We enjoyed your article on “Running Right” (Sept. 30) by Don Patterson. Our group has collectively worked with tri-athletes and marathoners, and has been a part of the medical corps for the New York Marathon, Boston Marathon, and San Francisco Marathon. In regards to shoe selection, a runner should first understand their foot type and body type, then determine the shoe requirements that their foot and body type dictate. For example, if you are a 220-pound over-pronator, you will need a motion control shoe with an absorbing sole to prevent injury to your foot as well as your knees, hip and back.

As a general guide, if your heel is rolling out from under your leg and you arch is flattened, you are most likely an over-pronator; if your heel seems to roll in from under your leg you are a supinator.

Determination of your foot type should be performed by a specialist who understands the biomechanics of the foot and its relationship to the body. Proper shoe selection is extremely important in avoiding injury. If you have a supinated foot and choose a shoe for over-pronators you would be augmenting the deformity. If you are new to running or seem prone to running injuries you should be evaluated by a foot and ankle specialist who understands the functional anatomy and needs of an athlete.
We must also add that, anecdotally, we have seen children in ill-fitting walkers develop "ice-walking."  This is when the foot does not come in full contact with the ground and the child walks toe to toe.  This can be a very difficult condition to treat.  It should also be noted that any child that "toe-walks" should be thoroughly evaluated by a physician.

                                                            Dr. Devon Glazer

                                                            Aloha Foot and Ankle Associates, Inc.

Reprinted from article in OC METRO Business Life Style Magazine