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IF YOU ARE ON THE RUN, MAKE SURE YOUR SHOES ARE
ON THE MARK
HERE ARE TIPS ON HOW TO AVOID BUYING SHOES WITH MANUFACTURER’S DEFECTS


Has running become a pain for you, literally? If you’ve experienced running injuries in your low back, knee or foot, you may have to take a closer look at your shoes.

First, before you look at your shoes, be sure you have a good stretching routine; you’ve been consistent in your weekly mileage; and you’re appropriately cross-training in conjunction with your running. If everything has remained the same and you’ve suddenly been plagued with injuries, it’s time to take a closer look at your shoes.  I was made painfully aware of a problem with my own running shoes, a model.  I’ve faithfully used for nearly two years without problems. I injured my right foot while racing the Clermont half iron man triathlon last September.

Since I’m an experienced triathlete and a board certified orthopedic physical therapist, I’m very careful to perform all the proper preparations before a race. When I woke up the next day after the race and I was unable to walk on my right foot due to heel pain, I knew there was a mystery I had to solve.  After I carefully examined the sneakers, I noticed the right shoe heel counter was severely twisted inward causing my foot to roll in. This over stretched my arch leading to severe foot injury. What I discovered was the heel counter was glued in improperly.

My physical therapy clients who are experienced runners with good training
habits often come in with running injuries due to defective footwear. I know what to look for. I had just overlooked the telltale signs of manufacturer’s defects in my own shoes.

So, with a warning to look very carefully, here are my tips on what manufacturer’s defects to look for:

•Check the shoes right out of the box. Put the shoes on a flat surface and hold the top of the shoe while rocking it in and out. The shoes should remain even and shouldn’t roll. If they are new and they roll, they won’t stop your foot from rolling from side to side, and may buckle during use causing an injury.

•Is the heel counter straight? The small stitched rectangular area in the back of the shoe should be straight and sturdy when you hold both shoes at eye level;

•Be sure that the midsole of the shoe is securely glued in. To test it, hold the shoe, and try to separate the upper from the lower of the shoe. If it pulls apart at all, and it’s brand new, it’s got a defect;

•The upper should be glued straight into the sole;

•Eyelets should be even;

•Air pockets and gel pockets must be evenly inflated because if they are too soft they collapse to cause your foot to excessively roll.

•Look at how the shoe is wearing during the entire life of the shoe. A good running shoe lasts 300-500 miles. Your mileage could be less if your shoe gets wet like when you run on a treadmill in a warm gym; or if you run in the rain. The average who runner who runs 30 miles a week with normal wear and tear can expect to have a shoe life of about 10-15 weeks.
Put a date somewhere on your shoes so that you’re sure to know how long you’ve been using them to prevent injuries from worn out sneakers Be sure to check your shoes throughout the time you use them.
Marathon runners know that mileage increases dramatically while they’re training for a peak race training program. Also, It’s not unusual for manufacturers to suddenly discontinue shoe models and you’ll find your trusty shoe is unavailable for the big race. So it makes sense to buy an extra
pair before the long training program. Check the shoes for defects. Then, put-on 40 to 50 dry miles on the shoes, and put them away in the closet. They’ll be broken in, but fresh for the big race.  By the way, a more expensive shoe is not necessarily a better built shoe.  I’ve had many patients come in with injuries due to problems related to expensive designer brand running shoes.

As for me and my defective running shoes, I was treated by my partner for a couple of weeks, and in six weeks, I was able to complete the New York City Marathon with no heel pain at all. My suggestion: Look especially closely before you buy your next pair of running shoes.

by Bruce R. Wilk, P.T., O.C.S.
Director, Orthopedic Rehabilitation Specialists

 

HOW TO CHECK FOR MANUFACTURER'S DEFECTS
Goodshoe.jpg (82118 bytes) Section and components of an athletic shoe.
The upper shoe is separating from the midsole when testing is performed to pull these two parts of the shoe apart.  The outsole stays intact with the midsole. Midsole.jpg (31945 bytes)

Heel2.jpg (41484 bytes)

A) Dotted lines shoes a 90 degree angle formed between the center of the heel counter and a horizontal line through the middle of the midsole of the sole.
B) Dotted lines shoe the right, outward lean of the upper shoe because it is glued into the midsole at an outside angle.
Inside (a) and outside (b) vertical distances are equal on the left shoe, demonstrating that the left shoe sole is level. B) The inside (c) vertical distance is larger than the outside (d) vertical distance on the right shoe, demonstrating that the right shoe is tilted in an outside direction.

