Should I abandon minimalist running?

Antonio

Barefooters
Sep 17, 2015
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Hi!
I have a story to tell, and many questions to ask. I hope this is the right forum.

I recently visited a podiatrist, who delivered a diagnosis that implicitly involved leaving minimalist/barefoot running and wanted to ask the forum about it.

The story: I have been running for over 1.5 years, and after an ITB I decided to try minimalist running. I bought a pair of Vibram FiveFingers and started my transition. Being the stupid I am, I ramped up too quickly and I ended up with an inflammation (I believe a metatarsalgia). I then decided to visit a podiatrist, mostly to check whether my pain was due to an inflammation of a stress fracture.

The podiatrist told me, in a nutshell, that my right leg is slightly longer than my left; because of this, walking has historically caused pronation and stressing my feet with minimalist running has caused the inflammation. He recommended the use of orthotics, which naturally sort of defeats the purpose of minimalist/barefoot running altogether. What has frightened me, though, is that his recommendation for orthotics was on a permanent basis Personally I don't like the idea of wearing orthotics, but his explanation made medical sense to me. My current plan is to use cushioned shoes until the inflammation stops, then re-start transition -- slowly this time.

The questions:
- is that a sensible plan?
- Should I abandon minimalist/barefoot running, or do I have a few chances of successful transition?
- Do you know of any success story with similar challenges?
- Are FiveFingers good for the situation, or are there more suitable shoes?

I really appreciate any information, for which I thank you in advance.
 
Welcome Antonio!
Since this section is limited to responses from the BRS staff of docs why don't you paste this question into the
Health, Nutrition, Injuries & Medical Conditions

forum as well so that you can get some opinions from runners who have been in your orthotics too.
Many have!
 
Ups sorry...
I shall re-post somewhere else..

Thanks for the info and apologies for the off-topic...

No Antonio, you are on topic here. But TJ has requested that in this forum only the docs should give advice. So some will, which is good. But in the other forum we can all relate our experiences to you.
 
No Antonio, you are on topic here. But TJ has requested that in this forum only the docs should give advice. So some will, which is good. But in the other forum we can all relate our experiences to you.
Board, it's okay that he posts a thread here asking the Docs for help.

Antonio, one of our Docs should reply soon. Sorry for the confusion.
 
Thanks for your inquiry. Regarding the issue of overpronation, one leg shorter than the other, etc, the reality is that we inherit our body style, so unless there was measurable trauma in your youth, I doubt the short leg your podiatrist describe was developed. It is most likely functional due to a gait asymmetry from two feet working differently.

While I do not have more information about you, I can tell you some people do great barefoot running, while some not so well for a number of reasons. Since your symptoms began while ramping up too far too fast (not that uncommon, and I did that too), the fact is that some people may do better with a minimalist shoe, a minimalist shoe with minor correction (a good off the shelf orthotic inside a low heel (0-4 mm) shoe, and some do best with a regular running shoe in my experience. In other words, there is no criteria that has been developed to determine who would do best with which so it is hit or miss for many of us.

The podiatrist may be right or may be totally wrong, but the foot orthotic may cost you a bundle to find out if he is wrong, or if he made the device poorly (I see this alot) which would make this costly with no benefit. If you want to try it, a good off the shelf insert is about $40 to see if it helps, however, if you have core issues, this may not help either.

You may wish to visit a good sports chiropractor for another opinion, preferably someone who is certified in sports injuries. That may be a good next step. If you would like, you can post a video of yourself running on a treadmill and I will be happy to give you some feedback. It may be quite enlightening.
 
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