Instead of supporting the arch with orthotics or recommending rigid motion control running shoes, Typically tell my patients to take off their shoes and strengthen their feet. Why? Because that’s how are feet were intended to function. The more we use our toes and walk without shoes, the stronger our feet become and the more resistant to injury they become. You don’t lift weights with mittens on, or do shoulder exercises with a sling on do you? The same with our feet. You should never try to strengthen them wearing shoes. An analogy I frequently uses is that of doing pushups. When doing a push up, we splay our fingers to make our hands cover more surface area and “engage” the flexor tendon of our fingers. The same holds true with our feet. Use the toes more and the flexor tendons get recruited making the foot a more stable and supportive base. When we squish our feet into socks an shoes, we inhibit the use of our toes make our feet less stable. I recently published a study in the Journal of the American Podiatric Medical Association demonstrating this.
Here is an article by Samantha Olson which discusses making our feet strong by taking off our shoes.
Nov 18, 2015 05:08 PM By Samantha Olson
Kick off your shoes and walk around barefooted to experience some of the underappreciated benefits of strong feet. As part of their ongoing research, experts from Ithaca College’s School of Health Sciences and Performance recently highlighted the important role the “often overlooked” muscles in the feet play in improving stability, balance, posture, and prevent common injuries, similar to the abdomen.
“If you say ‘core stability,’ everyone sucks in their belly button,” said Patrick McKeon, a professor at the department of Exercise and Sports Sciences at Ithaca College, in a press release. Instead, McKeon wants people to shift their attention to their “foot core,” by investing time in working on their feet as much as their core muscles in the abdomen.
Our feet work on a feedback cycle, McKeon says. From the large muscles in the feet and legs to the small muscles in the feet, each sends messages to the brain about the environment. When these messages get disrupted, injuries arise as another muscle group tries to compensate for the miscommunication. Shoes typically set off these problems, as walking, running, dancing, cycling, or skipping force these muscles to absorb the body’s impact. If the foot’s small muscles miscommunicate or fail to send information up to the brain, the large muscles end up compensating. They overexert themselves, which ultimately leads to injury.
Walking Barefoot Walking barefoot can help foster how the brain sends signals through the muscle groups to improve balance. Photo courtesy of Pixabay, public domain
“When you put a big sole underneath [your feet], you put a big dampening effect on that information,” McKeon said. “There’s a missing link that connects the body with the environment. Some shoes are very good, from the standpoint of providing support. But the consequence of that support, about losing information from the foot, is what we see the effects of [when it comes to overuse injuries].”
Overuse injuries are a problem for athletes in particular. And a recent study, published in the British Journal of Sports Medicine, demonstrated the importance of using the small stabilizing muscles in the foot, known as “local stabilizers.” Though they’re only moved ever so slightly within the feet, they are constantly active as they’re responsible for keeping the entire body stable. If just one of the four distinct layers of muscles along the bottom of the foot fails to support the arch, an endurance athlete like a runner will typically develop plantar fascia, a painful and frustrating injury on the heel.
Practicing exercises such as “foot doming” or “short foot maneuvers” can increase the strength of small foot muscles and decrease the risk of injury for big foot muscles. The exercise involves starting with a bare foot in a neutral position on the floor, then shortening it by contracting the small muscles in the arch, while keeping the toes flat on the ground. You can practice this progressively, going from sitting in a chair to standing, then on one foot, and then on to hopping and box jumps.
“Anything that has to deal with changing postures and using the forces that derive from the interaction with the body and the ground [is great for developing foot core strength],” McKeon said. “The more people can go barefoot, such as at home or the office, is a really good thing.”
Dr. Campitelli is a podiatrist in Akron, OH specializing in foot and ankle surgery with an interest and enthusiasm for running as well as helping runners with injuries. For the past several years he has been treating running injuries in patients by fixing their form and transitioning them to minimalist shoes. Having treated runners with all types of injuries through conservative measures with orthotics and shoe gear changes to reconstructive foot and ankle surgery, Dr. Campitelli has brought what works best and is most current to his practice as well as the Akron and Cleveland running communities.