The Running Doctor

The Running Doctor I evaluate your running posture and biomechanics. We correct those problems that are causing you pain

https://www.facebook.com/photo/?fbid=1439930781506501&set=a.400566972109559
06/14/2026

https://www.facebook.com/photo/?fbid=1439930781506501&set=a.400566972109559

Why is Rearfoot-Striking the Preferred Footstrike Pattern for Over 90% of Runners?

Why do 90+% of runners choose to rearfoot-strike? Could it be that there is increased metabolic efficiency with rearfoot-striking running and, as a result, the central nervous system chooses a rearfoot-striking gait pattern to reduce the metabolic energy expenditure of running?

17 years ago, an interesting computer simulation study from Dr. Joe Hamill and his research group showed that rearfoot- striking running was more energy efficient than midfoot-striking running at a 6:42/mile pace (Miller RH, Russell, EM, Gruber AH, Hamill J. Foot-strike pattern selection to minimize muscle energy expenditure during running: a computer simulation study. Proceedings of the American Society of Biomechanics Annual Conference. State College (PA); 2009).

In addition, in a 2014 study, rearfoot-striking runners were found to be more metabolically economical than midfoot-striking runneers (Ogueta-Alday AN, Rodríguez-Marroyo JA, García-López J. Rearfoot striking runners are more economical than midfoot strikers. Medicine & science in sports & exercise. 2014 Mar;46(3):580-5).

These scientific studies directly contradict the barefoot running, minimalist running shoe and anti-rearfoot-striking zealots who, for years, have promoted midfoot or forefoot-striking running patterns for all runners to be more "natural" or "more efficient" or "more proper". If you heel-strike when running, don't worry about what the self-proclaimed "running-form experts" have been telling you for the past 15 years that, somehow, if you heel-strike, you have "improper" or "bad" running form. Rather, your central nervous system has chosen that rearfoot footstrike pattern in order for you to be more metabolically-efficient during your running activities.
++++++++++++++++++++++++++++++++++++++++++
Rearfoot Striking Runners are More Economical Than Midfoot Strikers

Abstract

Purpose: This study aimed to analyze the influence of foot strike pattern on running economy and biomechanical characteristics in subelite runners with a similar performance level.

Methods: Twenty subelite long-distance runners participated and were divided into two groups according to their foot strike pattern: rearfoot (RF, n = 10) and midfoot (MF, n = 10) strikers. Anthropometric characteristics were measured (height, body mass, body mass index, skinfolds, circumferences, and lengths); physiological (VO2max, anaerobic threshold, and running economy) and biomechanical characteristics (contact and flight times, step rate, and step length) were registered during both incremental and submaximal tests on a treadmill.

Results: There were no significant intergroup differences in anthropometrics, VO2max, or anaerobic threshold measures. RF strikers were 5.4%, 9.3%, and 5.0% more economical than MF at submaximal speeds (11, 13, and 15 km·h respectively, although the difference was not significant at 15 km·h, P = 0.07). Step rate and step length were not different between groups, but RF showed longer contact time (P < 0.01) and shorter flight time (P < 0.01) than MF at all running speeds.

Conclusions: The present study showed that habitually rearfoot striking runners are more economical than midfoot strikers. Foot strike pattern affected both contact and flight times, which may explain the differences in running economy.
++++++++++++++++++++++++++++++++++++++++

So proud of you! From not being able to run because of pain to finishing London Marathon.
05/08/2026

So proud of you! From not being able to run because of pain to finishing London Marathon.

Friday night I had the pleasure of teaching CEUs to the Florida Chiropractic Physicians Association members.
02/25/2026

Friday night I had the pleasure of teaching CEUs to the Florida Chiropractic Physicians Association members.

https://link.springer.com/article/10.1186/s12891-024-07315-2
02/13/2026

https://link.springer.com/article/10.1186/s12891-024-07315-2

Background This systematic review and network meta-analysis assessed via direct and indirect comparisons the recovery effects of hydrotherapy and cold therapy at different temperatures on exercise induced muscle damage. Methods Five databases were searched in English and Chinese. The included studie...

We can determine which of these is the cause of your injury. Call me for an appointment.  727-408-0285
02/12/2026

We can determine which of these is the cause of your injury. Call me for an appointment. 727-408-0285

02/09/2026

You can’t “stretch” the IT band. It’s thick fascia built to transfer load, not a rubber band waiting for your favourite stretch or roller to magically lengthen it. You might feel looser afterwards, but that’s not the IT band changing length—it’s just your nervous system calming down or nearby muscles like TFL and glutes doing something useful. If stretching the IT band actually worked, runners would’ve solved IT band pain decades ago. What tends to help instead is sensible load management and getting the hips stronger, not obsessively yanking on a structure that isn’t designed to stretch in the first place.
References (journals)
1. Fredericson M, et al. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000.
2. Fairclough J, et al. The functional anatomy of the iliotibial band. J Anat. 2006.
3. Eng CM, et al. Influence of soft tissue stretching on the iliotibial band. Clin Biomech. 2010.
4. Reese NB, et al. Iliotibial band flexibility and stretching: an in vivo study. J Orthop Sports Phys Ther. 2003.
5. Falvey ÉC, et al. Iliotibial band syndrome: an examination of the evidence behind a number of treatment options. Scand J Med Sci Sports. 2010.
6. Noehren B, et al. Proximal and distal kinematics in runners with iliotibial band syndrome. Clin Biomech. 2007.
7. Schwellnus MP. Lower limb biomechanics in iliotibial band syndrome. Sports Med. 2009.
8. Ferber R, et al. Strengthening of the hip abductors reduces pain and improves function in runners with ITBS. Med Sci Sports Exerc. 2011.
9. Wilke J, et al. Foam rolling: effects on performance and recovery. Front Physiol. 2020.
10. Baker RL, et al. Iliotibial band syndrome: soft tissue thickness and response to conservative care. Am J Sports Med. 2011.
11. Lavine R. Iliotibial band friction syndrome. Curr Rev Musculoskelet Med. 2010.

I knew it was only a matter of time before problems arose.
07/01/2025

I knew it was only a matter of time before problems arose.

Address

5025 9th Avenue North
Saint Petersburg, FL

Opening Hours

Monday 8:30am - 12pm
2pm - 6pm
Tuesday 2pm - 6pm
Wednesday 8:30am - 12pm
2pm - 6pm
Friday 8:30am - 12pm
2pm - 6pm

Telephone

+17274080285

Website

Alerts

Be the first to know and let us send you an email when The Running Doctor posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Business

Send a message to The Running Doctor:

Share