Heel.jpg (76875 bytes)

Rocking.jpg (35336 bytes)

A) A downward, inwardly directed force does rock the left shoe inward. B) A downward, inwardly directed force does rock the left shoe inward.
A force id directed outwardly with the thumb over the inside air / gel pocket to check for symmetry of inflation.

Gelpocket.jpg (62842 bytes)

Sole.jpg (33458 bytes)

A) A downward, outward pressure does not cause loss of height in the outside air pocket in the left shoe. 
B) A downward, inside pressure causes the inside air pocket to lose height and collapse inwardly on the right shoe.

 

TIPS
Here are Wilk's tips on what manufacturer's defects to look for:
  • Check the shoes right out of the box.  Put the shoe on a flat surface and hold the top of the shoe while rocking it in and out.  The shoe should remain even and shouldn't roll.  If they are new and they roll, they won't stop your foot from rolling from side to side, and may buckle during use causing an injury.
  • Is the heel counter straight? The small stitched rectangular area in the back of the shoe should be straight and sturdy when you hold both shoe at eye level.
  • Be sure that the midsole of the shoe is securely glued in.  To test it, hold the shoe, and try to separate the upper from the lower of the shoe.  If it pulls apart at all, and it's brand new, it's got a defect.
  • The upper should be glued straight into the sole.
  • Eyelets should be even.
  • Look at how the shoe is wearing during the entire life of the shoe.  Wilk says A good running shoe lasts 300 to 500 miles.  Your mileage can be less if the shoe gets wet like when you run on a treadmill in a warm gym; or if you run in the rain..  The average runner who runs 30 miles a week with normal wear and tear can expect to have a shoe of about 20 weeks.  Wilk says to put a date somewhere on your shoes so that you're sure to know how long you've been using them to prevent injuries from being overworn.  be sure to check your shoes throughout the time you use them.

Wilk says marathon runners know that mileage increases dramatically while they're training in a peak race training program.  It's not unusual for manufacturers to suddenly discontinue shoe models and you'll find your trusty shoe is unavailable for the big race.  So, Wilk suggests it makes sense to buy an extra pair before the long training program, and to check the shoe for defects.  He says to put on 40 to 50 dry miles on the shoes, and put them away in the closet, they'll be broken in, but fresh for the big race.

By the way, Wilk says a more expensive shoe is not necessarily a better built shoe.   Some of the most expensive running shoes cause problems.  "I've had many patients come in with injuries due to problems related to the use of some very expensive running shoes,"says Wilk.

 

SPORT SHOE DESCRIPTION
RUNNING SHOE
Because of the impact involved with running shoes are designed to provide a maximum overall shock absorption for the foot.  These shoes should have good heel control.   While not a cure-all, these qualities in a running/sports shoe help to prevent shin splints, tendinitis, heel pain, stress fractures and other overuse syndromes.

WALKING SHOES
Walking shoes should be lightweight and have extra shock absorption in the heel of the shoe, especially under the ball of the foot (the metatarsal area).  this will help reduce heel pain as well as burning and tenderness in the ball of the foot (metatarsalgia).  Walking shoes have more rigidity in the front in order to roll off of them rather than bend through them as is done with running shoes.

AEROBIC SHOES
Shoes for aerobic conditioning should be lightweight to prevent foot fatigue but also have extra shock absorption in the sole beneath the ball of the foot (metatarsal area) where the most stress occurs.  AOFAS advises working out on carpet vs. concrete.

TENNIS SHOES
Because of the quick side-to-side movements and shifts in weight involved in tennis, tennis players should have a shoe that support the foot accordingly.  A shoe that provides stability on the inside and outside of the foot is an important factor.   Flexibility in the sole beneath the ball of the foot allows for repeated quick forward movement.

BASKETBALL SHOES
Due to the jumping and landing involved with basketball, players should have a shoe with a thick, stiff sole and a high top. It gives extra stability when running as well as when landing.  A high-top shoe provides support to prevent ankle sprains from landing incorrectly.

CROSS TRAINERS
Cross-training shoes combine many of the above features to allow the individual to participate in more than one sport.  A good cross-training shoe should have the flexibility in the forefoot that is necessary for the running combined with the lateral control necessary for aerobic or tennis.  In general, sport more than three times a week; otherwise a cross-trainer should suffice.

 

Bruce R. Wilk P.T.,O.C.S.
Director of Orthopedic Rehabilitation Specialists, Miami

8720 North Kendall Drive  Suite 206
Miami, Florida  33176
Phone: (305) 595-9425  Fax: (305) 595-8492
E-mail: info@defectiveshoe.com