The Running Doctor

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

This is true for runners also!
07/27/2026

This is true for runners also!

Montain and Coyle's 1992 Journal of Applied Physiology study showed cyclists who lost 4% of body weight to dehydration saw heart rate climb proportionally, even at identical power output.

06/23/2026

Great read by one of the foremost experts in the world on running biomechanics, Joe Hamill, PhD.
Is Changing Footstrike Pattern Beneficial to Runners?
Joseph Hamill, Allison H Gruber
PMID: 30356626 PMCID: PMC6189005 DOI: 10.1016/j.jshs.2017.02.004
Abstract
Some researchers, running instructors, and coaches have suggested that the "optimal" footstrike pattern to improve performance and reduce running injuries is to land using a mid- or forefoot strike. Thus, it has been recommended that runners who use a rearfoot strike would benefit by changing their footstrike although there is little scientific evidence for suggesting such a change. The rearfoot strike is clearly more prevalent. The major reasons often given for changing to a mid- or forefoot strike are (1) it is more economical; (2) there is a reduction in the impact peak and loading rate of the vertical component of the ground reaction force; and (3) there is a reduction in the risk of a running-related injuries. In this paper, we critique these 3 suggestions and provide alternate explanations that may provide contradictory evidence for altering one's footstrike pattern. **We have concluded, based on examining the research literature, that changing to a mid- or forefoot strike does not improve running economy, does not eliminate an impact at the foot-ground contact, and does not reduce the risk of running-related injuries.

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.
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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.
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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.

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