But I think there's another, simpler alternative: Keep wearing your worn-out sneaks.

Sternbergh mentions some research suggesting that runners' injury rates are much higher when they're wearing new shoes than when they're wearing older ones. I've mentioned this in a couple of the presentations I've given about how the media covers fitness-related issues. My big point was that magazines can't tell you about research like this because they get so much advertising revenue from Nike and Reebok. You, however, are a free agent; you don't have to do what magazines or shoe companies tell you to do.

I have a really old pair of cross-trainers that I wear to run sprints or play soccer with my kids. The rubber on the soles is worn down, and whatever padding it once had on the inside has been pounded into oblivion. And nothing ever hurts after I wear those, despite my lifelong history of foot, ankle, and knee pain.

I also have a pair of hiking boots that must be 15 years old now. I might wear them once a year. I went on a camping trip with my son's Boy Scout troop last weekend. We didn't do a hike, but there was a lot of walking and brush-clearing-type work. I was expecting to pay a price and be sore as hell by Sunday, but again, I had no foot, ankle, or knee pain.

So what's your experience? Have you tried any of the minimalist training shoes, like the Nike Free?

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Sore feet and Sanuk
When I first started training in Brazilian jiu-jitsu I was amazed at how sore my feet were from training barefoot all of the time/all of the sudden. I started wearing Sanuk shoes (www.sanuk.com) to work, and that helped immensely. They're a little granola in style, but 1/3 the cost of the Vivos. I don't get anything for shilling for them, I just like their shoes.
I've looked for Frees, but can't find them (even at the Nike store downtown). I just lift in my chucks.

by JB on May 8, 2008 10:28 AM EDT   0 recs

It's about time this hit the mainstream media
My chiro's been out in front of this for several years now. Like JB, I lift in Chucks, too.

by Rob in Denver on May 8, 2008 10:55 AM EDT   0 recs

Bare foot training
I have trained Brazilian Jiu Jitsu and I wrestled for 6 years.  I did certainly seem to have healthier feet and ankles when I was training, except for a couple of ankle lock-related injuries.  

About 3 years ago, when I moved to DC, I started reading about how running shoes can cause problems for lifters, both because of the padding and the elevated heel.  Pavel suggests lifting barefoot or in chucks and I've seen pics of guys from Westside Barbell lifting in chucks.  I went another direction and got my old wrestling shoes out of the closet.  Over the first few months, it did make a difference.  I had less knee and low back pain overall.  

I don't know if this is just me or if other people get this too, but when I'm not used to wearing flip flops, I get pain on the inside of my arch.  Maybe there some Arnold style, flip flop wearing lifters out there who would care to comment on that.

by Joe in DC on May 8, 2008 11:00 AM EDT   0 recs

Lifting Barefoot
I do a lot of my lifting barefoot, or else in very light and flat shoes like Chucks or Chabah sandals.  Barefoot is still the best through, when you squat or deadlift barefoot you feel very well grounded.

The only problem I have had is when mixing in things like quadrapedal movement, I have ripped my toe open a couple times (the twisting action with so much weight on the big toe).  In these cases, the Chucks or other sneakers come in handy.

Thanks for posting, I am definitely going to try finding a daily shoe like the Vivo or Sanuk, and the Free for distance running.

by ddelruss on May 8, 2008 1:31 PM EDT   0 recs

Fixing my stride
I've started lifting in my old wrestling shoes back in late February/early March, and the joint issues I usually face, brought on by spending my first sixteen years in obesity while still participating in a lot of sports (wrestling included), haven't shown up since I switched shoes. If/When those wear out, I'll either get another pair or switch to a pair I recently bought.

After reading your linked NY Times article and several others like it (as well as supporting studies) a couple weeks ago, I bought a pair of Vibram Five Fingers for the running I do (mostly on a track, some hills, occasionally a 5-10K) or for just messing around out in the yard with the dogs--I don't think I'll be sporting them for everyday public use anytime soon. I also snagged a pair of Adidas Goodyear Streets (wanted Sambas, but my feet are too wide).

It's taken a bit to get used to a proper footfall, but I'm getting there (yes, I'm having to learn how to walk). Yes, my feet and calves hurt the first week or so with the changeover, but it taught me to really focus on proper striding, and now, anytime I happen to put on any other pair of built-up shoes, my feet kill me (and quickly).

by Phaedrus49er on May 8, 2008 7:41 PM EDT   0 recs

shoes
I have always liked shoes that feel like I am almost barefoot. Light. Very flexible soles. Not tight anywhere. If you look around, bend the soles you can almost always find them.

by Rob on May 9, 2008 12:47 PM EDT   0 recs

Nike Frees
I love the comfort of the Frees, but in all three pairs that I've owned the nylon mesh in the back fatigued and ripped after very little use.  I doubt that I'll purchase another pair unless I see a change in the design.

by RickJ on May 11, 2008 1:13 PM EDT   0 recs

Nike Frees
Like above commenter, nylon mesh on Free 5.0 fatigued and ripped in short order. 5.1 seemed to remedy this situation. With the free 5.0, great training shoe for lifting, great for cardio. Feet feel more worked, less abused.

Currently, working some Nike Rejuven8's, which are like the newest iteration of Frees. Not sure if I like or love. I would not buy the red/white again, but that's a looks thing.

by maxlharris on May 12, 2008 11:05 AM EDT   0 recs

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