Category: Footwear

Case History demonstrating the biomechanical jig saw puzzle – by trevor prior

A male patient with right hip pain demonstrates (bilateral unless stated): 1st MTPJ dorsiflexion 60°. The forefoot is inverted on the rearfoot. On weight-bearing, both feet are pronated with calcaneal eversion and some lowering of the arch. There is increased medial navicular drift on the right. Foot posture index 6 (Reference values – Highly supinated:



The biomechanical jig saw puzzle – what leads to excessive tissue stress and injury?

Welcome back to Trevor Prior for another great post on biomechanics. Trevor is a fantastic London based podiatrist, working at Premier Podiatry with more than 30 years clinical experience. Some great discussion of biomechanical principles and concept of different biomechanical factors building the puzzle for individual injury risk profile. Over to you Trevor …………….. We have recently



Is there any point measuring static variables in clinical practice? By Trevor Prior

I would like to welcome a new guest to the Biomechanics blog – Trevor Prior. Trevor is a fantastic London based podiatrist, working at Premier Podiatry with more than 30 years clinical experience. As a result he has a wealth of knowledge which he is always keen to share, especially if you have the pleasure of



Barefoot running did’t work, what now? – wrapping it up

So to recap – our runner has anterior shin pain as a result of tibialis anterior over activity. Taking her shoes off increased her pain. Last week, two potential options for retraining were proposed. It was great to also see many other retraining strategies proposed by people. I am sure that John Foster will be pleased



Barefoot running didn’t work, what now? – Part 2

So to recap – our runner has anterior shin pain as a result of tibialis anterior over activity. Taking her shoes off increased her pain. Here were a few of the many suggestions of the next step to take: 1. Give her more cushioning and bulkier shoes – I like the irony but not sure



Barefoot running didn’t work, what now?

So two weeks ago we saw this runners anterior shin pain related to over activity of tibialis anterior was #worse with barefoot running (see videos below). Here were my 2 key biomecanincal considerations of why (obviously very simplistic): 1. Tib ant muscle activity during heel strike running is more the 3 times that of forefoot strike



Some Friday Fun – Is this runners anterior shin pain better or worse with barefoot running?

Tweet #better or #worse Shod Barefoot   The answer: #worse Thanks for some fantastic discussion from all on twitter and here on comments. Her issue/pain was related to excessive Tib ant muscle activity during foot strike. Some key considerations, which I think all were pointed out amongst the discussions: 1. Tib ant muscle activity during



How we run is more important than what is on our feet

I am currently drowning in running retraining research, attempting to complete a mixed-methods study (i.e. systematic review combined with exploration of expert clinical reasoning). Watch this space – aiming to have it done by Christmas! As part of this study, I have come across a very interesting and good paper published in the journal of Biomechanics:



RUNNERS AND CLINICIANS MUST BEWARE OF MINIMALIST FOOTWEAR – WITH DR CHRISTIAN BARTON

Many runners have turned to minimalist footwear in recent years based on numerous assumptions. These include: Minimalist footwear will help to treat or prevent injury Minimalist footwear will facilitate a more natural running action, and in particular, replicate barefoot running Minimalist footwear will improve running efficiency The following will briefly discuss the validity of 1 and 2




Barefoot running, biomechanics, and potential influences on injury – with Dr Christian Barton

Recreational running continues to grow in popularity, and provides a number of health benefits.[1] However, running also leads to a high incidence of lower limb overuse injuries.[2] A number of biomechanical risk factors for running related injury have been proposed, including high repetitive impact forces,[3 4] excessive foot pronation,[5 6] increased knee valgus and hip